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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 414.45 m 160.38 414.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 414.45 m 563.65 414.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.87 m 565.85 367.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 366.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Five Stacks Residential Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (209 Point Clear Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (St Osyth)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Clacton on Sea)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (CO16 8JD)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 355.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 338.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 319.08 m 565.9 319.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.5 m 568.1 330.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.67 m 568.1 307.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.57 m 30.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.57 m 360.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.57 m 567.02 306.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 314.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 314.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 314.31 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 295.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 259.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 242.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 242.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 0.001 w 20.58 w 317.5 207.88 m 565.9 207.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.05 m 346.55 185.05 l S 0.001 w 20.58 w 348.8 185.05 m 377.9 185.05 l S 0.001 w 20.58 w 380.15 185.05 m 409.2 185.05 l S 0.001 w 20.58 w 411.45 185.05 m 440.55 185.05 l S 0.001 w 20.58 w 442.8 185.05 m 471.9 185.05 l S 0.001 w 20.58 w 474.15 185.05 m 503.2 185.05 l S 0.001 w 20.58 w 505.45 185.05 m 534.55 185.05 l S 0.001 w 20.58 w 536.8 185.05 m 565.9 185.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.29 m 568.1 219.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.63 m 568.1 173.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.37 m 30.07 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 220.37 m 316.37 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197.54 m 347.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197.54 m 379.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197.54 m 410.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197.54 m 441.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197.54 m 473.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197.54 m 504.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197.54 m 535.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.37 m 567.02 172.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 203.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.28 Tm (Helen Laker)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 180.28 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 180.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 144.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 127.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 115.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 103.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Five Stacks Residential Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (209 Point Clear Road )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (St Osyth)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Clacton on Sea)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (CO16 8JD)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01255820417)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01255820417)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (fivestacks@tinyworld.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 549.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 529.54 m 353.25 529.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 529.54 m 565.9 529.54 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 540.96 m 568.1 540.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.13 m 568.1 518.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 542.03 m 30.07 517.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 542.03 m 354.37 517.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 542.03 m 567.02 517.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 524.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 524.77 Tm (Mr John Sidney Donhou)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 505.83 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 486.34 m 353.25 486.34 l S 0.001 w 1 1 1 RG 20.58 w 355.5 486.34 m 565.9 486.34 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 463.51 m 353.25 463.51 l S 0.001 w 1 1 1 RG 20.58 w 355.5 463.51 m 565.9 463.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 474.92 m 568.1 474.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 497.75 m 568.1 497.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.92 m 568.1 474.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.09 m 568.1 452.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 498.83 m 30.07 451.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 498.83 m 354.37 451.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 498.83 m 567.02 451.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 481.57 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 481.57 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 458.74 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 458.74 Tm (24)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 439.79 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 422.79 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 403.3 m 565.6 403.3 l S 0.001 w 41.16 w 31.2 370.18 m 297.2 370.18 l S 0.001 w 20.58 w 299.45 380.47 m 565.6 380.47 l S 0.001 w 20.58 w 299.45 359.89 m 432.52 359.89 l S 0.001 w 20.58 w 432.52 359.89 m 565.6 359.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 391.89 m 567.8 391.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 414.72 m 567.8 414.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 391.89 m 567.8 391.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.48 m 567.8 348.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 415.79 m 30.07 347.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 392.96 m 298.32 347.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 415.79 m 566.72 347.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 398.53 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 375.7 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 375.7 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 355.12 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 355.12 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 333.69 m 297.3 333.69 l S 0.001 w 20.58 w 299.55 333.69 m 431.45 333.69 l S 0.001 w 20.58 w 433.7 333.69 m 565.6 333.69 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 310.86 m 565.6 310.86 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 322.27 m 567.8 322.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.44 m 567.8 299.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.61 m 568.1 276.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 345.1 m 567.8 345.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.27 m 567.8 322.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.44 m 568.1 299.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.61 m 568.1 276.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.04 m 568.1 210.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 346.18 m 30.07 208.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 346.18 m 298.42 321.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 346.18 m 432.57 321.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 346.18 m 566.72 208.96 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 328.92 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 328.92 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 328.92 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 306.09 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 283.26 Tm (The maximum number of service users who can be accommodated is 24)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 260.43 Tm (The registered person may provide the following categories of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 245.85 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 231.27 Tm (needs on admission to the home are within the following categories: Dementia - Code )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 216.69 Tm (DE)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 195.25 m 315.25 195.25 l S 0.001 w 1 1 1 RG 20.58 w 317.5 195.25 m 346.55 195.25 l S 0.001 w 20.58 w 348.8 195.25 m 377.9 195.25 l S 0.001 w 20.58 w 380.15 195.25 m 409.2 195.25 l S 0.001 w 20.58 w 411.45 195.25 m 440.55 195.25 l S 0.001 w 20.58 w 442.8 195.25 m 471.9 195.25 l S 0.001 w 20.58 w 474.15 195.25 m 503.2 195.25 l S 0.001 w 20.58 w 505.45 195.25 m 534.55 195.25 l S 0.001 w 20.58 w 536.8 195.25 m 565.9 195.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 206.67 m 568.1 206.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.84 m 568.1 183.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 207.74 m 30.07 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 207.74 m 316.37 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 207.74 m 347.67 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 207.74 m 379.02 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 207.74 m 410.32 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 207.74 m 441.67 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 207.74 m 473.02 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 207.74 m 504.32 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 207.74 m 535.67 182.