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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 108.48 w 31.2 452.53 m 160.38 452.53 l S 0.001 w 1 1 1 RG 108.48 w 162.63 452.53 m 563.65 452.53 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 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384.91 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 367.91 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 348.38 m 358.95 348.38 l S 0.001 w 1 1 1 RG 20.58 w 361.2 348.38 m 565.9 348.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.79 m 568.1 359.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.96 m 568.1 336.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 360.87 m 30.07 335.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 360.87 m 360.07 335.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 360.87 m 567.02 335.89 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 343.61 Tm (The quality rating for this )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 343.61 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 343.61 Tm ( is:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 386.8 343.61 Tm (one star adequate service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 324.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 305.65 Tm (A quality rating is our assessment of how well a care home)Tj ET /F3 12 Tf BT 1 0 0 1 389.13 305.65 Tm (is meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 288.65 Tm (people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 138.93 288.65 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 147.37 288.65 Tm (We give a quality rating following a full review of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 517.67 288.65 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 526.12 288.65 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 271.65 Tm (call this full review a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 254.65 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 237.17 m 315.25 237.17 l S 0.001 w 20.58 w 317.5 237.17 m 565.9 237.17 l S 0.001 w 1 1 1 RG 20.58 w 317.5 214.34 m 346.55 214.34 l S 0.001 w 20.58 w 348.8 214.34 m 377.9 214.34 l S 0.001 w 20.58 w 380.15 214.34 m 409.2 214.34 l S 0.001 w 20.58 w 411.45 214.34 m 440.55 214.34 l S 0.001 w 20.58 w 442.8 214.34 m 471.9 214.34 l S 0.001 w 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/ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 RG 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 0.95294 0.95294 0.95294 RG 108.48 w 31.2 707.44 m 267.95 707.44 l S 0.001 w 1 1 1 RG 108.48 w 270.2 707.44 m 565.65 707.44 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 640.66 m 267.95 640.66 l S 0.001 w 1 1 1 RG 20.58 w 270.2 640.66 m 565.65 640.66 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 617.83 m 267.95 617.83 l S 0.001 w 1 1 1 RG 20.58 w 270.2 617.83 m 565.65 617.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 595 m 267.95 595 l S 0.001 w 1 1 1 RG 20.58 w 270.2 595 m 565.65 595 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 572.17 m 267.95 572.17 l S 0.001 w 1 1 1 RG 20.58 w 270.2 572.17 m 565.65 572.17 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.07 m 567.85 652.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.24 m 567.85 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.41 m 567.85 606.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.58 m 567.85 583.58 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 28.99 652.07 m 567.85 652.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.24 m 567.85 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.41 m 567.85 606.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.58 m 567.85 583.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.75 m 567.85 560.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 559.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 559.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 559.67 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (The Rosemary Care Home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (The Rosemary Care Home)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (13 Newhey Road )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Milnrow)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Rochdale)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.3 Tm (Lancashire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 658.72 Tm (OL16 3NP)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 635.89 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 635.89 Tm (01706650429)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 613.06 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 590.23 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 567.4 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 548.45 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 482.18 m 564.77 482.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 528.96 m 565.9 528.96 l S 0.001 w 20.58 w 31.2 483.3 m 565.9 483.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 460.47 m 353.25 460.47 l S 0.001 w 1 1 1 RG 20.58 w 355.5 460.47 m 565.9 460.47 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 437.64 m 353.25 437.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 437.64 m 565.9 437.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 517.55 m 568.1 517.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.72 m 567.8 494.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.89 m 568.1 471.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 541.45 m 354.37 516.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.06 m 568.1 449.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 540.38 m 568.1 540.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.55 m 567.8 517.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.72 m 568.1 494.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.89 m 568.1 471.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.06 m 568.1 449.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 426.23 m 568.1 426.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 541.45 m 30.07 425.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 472.96 m 354.37 425.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 541.45 m 567.02 425.15 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 524.19 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 524.19 Tm (Din T Vanat)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 501.36 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 478.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.05 455.7 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 455.7 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 432.87 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 432.87 Tm (27)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 413.93 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 396.93 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 354.61 m 564.47 354.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 366.02 m 567.8 366.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 388.85 m 567.8 388.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.02 m 567.8 366.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.61 m 567.8 322.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 389.93 m 30.07 321.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 367.1 m 298.32 321.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 389.93 m 566.72 321.54 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 372.67 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 349.84 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 349.84 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 329.26 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 329.26 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 300.53 m 297.3 300.53 l S 0.001 w 35.16 w 299.55 300.53 m 431.45 300.53 l S 0.001 w 35.16 w 433.7 300.53 m 565.6 300.53 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 270.41 m 565.6 270.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 281.83 m 567.8 281.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259 m 567.8 259 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.24 m 567.8 319.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.83 m 567.8 281.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259 m 568.1 259 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.85 m 568.1 177.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 320.31 m 30.07 176.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 320.31 m 298.42 280.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 320.31 m 432.57 280.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 320.31 m 566.72 176.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 303.05 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 288.47 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 303.05 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 303.05 Tm (27)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 265.64 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 242.81 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 228.23 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 213.65 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 199.07 Tm (falling within any other category - Code OP The maximum number of service users who )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 184.49 Tm (can be accommodated is: 27)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 163.06 m 315.25 163.06 l S 0.001 w 1 1 1 RG 20.58 w 317.5 163.06 m 346.55 163.06 l S 0.001 w 20.58 w 348.8 163.06 m 377.9 163.06 l S 0.001 w 20.58 w 380.15 163.06 m 409.2 163.06 l S 0.001 w 20.58 w 411.45 163.06 m 440.55 163.06 l S 0.001 w 20.58 w 442.8 163.06 m 471.9 163.06 l S 0.001 w 20.58 w 474.15 163.06 m 503.2 163.06 l S 0.001 w 20.58 w 505.45 163.06 m 534.55 163.06 l S 0.001 w 20.58 w 536.8 163.06 m 565.9 163.06 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 174.47 m 568.1 174.