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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Foxhill Manor Nursing Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (Foxhill Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (West Haddon)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Northants)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (NN6 7BG)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 399.3 331.89 Tm (zero star poor service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Kathy Jones)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Foxhill Manor Nursing Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Foxhill Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (West Haddon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Northants)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (NN6 7BG)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 (01788510262)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01788510834)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (snullatamby@yahoo.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Mr )Tj ET /F2 12 Tf BT 1 0 0 1 374.96 559.35 Tm (Ramsamy )Tj ET /F2 12 Tf BT 1 0 0 1 438.66 559.35 Tm (Nullatamby)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (26)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 20.58 w 31.2 382.81 m 297.3 382.81 l S 0.001 w 20.58 w 299.55 382.81 m 431.45 382.81 l S 0.001 w 20.58 w 433.7 382.81 m 565.6 382.81 l S 0.001 w 20.58 w 31.2 359.98 m 297.3 359.98 l S 0.001 w 20.58 w 299.55 359.98 m 431.45 359.98 l S 0.001 w 20.58 w 433.7 359.98 m 565.6 359.98 l S 0.001 w 35.16 w 31.2 329.86 m 297.3 329.86 l S 0.001 w 35.16 w 299.55 329.86 m 431.45 329.86 l S 0.001 w 35.16 w 433.7 329.86 m 565.6 329.86 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 299.74 m 565.6 299.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 567.8 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 567.8 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 567.8 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.5 m 568.1 265.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.09 m 568.1 228.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.68 m 568.1 190.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 567.8 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 567.8 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 568.1 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.5 m 568.1 265.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.09 m 568.1 228.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.68 m 568.1 190.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.85 m 568.1 167.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 166.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 310.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 310.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 166.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (past or present alcohol dependence)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (past or present drug dependence)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 378.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 378.04 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.21 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 355.21 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 355.21 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 332.38 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 332.38 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 332.38 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.97 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 272.14 Tm (Service Users under the age of 65 years must not be admitted to the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 249.31 Tm (Service users must fall into at least one of the following categories: past or present )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.73 Tm (alcohol dependence, past or present drug dependence, dementia or mental disorder)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 211.9 Tm (The home may accommodate three named service users for whom variations were )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 197.32 Tm (granted prior to April 2002, \(the NCSC\), who are under the age of 65 years )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 174.49 Tm (The total number of Service Users must not exceed 26 )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 153.06 m 315.25 153.06 l S 0.001 w 1 1 1 RG 20.58 w 317.5 153.06 m 346.55 153.06 l S 0.001 w 20.58 w 348.8 153.06 m 377.9 153.06 l S 0.001 w 20.58 w 380.15 153.06 m 409.2 153.06 l S 0.001 w 20.58 w 411.45 153.06 m 440.55 153.06 l S 0.001 w 20.58 w 442.8 153.06 m 471.9 153.06 l S 0.001 w 20.58 w 474.15 153.06 m 503.2 153.06 l S 0.001 w 20.58 w 505.45 153.06 m 534.55 153.06 l S 0.001 w 20.58 w 536.8 153.06 m 565.9 153.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 164.47 m 568.1 164.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.64 m 568.1 141.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 165.55 m 30.07 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 165.55 m 316.37 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 165.55 m 347.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 165.55 m 379.02 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 165.55 m 410.32 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 165.55 m 441.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 165.55 m 473.02 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 165.55 m 504.32 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 165.55 m 535.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 165.55 m 567.02 140.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 148.29 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 129.77 m 565.9 129.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 120.14 m 568.1 120.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 121.22 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 121.22 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.39 m 568.1 139.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 120.14 m 568.1 120.14 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 30.07 140.47 m 30.07 119.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 140.47 m 567.02 119.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 126.21 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 126.21 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 106.96 Tm (Foxhill Manor is a care home providing nursing care for up to 26 people of both sexes )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 89.96 Tm (who are over 65 years of age and within the categories of dementia, mental disorder, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 72.96 Tm (past or present alcohol dependence and past or present drug dependence. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 55.96 Tm (currently has permission to care for three named people under the age of 65 years.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 451.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 451.08 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 28.99 452.15 m 568.1 452.15 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 ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (Foxhill Manor is privatley owned and not part of a group of homes.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (Foxhill Manor is a large converted house set in its own extensive grounds and situated )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (on the outskirts of a village. People's bedrooms are on three floors with the shared )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (lounges and dining room on the ground floor. The majority of people share a bedroom, )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (however there are eight single rooms. Two of the double bedrooms have an en-suite )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (toilet.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (The following fees were provided by the registered provider/manager as being current )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (at the time of the inspection in March 2009:)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 (Weekly fees range between 500 and 975 per week dependent on assessed need. For )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (people funded by the local authority the fee includes the nursing contribution. For )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (people who are funding their own care the nursing contribution is additional.