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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Townsend House)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (Court Farm Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Mitcheldean)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Glos)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (GL17 0BD)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 331.89 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Ruth Wilcox)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Townsend House)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Court Farm Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Mitcheldean)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Glos)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (GL17 0BD)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01594542611)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01594541449)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (manager.townsend@osjctglos.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (The Orders of St John Care Trust)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (40)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 398.35 m 297.3 398.35 l S 0.001 w 35.16 w 299.55 398.35 m 431.45 398.35 l S 0.001 w 35.16 w 433.7 398.35 m 565.6 398.35 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 368.23 m 565.6 368.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 379.65 m 567.8 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 379.65 m 567.8 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 568.1 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.41 m 568.1 319.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 318.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 378.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 378.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 318.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 386.29 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (40)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 363.46 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (One bed in the rehabilitation unit can be used to provide respite care for service users )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.05 Tm (over the age of 55 years. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 304.62 m 315.25 304.62 l S 0.001 w 1 1 1 RG 20.58 w 317.5 304.62 m 346.55 304.62 l S 0.001 w 20.58 w 348.8 304.62 m 377.9 304.62 l S 0.001 w 20.58 w 380.15 304.62 m 409.2 304.62 l S 0.001 w 20.58 w 411.45 304.62 m 440.55 304.62 l S 0.001 w 20.58 w 442.8 304.62 m 471.9 304.62 l S 0.001 w 20.58 w 474.15 304.62 m 503.2 304.62 l S 0.001 w 20.58 w 505.45 304.62 m 534.55 304.62 l S 0.001 w 20.58 w 536.8 304.62 m 565.9 304.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 316.03 m 568.1 316.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.2 m 568.1 293.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 317.11 m 30.07 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 317.11 m 316.37 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 317.11 m 347.67 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 317.11 m 379.02 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 317.11 m 410.32 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 317.11 m 441.67 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 317.11 m 473.02 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 317.11 m 504.32 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 317.11 m 535.67 292.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 317.11 m 567.02 292.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 299.85 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 281.33 m 565.9 281.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 271.7 m 568.1 271.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 272.78 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 272.78 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.95 m 568.1 290.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 271.7 m 568.1 271.7 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 30.07 292.03 m 30.07 270.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 292.03 m 567.02 270.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 277.77 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 277.77 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 258.52 Tm (Townsend House is situated in the centre of Mitcheldean, and is in close proximity to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 241.52 Tm (the local shops and amenities. The home is managed by The Orders of St John Care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 224.52 Tm (Trust. The home is purpose built, and is registered to provide both nursing and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 207.52 Tm (personal care for 40 older people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 190.52 Tm (The home is able to provide respite care if there is a vacancy.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 173.52 Tm (A day centre, which serves the local community, is also integral to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 156.52 Tm (The home provides forty single rooms, six of which have en suite facilities. A )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 139.52 Tm (passenger lift has been installed to provide easy access to the first floor. Communal )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 122.52 Tm (areas consist of a main lounge and dining space incorporating a conservatory, a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 105.52 Tm (second lounge and dining room, and a third separate lounge. Adapted bathing facilities )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 88.52 Tm (are provided.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 71.52 Tm (The home is surrounded by gardens with an inner courtyard of flowerbeds. A number )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 54.52 Tm (of rooms overlook the gardens and courtyard.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 587.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 587.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 588.15 m 568.1 588.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (Information about the home is available in the brochure, known as the Residents' )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (Guide, which is issued to prospective and current residents. A copy of the most recent )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (CSCI/CQC report is available in the home for anyone to read.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (The charges for Townsend House range from 564.96 pounds to 750.07 pounds per )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (week. The home also provides care at the Local Authority rate of funding where )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (applicable.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (Hairdressing, chiropody, newspapers, toiletries and optical services are charged at )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (individual extra costs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 576.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 559.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The judgements contained in this report have been made from evidence gathered )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (during the inspection, which included a visit to the service and takes into account the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (views and experiences of people using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (The last Key Inspection of this service was carried out on the 31st July 2007. One )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (Regulatory Inspector carried out this inspection over two days in July 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (Care records were inspected, with the care of four residents being closely looked at in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (particular. The arrangements to manage residents' medications were inspected.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (We met and spoke to a number of residents and visitors in order to gauge their views )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 294.6 w 32.32 665.23 m 566.72 665.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 516.8 m 568.92 516.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 515.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 515.73 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (and experiences of the services and care provided at Townsend House. Some of the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (staff were interviewed.