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 207.74 m 567.02 182.76 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 190.48 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 171.96 m 565.9 171.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 162.34 m 568.1 162.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 163.41 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 163.41 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.59 m 568.1 181.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.34 m 568.1 162.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 182.66 m 30.07 161.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 182.66 m 567.02 161.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 168.4 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 168.4 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 149.15 Tm (Five Stacks Rest Home is a former family dwelling house that has been extended and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 132.15 Tm (improved to form the present accommodation. The detached house is located within a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 115.15 Tm (residential area. The accommodation is within single occupied bedrooms on the ground )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 98.15 Tm (and first floor. There is a passenger lift available. The communal space is ample, there )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 81.15 Tm (being a main lounge area and a kitchen/dining room. The decoration, furniture and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 64.15 Tm (fittings were of a high standard and the whole house represents a comfortable living )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 485.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 485.08 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 28.99 486.15 m 568.1 486.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (environment. The front of the property has been laid to hard standing but is enclosed )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (by attractive trees and shrubs. The rear garden is large and features an enclosed fish )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (pond formally a swimming pool with seating and and sun terrace with extensive lawns. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (The garden is also enclosed with attractive trees and shrubs The home changed )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (registered category of care to Older People Dementia Care in 2004. There were )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (conditions attached to the registration that required the home to continue to review )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (and develop the accommodation and staff training in dementia care. There is currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (building work underway to develop a new wing accommodating six further bedrooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (and community lounge with facilities. These works are planned to be completed in )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (October 2009. The manager stated they plan to increase numbers from 24 residents to )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (30 and will liaise with the registration team regarding this. Residents are all fully aware )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (of the proposals and works. The home has plans to follow a clear consultative process )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm (and ensure the Care Quality Commission CQC is fully informed of the completion of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (building progress and any amendments required regarding their registration for an )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (increase in numbers. The current rate of fees for the home ranges from 550.00 pounds )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (to 700.00 pounds per )Tj ET /F2 12 Tf BT 1 0 0 1 168.11 528.47 Tm (week)Tj ET /F2 12 Tf BT 1 0 0 1 199.34 528.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 511.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 494.47 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 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 40.96 m 566.93 40.96 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 37.19 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 489.47 37.19 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 520 37.19 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.99 37.19 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 545.29 37.19 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 778.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 757.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 737.22 m 381.05 737.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 737.22 m 566.2 737.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 748.64 m 568.4 748.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 725.81 m 568.4 725.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.71 m 30.07 724.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 749.71 m 382.17 724.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.71 m 567.32 724.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 732.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 732.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 732.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 732.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 700.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 624.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 584.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 543.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 503.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 463.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 423.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 382.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 317.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 266.08 m 567.85 266.08 l S 0.001 w 201.16 w 32.32 152.96 m 566.72 152.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 254.66 m 567.85 254.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.66 m 568.92 254.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 51.25 m 568.92 51.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 255.74 m 31.2 50.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 255.74 m 567.85 50.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 261.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 238.48 Tm (The quality rating for this home is two star. This means that people who use this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 223.9 Tm (service experience good quality outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 209.32 Tm (This key unannounced inspection looking at the core standards for care of older people )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 194.74 Tm (took place on a weekday between 10:00 and 16:00. The registered manager and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 180.15 Tm (deputy were available on the day of inspection and the staff present throughout the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 165.57 Tm (day assisted with the inspection process by supplying records and information. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 150.99 Tm (report has been compiled using information available prior to the visit such as surveys )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 136.41 Tm (sent out, evidence found on the day of inspection and the annual quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 121.83 Tm (assessment \(AQAA\), which is required by law and is a self assessment completed by )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 107.25 Tm (the service. The AQAA provides an opportunity for the service to tell us what they do )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 92.68 Tm (well and areas they are looking to improve and/or develop. This document will be )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 78.1 Tm (referred to as the AQAA throughout the report.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 63.51 Tm (During the day the care plans and files for four of the residents were seen as well as )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 1 1 1 RG 134.22 w 32.32 745.42 m 566.72 745.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 677.18 m 568.92 677.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 676.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 676.11 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (three staff files, the policy folders, the medication administration records \(MAR sheets\), )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (some maintenance records and the fire log. The manager also supplied a copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (duty rota, the menus, and other pertinent documentation which was required.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (A tour of Five Stacks was undertaken and eight residents, four members of staff as )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (well as the domestic staff were spoken with. The home was clean and tidy offering )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (homely accommodation to the residents. The residents seen were relaxed and clearly )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (felt at home in the environment using all areas of the building. All the records and files )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (were generally well maintained and easily accessible. Interactions between staff and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (residents were friendly and appropriate.)