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 511.47 Tm (Chiropody and hairdressing can be arranged and these services are charged )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 494.47 Tm (separatley.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 477.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 460.47 Tm (A copy of the most recent inspection report is available at Foxhill Manor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 440.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 423.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xn0 ~ K&R%7+S6P4n"] C%E)3 Zψˢd05yJdYm{~sny>[ɸ`rV R QV2ѐ(D z`5%x9z1`//=WT7V Z[S{zWҩFRP N(Dn#2hY-`v--`V`ӒPg.OllN0BV NNU5`G]$/`^8P]%Gdt'- %uCj$f̪Q6„zdOgV'-ٛs]g{sB*)GeVՌCݓ.ٳIdݞnj:݂.ǮA4>˗v &owt>ߏX=wY#\V9<\ŗZ]:=Ysg038 P2M v8FG"Jlskg67X֝։WZG߬/L>O endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 715.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is 0 star. This means that people who use this service )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (experience poor quality outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (The 'key' standards under the National Minimum Standards \(NMS\) were inspected )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (during the course of the inspection. The Commission for Social Care Inspection \(CSCI\) )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (focus on these standards as they are considered to be the standards, which have a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (particular impact on the health and welfare and outcomes for people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (Prior to the inspection we considered information that we have received about the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (service since the last inspection. This included information received from other )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 484.14 w 32.32 570.46 m 566.72 570.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 327.26 m 568.92 327.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 326.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 326.19 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (agencies and from the service themselves.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (This inspection was unannounced and carried out by one regulation inspector over the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (period of two days. On this occasion the inspection visits took place on a weekday. It )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (was necessary to return for a second visit as not all staff files were made available on )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (the first visit.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (Judgments reached within each outcome area in the report were reached as a result of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (drawing together information from a range of sources such as, the reviewing of care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (plans and other care records including medication records, complaints records and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (written and verbal communications with the registered provider and registered )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (manager.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (We found that not everyone was able to communicate their views about their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (experiences and the care and support provided. We spoke with some people who use )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (the service and also a visitor. We also observed interactions between staff and people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (who use the service and care practices. This information helped with forming our )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (judgments.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (To support the information we received, we 'case tracked' two people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (service which involved sample checking care records \(care plans\) held at the service in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm (relation to their health, safety and welfare and looked at how there medication is )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (managed.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 452.8 Tm (Staff files were sample checked to evaluate how the service ensures people are )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 438.22 Tm (protected through their staff recruitment, training and support and development )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 423.64 Tm (programmes.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 409.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 394.48 Tm (We also looked at a sample of bedrooms, saw the shared areas of the home such as )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 379.9 Tm (lounges, dining room and bathrooms. We observed the service of the lunch time meal.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 365.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 350.74 Tm (Feedback on the inspection findings was discussed with the person in charge )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 336.16 Tm (throughout the inspection.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 326.76 w 32.32 627.44 m 566.72 627.44 l S 0.001 w 20.58 w 32.7 451.52 m 569.35 451.52 l S 0.001 w 49.74 w 33.82 414.11 m 568.22 414.11 l S 0.001 w 20.58 w 33.45 376.7 m 570.1 376.7 l S 0.001 w 273.19 w 34.57 227.57 m 568.97 227.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 462.94 m 568.92 462.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 461.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 462.94 m 569.35 462.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 440.11 m 569.35 440.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 440.11 m 570.42 440.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 388.12 m 570.42 388.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 365.29 m 570.1 365.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 388.12 m 570.1 388.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 365.29 m 571.17 365.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 441.19 m 32.7 387.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 366.37 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 461.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 441.19 m 569.35 387.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 366.37 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (Staff at Foxhill Manor were observed to have a calm and gentle approach with people )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (who use the service and all were quietly spoken. Positive comments were received )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (from a visitor and some people who use the service were able to tell us they were )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (happy with the staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (A visitor praised the fact that staff were careful to ensure that people were clean and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (well groomed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (People told us that they liked the food and that they were offered a choice of meal. At )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (lunch time we saw several different meals being served based on people's requests or )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (known preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (The atmosphere in the home was relaxed and staff took time to engage in conversation )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (with people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (Care plans and care records were reflective of peoples needs and kept up to date with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (changes to peoples needs. This helps to ensure that staff have relevant information to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (provide appropriate care.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (Medication was seen to be well managed with evidence that people were having )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (regular medication reviews. There was also evidence that requests for medication )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (reviews were made as and when people's needs changed.