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 151.64 m 568.1 151.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 175.55 m 30.07 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 175.55 m 316.37 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 175.55 m 347.67 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 175.55 m 379.02 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 175.55 m 410.32 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 175.55 m 441.67 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 175.55 m 473.02 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 175.55 m 504.32 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 175.55 m 535.67 150.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 175.55 m 567.02 150.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 158.29 Tm (Date of last inspection)Tj ET /F3 12 Tf BT 1 0 0 1 328.2 158.29 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 359.53 158.29 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 390.86 158.29 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 422.18 158.29 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 453.53 158.29 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 484.86 158.29 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 516.18 158.29 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 547.53 158.29 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 139.77 m 565.9 139.77 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 130.14 m 568.1 130.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 131.22 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 131.22 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.39 m 568.1 149.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.14 m 568.1 130.14 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 30.07 150.47 m 30.07 129.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 150.47 m 567.02 129.07 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 136.21 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 136.21 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 116.96 Tm (The Rosemary Care Home is a privately owned residential home, which provides care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 99.96 Tm (for up to 27 people. The home is in the centre of Milnrow and is close to local shops )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 82.96 Tm (and pubs. It provides good access to the motorway )Tj ET /F3 12 Tf BT 1 0 0 1 350.51 82.96 Tm (network.)Tj ET /F3 12 Tf BT 1 0 0 1 403.68 82.96 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 65.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 48.96 Tm (Accommodation is provided on three floors and there is a passenger lift to all levels. )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 587.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 587.08 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 28.99 588.15 m 568.1 588.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (Twenty-one single and three double bedrooms are provided. Two of the bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (have the added provision of an en-suite. Two lounges and a dining area are provided )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (on the ground floor and a combined diningroom and lounge on the first floor. A )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (bathroom is provided on each floor and a level access shower room on the ground )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (floor. Two of the baths are fitted with fixed hoists. Toilets are located near to lounge )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (areas and bedrooms. A well maintained garden is available to the front of the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (where there is also )Tj ET /F3 12 Tf BT 1 0 0 1 152.31 681.47 Tm (parking.)Tj ET /F3 12 Tf BT 1 0 0 1 201.95 681.47 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 647.47 Tm (The most recent inspection report was available in the reception hall. The fees were )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 630.47 Tm (370 plus a top up fee of an additional 10. Additional charges were made for )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 613.47 Tm (hairdressing, trips, newspapers, telephone, alcohol, clothing and personal )Tj ET /F3 12 Tf BT 1 0 0 1 483.89 613.47 Tm (toiletries.)Tj ET /F3 12 Tf BT 1 0 0 1 540.55 613.47 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 596.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xMo0>eGJ%N8TݴUeaΗWKUx3v< ք=pȢZ+oCnO+e2!c2 XVz9|ㄒ%4j2R)!UžE+I׃xΩejBvjOφlI5ѿhFQ(ӎDޓ$CĞ$_#OM#WٔW'y F[KjIP UeE>s !7vv^:qR^iYg{ZBU+LUY6$ Z?dbOj>H/N+Zwt5s]gzBk;jOdϾ+zvYiӹH6t9v_bq𙾸#]4нs1qxk:N0\ppQlk_lz R6άqj?Lq> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This was a key inspection visit, which included a site visit and took place over one day. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (The inspector was accompanied by an Expert by Experience from Age UK. Their role )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (was to talk to the people who use the care service. They also looked at what happens )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (around the home, see how everyone gets on together and what the home feels like. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (The service did not know that we were to visit.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (The purpose of our visit was to look at what progress had been made following our key )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (inspection on the 3 February 2010 and random inspection on the 29 March 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (Following the key inspection in February 2010 the quality rating for the home was )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (reviewed and rated as 0 stars, outcomes were judged as being poor. Due to this and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (other concerns the Local Authority are currently not making placements at the home. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (However those people wishing to stay at the home through private arrangement are )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (able to so.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 411.24 w 32.32 606.91 m 566.72 606.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.16 m 568.92 400.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 399.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 399.09 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm (Due to our concerns we held a management review meeting to consider what further )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm (action we needed to take. A warning letter was sent to the provider detailing the areas )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (of concern they needed to address and an improvement plan was also requested. We )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (asked the provider to send us a copy of their up to date accounts so that we could look )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm (at the viability of the home. These were provided.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 715.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 700.66 Tm (The home is without a registered manager and the registered provider has failed to )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 686.08 Tm (retain managers in the past, this has resulted in the home having 3 different managers )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 671.5 Tm (over the last year. This does not ensure clear leadership and support to both staff and )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 656.92 Tm (people living at the home. Nor does it demonstrate that effective working relationships )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 642.34 Tm (have been established between the registered person and manager ensuring the safety )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 627.76 Tm (and protection of those living at the home. The registered person has been advised )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 613.18 Tm (that failure to have a registered manager in place could reflect on their fitness, which )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 598.6 Tm (may result in further action being taken.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 584.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 569.44 Tm (During our random inspection we check if the home had addressed the requirements )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 554.86 Tm (made following our last visit. We found that the management of medication was safer )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 540.28 Tm (as well as further improvements in care planning and staff training and development.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 525.7 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 511.12 Tm (As part of the inspection process the home was asked to complete their Annual Quality )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 496.54 Tm (Assurance Assessment \(AQAA\). This was provided prior to our first key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 481.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 467.38 Tm (During this visit time was spent looking at records in relation to care files, staff )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 452.8 Tm (recruitment, training and development and health and safety. The Expert by )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 438.22 Tm (Experience spent their time chatting with residents, having lunch, observing peoples )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 423.64 Tm (daily routines and interactions with staff as well as looking at the laundry and some )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 409.06 Tm (parts of the environment.