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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 297.6 w 32.32 625.02 m 566.72 625.02 l S 0.001 w 20.58 w 32.7 463.68 m 569.35 463.68 l S 0.001 w 239.28 w 33.82 331.5 m 568.22 331.5 l S 0.001 w 20.58 w 33.45 199.32 m 570.1 199.32 l S 0.001 w 122.76 w 34.57 125.4 m 568.97 125.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 475.1 m 568.92 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.1 m 569.35 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 452.27 m 569.35 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 452.27 m 570.42 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 210.74 m 570.42 210.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 187.91 m 570.1 187.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 210.74 m 570.1 210.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 187.91 m 571.17 187.91 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 32.7 453.35 m 32.7 209.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 188.99 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 453.35 m 569.35 209.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 188.99 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (This is primarily a family based service with the proprietor in daily contact and both his )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (daughters working in the management team. The ethos of the service has always been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (to provide a standard that the proprietor and his family would be proud to use )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (themselves. This ethic has been added to over recent years by the developments in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (meeting the Care Homes Regulations 2001 and the service has as a whole always )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (strives to improve its delivery of care. The coalition between the management team )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (has strengthened the service delivery and allowed members to develop their strengths )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm (and skills. The attitude and approach of the staff towards service users living at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (home is not only kind but also respectful. They carry out their duties in a calm and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (relaxed manner that permeates throughout the whole home. There is a strong )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (emphasis on person centred care in the organisation of the staffs working day, with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (priority being given to spending time with service users particularly in social activities. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (The premises are maintained to a high standard and provide accommodation that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (supports residents needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm (Activities form an integral part of the daily routine of the home and provide residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (with diversion and occupation.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (The number of staff who holds a recognised qualification has been steadily increasing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (and supports the quality of care support provided at the home.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 623.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 458.91 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 462.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 329.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (There is currently building work underway to develop a new wing accommodating six )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (further bedrooms and community lounge with facilities. These works are planned to be )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (completed in October 2009. The manager stated they plan to increase numbers from )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm (24 residents to 30 and will liaise with the registration team regarding this. Residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (are all fully aware of the proposals and works. Residents spoken with spoke positively )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm (of this change overall and the home has plans to follow a clear consultative process )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm (and ensure the Care Quality Commission CQC is fully informed of the completion of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (building progress and any amendments required regarding their registration for an )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (increase in numbers.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (The ongoing development of the management team and as a consequence the staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (structure. The recognition of individuals' strengths within the team provides stimulation )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (and increases the self-esteem of the team members. This aids the retention of staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (and builds on the quality development of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (The appointment of an activities coordinator supports the existing work in providing )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm (stimulation to residents daily lives and allows the service to further develop this )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm (essential part of care delivery.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 329.95 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 197.77 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 194.55 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 123.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm (An audit system to check the signing, omissions of medication and transcribing of )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (medication on MARS sheets must be in place so that possible medication issues can be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (monitored and good practice is always adhered to.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (More one to one recordings in residents social care notes would increase staffs )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm (appreciation of the diversity of their individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm (The home should ensure a consistent and appropriate supervision and appraisal )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm (structure is in place and maintained for all staff, ensuring appropriate records are kept.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (The home must ensure regular fire drills are undertaken by all staff and record the )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 34.57 803.74 m 568.97 803.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 793.82 m 571.17 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 792.75 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (date, time and names of all staff attending.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 779.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.27 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 759.27 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 759.27 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 741.77 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 721.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 701.78 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 701.78 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 701.78 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 684.28 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 684.28 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 684.28 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 666.79 Tm (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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 740.77 m 562.53 740.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 756.02 m 565.85 756.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 727.77 m 565.85 727.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 757.1 m 30.07 726.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 757.1 m 564.78 726.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 738.89 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 694.52 m 566.93 694.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 690.46 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 672.52 m 566.93 672.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 668.46 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 650.52 m 566.93 650.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 646.46 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 628.52 m 566.93 628.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 624.46 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 606.52 m 566.93 606.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 602.46 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 584.52 m 566.93 584.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 580.46 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 562.52 m 566.93 562.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 558.46 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 538.46 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 516.59 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 369.25 m 562.54 369.25 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 119.35 w 33.47 358 m 563.66 358 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 296.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 296.12 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 31.27 297.2 m 565.87 297.