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (Survey forms were also issued to a number of residents, staff and visiting health care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (professionals to complete and return to us if they wished. Seven out of ten residents to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (whom we sent surveys returned them to us. Two of the four visiting health care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (professionals and three out of five staff to whom we sent surveys returned them to us. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (Some of their comments feature in this report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (The quality and choice of meals was inspected, and the opportunities for residents to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (exercise choice and to maintain social contacts were considered.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (The systems for addressing complaints, monitoring the quality of the service, and the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (policies for protecting the rights of vulnerable residents were inspected.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (The arrangements for the recruitment, provision, training and supervision of staff were )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (inspected, as was the overall management of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (A tour of the premises took place, with particular attention to the maintenance and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (cleanliness.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 487.14 w 32.32 547.25 m 566.72 547.25 l S 0.001 w 20.58 w 32.7 291.14 m 569.35 291.14 l S 0.001 w 64.32 w 33.82 246.44 m 568.22 246.44 l S 0.001 w 20.58 w 33.45 201.74 m 570.1 201.74 l S 0.001 w 98.23 w 34.57 140.09 m 568.97 140.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 302.56 m 568.92 302.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 301.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 302.56 m 569.35 302.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 279.73 m 569.35 279.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 279.73 m 570.42 279.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 213.16 m 570.42 213.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 190.33 m 570.1 190.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 213.16 m 570.1 213.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 190.33 m 571.17 190.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 280.81 m 32.7 212.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 191.41 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 301.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 280.81 m 569.35 212.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 191.41 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (Townsend House provides a clean and safely maintained environment for the residents. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (There is a welcoming atmosphere for visitors, and there is information provided about )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (the home, its services and facilities, to assist residents and their families.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (Residents are admitted here on the basis of an assessment of their individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (circumstances, and upon admission each has a documented plan of care to address )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (their needs. Care is delivered to a satisfactory standard, with health and social care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (needs met in a way that gives due consideration and respect towards individuals' )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (privacy, dignity and choices. Residents have access to health and social care services.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (Residents spoke well of their care and the staff generally. We received comments such )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (as 'It's not home but it's the next best thing'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (Some visiting health care professionals were positive about the standard of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (provided at the home and about the staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (We met some visitors who also spoke positively about the welcome in the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (the care of their relative.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (There are opportunities for residents to remain socially active, with a coordinated )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (activities programme available that is varied to suit different tastes and abilities. There )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (is a choice of good quality food, with residents speaking positively about their meals. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (Nutritional risk management is carried out to benefit the health needs of the residents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (People are assured that the home takes any complaint seriously and, despite some )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (remaining work to address regarding mental capacity assessment, there are policies )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm (and procedures in place for the protection of the vulnerable residents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 382.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 367.52 Tm (Sound recruitment practices are observed here, and there are good opportunities for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (staff training, development and supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 323.78 Tm (The home is satisfactorily managed and has good arrangements for monitoring the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 309.2 Tm (quality of its service to residents.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 545.7 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 289.03 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 286.37 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 289.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 244.89 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (A number of improvements have taken place in the environment, with an ongoing )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (maintenance, refurbishment and redecoration programme in place.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (A more stable and cohesive staff team is being established.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 244.89 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 200.19 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 196.97 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 138.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 174.14 Tm (Although residents' needs are being met, isolated shortfalls in documented care )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 159.56 Tm (planning require closer attention, so that any degree of risk posed to residents in this )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 144.98 Tm (area can be removed.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 130.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm (We have recommended that risk assessments be reviewed to ensure that they are )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm (supporting the planned care consistently, and that residents' personal wishes regarding )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 34.57 774.58 m 568.97 774.58 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 735.5 m 571.17 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 734.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 734.43 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (the management of their medications is also recorded consistently.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (The maintenance person's dual role of home maintenance and also gardening has )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (resulted in certain areas of the surrounding gardens not receiving particularly prompt )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (attention, although efforts to address this are in hand.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 720.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 700.95 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 700.95 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 700.95 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 683.45 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 663.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 643.46 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 643.46 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 643.46 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 625.96 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 625.96 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 625.96 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608.47 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 368.74 m 563.65 368.