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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 461.32 m 160.38 461.32 l S 0.001 w 1 1 1 RG 90.9 w 162.63 461.32 m 563.65 461.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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our assessment of how well a care home)Tj ET /F3 12 Tf BT 1 0 0 1 389.13 323.23 Tm (is meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 306.23 Tm (people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 138.93 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 147.37 306.23 Tm (We give a quality rating following a full review of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 517.67 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 526.12 306.23 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 289.23 Tm (call this full review a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 272.23 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 0.001 w 20.58 w 317.5 254.75 m 565.9 254.75 l S 0.001 w 1 1 1 RG 20.58 w 317.5 231.92 m 346.55 231.92 l S 0.001 w 20.58 w 348.8 231.92 m 377.9 231.92 l S 0.001 w 20.58 w 380.15 231.92 m 409.2 231.92 l S 0.001 w 20.58 w 411.45 231.92 m 440.55 231.92 l S 0.001 w 20.58 w 442.8 231.92 m 471.9 231.92 l S 0.001 w 20.58 w 474.15 231.92 m 503.2 231.92 l S 0.001 w 20.58 w 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obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.95294 0.95294 0.95294 RG 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 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 /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Mavesyn Ridware House)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Church Lane )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Mavesyn Ridware)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Near Rugeley)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Staffordshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.3 Tm (WS15 3RB)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01543490585)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01543490585)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 126.48 w 32.32 492.47 m 564.77 492.47 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.25 m 565.9 539.25 l S 0.001 w 20.58 w 31.2 486.3 m 565.9 486.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 463.47 m 353.25 463.47 l S 0.001 w 1 1 1 RG 20.58 w 355.5 463.47 m 565.9 463.47 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 440.64 m 353.25 440.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 440.64 m 565.9 440.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 520.55 m 568.1 520.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 497.72 m 567.8 497.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.89 m 568.1 474.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 519.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.06 m 568.1 452.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.55 m 567.8 520.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 497.72 m 568.1 497.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.89 m 568.1 474.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.06 m 568.1 452.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.23 m 568.1 429.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 428.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 475.96 m 354.37 428.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 428.15 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Mavesyn Ridware Residential )Tj ET /F3 12 Tf BT 1 0 0 1 355.5 527.19 Tm (Home Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 504.36 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 481.53 Tm (Mrs )Tj ET /F3 12 Tf BT 1 0 0 1 59.76 481.53 Tm (Sandra Margaret )Tj ET /F3 12 Tf BT 1 0 0 1 165.18 481.53 Tm (Black)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 458.7 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 458.7 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 435.87 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 435.87 Tm (21)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 416.93 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 399.93 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 357.61 m 564.47 357.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 369.02 m 567.8 369.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 391.85 m 567.8 391.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 369.02 m 567.8 369.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.61 m 567.8 325.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 392.93 m 30.07 324.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 370.1 m 298.32 324.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 392.93 m 566.72 324.54 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 375.67 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 352.84 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 352.84 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 332.26 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 332.26 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 310.82 m 297.3 310.82 l S 0.001 w 20.58 w 299.55 310.82 m 431.45 310.82 l S 0.001 w 20.58 w 433.7 310.82 m 565.6 310.82 l S 0.001 w 35.16 w 31.2 280.7 m 297.3 280.7 l S 0.001 w 35.16 w 299.55 280.7 m 431.45 280.7 l S 0.001 w 35.16 w 433.7 280.7 m 565.6 280.7 l S 0.001 w 20.58 w 31.2 250.58 m 297.3 250.58 l S 0.001 w 20.58 w 299.55 250.58 m 431.45 250.58 l S 0.001 w 20.58 w 433.7 250.58 m 565.6 250.58 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.75 m 565.6 227.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262 m 567.8 262 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.17 m 567.8 239.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 216.34 m 567.8 216.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.51 m 568.1 193.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.24 m 567.8 322.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262 m 567.8 262 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.17 m 567.8 239.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 216.34 m 568.1 216.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.51 m 568.1 193.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 126.94 m 568.1 126.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 323.31 m 30.07 125.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 323.31 m 298.42 238.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 323.31 m 432.57 238.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 323.31 m 566.72 125.86 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 306.05 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 306.05 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 306.05 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 283.22 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 268.64 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 283.22 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 283.22 Tm (21)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 245.81 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 245.81 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 245.81 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 222.98 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 200.15 Tm (The maximum number of service users who can be accommodated is: 21)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 177.32 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 162.74 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 148.16 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 133.58 Tm (falling within any other category \(OP\) 21 Physical disability \(PD\) 8 Dementia \(DE\) 6)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 112.15 m 315.25 112.15 l S 0.001 w 1 1 1 RG 20.58 w 317.5 112.15 m 346.55 112.15 l S 0.001 w 20.58 w 348.8 112.15 m 377.9 112.15 l S 0.001 w 20.58 w 380.15 112.15 m 409.2 112.15 l S 0.001 w 20.58 w 411.45 112.15 m 440.55 112.15 l S 0.001 w 20.58 w 442.8 112.15 m 471.9 112.15 l S 0.001 w 20.58 w 474.15 112.15 m 503.2 112.15 l S 0.001 w 20.58 w 505.45 112.15 m 534.55 112.15 l S 0.001 w 20.58 w 536.8 112.15 m 565.9 112.15 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 123.56 m 568.1 123.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.73 m 568.1 100.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 124.64 m 30.07 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 124.64 m 316.37 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 124.64 m 347.67 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 124.64 m 379.02 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 124.64 m 410.32 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 124.64 m 441.67 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 124.64 m 473.02 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 124.64 m 504.32 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 124.64 m 535.67 99.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 124.64 m 567.02 99.