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We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 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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 0.8 0.8 0.8 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 (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.8 0.8 0.8 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 0.8 0.8 0.8 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 (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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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 (Cool Runnings)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 (58/63 The Park )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Yeovil)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Somerset)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (BA20 1DF)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 (01935414611)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 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 80.82 w 32.32 532.88 m 564.77 532.88 l S 0.001 w 1 1 1 RG 35.16 w 355.5 556.83 m 565.9 556.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 526.71 m 353.25 526.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 526.71 m 565.9 526.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 503.88 m 353.25 503.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 503.88 m 565.9 503.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 538.13 m 568.1 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 568.1 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.13 m 568.1 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 568.1 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 491.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 491.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 491.39 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 (CoolRunnings Residential Home )Tj ET /F2 12 Tf BT 1 0 0 1 355.5 544.77 Tm (Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 521.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 521.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 499.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 499.11 Tm (12)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 480.17 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 463.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 420.85 m 564.47 420.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 432.26 m 567.8 432.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 455.09 m 567.8 455.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.26 m 567.8 432.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 388.85 m 567.8 388.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 456.17 m 30.07 387.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 433.34 m 298.32 387.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 456.17 m 566.72 387.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 438.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 416.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 416.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 395.5 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 395.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 366.77 m 297.3 366.77 l S 0.001 w 35.16 w 299.55 366.77 m 431.45 366.77 l S 0.001 w 35.16 w 433.7 366.77 m 565.6 366.77 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 336.65 m 565.6 336.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 348.07 m 567.8 348.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.24 m 567.8 325.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.83 m 568.1 287.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.42 m 568.1 250.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.01 m 568.1 213.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.48 m 567.8 385.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.07 m 567.8 348.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.24 m 568.1 325.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.83 m 568.1 287.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.42 m 568.1 250.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.01 m 568.1 213.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.18 m 568.1 190.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 386.55 m 30.07 189.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 386.55 m 298.42 346.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 386.55 m 432.57 346.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 386.55 m 566.72 189.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 369.29 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 354.71 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 369.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 369.29 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 331.88 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 309.05 Tm (Both premises will be staffed by separate staffing rosters with not less than two staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.47 Tm (on duty through the day/evening and one at night in each house.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.64 Tm (No more than 9 service users to be accommodated in No 58 The Park, and not more )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.06 Tm (than 12 service users to be accommodated in No 63 The Park.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.23 Tm (To accommodate one gentleman, under 65 years, as named in application dated )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 219.65 Tm (16/05/06.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 196.82 Tm (To accommodate one lady, under 65 years, as named in application date 28/05/06.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 175.39 m 315.25 175.39 l S 0.001 w 1 1 1 RG 20.58 w 317.5 175.39 m 346.55 175.39 l S 0.001 w 20.58 w 348.8 175.39 m 377.9 175.39 l S 0.001 w 20.58 w 380.15 175.39 m 409.2 175.39 l S 0.001 w 20.58 w 411.45 175.39 m 440.55 175.39 l S 0.001 w 20.58 w 442.8 175.39 m 471.9 175.39 l S 0.001 w 20.58 w 474.15 175.39 m 503.2 175.39 l S 0.001 w 20.58 w 505.45 175.39 m 534.55 175.39 l S 0.001 w 20.58 w 536.8 175.39 m 565.9 175.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 186.8 m 568.1 186.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 163.97 m 568.1 163.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 187.88 m 30.07 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 187.88 m 316.37 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 187.88 m 347.67 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 187.88 m 379.02 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 187.88 m 410.32 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 187.88 m 441.67 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 187.88 m 473.02 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 187.88 m 504.32 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 187.88 m 535.67 162.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 187.88 m 567.02 162.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 170.62 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 170.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 170.62 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 170.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 170.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 170.62 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 170.62 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 170.62 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 170.62 Tm (8)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 152.1 m 565.9 152.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 142.47 m 568.1 142.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 143.55 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 143.55 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.72 m 568.1 161.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 142.47 m 568.1 142.47 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 30.07 162.8 m 30.07 141.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 162.8 m 567.02 141.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 148.54 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 148.54 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 129.29 Tm (Cool Runnings \(No 58 The Park\) and Cool Runnings Too \(No 63 The Park\) are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 112.29 Tm (residential care homes for older people. They are registered as one service with CSCI, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 95.29 Tm (named Cool Runnings Residential Home Ltd. The homes are located on opposite sides )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 78.29 Tm (of a road in a quiet residential area of Yeovil, close to the town centre. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 61.29 Tm (Registered Manager is Mrs Maria Hallett and the Registered Provider is Cool Runnings )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.8 0.8 0.8 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 0.8 0.8 0.8 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 (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 570.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 570.08 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 28.99 571.15 m 568.1 571.15 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 (Ltd.)Tj ET /F2 12 Tf BT 1 0 0 1 56.5 783.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 69.17 783.47 Tm (Cool)Tj ET /F2 12 Tf BT 1 0 0 1 95.41 783.47 Tm ( Runnings accommodates 9 residents in single bedrooms and has a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (lounge/dining room and a conservatory. Cool Runnings Too accommodates 12 )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (residents in single bedrooms and has a large lounge and dining room. Both homes )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (are two-storey buildings and are staffed independently, Cool Runnings has waking )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (night staff and Cool Runnings Too has one member of 'sleep in' staff each night. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (Bedrooms are provided on both ground and first floors with access by stairlift. Both )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (homes have gardens and ample parking. Day care is provided to a limited number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (non-resident people and the home offers short break residential care when vacancies )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (permit.)Tj ET /F2 12 Tf BT 1 0 0 1 77.06 647.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 89.73 647.47 Tm (The)Tj ET /F2 12 Tf BT 1 0 0 1 111.87 647.47 Tm ( current fees range from 368 pounds to 410 pounds per week. Not )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (included in the fees are chiropody, hairdressing and the purchasing of some personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (items.)Tj ET /F2 12 Tf BT 1 0 0 1 70.71 613.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 535/Matrix [1 0 0 1 0 0]>>stream xMo0>eclA*8! qJYX-*?WKU}g:3vLa$%=`9~#}oD9:ϧ$-g,41gVH7WEs$x:zwjOҞPKfBkvkjO/]Jjh( lawRT9~J,] pʄqB& hKZ}f {EVE{ F{;v^pVQYf{8lbYUg h3]vnk}ZUf꾣+\6;Vt߾$eVeZًJ|^ܡn.r:ר݅.nA}7ovku.3> ~Nx{ws<Qui.)Mrn{͏BwY..p\ tŀ6䙦/pfv?}s&w rYi f}8Zg궫o΁Xʻ։gZЬN> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This key inspection was unannounced, and was completed over one day two Regulation )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (Inspectors.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (The focus of this inspection visit was to inspect relevant key standards as detailed in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (the National Minimum standards. This focuses on outcomes for service users and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (measures the quality of the service under four general headings. These are: - )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (excellent, good, adequate and poor.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (On the day of this inspection there were 18 people residing at the home. During the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (course of the inspection we \(CQC\) met with people living at the home and their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (relatives. Care and medication records were examined. Discussions were held with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (Registered Manager and staff members. Staff recruitment and training files were )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (examined. A tour of the building was completed and health and safety documentation )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (was reviewed.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 163.38 w 32.32 730.84 m 566.72 730.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 648.02 m 568.92 648.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 646.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 646.95 l S 0.001 w [] 0 d /F2 12 Tf 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 (Prior to this inspection surveys were sent to people living at the home, relatives, staff )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (and health care professionals and feedback received from these have also been )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (included within this report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (The Registered Manager also completed the Annual Quality Assurance Assessment )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (\(AQAA\) that provides information regarding the service. Information from this has also )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (been included within the report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (We would like to thank the people living at the home, and staff members for their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (assistance during the inspection.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 297.6 w 32.32 625.02 m 566.72 625.02 l S 0.001 w 20.58 w 32.7 463.68 m 569.35 463.68 l S 0.001 w 49.74 w 33.82 426.27 m 568.22 426.27 l S 0.001 w 20.58 w 33.45 388.86 m 570.1 388.86 l S 0.001 w 195.54 w 34.57 278.55 m 568.97 278.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 475.1 m 568.92 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.1 m 569.35 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 452.27 m 569.35 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 452.27 m 570.42 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 400.28 m 570.42 400.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 377.45 m 570.1 377.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 400.28 m 570.1 400.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 377.45 m 571.17 377.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 179.66 m 571.17 179.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 453.35 m 32.7 399.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 378.53 m 33.45 178.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 453.35 m 569.35 399.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 378.53 m 570.1 178.58 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People living at the home were very pleased with the care provided. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (included "staff are excellent. I can do what I want when I want to do it. Staff are very )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (supportive." It was very clear from the evidence seen that people are regarded as )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (individuals and that their individuality is respected by staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (Within the surveys received staff members wrote that "we are a small home with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (stable staff team. Staff are friendly.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (Positive feedback was received regarding the meals provided. One person spoken with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (during the inspection stated that "the food is good". People were aware that an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (alternative was available, and staff demonstrated a good knowledge of peoples dietary )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (needs and preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (All rooms are single occupancy and have en suite toilet facilities. Bedrooms had been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (personalised to reflect people's individual tastes. The environment including communal )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm (areas provides a homely family feel.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm (The Registered Manager advised that when agency staff are required, that they try to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (use the same people whenever possible to ensure consistency of care. 50% of the care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (staff employed have completed the NVQ level 2 qualification.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 623.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 458.91 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 462.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 424.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (Following the last inspection the home has completed work to address some of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (environmental shortfalls identified.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (Infection control measures are now in place )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 424.72 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 387.31 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 384.09 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 277 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 361.26 Tm (The home provides good support and care to people with lower dependency needs. The )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.68 Tm (care and support is not good as people become frailer or are ill. During this time )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 332.1 Tm (staffing levels are not adequate particularly at night. The home does not provide )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.52 Tm (equipment such as hoists \(used to help people move\) which may be required when )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.94 Tm (people become frail or at risk of falling. Staff may not have the skills to meet peoples )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.36 Tm (needs as they become frailer. Staff need additional training in medication, first aid and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.78 Tm (food hygiene.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 259.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.62 Tm (The management need to develop systems to review the care and support provided. )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 230.04 Tm (This should include auditing of accidents and incidents, keeping staffing levels under )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.46 Tm (review and developing staff supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (The arrangements for keeping peoples money is not secure. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 163.