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 97.48 w 32.32 357.5 m 564.78 357.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.63 m 566.98 307.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Access to information and an assessment prior to admission to the home gives )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (prospective residents an assurance that their needs can be met.)Tj ET 0.99608 0.9451 0.76078 RG 213.54 w 33.45 174.99 m 563.65 174.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.76 m 565.9 272.76 l S 0.001 w 192.16 w 32.32 163.18 m 564.78 163.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 260.39 m 566.98 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 261.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 261.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.39 m 565.9 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 269.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.7 Tm (A full copy of the home's Statement of Purpose and Residents' Guide was displayed in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (the entrance hall, with a copy of the Guide in each resident's room. We pointed out )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (that the fee information in the Guide and our contact details, which featured on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (numerous pieces of information within it, were out of date. This was being addressed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (and updated by the second day of this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (Residents who responded to our survey confirmed that they had received information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (about the home prior to coming in here to assist them. One person told us that 'the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (change of coming into the home had not been easy', but that they had 'no regrets )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (about doing so'.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 548.75 w 33.45 537.03 m 563.65 537.03 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 527.38 w 32.32 525.22 m 564.78 525.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 259.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 259.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 260.4 m 566.98 260.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (All prospective residents were assessed prior to being given a place at the home. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (inspected two examples of pre-admission assessments, each of which was for a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (resident more recently admitted to the home. Each assessment had been carried out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (prior to admission being agreed, and had been recorded on the home's designated tool )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (for the purpose. The assessments had been signed and dated, with the location where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (it was conducted identified. They also identified if the person's family or representative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (had been present.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The assessments took account of their personal details and their past medical history; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (their health and care needs; their medications; their socialisation and cultural needs; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (their understanding and legal status. The manager had been out to conduct an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (assessment at a local hospital on the first day of our visit. The manager did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (consistently do the range of risk assessments included in the assessment tool as part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (of the pre-admission procedure.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Confirmation letters of placements were issued, although the manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (referrals for admission by the Local Authority were often in urgent circumstances, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (making it impossible to provide such a letter in advance of the admission taking place.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Visiting health care professionals told us that the home 'usually made accurate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (assessments of people's needs'. One General Practitioner \(GP\) told us that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (could sometimes 'liase a bit more with new residents' previous health care providers in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (order to be able to provide better medical details on admission', as they sometimes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (had 'little information regarding sick patients when they first saw them'. Staff had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (endeavoured to obtain such information from previous doctors when residents moved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (into Townsend House.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (The intermediate care unit, comprising four beds, had been discontinued since our last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (visit, and this accommodation was now part of the home overall.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 394 m 563.65 394 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 114.98 w 32.32 382.75 m 564.78 382.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.14 m 566.98 324.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People living in this home have their health and care needs met in a way that takes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (account of their privacy and dignity, however there are some isolated omissions in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (documented care planning which are posing a degree of risk with this.)Tj ET 0.99608 0.9451 0.76078 RG 230.04 w 33.45 183.24 m 563.65 183.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.27 m 565.9 289.27 l S 0.001 w 208.67 w 32.32 171.43 m 564.78 171.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.89 m 566.98 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.89 m 565.9 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 285.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (Each resident had an individualised plan of care in place that had been drafted on the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (outcome of an assessment, having been done in consultation with them and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (sometimes their family.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (We selected four care plans to inspect more closely on the basis of needs, sometimes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (more complex, and on the basis of information shared with us by the home prior to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (There were some good examples of risk management in relation to nutrition, falls and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (pressure area care. However, in one case there were a small number of assessed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (needs that had not been planned for in writing. In order to assess the outcomes for )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (this person we interviewed a number of staff about the person's needs in this regard, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (and each was well informed and was able to discuss the care that was necessary. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (seemed that a good amount of information about residents' needs was given to staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (verbally, as well as in a documented care plan format.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (There were slight discrepancies between some risk assessments and associated care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (plans. Although some showed little risk on assessment, associated care plans had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (evidently drawn up to address apparent risks. In one particular case the necessary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (equipment identified on the assessment to address the resident's moving and handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (needs did not correspond with that on the associated care plan, each specifying two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (different types of equipment. In the same case a pressure area care plan review )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (identified that the plan was meeting the person's needs, despite a second care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (indicating otherwise.