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 107.38 Tm (Date of last inspection)Tj ET /F3 12 Tf BT 1 0 0 1 328.2 107.38 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 359.53 107.38 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 390.86 107.38 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 422.18 107.38 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 453.53 107.38 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 484.86 107.38 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 516.18 107.38 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 547.53 107.38 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 88.86 m 565.9 88.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 79.23 m 568.1 79.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 80.31 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 80.31 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 98.48 m 568.1 98.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 79.23 m 568.1 79.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 99.56 m 30.07 78.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 99.56 m 567.02 78.15 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 85.3 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 85.3 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 66.05 Tm (Mavesyn Ridware is located off a public transport route near to Armitage and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 49.05 Tm (Handsacre. It provides care and accommodation to 21 older people. The service stands )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 638.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 638.08 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 28.99 639.15 m 568.1 639.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (in its own grounds with stunning views, the gardens are well maintained and offer )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (appropriate seating areas for the people who use the service. The service has a large )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (lounge, conservatory and separate dining room. Bedrooms are single occupancy and )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (some have an en-suite facility. The current range of fees are not included in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (Service User Guide. People are advised to contact the home directly for this )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (information. The most recent inspection report is available from the home upon )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (request.)Tj ET /F3 12 Tf BT 1 0 0 1 83.09 681.47 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 647.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xMo1 +rI J qU5ea|Y,i_oXft=| 9I+b%  k̙U=0`<Z׃h%O=AKVfBkvkjO/lz%Y[P5J8{"}q5"_{W p A"IޅL&іA;(H RUf1'OM챓r4Kg3>-lﰝ]0UeF؀61t\첳=x5Ajq:s[M8}*3ŽZًJ^ܢn.r:݆.nA}7oww.3> ~Nx{ws<2'0|6iXمR6.08:L8@~~9M {gػą噦/w`_ZKNߜjwϴNY_yOG endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This was an unannounced inspection undertaken by two inspectors. It lasted )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (approximately 11 hours. We used information we have about the home to help us plan )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (this inspection. We looked at information the home has given us in relation to incidents )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (and accidents. We call these "notifications". We have used any information we have )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (about Safeguarding referrals and complaints people may have made about the home. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (We spent time during this inspection talking to people who live in the home and to the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (staff who support them. We also spent time looking at care records as part of our case )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (tracking process. This enables us to make judgments about the home's ability to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm (provide a service to the people who live there.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (Since the last key inspection we undertook a random inspection to check the progress )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (the service had made in meeting the requirements made at the previous key )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (inspection. We found that the service had made progress in addressing all of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (requirements. )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 1.36 w 32.32 811.85 m 566.72 811.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 810.04 m 568.92 810.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 808.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 808.97 l S 0.001 w [] 0 d endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 341.34 w 32.32 603.15 m 566.72 603.15 l S 0.001 w 20.58 w 32.7 419.94 m 569.35 419.94 l S 0.001 w 297.6 w 33.82 258.6 m 568.22 258.6 l S 0.001 w 20.58 w 33.45 97.26 m 570.1 97.26 l S 0.001 w 20.7 w 34.57 74.38 m 568.97 74.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 431.36 m 568.92 431.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 430.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 431.36 m 569.35 431.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 408.53 m 569.35 408.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 408.53 m 570.42 408.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 108.68 m 570.42 108.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 85.85 m 570.1 85.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 108.68 m 570.1 108.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 85.85 m 571.17 85.85 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 32.7 409.61 m 32.7 107.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 86.93 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 430.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 409.61 m 569.35 107.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 86.93 m 570.1 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People like living at the service. Comments from people living there include:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm ("I have been her for three years now, the accommodation is great, food good and the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (staff are very helpful and kind. I have no family myself and feel very much that this is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm (now my home, and I am very happy with that".)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm ("Very happy with care received, always someone to talk to about things, and the care )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm (and support I get is satisfactory for me".)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (The service completes an assessment to decide if the are able to meet people's needs. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm (This covers areas such as physical and mental health, personal care and social care )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm (needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (People are having their health and personal care needs met. People see the doctor )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (when they are ill and have access to specialist health care staff including Community )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (Psychiatric Nursing staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 510.9 Tm (People like the meals and there is always a choice of food available. The service has )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (introduced a picture menu.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (People are provided with good communal and private accommodation. People can )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.58 Tm (make their bedroom their own bringing in their own possessions. Progress has started )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438 Tm (in making the environment more suitable for people with dementia care needs. )Tj ET /F3 10 Tf BT 1 0 0 1 568.97 601.6 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 417.83 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 415.17 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 418.39 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 257.05 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 392.34 Tm (Since our last key inspection the service has made progress in a number of areas.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 377.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 363.18 Tm (Improvements have been made in the care planning process giving staff more )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 348.6 Tm (information on people's care needs.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 334.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 319.44 Tm (Arrangements are now in place for people to receve dental check ups.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 304.