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 143.98 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 143.98 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 143.98 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 126.48 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 106.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 86.49 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 86.49 Tm (www.cqc.org.uk.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 799.09 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (10)Tj ET 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 343.01 m 562.54 343.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 171.84 w 33.47 331.76 m 563.66 331.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 243.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 243.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 244.71 m 565.87 244.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (There is information available to assist people to make a choice before they come to )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.26 Tm (People have an assessment before they come to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 271.27 Tm (People have a copy of the contract or terms and conditions of their stay)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 253.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 229.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 136.82 w 34.6 150.43 m 562.54 150.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 209.84 m 564.79 209.84 l S 0.001 w 115.45 w 33.47 138.62 m 563.66 138.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 197.47 m 565.87 197.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 198.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 198.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 197.47 m 564.79 197.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 206.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (Information is available for people to help them make choices about coming to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (home. Some people spoken to during the visit to the home had not had an opportunity )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (to visit the home prior to coming to live there because they had been unwell. Two )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (people talked about the role of their relatives in selecting a home. The surveys sent to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (people prior to the inspection asked "did you receive enough information prior to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (moving into the home" All people stated that they had.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 161.34 w 34.6 730.73 m 562.54 730.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 139.97 w 33.47 718.92 m 563.66 718.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 647.82 m 565.87 647.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The manager stated in the AQAA that she conducts an assessment visit prior to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (someone coming to live in the home. Completed assessments were seen in peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (files.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Records were also seen that showed that people were reassessed by health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (professionals as their needs changed and in some cases more appropriate care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (settings were found.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (All but one person in the surveys received stated that they had received a copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (terms and conditions.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 377.01 m 562.54 377.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 171.84 w 33.47 365.76 m 563.66 365.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 277.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 277.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 278.71 m 565.87 278.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (Staff need to ensure that care plans are consistently developed in all areas and for all )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (individuals living at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (The home needs to ensure that they are meeting the peoples health care needs )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (particularly when people become frail or ill.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm (Improvements in the management of medication have been seen. Staff training is this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 287.77 Tm (area is needed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 263.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 170.82 w 34.6 167.43 m 562.54 167.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 243.84 m 564.79 243.84 l S 0.001 w 149.45 w 33.47 155.62 m 563.66 155.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 231.47 m 565.87 231.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 232.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 232.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 231.47 m 564.79 231.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (All people spoken to during the inspection said that they were well cared for. There )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (was further in the surveys received that people found the care to be good or excellent.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (Each person at the home has a plan of care. The plans seen were not robust and did )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (not detail all the care needs of the individual. The plans did not give sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (guidance to staff on how they could support the individuals to meet these needs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (Four plans were seen and reviewed in detail. One individual had been admitted to the )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (home in 2007. The notes from health care professionals prior to admission show that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (the individual had a long standing history of mental illness. Due to this the individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (could sometimes become distressed and upset. There were no care plans in place )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (which detailed the actions staff should take when this occurred. There was evidence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (that the individual had a history of falls. Despite this staff had not developed a risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (assessment or care plan for this area of care. Increased confusion can often be caused )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (by a urinary tract infection. There was clear evidence in the daily records that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (individual had been seen by the GP and a urinary infection had been diagnosed. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (had not developed a care plan for this aspect of the individuals needs. There was no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (evidence to suggest that staff had considered supporting the individual to drink more )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (which helps relive the symptoms of a urinary infection. There was no evidence that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (staff were supporting the individual to access the toilet more regularly. Despite having )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (a history of falls and a urinary infection there was no evidence available that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (consideration had been given to increasing staffing numbers at night to support the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (individual to access the toilet at night \(see outcome area 6\). In August 2009 the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (individual was admitted to hospital. It was clear from the notes from the local hospital )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that the individual had an on going health illness. There was no care plan developed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (by staff at the home either before or after admission to hospital detailing or giving )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (guidance to staff with regard to this issue. It was also clear from the notes from the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (hospital that due to dementia and on going confusion that the individual was unable to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (give consent for investigations into this illness nor the capacity to decide on future )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (care. Despite this staff at the home have not developed a care plan detailing how they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (would support the individual to make choice. The staff need to refer to the Mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (capacity act for additional guidance in this area.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (As previously stated concerns had been raised to us with regard to the care and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (support afforded to one person living at the home. These concerns related to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (increased falls. A fall risk assessment had been completed on the 14/09/09. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (assessment stated that the "individual was unsteady due to infection. Ensure that x is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (monitored at all times when walking. Rely gets out of bed" We reviewed the running )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (records for this individual between the date of 21/09/09 and 09/10/09. It was clear )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (from these records that the individual had an accident on the 21/09/09 was very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (confused, agitated and vomited. This resulted in a decrease in the persons ability to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (walk. The completed risk assessment was not updated following this fall. The GP )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (visited and prescribed some medication for constipation and a urinary infection. It was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (clear from the running records that over the next few days the individual was poorly )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (with reduced appetite and mobility. weights completed between June 2009 and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (September 2009 showed that the individual was loosing a small amount of weight )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (each month. Due to this and decreased in mobility the individual developed a pressure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (ulcer also know as a bed sore. There is evidence that the district nurses provided on )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (going support via dressing changes and pressure reliving mattress to the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Despite the evidence that the individual was becoming frailer and was not well risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (assessments and associated care plans were not developed by staff. There were no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (care plans in place for the individual reduced appetite and actions staff should take to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (address this. There was no care plan for the pressure ulcer and as such no guidance to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (staff on a regular change of position or dressing to be used. Despite the GP diagnosing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (constipation and a urinary infection there was no care plan detailing the actions staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (should take in response to this which should have included increased fluids,fibre in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (diet and increased access to the toilet. Despite requiring increased support to access )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (fluids, the toilet, a regular change of position and previous falls consideration was not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (given to increasing the night staffing arrangements \(see outcome area 6\) . A )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (subsequent fall was experienced by the individual during the night of the 09/10/09. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (This fall resulted in a hospital admission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (The care records for a third individual were seen. This person had been living at the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (home for over a week. When people are admitted to the care homes it would be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (expected that staff would complete baseline assessments and care plans with in a very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (short period. The information received from the local social services department prior )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (to admission shows that the individual had diabetes which was not controlled, a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (history of falling at home due to low blood sugars, weight loss, dementia and that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (individual need staff support to maintain personal hygiene. Despite these care needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (being identified by social services only one care plan / assessment had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (completed by the home. The care plan which had been developed gave staff guidance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (on what to do if the individual left the building. No other care plans had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (developed in any other area. A weight chart was in place but no weights had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (recorded. There was no evidence that blood sugars were being monitored \(although it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (cannot be confirmed if staff have the skills to complete this\) There was no guidance to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (staff on supporting the individual to maintain a diabetic diet nor how to stem the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (weight loss which had been experienced.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (During the inspection we spoke to people living at the home who all stated that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (care and support they received from staff was good. One gentleman told us that he )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (was not well with back pain. He told us that staff had been very attentive and that he )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (had received regular pain killers.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (The records viewed confirmed that there are regular visits from health professionals, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (doctors and nurses to the home. There is support available from community )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Psychiatric Nurses when needed. There is evidence that people can access specialist )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (care when needed. In care plans there are some records of visits from doctors, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (nurses, chiropodists and opticians. People can make their own arrangements and )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 336.3 w 34.6 643.26 m 562.54 643.26 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 314.93 w 33.47 631.44 m 563.66 631.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 471.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 471.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 472.86 m 565.87 472.86 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (continue to visit their own choice of professional services with family or home support.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Medication records were viewed during the inspection visit. The home uses the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (monitored dosage system \(MDS\) with pre-printed medication administration records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (\(MAR\). The staff member on duty then administers medicines. We observed the staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (in one area administering the lunch time medication. This was completed safely.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (During the inspection we noted that some paracetamol had passed it's expiry date. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (This should have been returned to the pharmacy. In addition we noted that one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (medication should have been stored in the fridge when opened. This was being stored )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (in a none refrigerated draw.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (During the inspection we spoke to two staff with regard to the training that they had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (received with regard to medication. Both staff told us that they had not received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (formal medication training. They told us "you watch the others do the medication )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (round a couple of times and then you can do them." This is not sufficient. Staff need )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (to ensure that they are aware of how to give medication safely, what medication they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (are giving and the side effects. Additional guidance can be found on the CQC Internet )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ("Training care workers to safely administer medicines in care homes" 8 January 2009. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Additional help and advise can be found www.skillsforcare.org.uk.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 437.25 m 562.54 437.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 119.35 w 33.47 426 m 563.66 426 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 364.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 364.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 365.2 m 565.87 365.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (Routines at the home are flexible and people are able to choose what to do.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (visitors are made welcome)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm (meal and mealtime arrangements are satisfactory )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 349.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 257.3 w 34.6 210.68 m 562.54 210.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 330.33 m 564.79 330.33 l S 0.001 w 235.93 w 33.47 198.87 m 563.66 198.