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.76 Tm (Prospective residents can expect to have an assessment and assurances that their )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.26 Tm (needs can be met prior to entering the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 281.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.3 w 34.6 176.68 m 562.54 176.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 262.33 m 564.79 262.33 l S 0.001 w 167.93 w 33.47 164.87 m 563.66 164.87 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 249.96 m 565.87 249.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 251.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 251.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 249.96 m 564.79 249.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 259.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (The statement of purpose has not been altered since the last inspection and there )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (have not been any changes in the service or the way it operates that would prompt )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (this. The management team were advised to keep this document under review and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (ensure that it continues to represent the way in which the service operates. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (relative of a resident spoken with during the inspection was clear that they had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (received information about the home prior to their family member's admission via a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (service users guide and had been able to visit the home on several occasions as part )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (of the admission process.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm ()Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 528.76 w 34.6 547.03 m 562.54 547.03 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 507.38 w 33.47 535.22 m 563.66 535.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 279.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 279.32 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 31.27 280.4 m 565.87 280.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The assessments of three recent admissions to the home since the last inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (were inspected. All of the assessments seen were noted to have been completed prior )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to the admission date and cover the all areas relating to the health and welfare of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (individuals. This information was usually supplemented by a social services )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (assessment. Attention to dates, times and signatures was discussed with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (registered manager, this must be given more prominence so it is consistently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (maintained on documentation.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The registered manager reported that pre-admission assessments were undertaken by )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (a senior member of staff at the prospective resident's own place of residence or at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (hospital depending on the needs and circumstances of the individuals at the time.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The AQAA states "We ensure that potential service users and their families are given )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (enough time and literature on our home and services, by giving them unlimited time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and advice from the first initial telephone call or knock at the door, sending brochures )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (and service user guide and statement of purpose. We then invite them to visit the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (home unplanned on as many occasions they so wish. We invite them to come for a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (coffee or for lunch for informal chat with management. We ensure that they visit other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (homes to ensure they make the right choice for them. We like to advise them to stay )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (for a respite break or a four week trial before making a final decision of home choice )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (ensuring we can meet all their needs and they are happy with our service. A detailed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (assessment, pen picture and care plan would then be implemented, working closely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (with the service user, their families and multi disciplinary teams to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (appropriate care package is in place for the individual's needs." Residents spoken with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (reported that they had experienced this approach and found it helpful and reassuring. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (One surveys returned by a relative stated "It would be my residential home of choice, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (were I ever to require residential care.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Five Stacks does not provide intermediate care.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 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 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 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 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (service. Residents can be confident that staff understand how to support them )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (consistently.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (The files of four residents were read to consider how the service uses care planning to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (support residents. The files have been re formatted since the last inspection to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (they are more person centred. They are headed by a full -page description of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (residents past and present life and give an overview of their strengths and needs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (The actual care-planning documents contained reference to each of the daily living )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (tasks and these were set out with needs, goals and actions identified. The entries )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (provide an outline of the individuals' needs and how staff should support these. the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (manager stated "We like to treat the person not the illness". For example one care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (plan detailed preferred priorities of care and power of attorney arrangements and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (liaison and another detailed that in relation to a dementia problem one resident has to )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 703.72 w 34.6 459.55 m 562.54 459.55 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 682.34 w 33.47 447.74 m 563.66 447.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 104.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 104.36 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 31.27 105.44 m 565.87 105.44 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (go for a walk every day to help with this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The inspector was shown seperate documentation that had been devised from a piece )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (of quality assurance work in relation to meal times. These contained a good level of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (person centred descriptions of individual residents abilities at mealtimes and how staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (should offer support. These are also held in the kitchen as reference for staff serving )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (meals and the descriptive style of these documents is used as a basis for reviewing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (other areas of their care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (In all cases the care plans were reviewed regularly and updated information was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (added although in some cases the actual care plan instructions had been superseded )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (by entries indicating that no change was required. The manager was advised to review )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (this practice of recording.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (Residents' records relating to health care visits and instructions in meeting health care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (needs were included in the care planning document and where appropriate records of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (issues such as fluid intake and weight were monitored.