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 253.86 w 32.32 646.89 m 566.72 646.89 l S 0.001 w 20.58 w 32.7 507.42 m 569.35 507.42 l S 0.001 w 180.96 w 33.82 404.4 m 568.22 404.4 l S 0.001 w 20.58 w 33.45 301.38 m 570.1 301.38 l S 0.001 w 224.82 w 34.57 176.43 m 568.97 176.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 518.84 m 568.92 518.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 517.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 518.84 m 569.35 518.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 496.01 m 569.35 496.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 496.01 m 570.42 496.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 312.8 m 570.42 312.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 289.97 m 570.1 289.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 312.8 m 570.1 312.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 289.97 m 571.17 289.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 497.09 m 32.7 311.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 291.05 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 517.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 497.09 m 569.35 311.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 291.05 m 570.1 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (Routines within the home continue to be very relaxed. People were seen to spend time )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (in their own rooms or in one the communal areas. Interactions between residents and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (staff were observed to be appropriate and friendly. Family and friends are encouraged )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (to visit regularly.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm (Feedback from the Expert by Experience was very complementary of her observations )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm (of staff and assistance during our visit. She commented; 'my arrival was a surprise to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm (the staff, but they welcomed me warmly', 'the staff were most pleasant and helpful, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm (guiding me to residents who may be able to enjoy a chat with me. Nothing was too )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (much trouble', 'all the staff I came into contact with were pleasant and very busy' and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm ('staff were very attentive to residents needs both offering drinks and assisting at )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm (lunch'.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (She also felt that 'the air of contentment in the residents had improved since my last )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (visit, and better efficiencies had been achieved. With continued constructive input )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (going forward, hopefully even more positive outcomes will be produced'.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 568.97 645.34 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 505.31 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 502.65 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 505.87 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 402.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 479.82 Tm (The new manager has brought some stability to the team and is starting to make some )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 465.24 Tm (of the improvements needed. The manager has also developed an action plan detailing )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 450.66 Tm (areas she considers need improving to enhance the service provision.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 436.08 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 421.5 Tm (The recording, handling and administration of medication continues to be managed in a )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 406.92 Tm (safer way ensuring people receive their prescribed medication correctly.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 392.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 377.76 Tm (Residents and relatives have become more involved as well as being consulted about )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 363.18 Tm (decisions within the home, including daily routines, fund raising, activities and meals.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 348.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 334.02 Tm (Policies and procedures are under review so that staff have up to date information and )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 319.44 Tm (good practice guidance.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 402.85 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 299.83 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 296.61 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 174.88 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 273.78 Tm (The registered person must ensure that a comprehensive pre admission assessment is )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 259.2 Tm (completed prior to people moving into the home. This will ensure that only those )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 244.62 Tm (people whose needs can be met are placed there.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 230.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 215.46 Tm (Care files need to be re-organised so that there is one clear and detailed plan of care, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 200.88 Tm (including risk assessments and daily notes, making sure that staff are informed of the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 186.3 Tm (current and changing needs of people so their well being is not affected.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 171.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 157.14 Tm (Detailed care plans need to be in place for all residents including those on respite so )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 142.56 Tm (that staff know what their needs and wishes are and can support them safely.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 127.98 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 113.4 Tm (Where specific areas of concerns have been identified ie use of bed rails, nutritional )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 98.82 Tm (needs, a risk assessments should be completed showing what intervention is required )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 84.24 Tm (so that they are kept safe.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 69.66 Tm ()Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 513.3 w 34.57 555.88 m 568.97 555.88 l S 0.001 w [] 0 d 2.25 w 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1 35.17 700.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 686.08 Tm (Ongoing staff training and development must be provided so that staff have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.5 Tm (knowledge skills and competences to meet the specific needs of people living at the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.92 Tm (home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.76 Tm (Safer systems need to put in place to ensure that the rights and interests of people are )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 613.18 Tm (safeguarded so that they are protected from abuse.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 584.02 Tm (On-going improvements need to be made to enhance and improve the standard of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.44 Tm (accommodation provided so that people live in a home that is comfortable and well )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.86 Tm (maintained.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.7 Tm (The registered person must make sure that written references are sought when )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 511.12 Tm (recruiting new staff ensuring the recruitment processes are robust and people are kept )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.54 Tm (safe.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.38 Tm (The registered person must ensure that an application is made by the manager to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.8 Tm (register with us so that there is clear, stable and consistent management at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.64 Tm (Arrangements need to be made for the manager to compete all training relevant to her )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 409.06 Tm (role and responsibilities so that she is able to support and direct the staff team )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 394.48 Tm (ensuring good practice is followed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 379.9 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 365.32 Tm (Systems to monitor and review the service delivery need to be developed so that )Tj ET /F3 12 Tf BT 1 0 0 1 531.46 365.32 Tm (on-)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 350.74 Tm (going)Tj ET /F3 12 Tf BT 1 0 0 1 68.29 350.74 Tm ( and sustained improvements can be made.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 336.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 321.58 Tm (Arrangements need to be made for all staff to receive regular supervisions so that they )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 307 Tm (feel supported and directed in carrying out their duties effectively.