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 317.96 m 565.87 317.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 319.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 319.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 317.96 m 564.79 317.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 327.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 302.27 Tm (People living at the home were very complimentary about their daily lives. People )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (stated that they were able to to choice what to do and and when to do it. Activities for )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (October on offer included bingo, blanket making, arm chair aerobics, a walk to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (park, knitting, games and watching the X- factor \(people told us that they really )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (enjoyed getting together to watch this and taking bets who was going out that week!\). )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (People told us that they watched the church service on television. One gentleman told )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (us that he was very happy at the home. Staff are very nice and that he could do what )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (he wanted. He told us that he was quite happy pottering about and staff respected )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (this." Another lady told us that she was also happy at the home as she was able to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (bring in her cats. This person told us that she went out for lunch regularly with her )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (sister. This person stated that the staff were excellent. This individual had a number of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (plants in her room which she stated she enjoyed looking after.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 283.81 w 34.6 669.5 m 562.54 669.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 262.44 w 33.47 657.69 m 563.66 657.69 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 525.34 m 565.87 525.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (All the bedrooms seen were full of personal possessions such as photo's, plants and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (small items of furniture. The communal areas were also very homely in decor which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (added to the family feel of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The lunch time meal was viewed on the day of the inspection. This consisted of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (chicken pie mashed potatoes and veg. This was cooked by staff in both areas of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (home. A choice of meal is not routinly offered although everyone spoken to during the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (inspecton stated that staff were aware of what they liked and did not like and would )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (always get you something else. Menus were on display in some areas of the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (although people spoken to prior to linch were not always aware what the meal was.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (People told us that the evening meal was something lighter we were told "sandwiches )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (or something on taost, that sort of thing.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The majority of people were observed to go to the table for lunch although meals can )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (be served to the bedrooms. The atmosphere in th edining area at lunch time was very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (friendly with lots of banter and conversation between people at the home and staff.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 479.5 m 562.54 479.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 136.85 w 33.47 468.25 m 563.66 468.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 397.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 397.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 398.7 m 565.87 398.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (Complaints are dealt with in line with the homes policy and procedures. People living )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (at the home are aware and comfortable in expressing any concerns.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm (People living at the home are protected by the home's policies and procedures. Some )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 407.77 Tm (staff have not received recent training in the prevention and recognition of abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 290.81 w 34.6 227.43 m 562.54 227.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 363.84 m 564.79 363.84 l S 0.001 w 269.44 w 33.47 215.62 m 563.66 215.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.46 m 565.87 351.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 352.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 352.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.46 m 564.79 351.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 360.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (Feedback forms to people living at the home asked do you know who to speak to if )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (you are not happy? Comments from relatives included "A wonderful home no )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (complaints".)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (The Home has a complaints procedure that is clearly written and contains the contact )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (details for CQC. A range complimentary letters were also held on the file.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (As discussed one concern has been recieved by us. This was investigated by Social )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (Services. The policies and procedures regarding protection of residents are in place, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (which include complaints,recognising signs of abuse and whistleblowing. Abuse )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (training is included in the new staff induction programme. The training matrix was )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (viewed as part of the inspection process and this showed that not all staff had recived )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (abuse training, although this is covered by staff who have completed an NVQ and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (during induction.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 91.36 w 34.6 765.73 m 562.54 765.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 69.98 w 33.47 753.92 m 563.66 753.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 716.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 716.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 717.8 m 565.87 717.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The completed AQAA stated that the manager has been proactive in welcoming )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (complaints and suggestions about the service, using these positively and learning from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 462.5 m 562.54 462.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 136.85 w 33.47 451.25 m 563.66 451.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 381.7 m 565.87 381.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (People have their own possessions in their room.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (The home was clean and tidy.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (The home may not provide adequate equipment to meet the needs of people at the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 390.77 Tm (home particularly when they become more frail, following an accident or are ill. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 366.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 273.81 w 34.6 218.93 m 562.54 218.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 346.84 m 564.79 346.84 l S 0.001 w 252.44 w 33.47 207.12 m 563.66 207.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 334.46 m 565.87 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 335.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 334.46 m 564.79 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 343.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (The home consists of two separate buildings that are located on opposite sides of a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (quiet residential road. The units are staff separately and each has a kitchen, lounge, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (dining room and assisted bathrooms. A call system is available. A stair lift is available )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (in the second property. The home has decorated and furnished to an adequate )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (standard. There are sufficient communal areas and bathing facilities to meet people's )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (needs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (Bedrooms are situated on the ground and first floors. All rooms are single occupancy )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (and have en suite toilet facilities. Bedrooms had been personalised to reflect service )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (users individual tastes.