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The administration of residents' medication was observed. The service operates a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (monitored dosage system \(MDS\) for permanent residents. The pharmacist makes this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (up and has accompanying computer generated records of the prescription instructions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (for each drug the resident takes. Residents who are staying on a respite arrangement )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (would not be included in this system and therefore staff complete handwritten records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (at the individuals admission. These contain the name of medication, their strength and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (the dosage to be taken. Both sets of records were up to date and maintained )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (appropriately however it was noted that some transcribed medication records did not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (evidence two signatures to ensure the risk of a resident receiving the wrong )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (medication is reduced.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (The observation of staff giving out medication demonstrated a competent adherence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (to the current pharmaceutical guidance. Staff who are responsible for dispensing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (medications have all undertaken a competency based medication course.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The service has a written procedure for staff to follow in relation to the care of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (residents who are dying. The compliments book pays tribute to the way in which they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (have attended to this and contains the following: "My relative was always treated with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (respect and individual care and attention. Thanks as well for the attention given to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (relatives in the last hours of the residents'life when staff supported them with nutrition )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (needs and emotional needs.")Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 411.01 m 562.54 411.01 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 171.84 w 33.47 399.76 m 563.66 399.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 311.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 311.64 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 31.27 312.71 m 565.87 312.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (service. Residents can expect the service to provide opportunities for stimulation and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (occupation that suits their abilities and preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 356.77 Tm (Residents benefit from a good varied range of activities and from good links to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 339.27 Tm (local community. The nutritional needs of residents are met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 321.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 297.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 204.82 w 34.6 184.43 m 562.54 184.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 277.84 m 564.79 277.84 l S 0.001 w 183.45 w 33.47 172.62 m 563.66 172.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 265.47 m 565.87 265.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 266.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 265.47 m 564.79 265.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 274.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (The service continues to demonstrate a commitment to offering residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (opportunities for fulfilment and occupation. The notice boards in the home advertise a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (weekly activities planner. This planner is used as a basis for the staff to undertake )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (activities although flexibility is used so for example on the day of the inspection visit a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (singalong was being undertaken and for those that did not want to take part, word )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (games and reminiscence games of places residents had visited was underway. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (service has appointed an activities coordinator who works on a Tuesday and Thursday, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (with a lead in coordinating and collating ideas for activities and documenting how )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (successfully residents respond to activities on offer as well as gaining insight into their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm (past interests. It was agreed following discussion on the day of inspection that more )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (one to one recordings in residents care notes would increase staffs appreciation of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (diversity of their individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (These records assist the home in understanding how successfully the provision has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (been delivered and support the planning of future activity initiatives such as the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (development of an allotment/pot plant area in the gardens in a response to one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (resident's horticultural background. The team have developed some innovative )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (thinking in providing activities such as the use of current IT memory games and old )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (style games such as a beetle drive. They also incorporate things such as a memory )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (supermarket game, carpet bowls, hand massage and some residents take part in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (setting the dining tables and wash up. A recent fete had been held where they had a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (band and a bar be que. Also on pancake day the residents were able to toss a frozen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (pancake.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (Verbal feedback from relatives provided to the inspector and in quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (responses demonstrates that relatives see the way in which the service occupies and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (stimulates residents is seen as a key part of their success in caring for residents. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Relatives were seen visiting frequently during the inspection of the home. Those )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (spoken with were confident about the way in which their involvement was welcomed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (by the home and saw their role as a partnership with the staff group in supporting the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (resident. One relative talked about the way the home accommodates a visit for them )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (and their relative every two weeks to a local pub and they were 'over the moon ' they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (were able to see their relative in different surroundings as well as the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (The meals are all home cooked and a printed menu is available for residents who can )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (access this to choose their meals. The staff also employs a use of visual prompting in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (helping residents to choose meals by presenting pictorial flash cards of food for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (residents to make a choice from.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (The service conducted a quality service audit with residents that concentrated on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (mealtimes which started in 2007. This has been continued and is based on variations )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (of residents being encouraged to make their own choices with regard to food. For )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (instance one survey encouraged residents to help themselves to the vegetables for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (each meal from serving bowls placed at their table. The way in which residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (responded to this and how this affected their intake of vegetables from their normal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (diet was recorded over a period. At the end of the trial the staff could identify to what )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (extent the opportunity for choice was helpful to residents and to what level they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (should support them in making the choices. This continues to be a good piece of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (person centred work that has given the staff insight into the individual as well as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (providing opportunities for dignity and respect at meal times.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 38.87 w 34.6 791.97 m 562.54 791.97 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 17.5 w 33.47 780.16 m 563.66 780.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 769.21 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 31.27 770.29 m 565.87 770.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 488.25 m 562.54 488.25 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 119.35 w 33.47 477 m 563.66 477 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 415.12 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 31.27 416.2 m 565.87 416.