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Despite these apparent discrepancies in recording, staff were well informed about the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (needs of the residents, and residents had all the necessary care, equipment and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (support that they required. Records showed that residents were medically reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (and had access to all health care support.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Visiting health care professionals told us that 'residents' care needs were appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (monitored and catered for', and that the home 'sought to improve people's wellbeing'. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (They also confirmed that the staff showed respect for residents' privacy and dignity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (and were responsive to diverse needs. One visiting General Practitioner \(GP\) told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (that they had 'good communication between themselves and the staff; that nurses )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (liased with families well; and that the residents appeared well looked after'. They went )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (on to say that 'although the home could do with more trained nurses in their view, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (they had no concerns regarding the quality of nursing care, and that staff were always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (friendly and helpful'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Residents who responded to our survey told us that they 'received the care, support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (and medical attention they needed'. One person said that they were 'looked after very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (well, and that the staff were very patient and caring'. A resident's relative told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (they were 'really pleased with the care provided at Townsend House'. Another told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (that 'if the residents needed anything then the staff would go out of their way to get )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (it'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Residents we met in person during the course of our inspection spoke positively )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (regarding their care and the way in which staff looked after them. One spoke about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ('nice staff who did the best they could'. Another said 'it wasn't home but was the next )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (best thing'. One lady said that 'this home was much better than the last one she was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (in', and was 'happier here and got her privacy'.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 723.71 w 33.45 449.55 m 563.65 449.55 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 702.34 w 32.32 437.74 m 564.78 437.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 85.44 m 566.98 85.44 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Residents' wishes regarding the management of their medications could be recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (on the pre-admission assessment tool, however this was not consistently filled in. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Residents were able to manage their own medications if they wished and were able, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (and we saw one example of this taking place. A risk assessment and documented plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (of care was in place in this regard, with secure storage provided for the resident.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Medications were stored safely and hygienically. Medication administration charts were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (clearly printed by the supplying pharmacist and were neat and orderly, with a record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (of administrations maintained. There was supplementary guidance on the use of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (topical creams. There were separate records of administration in cases where the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (staff were applying creams as part of personal care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (In one case, a resident was prescribed a particular drug for managing agitation, to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (used 'as necessary'. Although there was a documented plan of care to address some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (mental health issues, the indicators and usage for this drug did not feature in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (planned care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (In another case the morning medications had been omitted as the resident had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (asleep. Attempts to give the medications to the resident later in the morning did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (appear to have been made, as they had not had them by the afternoon.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (There was a record of medication refusals in another case, and staff had sought the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (GP's advice about this, and as a consequence certain changes to the medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (regime had been implemented to try to help the resident concerned.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (The majority of medications had been dispensed in a Monitored Dosage System, but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (those items that were boxed and bottled had been dated when opened in order to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (facilitate safe usage and auditing. Random audits we carried out on boxed items )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (proved to be correct.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Staff had access to medication policies, and nurses were undergoing updated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (medication training.Two medication errors had previously been reported to us, and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (home had taken the necessary steps to address this at the time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Staff were attentive to residents, and appeared respectful towards their dignity and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (choices. At least two residents told us that they enjoyed a good level of privacy. Care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (was being delivered in the privacy of residents' bedrooms, and where manoeuvres or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (tasks were required in more public areas with residents, staff were sensitive towards )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (any possible implications relating to their dignity.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (People living in this home have good opportunities to remain as socially active as they)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (are able and choose, and also have a nutritious diet that offers choice and variety.)Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (Residents who responded to our survey told us that there were 'social activities that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (they could join in with', although one person told us that 'these were lacking at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (present and that time dragged'. A resident's friend told us that 'the home should )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (provide more entertainment for the residents'. We considered these comments during )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (the inspection and found that the home had gone through a period of not having a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (designated social activities coordinator. This was no longer the case, with one having )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (been appointed in the weeks preceding our visit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (There was a planned social activity programme displayed in the home, and there was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (photographic evidence of events and activities that had taken place. A three monthly )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (newsletter was being produced, which provided readers with Townsend House and The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (Orders of St John Care Trust news, plus articles and photographs of significant events.