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 625.89 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 449.41 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 446.75 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 449.97 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 412.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (Improvements since the last inspection have included replacement of dining room )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm (furniture and some re-decoration.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 570.47 412.56 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 375.15 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 371.93 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 226.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 349.1 Tm (While standards of care were found to be good, we were concerned about shortfalls in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 334.52 Tm (the management of the service which places people who use the service at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 319.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 305.36 Tm (One of the main areas of concern related to the employment of staff without necessary )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 290.78 Tm (checks such as criminal record bureau checks and references being carried out to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 276.2 Tm (ensure that people are suitable to work with vulnerable people.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (Staff training and quality assurance processes were other areas where we found )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 232.46 Tm (shortfalls. It is important to ensure that staff have regular training to update their )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 217.88 Tm (knowledge and skills in caring for people who use the service. Good quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 203.3 Tm (systems are vital in ensuring that good standards of care are maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 188.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 174.14 Tm (Some environmental improvements are needed, which includes updating and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 159.56 Tm (refurbishing bathrooms with equipment to meet people's needs. This is listed in the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 144.98 Tm (service's development plan for 2009. The plan also includes the installation of a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 130.4 Tm (passenger lift, though plan have not been finally agreed. Some bedrooms are only )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm (accessible which is problematic when as was the case at the time of inspection )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm (someone's mobility decreases. This had resulted in someone sharing a room already )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 34.57 796.45 m 568.97 796.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 779.24 m 571.17 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 778.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 778.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (occupied by two people on the ground floor. This then impacted on those people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 764.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 744.69 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 744.69 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 744.69 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 727.19 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 707.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 687.2 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 687.2 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 687.2 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 669.7 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 669.7 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 669.7 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 652.21 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (The admission process establishes the homes ability to meet the needs of people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (admitted to the home prior to admission. More detailed information about Foxhill )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (Manor and the needs catered for would help people to make more informed choices.)Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (Copies of a statement of purpose and service user guide dated 2004 were available in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (the entrance hall with a copy of the most recent Commission for Social Care inspection )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (report. The documents provide some information about the services provided, however )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (more information about the range of needs and the support and care provided would )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (help people in making more informed decisions when choosing a nursing home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (Information should be included about arrangements for people \(particularly those )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (occupying a room without lift access\) if and when their mobility or physical health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (deteriorates.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm ()Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (There is also a brochure which includes extracts from the statement of purpose and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (service user guide. This contained information about the fees which were quoted as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (375.00 to 400.00 per week. However as the document was not dated it was difficult )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to be sure they were current. It is important that people have information about fees )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to enable them to plan their finances. The annual quality assurance self assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (submitted by the registered manager states that there is equality in the charging )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (structure, in that privately funded people are charged the same as those who are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (funded by a local authority.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (We spoke with a relative about the admission process and they confirmed that visits )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (are encouraged prior to admission and that they were told that they could visit to look )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (around at any time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (We looked at records for someone who had been admitted relatively recently and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (found that an assessment of needs and care plans had been obtained from the placing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (authority. The information provided was sufficient to enable a decision to be made as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (to whether the persons needs could be met. This is important in helping to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (people's needs can be met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Intermediate care is not provided therefore this standard was not assessed.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 402.74 m 563.65 402.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 97.48 w 32.32 391.5 m 564.78 391.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 341.63 m 566.98 341.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (The overall care provided is good with health care services being accessed as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (appropriate.)Tj ET 0.99608 0.9451 0.76078 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 0.001 w 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.39 m 566.98 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.39 m 565.9 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 303.