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 290.28 Tm (Progress has been made in providing people with a varied and stimulating lifestyle. )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 275.7 Tm (People now have more opportunity to take part in activities including having the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 261.12 Tm (change to take part in activities out of the service. The service has also made progress )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 246.54 Tm (in meeting the social care needs of people with dementia including buying some )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 231.96 Tm (sensory equipment and giving more consideration to their needs when organising )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 217.38 Tm (activities. The service is also addressing people's spiritual needs.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 202.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 188.22 Tm (People are now being better protected. Staff are now fully aware of safeguarding issues )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 173.64 Tm (and how to refer any concerns. Progress has been made in making sure all the staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 159.06 Tm (records are up to date. Staff have received up to date fire training and there have been )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 144.48 Tm (fire drills completed. The service has also addressed a requirement we made in relation )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 129.9 Tm (to safeguarding one person's money. The service is now recording its falls audits.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 115.32 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 570.47 257.05 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 95.71 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 92.49 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 72.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 69.66 Tm (The service has made progress since we did our last key inspection. This progress )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 294.6 w 34.57 665.23 m 568.97 665.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 516.8 m 571.17 516.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 515.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 515.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.17 802.72 Tm (needs to be maintained and the service further developed. We made some )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 788.14 Tm (requirements at this inspection. Although fall risk assessments are being completed the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 773.56 Tm (service needs to make sure that information from falls is transferred into the care )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.98 Tm (planning process. This will make sure that all staff are up to date with information on )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.4 Tm (people's needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.24 Tm (We required that the service review its current use of bed rails. Assessments must be )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.66 Tm (accurate and show that bed rails are required. Where bed rails are in use they must be )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 686.08 Tm (safe and appropriate for the bed. This will make sure that people are kept safe.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.5 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.92 Tm (Issues of hygiene were identified during this inspection and therefore we require the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.34 Tm (service to ensure that it has robust systems in place to make sure that the risk of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.76 Tm (spread of infections is controlled.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 613.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.6 Tm (Whilst the recruitment procedure is generally safeguarding people the service must )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 584.02 Tm (ensure that when information is revealed during pre employment checks that there is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.44 Tm (evidence that the information has been checked and risk assessed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.28 Tm (We also made some recommendations on how the service can improve the care it )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.7 Tm (provides to the people living there.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 502.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 482.25 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 482.25 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 482.25 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 464.75 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 424.76 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 424.76 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 404.76 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 404.76 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 384.77 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 378 m 562.54 378 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 101.85 w 33.47 366.75 m 563.66 366.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 314.7 m 565.87 314.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (Information is available about the service but this should be in a format that is more )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (easily understandable to people. People can be confident that an assessment will be )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (completed prior to the service deciding if they can meet their needs. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 299.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.8 w 34.6 185.43 m 562.54 185.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.83 m 564.79 279.83 l S 0.001 w 185.43 w 33.47 173.62 m 563.66 173.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.45 m 565.87 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.45 m 564.79 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 276.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (The service provides information about what it offers to people. There has been some )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (updating of the Statement of Purpose but there remain some omissions such as )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (information about the manager and the staff and information about the regulator. We )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (saw a service user guide. This is available in the service but is not routinely provided )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm (to people. The presentation and format does not lend it to be easily accessible to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (people. The format is not user friendly and is not available in a large print or an easy )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (read version.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (Examination of three files confirms that an assessment of need is completed prior to a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (decision is made to offer a person a place. The amount of information was adequate in )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 213.83 w 34.6 704.49 m 562.54 704.49 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 192.46 w 33.47 692.68 m 563.66 692.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 594.25 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 31.27 595.33 m 565.87 595.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (forming an appraisal of people's needs and capabilities. The service tells us that either )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (the manager or deputy conducts the pre admission assessment either in a person's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (home or in hospital. People are invited to visit the service before moving there and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (once admitted people have a trial period to decide if they wish to remain and to decide )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (if the service can meet their needs.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Since our last visit the service has started to put in place arrangements for meeting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the needs of people with dementia. All staff are in the process of undertaking training )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (in dementia care, some signage has been put in place to aid people to orientate )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (themselves, social history and life story information is being sought and more suitable )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (equipment has been provided to undertake activities. )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 412 m 562.54 412 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 101.85 w 33.47 400.75 m 563.66 400.