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (During the two days we spent in the home we saw at least four different group )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (activities taking place. We witnessed staff going around asking residents if they would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (like to participate, and many chose not to, with their choice being respected. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (recommended that the coordinator consider ways to provide quality social contact time )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (on a one-to-one basis with those residents unable to leave their rooms or join in with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (group activity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Staff adjusted activity to suit people's ability. One resident told us that 'she didn't )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (think she could manage card making and stencilling, but with help from the staff had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (managed'. The coordinator had compiled individual personal histories with residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (and their families to help identify their past interests and preferences for social and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (recreational pursuit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (The home had a mini bus and the coordinator was planning to take groups of residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (out regularly. There were regular religious services held in the home by a visiting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (minister. Ministers from other denominations could be sourced whenever necessary.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The coordinator told us that she had already identified that the home needed to forge )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (local community links, and had been asking if anyone wanted to use the local library. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Some outside entertainers were brought in for residents on occasions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (We were told that people's visitors were always made welcome, and that it was just )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (like home. We met three visitors during our visit, and each was complimentary about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (the home, the staff and the care their relative or friend received. Two visitors said that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (they 'loved coming in here', and that it was 'so friendly'. One person said that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (would 'prefer it if there were tea making facilities for the visitors, rather than them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (having to rely on staff to get them a drink'. We saw visitors being supplied with cups )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (of tea by staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (One resident told us that she felt able to choose what she did, saying that she 'told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (staff what she wanted and that staff didn't tell her what to do'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (The home had provided a variety of useful information for people, including advocacy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (service contact details and other Department of Health information.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (The residents' bedrooms appeared personalised, as they had introduced many items of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (personal belongings, pictures and treasures. Personal belongings were proving to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (very beneficial to one particular resident we met, who evidently derived a lot of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (comfort from her surrounding photographic memories.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Residents also had a good choice of food at all mealtimes. We observed the service of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (breakfast and lunch, and each of these meals offered good portion sizes and )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (wholesome, nutritious, and nicely presented food. Individual table serving dishes were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (used for vegetables, and residents could help themselves to these if they were able to. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Staff were present throughout meals offering discreet and sensitive assistance where it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (was needed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Special diets were catered for, with foods fortified where necessary. The cook was well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (informed in this area, and had consulted with residents regarding their preferences )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (and dietary requirements, and was reviewing the menus as a consequence.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The kitchen was busy but organised, and the necessary catering records were being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (People made coments on their survey forms and told us directly that 'the quality and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (choice of the food here was good'. One resident told us that the food was 'spectacular'.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People living in this home can be reassured by the home's complaints' procedure and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (the policies regarding the prevention of abuse.)Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (The home had a written procedure for dealing with complaints. The contact details for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (CQC were out of date, and the procedure was not displayed for people to see. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (procedure was included in the home's information brochure, but again our contact )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (details were not correct. We pointed this out, and by the end of the second day of our )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (visit this point had been rectified, and the procedure was displayed and made more )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (accessible for people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (We had received one concern in the months preceding this inspection regarding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (leadership for staff on a particular shift. We had overseen the outcomes of a Care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (Provider investigation into this, and were satisfied that the home responded )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (appropriately where it found there had been failings. Appropriate monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (arrangements were still in place to address certain outstanding points of staff practices )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (following this issue to prevent such circumstances arising again. Complaint records )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (showed that a family had raised similar concerns with the home around the same time.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (Residents confirmed to us that staff listened to what they said and acted upon it, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (although one said that this was just 'sometimes'. Although residents' responses )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (generally confirmed that they knew there was someone they could talk to if they were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (unhappy, and that they could raise a formal complaint if necessary, one particular )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (resident was unable to confirm the same. One resident who we met in person told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (that, although they had 'no concerns to raise', felt 'confident that the staff would help )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (them to resolve any that might arise'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home had policies and procedures for the protection of vulnerable residents, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (staff had received training in recognition and prevention of abuse. We explored this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (training with a number of staff, and each was able to discuss their awareness. Only )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (one required a prompt regarding the outside agencies that would become involved if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (any concerns in this area were raised.