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (We spoke with people who use the service and a relative during the inspection and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (observed the care and support that people were receiving. People told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (were happy with the care and support that staff give them. We observed staff to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (calm and gentle in their approach to people. Staff were responsive to people's needs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (and were observed to maintain people's dignity when assisting and supporting them )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (with care including toileting routines. A relative of someone who has recently been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (admitted was pleased with the attention paid to personal care and appearance.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (Care plans were in place and a sample check indicated that they identified and were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (relevant to people's needs. There was evidence that the level of care and health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (monitoring is altered as people's needs change. Care plans are important documents in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (guiding staff as to the actions they need to take to meet people's needs and help to )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 443.77 w 33.45 589.52 m 563.65 589.52 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 422.4 w 32.32 577.71 m 564.78 577.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 364.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 364.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 365.38 m 566.98 365.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (provide consistent care. Staff spoken with were aware of people's individual needs. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (People are supported according to their individual needs. For example records are in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (place to monitor people's bowels, however people's dignity is respected and this is only )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (used where people are not able to manage independently and there health may be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (compromised.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (We received feedback in a survey from a health professional in 2008 which included )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (confirmation that the service seek advice and act on it to manage and improve )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (individual's health care needs. They also stated that "residents seem well cared for and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (looked after". Care files contained evidence of involvement of professionals which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (include General Practitioners, community mental health team and chiropodist.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (A sample check of medication and medication records indicates that medication is well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (managed. Stocks are kept to a minimum and records kept of receipt and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (administration as part of a clear audit trail. There is evidence that people's medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (is reviewed regularly and that requests for medication reviews by the General )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Practitioner are made and medication altered as and when people's needs change.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Staff were observed to be mindful of people's dignity and spoke to people in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (respectful manner.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Visitors are encouraged and welcomed into the home, the food is good with a choice of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (meals and peoples preferred routines are respected.)Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (People's preferences in terms of daily routines were seen to be respected in that we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (noted that someone's preference to stay up late at night and rise after lunch is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (accepted by staff as part of their routine. Arrangements for meals are made within this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (persons preferred routine.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (There was a friendly and relaxed atmosphere in the home on the day of inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (Staff were seen to spend time with people who use the service either doing activities )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (or in conversation. External input with activities is also now provided twice a week. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (One of the planned improvements identified in the development plan is for regular )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (outings in the summer to places of interest. Foxhill Manor has a minibus which helps to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (make such trips possible.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (Northamptonshire County Council found from interviewing people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (and relatives as part of reviews carried out between March and June 2008 that the )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 408.78 w 33.45 607.01 m 563.65 607.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 387.41 w 32.32 595.2 m 564.78 595.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.37 m 566.98 400.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (majority of people felt they would like more access to the outside. They felt that this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (would benefit people greatly. Staff advised that they do take people for walks when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (able. During this inspection we observed someone who kept wanting to go outside, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (initially she was distracted by conversation by staff and after several attempts a staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (member took her for a short walk which she seemed to enjoy. Foxhill Manor is set in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (large grounds however at present people are unable to safely access the grounds )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (independently as there are uneven surfaces and no safe secure area. An area that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (people are able to safely access independently would enhance the daily lives of some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We spoke with a visitor who confirmed that visiting arrangements are flexible and that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (they are always made welcome by staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (People spoken with said they enjoyed the meals and were able to have choices. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Chef asked everyone during the morning what they wanted for lunch. He was aware of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (people's individual preferences and needs resulting in a variety of different meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (being provided at lunch time. For example the main meal on the day of inspection was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (sausages, peas, carrots and potatoes, however alternatives seen included lasagna, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (omelette and ham and egg.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Some people needed assistance with their meals. Staff sat with these people and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (assisted people appropriately according to their particular needs.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 510.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (Staff are aware of their responsibilities for reporting any concerns, however out of date )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (policies and poor recruitment practices put people at risk.)Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (The Commission for Social Care inspection have received one complaint about the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (service since the last inspection. This was referred to Northamptonshire County )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (Council \(NCC\) through safeguarding vulnerable adults procedures as it raised concerns )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (about the care and treatment of people at Foxhill Manor. As a result NCC carried out )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (reviews of the care of all the people living at Foxhill Manor. These reviews took place )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (between March and June 2008 and were quite thorough in that they involved speaking )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (with people who use the service, reviewing care records and observations. Advocates )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (assisted with this process. The outcome was that there were no major concerns about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (the care of people and positive feedback was received from people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (service, families and advocates.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (We spoke with a relative, who said that staff keep her informed and she felt that if )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (there were any concerns that she would be able to raise these with staff and that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (would be addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (During this inspection we asked for records of all complaints. We were provided with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (folder of 'comments, suggestions and complaints'. Records were poorly kept in that )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 478.77 w 33.45 572.02 m 563.65 572.02 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 457.4 w 32.32 560.21 m 564.78 560.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 330.39 m 566.98 330.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (there was no running log or filing system to identify recent complaints and outcomes. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Some of the documents were not dated and others dated back to 2004. The registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (manager advised that there have been no recent complaints apart from the one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (investigated by Northamptonshire County Council under safeguarding vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (adults procedures.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (A new staff member spoken with was aware of their responsibilities for reporting any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (concerns that may arise about the care or treatment of people. They had received )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (safeguarding vulnerable adults training prior to starting work at Foxhill Manor. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (looked at the policy to see what guidance staff have about the actions they would need )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (to take in the event of any concerns. The policy in place at the time of the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (was an 'abuse policy' dated 2003, although the annual quality assurance self )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (assessment stated that policies including safeguarding vulnerable adults policy had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (been reviewed in 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (We have advised that an up to date policy for safeguarding vulnerable adults must be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (implemented. From brief review of the document if staff adhere to the policy they may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (take incorrect actions. For example the policy stated "Do not assume abuse, or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (neglect, investigate". It is important that if an allegation is made, the allegation is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (reported to safeguarding vulnerable adults and in some cases the police. A )Tj ET /F2 12 Tf BT 1 0 0 1 490.51 446.67 Tm (multi-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (disciplinary)Tj ET /F2 12 Tf BT 1 0 0 1 100.86 429.18 Tm ( decision will be made about which agency will carry out the investigation. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (If a staff member or manager has investigated then this may hinder any investigation. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (This is important both in safeguarding people who use the service and staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We have made requirements under the staffing section of this report relating to poor )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (recruitment practices which do not safeguard people who use the service.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Some areas such as bathrooms are in need of improvement and updating and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (physical environment does not always meet the needs of someone whose mobility )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (deteriorates.)Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (Foxhill Manor is located in a rural setting and is set within its own large grounds. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (registered provider/manager and some staff live in separate buildings on site which )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (means that additional support is easily accessible in the event of an emergency.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (There are two lounges, a dining room and a large hall/reception area with a seating )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (area on the ground floor. People are able to and do wander freely around these areas. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (Rooms have high ceilings and look out onto the grounds. All areas were clean and new )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (furniture had been provided in the dining room.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (The premises pose some difficulties for providing care for people whose health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (deteriorates as there is no lift access to bedrooms on the top floor. There is a stair lift )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (to the first floor, however there are a further two steps to part of the first floor which )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (will make these rooms unsuitable for anyone at risk of falls or with poor mobility. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (development plan for 2009 provided by the registered provider/manager includes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (provision of a passenger lift to the first and second floors. No final agreement had )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.92 m 566.98 172.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (been made for this at the time of the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (At the time of the inspection we were informed that it had been necessary to move )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (someone in to a ground floor room already occupied by two people for a temporary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (period due to a deterioration in their health and a risk of falls. While we were advised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (by the registered owner/manager that the decision to do this was based on the clinical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (needs of the person and the risk, it is an issue which highlights difficulties with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (suitability of the premises in meeting the needs of older people whose mobility )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (decreases. While the registered provider/manager confirmed that he had consulted )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (with the people involved, their relatives and the people funding the care, there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (evidence of this within the records. We have advised that careful consideration needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (to be given, with consultation with families and funding bodies as to how the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (people whose mobility decreases can be met without impacting on other people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The registered provider/manager advised of other planned improvements to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (premises which include refurbishment and updating of bathrooms. There is a bathroom )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (on each floor, all were seen to need refurbishment and to be in need of equipment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (more suitable for the needs of the older people who use the service. For example the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (bathrooms on the first floor and the top floor contained domestic type baths with no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (aids or adaptations. The bathroom on the top floor also contained a domestic type )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (shower, which staff advised is used by one or two people, however the majority of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (people have to be bathed on the ground floor.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We noted that bedrooms were very sparsely furnished with little in the way of personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (possessions. Feedback from a relative was that although the care was very good, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (premises were not as nice as some homes, a bit dark and the bedroom was very basic. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (They had brought in some pictures but couldn't' bring much in the way of personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (possessions as they get broken with people wandering in and out of rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (A sample check of maintenance identified that an inspection of the electrical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (installation dated 20/11/02 recommended a further inspection in 5 years. This was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (discussed with the registered provider/manager. When we returned on 20/03/09 the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (registered manager advised this has now been booked and will be completed by mid )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (April 2009.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 479.49 m 563.65 479.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 79.98 w 32.32 468.24 m 564.78 468.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 426.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 426.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 427.13 m 566.98 427.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The poor recruitment practices and lack of up to date training put people at risk.)Tj ET 0.99608 0.9451 0.76078 RG 333.03 w 33.45 234.74 m 563.65 234.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 392.26 m 565.9 392.26 l S 0.001 w 311.66 w 32.32 222.93 m 564.78 222.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.89 m 566.98 379.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.89 m 565.9 379.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 364.2 Tm (We spoke with people who use the service and a visitor during the inspection. Some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (people were not easily able to communicate their views due to their mental health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (condition, however one person without prompting told us that "staff are very good". )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (The visitor we spoke with was positive about the staff team and their caring approach )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (and in particular was pleased with their attention to keeping people clean and well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (groomed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (The registered owner/manager had an appointment arranged for the afternoon of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (inspection, however he arranged for us to have access to staff recruitment and training )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (files. On review of the files available we noted that there was no file for a nurse we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (had spoken with earlier. Closer inspection identified that several staff files were not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (available and information such as training was minimal and not recent. The record of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (PIN number \(nurses registration number\) for the nurse in charge at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (inspection indicated that it had expired, though the nurse confirmed she did have a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (current registration.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (The deputy manager/nurse in charge did not have access to any other staff records, )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 618.73 w 33.45 502.04 m 563.65 502.04 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 597.36 w 32.32 490.23 m 564.78 490.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 189.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 189.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 190.42 m 566.98 190.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (therefore we advised that we would need to return to view files. Following the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (inspection we contacted the registered owner/manager who admitted that four staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (had been working in the home without the necessary checks and references being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (obtained including criminal record bureau clearances. We received written confirmation )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (that these people would not work until satisfactory clearances had been obtained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (On our second inspection visit we looked at four staff files and found that criminal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (record bureau clearances had only been applied for on the 18/03/09 which was the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (day after our inspection visit even though these people had been working in the home. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (No checks had been made against the Protection of Vulnerable Adults \(POVA\) register )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (to ascertain if they were listed as people who shouldn't work with vulnerable people. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (References had either not been obtained or were inadequate with incomplete )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (employment histories. In one case no documentation was available to confirm that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (person was entitled to work in this country. In addition to there being a breach of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (regulations the poor recruitment practices put people at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (As found on the first day of inspection, records relating to training were minimal and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (fragmented and not recent. We asked the registered provider/manager to forward )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (details of staff training undertaken and a training and development plan. Information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (was received following the inspection which included a sample of staff training records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (and a list of training planned for 2009. From this information we noted that very little )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (training has taken place in recent years. For example records for a nurse showed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (attendance at only four training events since 2002, three of which were on fire safety. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The other training undertaken was 'patient handling' on 31/03/2004, with no evidence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (of any training updates.