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm (Residents can feel confident they will be listened to and their concerns acted upon and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm (also be assured that all carers are adequately trained to safeguard their welfare. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 0.001 w 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 368.96 m 565.87 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 368.96 m 564.79 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (The services complaints policy has not been changed and continues to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (National Minimum Standard \(NMS\). Staff spoken with were aware of the complaint )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (and safeguarding procedures to be followed if a concern was brought to their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (attention. The relatives spoken with at this inspection visit were aware of the policy )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (and procedures and were confident that the service would resolve any issues they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (brought up. There is a log maintained of all complaints and compliments received in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (the home. No complaints have been recorded in the previous 12 months. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (confirms this and also tells us "All staff, service users and visitors are aware of policies )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (and procedures, complaints and comments book in every service users room. We seek )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (and welcome complaints and feedback as we are always looking to improve our )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (service. To assist our service users with knowledge of how to complain, we have a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (notice in communal areas with a picture of the manager and easy steps to follow to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (guide them with this matter. All staff and support networks have relevant POVA, CRB )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (and reference checks before entering the home. All staff have POVA training and our )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (policies and procedures have been reviewed and updated. The management and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (proprietors always have time daily to ensure service users, staff, professional and )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 525.34 m 565.87 525.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (relatives are aware they are there to listen, this is made obvious by them being free to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (walk around the home with ample time to give support and seek information." Further )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (work is being considered with regard to ensuring that those residents with cognitive )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (impairments are able to make their views known, and this was discussed with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (manager as a point of development for a service that offers a specialist support to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (people with dementia. Other initiatives have been made in ensuring that anyone )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (living, working or visiting the home can make their views known. This has been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (through the placing of an individualised communications book for suggestions or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (concerns in each residents bedroom, and the instructions on the front of the book )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (invites people to make their observations and views known by completing the book, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (which is read by the senior care staff at the end of each day. A relative spoken with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (said they used the book and had found this to be a useful medium for raising minor )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (issues and passing on compliments. The home has a safeguarding adults policy and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (the staff have all been trained in recognising and reporting signs of abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 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 0.99216 0.89804 0.5451 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 /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (Residents live in a home that is well maintained and encourages their independence.)Tj ET /F2 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 0.99216 0.89804 0.5451 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 /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (A physical tour of the building was undertaken with the proprietor. This tour included )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (all communal areas and bathrooms, the laundry and some residents bedrooms. All )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (areas of the home were clean, fresh, homely and welcoming with no odours.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (The AQAA informs us "We take pride in our home, and its safety as a home for our )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (service users and as a work place for our staff. Continuous maintenance is in place )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (and a maintenance book for staff to record works to be carried out, this is checked )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (daily by management. All staff are fully trained in Health & Safety. We are always )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (seeking new ideas and improvements. A full-time cleaner in place and equipment to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (ensure a high standard of infection control is carried out at all times.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (They also reported that they had improved in the last twelve months by developing a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ("pond with fish and fountain, with seating areas and a summerhouse. New carpets )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (have been fitted in the lounge, hall and dining room. All paint work has been updated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (throughout the home, and additionally building work is currently underway to provide )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (a new wing with a new lounge, conservatory, further dining room, further kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (area, treatment room, another bathroom with hoist, disabled toilet, another lift and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (six further bedrooms with a further secured landscaped garden area.")Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 353.8 w 34.6 634.51 m 562.54 634.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 332.42 w 33.47 622.7 m 563.66 622.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 455.36 m 565.87 455.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The manager stated on the day of inspection "We provide a homely, comfortable, safe )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (environment for residents with different communal areas in which residents are able )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to socialise if they wish". Bedrooms have ensuite facilities and comments from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (resident's families and visitors remark on the home having a welcoming and lovely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (friendly atmosphere, and is always well appointed and clean. Areas are very well )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (maintained and maintenance staff are efficient)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (and active in sorting out any problems quickly and efficiently.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Relatives spoken with spoke positively of the environment and the services provided.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Staff training and annual refresher infection control training is planned as part of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (homes ongoing training programme.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (There is currently building work underway to develop a new wing accommodating six )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (further bedrooms and community lounge with facilities. These works are planned to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (completed in October 2009. The manager stated they plan to increase numbers from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (24 residents to 30 and will liaise with the registration team regarding this. Residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (are all fully aware of the proposals and works.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (Residents spoken with spoke positively of this change overall and the home has plans )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (to follow a clear consultative process and ensure the care Quality Commission CQC is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (fully informed of the completion of the building progress and any amendments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (required regarding their registration for an increase in numbers.)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 462.5 m 562.54 462.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 136.85 w 33.47 451.25 m 563.66 451.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 381.7 m 565.87 381.