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Staff had also received instruction in the Mental Capacity Act 2005 \(MCA\) and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Deprivation of Liberty Safeguards \(DoLS\). Staff had access to the Department of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Health document 'No Secrets', and had the MCA Easy Read guide. Copious amounts of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (information published by the Office of the Public Guardian was available for staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (The home had procedures for addressing incidents of unacceptable staff practice, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (the staff disciplinary process had been instigated on occasions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People living in this home are provided with accommodation that is suitable and safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (to meet their needs.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (A committed and regular maintenance person was employed, and there was an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (ongoing maintenance and redecoration programme in place. The maintenance person )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (was decorating the stairs and landing at the time of our visit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (The previously designated intermediate care unit accommodation had been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (incorporated back into the main home, and redecoration had been done to the lounge; )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (new curtains were awaited. Bedrooms had been redecorated as needed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (We were told that the home had had a new roof, new garage doors, and new fire door )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (closers. Repairs had been carried out to parts of the exterior fascia. Profiling beds had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (been provided in the majority of residents' rooms. One of the ground floor bathrooms )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (had been totally refurbished, and the former intermediate care unit bathroom was now )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (an assisted bathroom, with a shower as well.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (One of the dining table tops in the zone 2 lounge was loose and wobbling when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (touched. We asked that this be reported straight away.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Work had commenced to improve the courtyard garden area, but areas of lawn and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (garden around other parts of the building were untidy, with a lot of weed growth on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (patios. We were told that the maintenance person did the gardening as well as the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (maintenance in the home, and that he was very hard working and reliable, and was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (working round to it.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Although there was a slightly stale odour on entering the home on the first day of our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (visit, the home was clean and hygienic throughout. All grades of clinical waste were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (correctly managed. There were good supplies of liquid soaps, paper towels, gloves and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (aprons for staff to use as part of the infection control procedures. Staff had received )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (training in Infection Control.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (The laundry room was well organised with items appropriately segregated and washed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (in accordance with infection control protocols.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (One resident made particular mention of the good laundry service, whilst another )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (family indicated there were sometimes problems with it. A resident's relative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (mentioned the lovely surroundings, and said that the home was 'always so clean and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (comfortable'.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People living in this home receive care from a competent and safely recruited work )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (force.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (Staff rotas were maintained and there were generally consistent levels of staff each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (day. At least one qualified nurse was on duty throughout the twenty-four hour period, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (and there were seven and five carers for the morning and afternoon shifts )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (respectively. An additional care assistant had been employed at night, making a total )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (of three on duty with the nurse. An additional carer was on duty during the morning to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (provide extra assistance to those residents having their breakfast in the dining room. A )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (developing and more cohesive staff team was reported to us, with minimal agency )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (usage now, and there was just one part time nurse post left on day duty to fill. There )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (was a good team of ancillary workers, which included catering, cleaning, laundry, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (maintenance and administrative personnel.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (We observed staff throughout our time in the home, and saw some sensitive, kind and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (hard working people. They were functioning as a team to meet the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (residents. Nearly all were welcoming to us, and were cooperative with the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (process. When we spoke to some of them they appeared well informed about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (residents' needs.)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Residents told us that staff were 'usually available when they needed them'. One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (person said that they had 'always found the staff caring and considerate to their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (needs'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (There was an expectation that care staff started a National Vocational Qualification in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Care \(NVQ\). There were currently twelve care staff on day duty and four staff on night )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (duty who were qualified to a level 2 standard. There were two senior carers qualified )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (to level 3. Three carers were currently on the level 2 training course.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We inspected recruitment files for two more recently appointed care staff. Application )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (forms provided a full and detailed employment history. In one case where some gaps )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (in employment history existed, the reasons for these had been explored and recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (by the manager during interview. Two references, one of which was from the previous )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (employer, had been obtained, and proof of identity had been confirmed. Verification of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (why the worker had left their last place of work had been sought when applying for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (references. The correct Protection of Vulnerable Adults \(POVA\) and Criminal Records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Bureau \(CRB\) checks had been carried out. Medical fitness and proof of qualifications )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (had been confirmed. Equal opportunities monitoring was being carried out, and offer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (letters of employment had been issued.