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Training planned for 2009 includes, mental health nursing \(one had day session\) for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (four staff, Mental Capacity Act 2005 \( two hours\) for all staff, Deprivation of Liberties )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (\(two hours\) for all staff, Protection of Vulnerable Adults for all staff, moving and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (handling for five staff and movement and handling updates for nursing staff. Dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (care training is also going to be provided on Wednesday afternoons from 13/05/09.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (The training plan forwarded following inspection also refers to some National )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Vocational Qualification training and other training to be booked. )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 408.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (While there is an experienced and suitably qualified manager in post, the service has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (not been managed in a way that safeguards people who use the service. )Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (The registered manager is also the registered provider. He has a background in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (general and mental health nursing. There is a deputy manager in post who oversees )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (the day to day running and care provided.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (This inspection has highlighted that although the day to day care provided is good, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (there are serious shortfalls in the management of the home which place people at risk. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (For example the failure to carry out checks as to people's suitability to work with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (vulnerable people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (The registered manager advised that he has tried to recruit a manager without any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (success, he was hoping to step back from some of the management responsibilities. )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 544.88 w 32.32 516.47 m 564.78 516.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 242.91 m 566.98 242.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We had requested an annual quality assurance self assessment \(AQAA\) during 2008 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (and although we had sent reminders we did not receive this until we were on the point )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (of taking enforcement action. The registered provider/manager told us that he has had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (some periods of absence which prevented him from completing this within the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (timescale. It is important that in the event of the manager's absence there is someone )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (who can take on the management responsibilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (During a safeguarding vulnerable adult investigation carried out by Northamptonshire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (County Council it was identified that the registered owner/manager has had some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (periods of absence from the home which we had not been made aware of. There have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (also been incidents which have occurred in the home that have not been reported to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the Commission for Social Care Inspection as required. It is important that in the event )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (of the registered manager being unable to make the required notifications then there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (are staff that are aware of the requirements and can do this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The AQAA states that policies and procedures were updated in February 2008, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (however we checked the 'adult abuse' policy and found this to be dated 2003. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (AQAA also states that one of the things they do well is the recruitment policy with CRB )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (\(criminal record bureau\) and POVA \(Protection of vulnerable adults\) checks. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (examples give us concerns about the quality assurance process.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The registered manager provided a copy of the achievements and developments for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (2007/8 and a development plan for 2009 which confirmed that there is a system of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (review of the maintenance and development needs of the service in place.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (No health and safety concerns were identified during the inspection visit in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (staff practice. Staff observed were using appropriate movement and handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (techniques and equipment. As detailed in the staffing section staff training records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (were poorly maintained and do not confirm that staff have received appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (training in safe working practices. Following the inspection we have been informed that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (training has been arranged. )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (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 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 111.06 w 31.2 559.02 m 91.05 559.02 l S 0.001 w 111.06 w 93.3 559.02 m 197.4 559.02 l S 0.001 w 111.06 w 199.65 559.02 m 289.45 559.02 l S 0.001 w 111.06 w 291.7 559.02 m 473.8 559.02 l S 0.001 w 111.06 w 476.05 559.02 m 566.1 559.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 501.29 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 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 502.36 m 568.3 502.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 501.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 501.29 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /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 (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (Prior to staff being employed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (satisfactory information as )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (detailed in schedule 2 of the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (Care Homes Regulations )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (2001 including two )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (references must be obtained.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 509.01 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (30/07/2007)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 119 w 31.2 490.13 m 91.05 490.13 l S 0.001 w 119 w 93.3 490.13 m 197.4 490.13 l S 0.001 w 119 w 199.65 490.13 m 289.45 490.13 l S 0.001 w 119 w 291.7 490.13 m 473.8 490.13 l S 0.001 w 119 w 476.05 490.13 m 566.1 490.13 l S 0.001 w 187 w 31.2 334.88 m 91.05 334.88 l S 0.001 w 187 w 93.3 334.88 m 197.4 334.88 l S 0.001 w 187 w 199.65 334.88 m 289.45 334.88 l S 0.001 w 187 w 291.7 334.88 m 473.8 334.88 l S 0.001 w 187 w 476.05 334.88 m 566.1 334.88 l S 0.001 w 176.23 w 31.2 151.02 m 91.05 151.02 l S 0.001 w 176.23 w 93.3 151.02 m 197.4 151.02 l S 0.001 w 176.23 w 199.65 151.02 m 289.45 151.02 l S 0.001 w 176.23 w 291.7 151.02 m 473.8 151.02 l S 0.001 w 176.23 w 476.05 151.02 m 566.1 151.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 428.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 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(Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 619.11 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 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 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 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (Up to date information about )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (the fees must be available in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (the service user guide.