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 283.54 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 263.55 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 263.55 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 263.55 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 246.05 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 226.06 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 206.06 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 206.06 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 186.06 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 186.06 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 166.07 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 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They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 378 m 562.54 378 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 101.85 w 33.47 366.75 m 563.66 366.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 314.7 m 565.87 314.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (Comprehensive information about the assessed needs of people needs to gathered so )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (that people are able to make an informed decision about the suitability of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (placement ensuring needs will be met.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 299.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.8 w 34.6 185.43 m 562.54 185.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.83 m 564.79 279.83 l S 0.001 w 185.43 w 33.47 173.62 m 563.66 173.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.45 m 565.87 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.45 m 564.79 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 276.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (The Local Authority made the decision earlier this year to suspend placements at the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (home until such time they were satisfied that people would receive a good standard of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (care and were kept safe. However those people wishing to stay at the home through )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (private arrangement are able to do so.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (We were told that one person was staying at the home for a period of respite. They )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (had moved into the home the week prior to our visit. Assessment information was )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (examined for this person. We found that information had been provided by the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (hospital social work team as well as a pre-admission assessment, which was )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (completed by the deputy manager.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 126.35 w 34.6 748.23 m 562.54 748.23 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 104.98 w 33.47 736.42 m 563.66 736.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 682.81 m 565.87 682.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Some of the risk areas identified by the social worker had not been noted on the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (homes assessment nor had this been transferred to a care plan. Without such )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (information there is no assurance the needs of people will be met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Standard 6 does not apply as the home does not provide intermediate care service.)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 420.74 m 562.54 420.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 84.36 w 33.47 409.5 m 563.66 409.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 365.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 365.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 366.19 m 565.87 366.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (Care plans need to reflect the current and changing needs of people so that staff know )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (how people are to be supported in meeting their needs. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 350.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 258.3 w 34.6 211.17 m 562.54 211.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 331.32 m 564.79 331.32 l S 0.001 w 236.93 w 33.47 199.36 m 563.66 199.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 318.95 m 565.87 318.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 320.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 320.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.95 m 564.79 318.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 328.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 303.27 Tm (Care Plans were looked at for four people where a specific need had been identified. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 285.77 Tm (This included the person who was on respite.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (Information included a care plan, risk assessments, weight records, a record of visits )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (from GP's etc and diary sheets. Information had been reviewed on a monthly basis. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (On examination of the records we found that the person on respite had no short term )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (care plan or risk assessments, therefore offering no direction to staff about what care )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (and support was needed and how this should be delivered.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (The three other files examined were for people who had been at the home for )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (sometime. The new manager was in the process of reviewing all care plans and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (developing the individual files. Due to this two different documents were being used. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (On the files provided daily records had been completed up to May 2010 with )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (occasional entries through June however the manager advised us that new daily )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (records were now being used. One document needs to be made available to staff so )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (that all information is readily available and ensures on-going monitoring of people.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (For one resident we also found that there were changes in their health care needs. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (This person was in receipt of food supplements however this was not fully reflected in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (their care plan. There was also no nutritional assessment or assessment of bed rails.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The registered person must ensure that plans fully reflect the support needs of people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (and where areas of concern have been identified that these are risk assessed so that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (staff are clearly directed and people are kept safe from harm.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Arrangements in relation to the storing, recording and administering of medication )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (were looked at. The senior carer on duty responsible for medication was observed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (giving medication to people. Protective clothing was being worn and drinks were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (provided. People were asked if they required pain relief. Records were signed following )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (administration and the trolley was kept locked when left unattended. Looking at the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (stocks these were kept to a minimum, records showed that items brought into the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (home were signed for as well as all items returned to the supplying pharmacy. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Controlled drugs were also checked. These are stored safely and a clear record is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (maintained and double signed when items are administered. Records and stocks were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (checked and found to be in order.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The senior carer told us that the deputy manager takes responsibility for ordering and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (returning medication and that she would not feel confident in doing this. The manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (is asked to address this. In the absence of the deputy manager suitable arrangements )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (must be put in place to ensure that the management of medication is maintained and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (people receive their prescribed medication.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Due to recent issues some of the senior care staff no longer take responsibility for the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (administration of medication. At present there are only 4 staff that carry out this task. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (The manager told us that she was currently recruiting a new senior carer who would )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (provide additional support.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (Routines within the home had improved. People are actively being consulted about )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (how these can be enhanced further affording people more opportunities and variety to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (their day. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (Through discussion with the new manager we found that improvements were being )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (made to afford people more variety to their day. A fund raising forum had been )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (established and involved both residents and relatives. Monies raised would be used to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm (provide activities both in and away from the home. We were also told that there were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (plans to develop the outside space to the rear of the home, providing a sensory )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (garden with built up flower beds so that people could join in and help with gardening. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (B&Q had been approached to the fund the project. The manager was to develop a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (business plan for their consideration.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (Over the course of the morning and lunch time the expert by experience spent time )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (talking with people as well as having lunch with residents. They commented; 'There )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (was an agenda for activities, which included gentle exercises, an afternoon of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (massage and manicure and dominoes were also on the agenda. However, the carer )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (who organised the activities was unable to provide a designated period for activities )Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (because there was no 'spare staff' to attend to urgent needs of residents which may )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (disrupt the programme. A Residents meeting was planned for the afternoon of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (inspection, which was well attended.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (There is a book of Places to Worship available for residents. The evangelical )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (representatives were regular visitors.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Residents were looking forward to a trip out at the end of the month to a major )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Garden Centre. One resident was pleased that staff took her along to a late residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (funeral, she appreciated this very much. A summer fair was advertised for two weeks )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (time and a notice was displayed advising ladies that a company from Shaw was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (visiting to offer a one to one measuring service for lingerie.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Three residents confirmed their length of stay at the Rosemary as being happy, well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (fed and comfortable with staff. There were two lounges, one appearing very cosy with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (an aura of contentment, but appeared a different community spirit to the residents in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (the downstairs lounge. The manager advised that she is trying various ways to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (encourage better integration between the residents preference.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Residents were cared for well by staff, but appeared bored with limited activities to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (encourage movement and independence. There did not appear to be any enthusiasm )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (for looking forward to any specific activity. However the new manager had now )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (achieved a new rota beginning in July which allows the activities member of staff to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (have one clear hour every day for five days, to enable her to build and create )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (enthusiasm. A further observations was made of a lady who spent the morning in her )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (wheelchair and not in an ordinary chair. This could have been through choice, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (although this was pointed out to the manager that headrests could be available to fix )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (to some wheelchairs, to alleviate pressure on the neck.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (The air of contentment in the residents had improved since my last visit, and better )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (efficiencies had been achieved. With continued constructive input going forward, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (hopefully even more positive outcomes will be produced'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The expert by experience also looked at arrangement for meals and joined residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (for lunch. She found, the Cook, a very energetic lady, who made her own pastry and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (cakes and used fresh vegetables in her menus. The food today was cooked and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (presented well. In 26 inspections, this was the most nutritious and well cooked meal )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (so far. The menu included homemade chicken and leek pie \(I saw the cook making )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (them during my visit\), with cauliflower, peas and mashed potato. Cheese bake was an )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (alternative, followed by fruit pie and custard. The tea time menu was also interesting; )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 178.84 w 34.6 721.99 m 562.54 721.99 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 157.46 w 33.47 710.18 m 563.66 710.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 630.32 m 565.87 630.32 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (sandwiches and soup or fish fingers and peas. The cook appears to juggle washing up )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (and cooking. This appears to work with current levels of occupation.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (One resident is struggling with a degenerative illness, which affects their eating. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Sometimes they can eat a dinner at lunchtime and sometimes they cannot eat it until )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (teatime. Staff ensured this resident received their chosen meal when it was suitable )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (for them. Staff were on hand to assist at lunchtime and ensured that everyones needs )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (were met. The dining areas offered a pleasing atmosphere to eat in, and everyone )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (appeared relaxed. An air-conditioning system appeared to be in place'.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (Areas of care and support need to be improved along with the completion of relevant )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (staff so that they are aware of what their responsibilities are in keeping people safe.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 325.8 w 34.6 244.93 m 562.54 244.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 304.43 w 33.47 233.12 m 563.66 233.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (Since the key inspection in February 2010 there have been several concerns raised )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (about the care provided, staffing levels and management of personal finances.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (Specific issues regarding the management of peoples personal finances by the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (registered provider have been investigated by local authority in line with their )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (safeguarding procedures. A case conference had been convened the week following )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (our visit to conclude findings from the investigations.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (Two recent issues have also been raised by the visiting district nurses. These were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (reported to the local authority as safeguarding issues. Investigations were conducted )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (as well as the manager undertaking an internal investigation. Incident reports had )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (been completed and action had been taken to address poor staff practice.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (Safer systems need to put in place to ensure that the rights and interests of people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (are safeguarded and they are protected from abuse.