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (service. Residents are looked after by a staff team who are aware of their needs and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (wishes and are subject to a thorough recruitment process and can be confident that )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (the staff that have sufficient skills to support them.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 390.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 366.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 273.81 w 34.6 218.93 m 562.54 218.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 346.84 m 564.79 346.84 l S 0.001 w 252.44 w 33.47 207.12 m 563.66 207.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 334.46 m 565.87 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 335.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 334.46 m 564.79 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 343.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (Staffing levels are maintained appropriate to the needs and number of people living in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (Five Stacks. Individuals consulted felt that there are generally always sufficient staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (available when they need them, and relatives consulted felt that staff have the right )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (skills and experience to look after residents properly. Staff members stated that they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (all support one another and a number of staff have been at the home for many years.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (Throughout the inspection visit the atmosphere was calm and peaceful. Service users )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (consulted with also commented that they did not feel rushed at any time of the day, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (they were given time to get up and did not feel that staff were stretched. The staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (interacted with residents in a respectful and pleasant manner.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (People living at the home and their relatives gave very positive feedback about the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (staff employed to work at the home. One resident stated "Staff are very helpful and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (very caring" and another commented "This is the best home I know and I am very )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (happy with what is done for me here.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (Discussion with the manager and examination of records confirmed that the service is )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (proactive in its staffing, recruitment and training, with planning for the potential needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (of people who may use the service in the future.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Staff files were examined to determine how the service carried out its recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (process. These documents on the files seen demonstrated a robust approach with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (checks made on the persons Criminal Records Bureau \(CRB\) check, and the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Department of Health Safeguarding POVA first list, as well as two written references, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (and proof of the person's identity. These with the completed application form assist )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the service to determine whether the person is of a suitable background to work with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (vulnerable people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Training needs are documented and staff can identify their own training needs. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (manager was aware of staff training needs and organised training on a regular basis.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (The staff training programme is ongoing and a matrix of training staff currently held )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (was available. This provides both staff and managers with an 'at a glance' )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (understanding of when qualifications have become outdated and where staff have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (gaps in their skills and development. The training plan provided staff with courses to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (give them skills in health and safety issues such as fire safety training, food handling, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (medication and moving and handling. In addition there were dementia, deprivation of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (liberty, mental capacity act, privacy and dignity, palliative care and NVQ qualification )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (courses undertaken. Staff spoken with including the cook confirmed they attended )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (training courses, some planned that week and that these were very helpful. In )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (addition a discussion with the manager indicated that these course had influenced the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (homes practice, for example the dementia awareness course had highlighted that red )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (doors as an indicator for toilets were beneficial and the deprivation of liberty course )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (raised an awareness whereby do not disturb signs had been distributed to all service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (users for use.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The development of individual training profiles that use information gathered from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (supervision and residents needs assessments further enhances the skills base of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (The AQAA the service provided to the Commission indicated that 15 of the current 22 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (care staff held an NVQ level 2 or above. This exceeds the NMS of 50% of staff holding )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (a recognised qualification.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (Evidence was available to confirm that staff meetings take place regularly where )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (training, activities, new staff and policies and procedures are some of the things )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (discussed, the outcomes of these meetings are cascaded through the staff tiers and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (the areas to ensure good communication throughout the service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (The AQAA indicates, the staff team considers itself capable of keeping abreast of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (changes in legislation. They analyze results of Quality Assurance questionnaires and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (compile from that the development of the service. The staff believe that they provide )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (a service that meets the needs of the service users in their care. The service has a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (commitment to listening to both staff and service users and regularly making changes )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 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 /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (to their practice when offered best practice recommendations to promote )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (improvements. )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 386.25 m 562.54 386.25 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 119.35 w 33.47 375 m 563.66 375 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 313.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 313.12 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 31.27 314.2 m 565.87 314.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (This judgement has been made using available evidence including a visit to this )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (Residents and relatives can be confident in the operation of the service and the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (leadership provided by the management team.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 298.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.3 w 34.6 185.18 m 562.54 185.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.33 m 564.79 279.33 l S 0.001 w 184.93 w 33.47 173.37 m 563.66 173.37 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 266.96 m 565.87 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.96 m 564.79 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 276.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (Since the last the previous registered manager has left. The manager currently in post )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (has held the post since August 2008 and is also one of the proprietors of the business. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (She has been involved in running Five Stacks since it opened in April 2000. An )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (application has been made for registration to the CQC and additionally she holds the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (Registered managers award and NVQ level 4 qualifications. She confirmed that she did )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (feel supported in her role and that staff had supported her and that they all worked )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (well together. A deputy manager has also been recruited since the last inspection and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (has been in post since September 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (The management tasks have been reviewed and shared between the Management )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (team made up of the registered manager, deputy and administrators. This )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (arrangement not only makes better use of the time available to the manager, but also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (utilises the skills and strengths shared in this team. One of the administrators for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (example has implemented the quality assurance programme and carried out the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (mealtime audit, while another had been instrumental in developing the culture and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (ethos in the home. This provides opportunities for the manager to concentrate on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (skills and development of the staff team through supervision and training. There is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (continuing evolvement planned with the senior care staff taking a lead in areas of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (homes development. The manager stated "We all work together and take more )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (responsibility for the atmosphere and development of the home".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The AQAA states "The well-being of the service users is at the forefront of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (managers and proprietors minds, we have a strong family run environment and ethos, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (all service users are thought of as our Grandmothers or Grandfathers." She )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (demonstrated a good knowledge and understanding of the service and of care and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (management practices, and training records showed that she attended training to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (update her skills and knowledge. Residents and staff spoken with reported that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (manager was supportive and approachable, and it was noted that she spends time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (working alongside staff in the home, and therefore provides a good level of support )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (and was able to monitor practices. Another initiative in this area yet to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (implemented is that of staff members observing their colleagues practice to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (consistency and support each other in understanding the diversity and individuality of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (each service users needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The service holds monies on behalf of some residents and the records for these were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (checked at this visit. They demonstrated a robust system of auditing and provided )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (evidence of both income and expenditure with associated receipts.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (The service operates a constant system of monitoring 'customer' satisfaction including )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (ongoing audits. Responses indicated a high level of satisfaction of the care and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (services provided at the home. People spoken with feel the manager is very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (approachable and runs the home well. One person said, "the manager and staff are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (very kind and helpful".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (The home had systems in place to maintain the health and safety of the home, and a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (clear policy statement of the arrangements to maintain health and safety in the home, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (including employer and employee responsibilities. Staff training records showed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (staff had received training in relevant health and safety topics, including the moving )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (and handling of people. The home maintains records to show that equipment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (utilities are regularly serviced, and that appropriate internal checks are carried out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (\(e.g. routine testing of fire alarms and emergency lighting, checking of bath and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (shower hot tap temperatures, checks on central hot water temperatures re risk of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (legionella.\))Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (The home has a range of risk assessments on safe working practices, including fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (risk assessments and the use/storage of chemicals \(with hazard sheets available for )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 91.36 w 34.6 765.73 m 562.54 765.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 69.98 w 33.47 753.92 m 563.66 753.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 716.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 716.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 717.8 m 565.87 717.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (the chemicals used\). Fire drills are not consistently undertaken at present and need to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (be held on a more regular basis to safeguard residents and ensure staff are aware of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (the appropriate actions to take. The last fire drill held was recorded in January 2009 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (and there have been none since.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 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 0.99216 0.89804 0.5451 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 /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 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 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 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279.77 m 568.3 279.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.78 m 568.3 227.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 488.26 m 30.07 397.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 418.69 m 92.17 398.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 418.69 m 198.47 398.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 488.26 m 567.32 397.26 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 470.99 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 453.41 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 438.83 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 424.25 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 403.43 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 403.43 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 403.43 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 382.15 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 382.15 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 382.15 Tm (More one to one recordings in residents social care notes )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 367.57 Tm (would increase staffs appreciation of the diversity of their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 352.99 Tm (individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 330.16 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 330.16 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 330.16 Tm (The home should ensure a consistent and appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 315.58 Tm (supervision and appraisal structure is in place and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 301 Tm (maintained for all staff, ensuring appropriate records are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 286.42 Tm (kept.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 263.59 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 263.59 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 263.59 Tm (The home must ensure regular fire drills are undertaken by )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 249.01 Tm (all staff and record the date, time and names of all staff )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 234.43 Tm (attending.)Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj[6 0 R/XYZ 0 254.42 0] endobj 77 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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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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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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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 90 0 obj<> endobj 91 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 92 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 93 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 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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