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 347.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 347.62 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 31.27 348.7 m 565.87 348.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (People living at the service are treated with respect and have their privacy and dignity )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (promoted. People are having their medication, health and personal care needs met but )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (improvements need to be made in the way that risks are managed and recorded. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 333.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 240.8 w 34.6 202.43 m 562.54 202.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 313.83 m 564.79 313.83 l S 0.001 w 219.43 w 33.47 190.62 m 563.66 190.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.45 m 565.87 301.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 302.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 302.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.45 m 564.79 301.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 310.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 285.77 Tm (Case tracking of three people confirms that a plan of care is completed for each )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.27 Tm (person. These have improved since our last key inspection and are satisfactory. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (However some contain unnecessary information and could be difficult for staff to use )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (as a working document. People's health, personal and social care needs are generally )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (identified in the care plan, for example we saw that people's personal care and health )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (care needs are covered giving staff information on how to meet these needs. We also )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (saw that where needed a plan of communication is developed. We did notice that in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (one case there was no plan in place to aid staff to manage one person's difficult )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (behaviour. We also noticed that some files need further information in relation to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (people's social care needs which is of importance in understanding people especially )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (those with needs relating to dementia. Plans are reviewed monthly by care staff but )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (there is no evidence to show that people and their relatives are involved in care )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (planning although the staff tell us that they do discuss care issues with relatives. We )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (would advice that a record be kept when such discussions take place. There is no )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (evidence that the Care Manager contributes in the supervision of the care planning )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (process although she tells us that she undertakes routine checks. We would )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (recommend that management reviews of care plans are recorded.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The service is responding to people's health and personal care needs. A regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (monitoring process is in place that includes nutritional screening, weighing and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (pressure care. We saw that people see the Doctor if they are ill and access specialist )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (services such as Community Psychiatric Nurses and District Nurses. People have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (access to a chiropodist and since the last key inspection a dentist has visited to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (provide oral care. We saw that the service is addressing issues relating to tissue )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (viability. One person was admitted with a pressure sore and is provided with pressure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (relieving equipment and during the inspection the District Nurse came to dress their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (wound.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Case tracking of three people shows that the service is meeting people's personal care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (needs. People are well dressed, have a clear skin, are hydrated and their eyes and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (mouth are clean. The service completes daily records that confirms that people's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (personal care needs are met. We would however advice that the system of daily )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (records be streamlined to prevent the opportunity for adding information to the record )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (after an event.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The service has a risk management system in place that includes manual handling, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (nutrition, continence and falls. These are reviewed monthly. However we did notice )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (that one person had had a fall and the care plan or risk assessment had not been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (updated. Bed rails are in place for one person. A risk assessment is in place but we )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (feel that this has not been completed correctly and it is not clear that bed rails are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (appropriate for the person. We did not feel that the current bed rails are safe for the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (person concerned and we discussed this with the manager. This is an issue we have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (raised at a previous inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (We found the administration of medicines adhered to procedures to safeguard people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (who use the service. The 'medicines in use' storage is secure, with good )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (environmental controls, including a medicines fridge. Our examination of the record of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (administration of medicines shows consistency, with no omissions observed. We )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (advised that drugs when dispensed from droppers or tubes be dated when started. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Staff signatures are up to date. Controlled drug arrangements and management are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (appropriate. We found an effective and smooth process of ordering, receiving, storing, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (administering and disposing of medicines. Records are complete and easy to follow )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 318.8 w 34.6 652 m 562.54 652 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 297.43 w 33.47 640.19 m 563.66 640.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 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 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (through, with no observed breaches in the system. We did discuss with the manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (the need to ensure a system is in place for the use of 'as required' medicines to make )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (sure that all staff are aware of the circumstances when such medication should be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (given. All the staff administering medication are trained but the service still needs to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (put in place a robust system for checking their ongoing competency.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (People tells us that they are happy with the care they receive. Comments include:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ("I have been her for three years now, the accommodation is great, food good and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (staff are very helpful and kind. I have no family myself and feel very much that this is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (now my home, and I am very happy with that".)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ("I am pleased with the care staff and the doctors who come to see me, everyone is so )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (kind and willing to help, they could do with more staff".)