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (People coming into residential care now have more healthcare needs than they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (previously did. This is due to the fact people are choosing and being supported to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (remain in their own homes for longer. The home does not currently have a hoist used )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 196.33 w 34.6 713.24 m 562.54 713.24 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 174.96 w 33.47 701.43 m 563.66 701.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 612.82 m 565.87 612.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (for supporting people to move. Staff told us that "this is a residential home and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (therefore we do not need a hoist." This is not the case. The home should provide )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (equipment necessary for the needs of the people living at the home. During the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (inspection we reviewed the accident records. These showed that following a fall the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (staff support people to get up from the floor manually. This could increase the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (injury to both the staff member and the person living at the home. For these reasons )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (the home needs to consider increasing the amount of equipment such as hoists used )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (in moving and handling, pressure mats and scales for weighing people who cannot )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (stand.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 453.75 m 562.54 453.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 154.34 w 33.47 442.51 m 563.66 442.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 363.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 363.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 364.21 m 565.87 364.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Staffing numbers are not adequate at night when people are ill or frail.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (Staff need additional training to ensure that they have the skills to meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (people at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 390.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 373.27 Tm (Staff recruitment procedures were adequate )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 348.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 256.31 w 34.6 210.18 m 562.54 210.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 329.34 m 564.79 329.34 l S 0.001 w 234.94 w 33.47 198.37 m 563.66 198.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 316.97 m 565.87 316.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 318.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 316.97 m 564.79 316.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 326.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (During the inspection we reviewed the staff duty rota's. There are two staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (throughout the day at each unit. There is one waking member of staff in cool running )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (and one sleeping in member of staff in cool runnings too. Part of the concerns raised )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (to us involved a person falling at night during an acute illness. As a result of the lack )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (of waking night staff there is evidence that this individual remained on the floor for a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (period of time. This is unacceptable in a care home environment. Other care records )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (viewed showed evidence that other people at the home would require staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (interventions at night including support to access the toilet and fluids. We discussed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (the incident and our on going concerns with the manager of the home at the end of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (the inspection. The manager told us that due to restricted finances they would be )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (unable to provide waking night staff cover. A number of options were discussed to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (address this issue. This included contacting social services when people are ill to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (provide additional finances to enable the provision of waking night staff. Consideration )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (could be given that when people are ill the sleeping night staff member gets up )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (periodically to check on people, offer the use of toilet and fluids. According to the duty )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (rota's it is clear that one of the home owners sometimes provides sleeping night staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (cover. It could not be confirmed that this individual had received training to complete )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (this role.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Some people spoken with during the inspection confirmed that there were sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (numbers of staff on duty throughout the day and night, whilst others said that there is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ("not enough". People stated that they were pleased with the care that they receive. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Within the surveys received from staff members all of the respondents stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (there were sufficient staff on duty each day to meet people's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Staff spoken to during the inspection said that they had received a good induction and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (were happy with the ongoing training opportunities. The training matrix was viewed as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (part of the inspection. This showed that some staff require additional training. As )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (previously stated some staff require training to ensure that they administer )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (medication safely. Care staff complete all the cooking and preparation of meals. It )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (could not be confirmed that all staff have undertaken food hygiene training. On )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (viewing the accident records it was clear that one person at the home had fallen. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (supported the person to get up off the floor. Later it was confirmed that the individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (had a broken hip. It could not be confirmed if staff have the skills to recongnise the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (signs and symptoms of such injuries as staff have not undertaken first aid training.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (According to the AQAA received prior to the inspection the home employs 10 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (permanent care staff. Five of these have an NVQ and an additional 3 staff are training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (towards this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (We viewed the recruitment files of the three most recently employed members of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (staff. These gave evidence of a robust recruitment procedure that minimises the risks )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (of abuse to the people living at the home. New members of staff had undergone an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (enhanced Criminal Records Bureau \(CRB\) check and written references had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (obtained before the person began work in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (All staff who completed a questionnaire answered YES to the question "Did your )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (employer carry out checks such as CRB and references?")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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 211.83 w 34.6 351.26 m 562.54 351.26 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 189.33 w 33.47 340.01 m 563.66 340.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 243.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 243.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 244.22 m 565.87 244.22 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (The home is well managed taking although more emphasis should be placed on )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (considering the views of people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (Various systems are in place to maintain a safe environment.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.27 Tm (A system of staff supervision needs to be developed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 253.28 Tm (personal monies need to be securley stored. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 228.53 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 136.32 w 34.6 150.19 m 562.54 150.19 l S 0.001 w 1 1 1 RG 22.5 w 32.35 209.35 m 564.79 209.35 l S 0.001 w 114.95 w 33.47 138.38 m 563.66 138.