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 90.83 Tm (The new manager has been revising the homes policies and procedures. Procedures )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 283.81 w 34.6 669.5 m 562.54 669.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 262.44 w 33.47 657.69 m 563.66 657.69 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 525.34 m 565.87 525.34 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (are in place covering Adult Protection and complaints. Further information has been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (introduced covering the Mental Capacity Act and Deprivation of Liberty safeguards.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (We discussed with the manager our observations of one person who receives day care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (at the home. The person became unsettled and was requesting to leave the building )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (as well as banging the front door. Staff spoken with said that this was a regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (occurrence. Arrangements for this person should be discussed with relevant parties )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (ensuring the support in place is in their best interests.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Information was also looked at with regards to staff training. Further plans had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (made for staff to attend courses provided by the local authority between April and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (September 2010. This included 8 staff members attending a safeguarding course and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (5 staff to receive training in the Deprivation of Liberty Safeguards. The new manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (also needs to complete this training so that she is up to date with relevant legislation )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and good practice guidance.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Rosemary provides spacious accommodation which could be enhanced with further )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (redecoration and refurbishment so that people live in a comfortable, well maintained )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (home. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (We again looked at the environment to see what improvements had been made. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (registered person sent us a redecoration and refurbishment plan as requested )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (however no real progress had been made. We were told that due to the low occupancy )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (levels funds available were limited.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (Through discussion with the manager we were informed that one room had recently )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (been redecorated and two further rooms were being fitted with new flooring due to the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (needs of people. One of these rooms had been identified at the last key inspection due )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (to its poor condition however little action had been taken to address the matter when )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (we visited again in March 2010. During this visit however we found that this room, the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (two toilets and a further bedroom situated in the annex to there rear of the ground )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (floor had been closed off and were not being used at this time. The bedrooms areas )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (need to be brought up to standard before being occupied again.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (Whilst looking round the home we found that the toilet near to the dining room )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (needed attention. The toilet seat was broken, the call bell lead was tied up and the bin )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (was not suitable for soiled waste. These were raised with the manager who agreed to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (address them. She was also asked to check suitable bins were in place in all areas )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (where people are supported with personal care.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Communal rooms are spacious. One of the lounges on the group floor is a designated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (television room with a large flat screen TV. There is also a quite lounge, where people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (were seen relaxing and listening to music. On the first floor there was another )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (lounge/dining room which is shared by a small group of people. One lady told us that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the provider was also going to purchase a large flat screen television for this room too.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Whilst looking round the home, areas were found to be generally clean and tidy with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (no malodour, other than the 2 identified rooms, which were being addressed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Domestic and laundry staff are available throughout the week. One member of staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (had been given designated responsibility for infection control. Daily checks were made )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (and sufficient supplies of protective clothing were provided. Staff were seen to wear )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (aprons and gloves when supporting people with specific tasks as well as hand washing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (provisions in all areas where personal care is provided.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The expert by experience also looked at some areas of the home. Her comments )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (included, 'One resident was aware of a vacant room which made access to the lounge )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (easier for them, relatives and staff. It appears an exercise which brought together, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (owner, manager, and relatives to ensure the contentment of the resident. The Owner, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (cleared the room and replaced the carpet chosen by the residents, whilst the relatives )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (redecorated and replaced curtains to their mothers liking. An excellent outcome. A )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (great deal of satisfaction for all concerned. The relatives were very pleased with the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (cooperation from the owners and management.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (The home is on a busy road, providing constant changes of views for the residents, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (some of whom enjoy keeping watch. The garden is small. However, there is a wooden )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (gazebo and bridge which has been erected, to make it more interesting.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (The expert by experience also said of their inspection of the laundry; 'The Manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (accompanied me to the laundry, which had a new top of the range system in place. It )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (also had the ORTEX system in place which ensures thorough cleanliness against )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (bacteria and re-infection. Much effort has been made to ensure clothing is returned to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (its rightful owner. This was a huge improvement on last year. Although one residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (clothes are still laundered by her relatives, through choice'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (A general observation was made with regards to the flooring in that, 'whenever the )Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (stairs and landing carpet need to be replaced, perhaps a plain pattern could be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (considered more suitable for residents suffering from forms of dementia'.)Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (All checks need to be gathered when recruiting new staff as well as continuous )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (training and development so that people are safely supported by a competent staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (team.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (Since our last visit to the home there has been little change to the staff team. Staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (rotas were examined to look at the ratios provided throughout the day and night. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (Based on the current occupancy levels and the needs of people, sufficient staff were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (on duty. The manager was aware that this would need to be kept under review should )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (occupancy increase.