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ("Very happy with care received, always someone to talk to about things, and the care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (and support I get is satisfactory for me".)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (Improvements has meant that people are provided with opportunities for stimulation )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (through social activities that take account of their needs. People enjoy the meals and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (are provided with a choice. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (We have raised concerns over the last few inspections about the lifestyle people have )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (the chance to enjoy at the service. On this occasion we saw that improvements have )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (been made. A programme has recently been put in place to provide people with a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm (range of activities to provide them with stimulation during the day. These activities )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (are completed by the care staff. The service needs to ensure that the programme is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (maintained to provide people with a varied and stimulating lifestyle. A schedule of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (activities has been developed and this is displayed in the hall way. Activities are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (scheduled for everyday expect Sunday. These include popmobility, crafts, music, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (dominoes, reminiscence sessions as well as skittles and pet therapy. In addition a trip )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (out to a safari park has been arranged. Also once a fortnight three people have the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (opportunity to spend an hour out of the service either being supported to go for a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (walk or to go to the local village. We are also pleased to see that the service has )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (started to provide equipment and activities suitable for people with dementia. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (service has bought some sensory equipment, soft toys are available and staff are )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 651.23 w 34.6 485.79 m 562.54 485.79 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 629.86 w 33.47 473.98 m 563.66 473.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 156.85 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 31.27 157.93 m 565.87 157.93 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (talking to relatives about providing reminiscence items. We saw that one person has a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (memory box and several others have photo albums provided by relatives.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (We feel that on this visit that there was a much improved atmosphere. The lounge )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (was well supervised with events taking place. Several people were reading the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (newspaper or magazines, sensory items were available and suitable music was playing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (rather than the television being on. There was communication between staff and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (people that live there as well as between the people themselves. We observed one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (member of staff sitting with one person looking at the album with her. This contact )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (appeared to help her to be less anxious.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (On our last visit we raised concerns over the service's ability to meet people's spiritual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (needs. We confirmed that one person that wished to follow their religion was being )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (supported to do so. Records confirm that the manager has discussed people's spiritual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (needs with them and people are satisfied with the current arrangements. She reports )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (that they have asked to watch 'Songs of Praise' and this is occurring. She also states )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that she is trying to find someone to provide a religious service and to then assess if )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (people would wish this.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (We saw that routines are quite flexible. People that wish to can spend time in their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (bedrooms. We spoke to two people and they confirm that they enjoy being in their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (bedroom and do not wish to sit in the lounge. One person was watching the television )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (in their bedroom and told us that this suited him. He also said that he spent time )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (watching the wild life through his bedroom window. Two people tell us that there is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (flexibility about when they get up and go to bed. People also tell us that there is a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (choice of main meals. Visitors are welcome throughout the day.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The service has a separate dining room overlooking the garden that provides a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (pleasant place to eat. People tell us they like the meals and that there is a choice. One )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (person commented 'Lovely meals' and another said ' Meals good. No complaints'. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (menu was displayed on a menu board and the service has developed a pictorial menu )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (book to try and assist people with dementia care needs to make a choice. People tell )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (us that there is a choice at breakfast and one person said that she chooses to have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (egg on toast every day. The service assesses people's nutritional needs on a regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (basis and regularly weighs people. Sufficient staff are available to provide people with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (support with eating.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People living at the service have access to a complaints procedure. People can be )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (confident that staff are aware of safeguarding issues and know how to respond if they )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm (have any concerns. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 269.94 w 34.6 272.86 m 562.54 272.86 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 247.44 w 33.47 261.61 m 563.66 261.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 135.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 135.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 136.76 m 565.87 136.76 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (Information about complaints is provided to everyone living at the service. We saw )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (information in the entrance hall and in every bedroom we went into. People tell us )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (that if they have any concerns they would tell the staff. There have been no )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (complaints since the last time we visited. We, the commission, have not received any )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (complaints.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (At the last key inspection we made a requirement that all staff should be aware of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (agreed safeguarding procedures. When we undertook a random inspection in April )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (2010 we saw that this had been addressed. Staff had received training in safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (and could tell us about signs and symptoms of potential abuse. We saw that this had )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (been maintained on this visit. Staff we spoke to could tell us about safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (issues. The manager is very confident about the process and aware of the need to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (always refer incidents promptly to the local authority. There have been no )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (safeguarding issues since we visited last. )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (People living at the service are provided with private and communal accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (that is homely and welcoming. The service must have robust systems in place to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (ensure that the risk of the spread of infections is controlled. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (The home provides people with good accommodation. Efforts have been made to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (provide a homely atmosphere and the decor of the service is of a good standard. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (There are suitable communal rooms including two lounges and a separate dining )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (room. The dining room area was clean and conducive to enjoying a good meal. We )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (looked at a sample of bedrooms and these provide people with good private )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (accommodation. Most rooms are of a good size and are decorated and furnished in a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (modern style. People are encouraged to make their room their own with their own )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (possessions. None of the bedrooms are lockable.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (We noticed that the service has started to introduce some environmental changes to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (aid people with dementia. These include names on bedroom doors, and signage on )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (communal rooms. We would advice that this process continue by for example putting )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (in further means for people to identify their bedrooms and further developing the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (decor of the corridors through the use of themes and colour.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (We looked at the laundry accommodation and it is currently inadequately equipped to )Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 231.32 w 34.6 695.74 m 562.54 695.74 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 209.95 w 33.47 683.93 m 563.66 683.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 577.83 m 565.87 577.83 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (meet the needs of the service due to the dryer out of commission. This has forced )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (staff to use every available space to air washing causing confusion and disorder. This )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (has not been working for over a week. The service assured us that this was due to be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (repaired in the very near future.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (All the main rooms were clean and tidy. All staff have received training in infection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (control and we saw that protective equipment is available. However when we checked )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (some commodes and toilets we saw dried faecal matter on the seats. We raised this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (with the manager and made an immediate requirement that this is addressed. We also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (noticed that there are several people with continence needs that require safe handling )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (of affected linen. We advised the manager to use red alginate bags to avoid the need )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (for staff to transfer soiled items during the laundry process. )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 462.5 m 562.54 462.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 136.85 w 33.47 451.25 m 563.66 451.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 380.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 381.7 m 565.87 381.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Adequate numbers of staff are available to provide people with the care they need. )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (People living at the service are supported by a high number of qualified staff but )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (cannot always be confident that all staff have up to date training. Whilst the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm (recruitment process has improved the service still needs to take action to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 390.77 Tm (it has a robust system that is fully protecting people. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 366.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 273.81 w 34.6 218.93 m 562.54 218.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 346.84 m 564.79 346.84 l S 0.001 w 252.44 w 33.47 207.12 m 563.66 207.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 334.46 m 565.87 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 335.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 334.46 m 564.79 334.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 343.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (The service provides three staff on duty during the day and overnight. This level is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (adequate to meet the current needs of the people living there. The manager acts as a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (carer for two days a week.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (The manager confirms that over 50% of staff have obtained at least NVQ level two, a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (number having achieved level three. Staff we spoke to are aware of the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (people that live there. They could discuss their care plans and the risks involved.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (The service has a training schedule in place covering such training as medication, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (nutrition, diabetes, safeguarding and equality and diversity. Everyone has either )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (completed or is in the process of completing training in dementia care needs. We did )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (notice some gaps in the training records and that some training had been completed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (some years ago. We therefore advice the service to reestablish an effective training )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (programme to ensure that all staff are up to date with their training.)Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 161.34 w 34.6 730.73 m 562.54 730.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 139.97 w 33.47 718.92 m 563.66 718.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 647.82 m 565.87 647.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (We looked at a sample of staff files to check the service's recruitment process. We saw )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (that the manager has nearly completely addressed the requirement made at the last )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (key inspection. All the files we saw have references and Independent Safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Assessments and Criminal Record checks. However we noticed a disclosure on one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (employment check and when we raised this with the manager she had been unaware )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (of this and consequently this issue had not been discussed or risk assessed prior to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (employment. )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 395 m 562.54 395 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 101.85 w 33.47 383.75 m 563.66 383.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.7 m 565.87 331.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (The management of the service has improved but this needs to be maintained and the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (areas for improvement addressed to ensure that the service fully promotes the health, )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (welfare and safety of the people that live there. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 316.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.8 w 34.6 193.93 m 562.54 193.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.83 m 564.79 296.83 l S 0.001 w 202.43 w 33.47 182.12 m 563.66 182.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.45 m 565.87 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.45 m 564.79 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 293.