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (This is to enable people to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (make decisions and plan )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (their finances.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (26/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 416.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 416.32 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 416.32 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 416.32 Tm (There must be up to date )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 399.32 Tm (safeguarding vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 382.32 Tm (adults policies and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 365.32 Tm (procedures in place to guide )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 348.32 Tm (staff in the correct actions to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 331.32 Tm (take in the event of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 314.32 Tm (suspecting or receiving an )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 297.32 Tm (allegation of abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 280.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (This is to help safeguard )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 416.32 Tm (12/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 416.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 227.07 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 227.07 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 227.07 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 227.07 Tm (The development plan must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 210.07 Tm (include timescales for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 193.07 Tm (carrying out works to meet )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 176.07 Tm (people's needs. This must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 159.07 Tm (include arrangements for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 142.07 Tm (meeting the needs of people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 125.07 Tm (with deteriorating mobility )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 108.07 Tm (and upgrading of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 91.07 Tm (bathrooms. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 227.07 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 227.07 Tm ()Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET 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ET /F2 12 Tf BT 1 0 0 1 298.05 713.22 Tm (quality assurance processes )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 696.22 Tm (must be effective in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 679.22 Tm (ensuring legislative )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 662.22 Tm (requirements are met and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 645.22 Tm (people safeguarded.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 628.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 611.22 Tm (This is to help to safeguard )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 594.22 Tm (people.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 730.22 Tm (26/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 730.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 574.97 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 574.97 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 574.97 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 574.97 Tm (Staff must receive training )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 557.97 Tm (in safe working practices.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 540.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 523.97 Tm (To help keep people safe )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 506.97 Tm (and reduce the risk to them. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 574.97 Tm (26/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 574.97 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 430.99 m 566.2 430.99 l S 0.001 w 18.15 w 31.2 386.01 m 91 386.01 l S 0.001 w 18.15 w 93.25 386.01 m 197.4 386.01 l S 0.001 w 18.15 w 199.65 386.01 m 566.2 386.01 l S 0.001 w 1 1 1 RG 49.74 w 31.2 349.81 m 91.05 349.81 l S 0.001 w 49.74 w 93.3 349.81 m 197.4 349.81 l S 0.001 w 49.74 w 199.65 349.81 m 566.1 349.81 l S 0.001 w 49.74 w 31.2 297.82 m 91.05 297.82 l S 0.001 w 49.74 w 93.3 297.82 m 197.4 297.82 l S 0.001 w 49.74 w 199.65 297.82 m 566.1 297.82 l S 0.001 w 49.74 w 31.2 245.83 m 91.05 245.83 l S 0.001 w 49.74 w 93.3 245.83 m 197.4 245.83 l S 0.001 w 49.74 w 199.65 245.83 m 566.1 245.83 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 396.21 m 568.4 396.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 375.81 m 568.4 375.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 397.29 m 92.12 322.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 323.82 m 568.3 323.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 271.83 m 568.3 271.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.78 m 568.4 465.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.21 m 568.4 396.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 375.81 m 568.3 375.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 323.82 m 568.3 323.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 271.83 m 568.3 271.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.84 m 568.3 219.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 466.86 m 30.07 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 376.89 m 92.17 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 397.29 m 198.52 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 466.86 m 567.32 218.76 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 449.59 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 432.01 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 417.43 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 34.05 402.85 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 385.03 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 382.03 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 382.03 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 359.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 359.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 359.62 Tm (More detailed information in the statement of purpose )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 345.04 Tm (about the range of needs met and the ethos of care would )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 330.46 Tm (help people to make more informed choices.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 307.63 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 307.63 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 307.63 Tm (Improved systems for record keeping in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 293.05 Tm (complaints should be implemented to provide a better )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 278.47 Tm (oversight of issues.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 255.64 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 255.64 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 255.64 Tm (Consultation should take place with people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 241.06 Tm (service, families and funding authorities regarding planned )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 226.48 Tm (improvements and interim arrangements.)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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/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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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 82 0 obj<> endobj 83 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 84 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 85 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 86 0 obj<> endobj 87 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 88 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 63 0 obj<> endobj 89 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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