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (Staff recruitment records were examined for a new member of the team. Information )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (seen included an application form, copies of identifications, Independent Safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (Authority check, \(ISA, previously known as POVA\), criminal record check \(CRB\), )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (health declaration and a written reference. A second reference had not been received )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (nor had a reference been sought from the persons last employer. Whilst it is noted )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (this staff member did not commence employment prior to receipt of the CRB, all )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (relevant information and checks must be sought ensuring the recruitment process is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (robust.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (Staff training and development was again reviewed to see what plans had been made. )Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 546.25 w 34.6 538.28 m 562.54 538.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 524.88 w 33.47 526.47 m 563.66 526.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 261.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 261.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 262.9 m 565.87 262.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (We found that further training had been planned between April 2010 and September )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (2010. This has been sourced from the local authority. The plan showed that the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (following courses had been booked; adult protection 8 staff, Infection control 8 staff, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (moving and handling 3 staff, Deprivation of Liberty 5 staff, dementia care 4 staff, first )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (aid 8 staff and food hygiene 8 staff. NVQ training was also provided for the team. On )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (going staff training and development is requried to ensure staff have the necessary )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (knowledge, skills and competencies to carry out their duties so that the specific needs )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (of people are met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (We discussed with the manager arrangements in relation to the induction of new staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (as well as supervisions. The manager told us that at present inductions were carried )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (out by the deputy manager. During our previous visit we found that this involved the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (completion of the Skills for Care workbooks. Staff supervisions had also previously )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (been carried out by the deputy manager in the absence of a manager. The new )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (manager told us that she would be taking on the responsibility for these and would be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (arranging periodic meetings with all staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Feedback from the Expert by Experience was very complementary of her observations )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (of staff and assistance during our visit. She commented; 'my arrival was a surprise to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (the staff, but they welcomed me warmly', 'the staff were most pleasant and helpful, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (guiding me to residents who may be able to enjoy a chat with me. Nothing was too )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (much trouble', 'all the staff I came into contact with were pleasant and very busy' and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm ('staff were very attentive to residents needs both offering drinks and assisting at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (lunch'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The Expert by Experience also spoke with the manager and inspector about visiting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (health and social care people at the home. 'It appeared that the protocol of visiting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (people should be queried to ensure satisfactory checks are made'. The manager said )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (that she had been looking at the existing arrangements and was making the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (necessary enquiries.)Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 395 m 562.54 395 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 101.85 w 33.47 383.75 m 563.66 383.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.7 m 565.87 331.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Stable and consistent management is required so that the service can make the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (necessary improvements ensuring people receive a quality service, which meets their )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (needs.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 316.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.8 w 34.6 193.93 m 562.54 193.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.83 m 564.79 296.83 l S 0.001 w 202.43 w 33.47 182.12 m 563.66 182.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.45 m 565.87 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.45 m 564.79 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 293.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.77 Tm (Over the last twelve months there has had a great deal of instability in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.27 Tm (management team at the home, with a 3rd change in manager over the last 12 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm (months. This is concerning and brings into question the registered providers )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (understanding of their responsibilities in carrying out the service, furthermore since )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (taking ownership of the home in 2004 they have yet to register a manager with us.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (A new manager has now been appointed and commenced their employment on the 26 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (April 2010. The manager is a trained counsellor having worked within health settings )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (supporting people with drug related issues. She also has some experience of working )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (with care homes. The manager appeared to have an understanding of the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (service and the areas of improvement required. Through discussion with the manager )Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (it appeared she had developed a good working relationship with the registered )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (provider and was able to take responsibility and make decisions about the day to day )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (running of the home. The manager is aware of her responsibility to register with the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Commission and has been proactive in taking the necessary steps to address this.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The manager continues to be supported by a deputy manager, who has a number of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (years experience working within care homes. At present, much of the deputy's time is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (spent providing direct care to residents as well as managing and administering the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (medication.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (The home needs a period of stability to ensure that this is sustained and further )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (improvements are made so that people receive a good service.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (The new manager is currently reviewing systems within the home and has drawn up a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (plan of action for the forthcoming year to improve and enhance the service provision. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (Feedback is to sought from all relevant parties, including residents, their families and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (health and social care professionals, about the service provided and what areas they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (feel could be improved. This information should be used to inform and further develop )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (the homes business and development plan. Further internal auditing systems also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (need to be put in place so that that manager is confident that the necessary )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (improvements are being made and sustained.