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.77 Tm (There has been no changes to the management of the service since we visited last. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.27 Tm (Since we visited last time the manager has devoted three days a week to the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm (management tasks of the service and this has benefited the people living there. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (Progress has been made in meeting all the requirements we made at the last key )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (inspection although there still remain areas to be developed. The manager informed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (us that she feels that her management commitment could be reduced to two days a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (week. We feel the current level should be maintained if the improvements are to be )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (maintained and the service is to develop further. We continue to have some concerns )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (over the management of the service and its ability to maintain the improvements and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (to further develop. The previous history of the service indicates that improvements )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (are made in response to requirements we have made following inspections.)Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 476.27 w 34.6 573.27 m 562.54 573.27 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 454.9 w 33.47 561.46 m 563.66 561.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 331.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 331.81 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 31.27 332.89 m 565.87 332.89 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Progress has been made. People now have more opportunities to take part in activities )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (and progress has been made in the care planning process, safeguarding, and meeting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (people's health care needs. However there remain areas for improvement including )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (infection control, training and risk management.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The service has started to develop the system for reviewing and monitoring the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (service. A number of checks are being done on such aspects as medication, falls and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (health and safety. We did provide advice on ways to improve these and other areas to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (review including care planning and hygiene. The service had recently surveyed people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (that live at the service and relatives and these are due to be evaluated.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (We had, at the last key and random inspections, looked at the way they service looks )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (after people's money and the service had met the requirement we had previously )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (made in respect of one person's finances.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The service employs a 'handyman' who undertakes a range of health and safety )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (checks. We saw that water temperatures are checked monthly and that fire checks are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (being undertaken. Fire drills and now being undertaken and recorded. The fire )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (authority has visited the service and given advice on record keeping and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (completion of a fire risk assessment. They are to follow these issues up. The service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (provides health and safety to staff. Training in fire safety has been completed by all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (staff since the last key inspection. Most staff have up to date training in infection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (control but some staff training in such areas as moving and handling, food hygiene )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (and emergency aid needs updating to ensure they are up to date with current )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (practices. )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 227.76 w 32.32 659.96 m 564.97 659.96 l S 0.001 w 1 1 1 RG 140.22 w 31.2 617.31 m 91.05 617.31 l S 0.001 w 140.22 w 93.3 617.31 m 197.4 617.31 l S 0.001 w 140.22 w 199.65 617.31 m 289.45 617.31 l S 0.001 w 140.22 w 291.7 617.31 m 473.8 617.31 l S 0.001 w 140.22 w 476.05 617.31 m 566.1 617.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 545 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 545 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 92.17 545 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 545 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 545 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 545 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 28.99 546.08 m 568.3 546.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm (26)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm (The service must have )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 657.78 Tm (suitable arrangements in )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 643.2 Tm (place to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 628.62 Tm (equipment such as )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 614.04 Tm (commodes and toilets are )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.46 Tm (kept clean and hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 581.88 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 567.3 Tm (This will prevent the risk of )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 552.72 Tm (the spread of infection. )Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm (12/06/2010)Tj ET 0.95294 0.95294 0.95294 RG 443.55 w 32.32 285.8 m 564.97 285.8 l S 0.001 w 1 1 1 RG 187 w 31.2 313.66 m 91.05 313.66 l S 0.001 w 187 w 93.3 313.66 m 197.4 313.66 l S 0.001 w 187 w 199.65 313.66 m 289.45 313.66 l S 0.001 w 187 w 291.7 313.66 m 473.8 313.66 l S 0.001 w 187 w 476.05 313.66 m 566.1 313.66 l S 0.001 w 155.01 w 31.2 140.41 m 91.05 140.41 l S 0.001 w 155.01 w 93.3 140.41 m 197.4 140.41 l S 0.001 w 155.01 w 199.65 140.41 m 289.45 140.41 l S 0.001 w 155.01 w 291.7 140.41 m 473.8 140.41 l S 0.001 w 155.01 w 476.05 140.41 m 566.1 140.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 219.04 m 568.3 219.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 409.37 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 409.37 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.84 m 568.4 440.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 408.29 m 568.3 408.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 409.37 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 409.37 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 409.37 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 409.37 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.83 m 568.4 509.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.84 m 568.4 440.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 408.29 m 568.4 408.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.04 m 568.3 219.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 510.91 m 30.07 407.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 441.92 m 92.12 407.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 441.92 m 198.52 407.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 441.92 m 290.62 407.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 441.92 m 475.02 407.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 510.91 m 567.32 407.21 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 496.64 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 476.64 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 462.06 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 462.06 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 447.48 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 429.66 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 426.66 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 426.66 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 426.66 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 426.66 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 414.51 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 395.1 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 395.1 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 395.1 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 395.1 Tm (The assessment for the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 378.1 Tm (person using bedrails must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 361.1 Tm (be reviewed to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 344.1 Tm (they are needed and if so )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 327.1 Tm (that the bedrails are suitable )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 310.1 Tm (for the bed and are safe.