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 196.98 m 565.87 196.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 198.05 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 198.05 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 196.98 m 564.79 196.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 206.04 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (The Registered Manager and Provider is Maria Hallett. She has owned and managed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (Cool Runnings for a number of years. She is supported by a small staff team that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (includes a number of family members.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (Mrs Hallett advised that due to the size of the home, there are no formal systems for )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (obtaining feedback, and that instead she tries to speak with people living at the home, )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (their relatives and visiting professionals on a regular basis. There are regular staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (meetings at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (People spoken with during the inspection stated that they would feel able to raise any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (issues of concern with her.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The home was given Quality Rating by Somerset Social Services on 1/1/06.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The Registered Manager has not undertaken regular review of the standards of care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (provided to ensure that it continues to comply with the regulations, and to identify )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (areas for improvement. This was discussed during the inspection. Within the AQAA the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (home is required to identify plans for improvement for the next 12 months. For The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Registered Manager may wish to undertake reviews of the environment, care plans )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (and medication practice to ensure that these meet the required standards and that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (service continues to improve.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (During the inspection we observed that people's personal money was not kept securly. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Currently the home stores the money in fliling cabinet in the staff office. This cabinets )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (also used to store care records. Although there is a key pad to restrict access to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (room the cabinet was not secure as staff require access to the care records. Some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (people had some signifcant amounts of money stored in this way. One person had a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (balance of 158.27. Receipts had been obtained to support most transactions and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (signed for by one or two people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (During the inspection we spoke to staff. Staff spoken to were not aware of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ("supervision" and what this entailed. Staff however did state that they found the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (owner supportive and approachable. The management must ensure that there is a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (system of supervision in place. This will ensure that staff have the oppertunity to raise )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (any concerns and discuss any training requirements.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (All accidents are recorded. The management needs to audits these records to monitor )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (the needs of individuals, and to establish if there are any implications for the service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (The AQAA recieved prior to the inspection showed that servicing had taken place for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (portable appliances, electrical hardwiring, stair lifts, fire system or nurse call system.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 401.25 w 32.32 516.78 m 564.97 516.78 l S 0.001 w 1 1 1 RG 81.9 w 31.2 573.6 m 91.05 573.6 l S 0.001 w 81.9 w 93.3 573.6 m 197.4 573.6 l S 0.001 w 81.9 w 199.65 573.6 m 289.45 573.6 l S 0.001 w 81.9 w 291.7 573.6 m 473.8 573.6 l S 0.001 w 81.9 w 476.05 573.6 m 566.1 573.6 l S 0.001 w 213.12 w 31.2 423.84 m 91.05 423.84 l S 0.001 w 213.12 w 93.3 423.84 m 197.4 423.84 l S 0.001 w 213.12 w 199.65 423.84 m 289.45 423.84 l S 0.001 w 213.12 w 291.7 423.84 m 473.8 423.84 l S 0.001 w 213.12 w 476.05 423.84 m 566.1 423.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 531.52 m 568.3 531.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 616.75 m 30.07 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 315.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.52 m 568.3 531.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.15 m 568.3 316.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (15 \(1\) )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (Care plans must be regularly )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (reviewed and updated to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (ensure that they reflect )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (people's current needs.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 538.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (04/07/2008)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 518.34 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 515.34 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 515.34 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 515.34 Tm (The registered manager is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 500.76 Tm (required to ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 486.18 Tm (medications are recorded )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 471.6 Tm (correctly and that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 457.02 Tm (medications which have been )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 442.44 Tm (administered but not taken )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 427.86 Tm (are recorded appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 410.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 395.7 Tm (This will ensure that there is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 381.12 Tm (a clear audit trail of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 366.54 Tm (medication administered and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 351.96 Tm (reduces the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 337.38 Tm (medication being accidentally )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 322.8 Tm (ingested.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 515.34 Tm (18/12/2008)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 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677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 509.54 w 32.32 372.45 m 564.97 372.45 l S 0.001 w 1 1 1 RG 238 w 31.2 407.8 m 91.05 407.8 l S 0.001 w 238 w 93.3 407.8 m 197.4 407.8 l S 0.001 w 238 w 199.65 407.8 m 289.45 407.8 l S 0.001 w 238 w 291.7 407.8 m 473.8 407.8 l S 0.001 w 238 w 476.05 407.8 m 566.1 407.8 l S 0.001 w 170 w 31.2 201.55 m 91.05 201.55 l S 0.001 w 170 w 93.3 201.55 m 197.4 201.55 l S 0.001 w 170 w 199.65 201.55 m 289.45 201.55 l S 0.001 w 170 w 291.7 201.55 m 473.8 201.55 l S 0.001 w 170 w 476.05 201.55 m 566.1 201.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 287.68 m 568.3 287.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 114.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 114.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 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Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 514.74 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 514.74 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 514.74 Tm (The home must ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 497.74 Tm (the healthcare need so of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 480.74 Tm (individuals are met by )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 463.74 Tm (ensuring a range of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 446.74 Tm (assessments are completed )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 429.74 Tm (according to the individuals )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 412.74 Tm (needs. This should include )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 395.74 Tm (assessments for pressure )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 378.74 Tm (ulcers, continence, falls and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 361.74 Tm (nutritional screening )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 344.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 327.74 Tm (This will help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 310.74 Tm (the health needs of people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 293.74 Tm (living at the home are met. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 514.74 Tm (13/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 274.49 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 274.49 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 274.49 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 274.49 Tm (The management must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 257.49 Tm (ensure that all staff who )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 240.49 Tm (administer medication have )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 223.49 Tm (recieved appropriate and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 206.49 Tm (accredited training )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 189.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 172.49 Tm (To reduce the risk of drug )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 155.49 Tm (errors and to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 138.49 Tm (medication is administered )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 121.49 Tm (safely. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 274.49 Tm (28/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 274.49 Tm ()Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 732.79 w 32.32 445.01 m 564.97 445.01 l S 0.001 w 1 1 1 RG 153 w 31.2 634.49 m 91.05 634.49 l S 0.001 w 153 w 93.3 634.49 m 197.4 634.49 l S 0.001 w 153 w 199.65 634.49 m 289.45 634.49 l S 0.001 w 153 w 291.7 634.49 m 473.8 634.49 l S 0.001 w 153 w 476.05 634.49 m 566.1 634.49 l S 0.001 w 187 w 31.2 462.24 m 91.05 462.24 l S 0.001 w 187 w 93.3 462.24 m 197.4 462.24 l S 0.001 w 187 w 199.65 462.24 m 289.45 462.24 l S 0.001 w 187 w 291.7 462.24 m 473.8 462.24 l S 0.001 w 187 w 476.05 462.24 m 566.1 462.24 l S 0.001 w 289 w 31.2 221.99 m 91.05 221.99 l S 0.001 w 289 w 93.3 221.99 m 197.4 221.99 l S 0.001 w 289 w 199.65 221.99 m 289.45 221.99 l S 0.001 w 289 w 291.7 221.99 m 473.8 221.99 l S 0.001 w 289 w 476.05 221.99 m 566.1 221.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 556.86 m 568.3 556.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.61 m 568.3 367.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 75.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 556.86 m 568.3 556.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.61 m 568.3 367.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 76.36 m 568.3 76.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 698.93 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 698.93 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 698.93 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 698.93 Tm (The management must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 681.93 Tm (ensure that there are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 664.93 Tm (sufficient staff on duty at all )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 647.93 Tm (times particularly at night )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 630.93 Tm (when people are ill or frail. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 613.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 596.93 Tm (To ensure the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 579.93 Tm (people living at the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 562.93 Tm (are met. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 698.93 Tm (11/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 698.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 543.68 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 543.68 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 543.68 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.68 Tm (The management must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.68 Tm (ensure that all staff have the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.68 Tm (training to meet the needs )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 492.68 Tm (of the people at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 475.68 Tm (This should include food )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 458.68 Tm (hygiene, first aid, and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 441.68 Tm (medication training)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 424.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 407.68 Tm (To ensure the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 390.68 Tm (people living at the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 373.68 Tm (are met. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 543.68 Tm (11/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 543.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 354.43 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 354.43 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 354.43 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 354.43 Tm (The Registered person shall )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 337.43 Tm (establish and maintain a )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 320.43 Tm (system for reviewing the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 303.43 Tm (quality of care provided at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 286.43 Tm (the care home. This system )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 269.43 Tm (must be developed and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 252.43 Tm (evidence commitment to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 235.43 Tm (developing and improving )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 218.43 Tm (the care service to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 201.43 Tm (service users needs. This )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 184.43 Tm (should include the auditing )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 167.43 Tm (of accident and incidents)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 150.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 133.43 Tm (This will ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 116.43 Tm (home continues to develop )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 99.43 Tm (and meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 82.43 Tm (people at the home)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 354.43 Tm (11/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 354.43 Tm ()Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 184.29 w 32.32 719.26 m 564.97 719.26 l S 0.001 w 1 1 1 RG 85 w 31.2 668.49 m 91.05 668.49 l S 0.001 w 85 w 93.3 668.49 m 197.4 668.49 l S 0.001 w 85 w 199.65 668.49 m 289.45 668.49 l S 0.001 w 85 w 291.7 668.49 m 473.8 668.49 l S 0.001 w 85 w 476.05 668.49 m 566.1 668.49 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 713.19 m 30.07 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 624.86 m 568.3 624.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 698.93 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 698.93 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 698.93 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 698.93 Tm (The management must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 681.93 Tm (ensure that personal monies )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 664.93 Tm (are stored securely. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 647.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 630.93 Tm (to reduce the risk of theft. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 698.93 Tm (11/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 698.93 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 178.24 w 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428.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 607.82 m 30.07 516.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 538.25 m 92.17 517.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 538.25 m 198.47 517.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 607.82 m 567.32 516.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 590.55 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 572.97 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 558.39 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 543.81 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 522.99 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 522.99 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 522.99 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.71 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 501.71 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 501.71 Tm (The home must consider increasing the availability of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 487.13 Tm (specalist equipment such as hoists, pressure mats and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 472.55 Tm (scales. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.72 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 449.72 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 449.72 Tm (Staff supervision should be provided and recorded up to six )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 435.14 Tm (times per year for care staff.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 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access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj[6 0 R/XYZ 0 318.87 0] endobj 80 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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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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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 85 0 obj<> endobj 86 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 87 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 67 0 obj<> endobj 88 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 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 91 0 obj<> endobj 92 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 93 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 94 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 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