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (Until recently staff supervisions have been carried out by the deputy manager, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (however this role will now be undertaken by the manager. The manager is ware that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (all staff must receive a minimum a six sessions per year so that they are supported )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (and directed in their role. This will also enable the manager to address any areas of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (learning and development required ensuring staff have the competencies needed to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (carry out their duties safely.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Records were looked at with regards to health and safety. All annual servicing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (certificates were in place, the five year electric certificate was available along with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (confirmation of completion of the remedial work required. During our visit evidence )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (could not be provided of up to date PAT testing. Evidence of this was provided )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (following our visit. Further checks are also completed by the registered provider with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (regards to water temperatures and fire safety.)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 545.79 w 32.32 354.32 m 564.97 354.32 l S 0.001 w 1 1 1 RG 153 w 31.2 450.3 m 91.05 450.3 l S 0.001 w 153 w 93.3 450.3 m 197.4 450.3 l S 0.001 w 153 w 199.65 450.3 m 289.45 450.3 l S 0.001 w 153 w 291.7 450.3 m 473.8 450.3 l S 0.001 w 153 w 476.05 450.3 m 566.1 450.3 l S 0.001 w 119 w 31.2 312.05 m 91.05 312.05 l S 0.001 w 119 w 93.3 312.05 m 197.4 312.05 l S 0.001 w 119 w 199.65 312.05 m 289.45 312.05 l S 0.001 w 119 w 291.7 312.05 m 473.8 312.05 l S 0.001 w 119 w 476.05 312.05 m 566.1 312.05 l S 0.001 w 170 w 31.2 165.3 m 91.05 165.3 l S 0.001 w 170 w 93.3 165.3 m 197.4 165.3 l S 0.001 w 170 w 199.65 165.3 m 289.45 165.3 l S 0.001 w 170 w 291.7 165.3 m 473.8 165.3 l S 0.001 w 170 w 476.05 165.3 m 566.1 165.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 372.68 m 568.3 372.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 251.43 m 568.3 251.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 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395.74 Tm (whose needs can be met are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 378.74 Tm (placed at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 514.74 Tm (30/07/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 359.49 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 359.49 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 359.49 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 359.49 Tm (Detailed care plans must be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 342.49 Tm (in place for all permanent )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 325.49 Tm (and short term placements )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 308.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 291.49 Tm (so that staff know how to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 274.49 Tm (meet the persons needs )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 257.49 Tm (safely. )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 359.49 Tm (30/08/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 359.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 238.24 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 238.24 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 238.24 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 238.24 Tm (Where specific areas of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 221.24 Tm (concerns have been )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 204.24 Tm (identified ie use of bed rails, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 187.24 Tm (nutritional needs, a risk )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 170.24 Tm (assessments must be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 153.24 Tm (completed)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 136.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 119.24 Tm (showing what intervention is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 102.24 Tm (required and why so that )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 85.24 Tm (they are kept safe.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 238.24 Tm (30/08/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 238.24 Tm ()Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 701.04 w 32.32 460.88 m 564.97 460.88 l S 0.001 w 1 1 1 RG 136 w 31.2 642.99 m 91.05 642.99 l S 0.001 w 136 w 93.3 642.99 m 197.4 642.99 l S 0.001 w 136 w 199.65 642.99 m 289.45 642.99 l S 0.001 w 136 w 291.7 642.99 m 473.8 642.99 l S 0.001 w 136 w 476.05 642.99 m 566.1 642.99 l S 0.001 w 187 w 31.2 479.24 m 91.05 479.24 l S 0.001 w 187 w 93.3 479.24 m 197.4 479.24 l S 0.001 w 187 w 199.65 479.24 m 289.45 479.24 l S 0.001 w 187 w 291.7 479.24 m 473.8 479.24 l S 0.001 w 187 w 476.05 479.24 m 566.1 479.24 l S 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 698.93 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 698.93 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 698.93 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 698.93 Tm (The registered person must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 681.93 Tm (ensure that a minimum of 2 )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 664.93 Tm (written references are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 647.93 Tm (sought when appointing new )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 630.93 Tm (staff)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 613.93 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 596.93 Tm (ensuring they are suitable )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 579.93 Tm (for the position offered.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 698.93 Tm (30/07/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 698.93 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 560.68 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 560.68 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 560.68 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.68 Tm (The registered person must)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.68 Tm (ensure that staff continue to)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.68 Tm (receive good quality training )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.68 Tm (as)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.68 Tm (outlined within the homes)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.68 Tm (training plan)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 458.68 Tm (ensuring they have the)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 441.68 Tm (knowledge skills and)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 424.68 Tm (competencies needed to)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 407.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 390.68 Tm (carry 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Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 216.18 Tm (31)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 216.18 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 216.18 Tm (The registered person must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 199.18 Tm (ensure that an application is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 182.18 Tm (made by the manager to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 165.18 Tm (register with us, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 148.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 131.18 Tm (so that there is clear, stable )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 114.18 Tm (and consistent management.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 216.18 Tm (30/08/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 216.18 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 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faciltiities within the home safely. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 404.93 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 404.93 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 404.93 Tm (On-going improvements need to be made to enhance and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 390.35 Tm (improve the standard of accommodation provided so that )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 375.77 Tm (people live in a home that is comfortable and well )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 361.19 Tm (maintained. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 338.36 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 338.36 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 338.36 Tm (Systems to monitor and review the service delivery need to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 323.78 Tm (be developed so that the on-going and sustained )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 309.2 Tm (improvements can be made.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 286.37 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 286.37 Tm (36)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 286.37 Tm (Arrangements should be 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/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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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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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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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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