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 293.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 276.1 Tm (This will make sure that )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 259.1 Tm (bedrails are appropriately )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 242.1 Tm (used and that people are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 225.1 Tm (kept safe. )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 395.1 Tm (01/07/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 395.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 205.85 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 205.85 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 205.85 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 205.85 Tm (Risk assessments and care )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 188.85 Tm (plans should be updated to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 171.85 Tm (reflect any changes in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 154.85 Tm (conditions. )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 137.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 120.85 Tm (This will make sure that staff )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 103.85 Tm (are aware of any changes )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 86.85 Tm (and can respond )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 205.85 Tm (01/07/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 205.85 Tm ()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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 305.54 w 32.32 658.63 m 564.97 658.63 l S 0.001 w 1 1 1 RG 34 w 31.2 693.99 m 91.05 693.99 l S 0.001 w 34 w 93.3 693.99 m 197.4 693.99 l S 0.001 w 34 w 199.65 693.99 m 289.45 693.99 l S 0.001 w 34 w 291.7 693.99 m 473.8 693.99 l S 0.001 w 34 w 476.05 693.99 m 566.1 693.99 l S 0.001 w 170 w 31.2 589.74 m 91.05 589.74 l S 0.001 w 170 w 93.3 589.74 m 197.4 589.74 l S 0.001 w 170 w 199.65 589.74 m 289.45 589.74 l S 0.001 w 170 w 291.7 589.74 m 473.8 589.74 l S 0.001 w 170 w 476.05 589.74 m 566.1 589.74 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 675.86 m 568.3 675.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 502.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 675.86 m 568.3 675.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.61 m 568.3 503.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm (appropriately to reduce the )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (risks to people. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 662.68 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 662.68 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 662.68 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 662.68 Tm (Where information is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 645.68 Tm (provided in pre employment )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 628.68 Tm (checks a system must be in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 611.68 Tm (place that shows that the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 594.68 Tm 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This will make sure that the service is )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 219.28 Tm (confident that staff are giving medicatio appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 196.45 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 196.45 Tm (10)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 196.45 Tm (Where medication is given on an 'as required' basis a )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 181.87 Tm (proctocol should be in place. This will make sure that staff )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 167.29 Tm (are aware of when such medication should be given and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 152.71 Tm (that such medication is given in a consistent manner. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 129.88 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 129.88 Tm (26)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 129.88 Tm (To introduce the use of red alginate bags when washing )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 115.3 Tm (soiled items. 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This will ensure )Tj ET /F3 12 Tf BT 1 0 0 1 200.25 699.29 Tm (that staff are up to date with current good practice. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 674.21 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 674.21 Tm (31)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 674.21 Tm (The manager must have the knowledge of current up to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 659.63 Tm (date practices including methods of monitoring and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 645.05 Tm (reviewing the service and risk management systems. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 622.22 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 622.22 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 622.22 Tm (The service should further develop its method for reviewing )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 607.64 Tm (and monitoring the service. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.81 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 584.81 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 584.81 Tm (Staff should complete relevant Health and Safety training )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 570.23 Tm (to ensure they are up to date with current practices. )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. 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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 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/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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LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 79 0 obj<> endobj 9 0 obj<> endobj 80 0 obj <>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 81 0 obj<> endobj 82 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 83 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 84 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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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-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 87 0 obj<> endobj 88 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 89 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 90 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[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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5F#]2mNǑ|q鍛x,lW+ؓy"0tEΪz".D犿v5T`c!L];Tzeд}앑JZ qUk٣|CCW뇵Ȱ$:@D?^h>:,bt `Jea&iM:M+I~;!XEr;PF@ݴ#HkgQ@ B &abXPxNIԎ9YW {" L_Ee8+7@z M^k0^Ɏ^|opkP.Tv߳c:M.unA~F#kdž}>7VvZ!: ɨݘՕc>q:C.Hn)|7U)> ւXfJ86HW/jה mG]k8e .( Q1u??zOb_fV֊ٷ| LX2MT3h>!6s0`$S$e(grRCPy7&^xOvumڽiY3sЈݴu8n旵.Uhǖ*6muѕR@E)jIB!<Gcv׾VǑAUD~E kYxƿc8@zaSϚ21uw6>/yp@J "6:Wi,wԏj*l])qoIz9R1|%cb72JH냷~t>v}۟l}-Sa\FA1>R#fe6,qW瞖lT5[' e. ^?*+KO>]+3u/Ģy]a{=5cb3T#8I}oEI_t7iI? #.4M alGa ҷ4ހ[#[1w# >v[B1j/*fcJwq}J`UC4$hI ҲaYFGEO ٝoo#xM ?t.3|I`EAAEUv|W7x?;U(MܗEJfNd ]rJP R 12; ׆n1Gu^o"i"@f/ 7-NQ6Z->YSi."Ctt3\Sׄ:iC()_Ĥ܈r]k\יJjU L$]3>Z8Hs[2X"ҦW-uoY1/Hauw Ӊ#IF &|Nv}fɢ@hnɍ)]3}5t3(}]5ʔ nbV_DniF@G)${3{ԭ{ÛNRK(".ñ9.IZ%l|@}HMnL7pU<(ʘ8zaХ z9Vvbn0VXIGR>НSN5^8f=GO:lϡt+nN㷁,xW#XGX} W$.,n,F$+j6^ q[5\k1r;fRQv&k̃nYtRȪEkgQ`ֹ n{Ev @hFlM(8yS CōV fK -+p刍@;vp7_dDTD6:Ndˁ7>z1q Np潥p舮zDZr1}U?=:*+ ϧfŪ6O- ݡWќ0` bld}e 0tw[rZ-D s_=7zl v6[f)DRI܂ȍK9L QD`rO"pBtKs` HKS){V̊Ew."@_@l<K]r^d<}AiFKL/{D%PRfEFKBe?|yQFCc{_4yNZ͉RYܼǡc 6uleG$m衲"ҎG`~ԹS r ,|> ٤+uנcX(37Cms/ UDu/i}P=,%e.nۼaP]q{YAD.~gM5MS0C -êGgjItM! ) E'bTv'Kz߬BN"xсmQO[,s!]wx@ k}ŝ6+IKg]VF`F«+%(Je>YcHAU-gZDc34J,Rh>x-~4C1:,YČxhVw^Pn#"yUTYSo=tM[R5-,#o ぞBZn'r& &EO/v5H");$8Ӵpp32A%20w>qY5t<ڝNnԠ0'zG*y7}sGcŦ W ^+s{yXPnLGN-fLL*p'' b B-8C as҆Rs_|]H$ס-ˊKp9٩0GV|>" Xe\}l&6gPȊKdaY^w.,)~:ŭ!.&-K '"]ʲlg/ S Tn9l#&!5/ZUwƁ~m8{*ton5S5+Oqv;Blmb5dЈMQHfxпF?j:stFAрm\.M*)ZGJ&96i+;,H.Ҳ^T jÐQa+IxxHڕ1Cŕ9Oy HHE\)֠ߛzmfEW+w Gϣ1` ջ9 ik;~. ]"E5KMٚq-j p/Hڽ7|/__Kp 4leB\E)0O aɱϾyb.F%Tv-78\=)6ePK%}Űz@u$2eA4eR`b9CϽ@<ѴtzN:4"@)MEb(wl SG^_M=W@mF5H.Z8p;qXlvVK"A<![#3tJY3,ŝHPujc@ˊcx6-FrS3R0 Ѫ(+`4"_6axUkuZI˓.VEӠ^1||PeXu =h0 yسxอ"oQr#_X׀#hr&b0-}0V㸰?^0d4:X[C21N<"EW{" k.4Ǝ<&@⺜Vؾ *xn;0\=r"(z79[dLޡu 0oLѐHe_&2i&#Z"?tJ-—1b4)T3虣!W6"U|3Bn>عѩszevLWu;^jUPtqiE$WJW OoK ֲF/xfmyfc^e81D Zz6Q#kh@X<25BX?.-h^CsR9I [ f0'y 2PIM!OD;lCe␢ڿa,b)\>g:߱S8uJ|)>=֝tCO vU*P< :43? #f$|H+Nё3 =ϑ\U"͟H L8%ٽ|"5σ_wl(4F 2b[*H p~Ds4twÊυpQw ykUЭJI"Zj " *0+X@{L +" ?ӪєRL#Wy}ɴk6-*? jP"9=rTaPg!A)&>`hX팻 ~|U+iaNAݤ"L7DžDD+4 㷿:@g`S b&Bjԋ%.(3[glxAx>K,G-MsL88ʧPGaf,8_r#hDeXgag|.kiQ-od iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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