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The home had a very organised and professional training coordinator, who was part of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (the senior care team. This person was also an Area Trainer for the Orders of St John )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Care Trust, and had trained in Supervisory Management, and had done a City and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (Guilds training course to equip her with some teaching skills. The coordinator was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (working towards establishing a formal training matrix for easier access, but training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (schedules to meet the staff team's needs were being monitored and delivered well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (anyway.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (There were well kept training records, and individual training files had been set up for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the staff that contained evidence of their certificated achievements.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (New staff had been given an Induction Passport. This contained instruction on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (home's ethos and management structure, the in-house induction programme, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (computer-based learning, and the lists of mandatory learning courses. A )Tj ET /F2 12 Tf BT 1 0 0 1 476.57 184.23 Tm (computer-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (based)Tj ET /F2 12 Tf BT 1 0 0 1 68.79 166.74 Tm ( induction training package was provided to new staff, which delivered training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (the six modules of the Common Induction Standards for Care Workers. The training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (coordinator gave us a practical demonstration in how the system worked.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (New staff had been placed to work alongside a care leader and did not have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (unsupervised access to residents. New staff told us that they had received 'very good )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (levels of induction and support', with one saying it had been 'brilliant'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (The home had a collection of training materials in a DVD format that staff could learn )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (from with the training coordinator. These included Infection Control, Health and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Safety, Abuse, Nutrition, Food Hygiene and Moving and Handling. Moving and Handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (training was delivered in theory and practice by one of the home's three designated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (trainers for this area. Dementia care training had been delivered by the Alzheimer's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Society, and there were two training sessions planned for optional courses in Managing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Heart Failure, and Memory Problems in Every Day Life, to be delivered by external )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (training providers. Nurses were undergoing additional training in Care Planning and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Medication Management.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Staff confirmed enthusiastically that there were good induction and training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (arrangements in the home. One person who responded to our survey told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (were 'very happy working at Townsend House, and enjoyed meeting people and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (learning new things'.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The management systems in place here ensure that the interests, and health and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (safety of the residents living in the home are safeguarded.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (The manager of Townsend House has been in post for eleven years, and is registered )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (and qualified for the role. There is an experienced deputy manager who is professional )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (and knowledgeable, and who appeared highly influential in the standards that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (home strives to promote and maintain.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (An Annual Quality Assurance Assessment \(AQAA\) had not been issued to the home by )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (CQC in sufficient time for it to inform this particular inspection, and the manager was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (completing it at the time of our visit, with its submission date scheduled for the week )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (after. We were in receipt of the AQAA at the time of writing this report, and it was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (generally completed to a good standard.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (A quality assurance survey was being carried out with residents and their families at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the time of our visit. We were told that the results of this would be reported on by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (manager, a copy of which would be submitted to the Trust's Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Manager. This would assist in identifying areas for improvement for the home, and an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (action plan would be drawn up to address them.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (External auditors had assessed the home's business systems earlier this year.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Other forms of consultation had taken place with residents, which included reviews of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (their care and placement, and meetings. Recorded minutes of such events showed us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (that residents could have a say in how their home was run, and could influence their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (care. Regular staff meetings had been held, and minutes showed that these were also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (part of the drive to promote good standards here.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Individual care plans for residents regarding their mental capacity and decision-making )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (processes, including a 'best interests' assessment, were being planned although these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (had not yet been commenced. Staff were receiving training in this area.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Staff had received basic instruction in the Deprivation of Liberty Safeguards \(DoLS\), )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (and this currently had a high profile in the home. The manager acknowledged that her )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (knowledge of the safeguards needed improvement, but the deputy manager was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (commencing an on-line training course.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Some residents had chosen to place personal money in the home's main safe for )Tj ET /F2 12 Tf BT 1 0 0 1 526.49 376.69 Tm (safe-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (keeping.)Tj ET /F2 12 Tf BT 1 0 0 1 84.83 359.19 Tm ( Records were maintained in each individual case, which contained evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (running balances and transactions. The receipting system to account for transactions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (involved recording in separate books that had been set up for the home's own trolley )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (shop; hairdressers; chiropodist and a supplying newsagent. We carried out a number )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (of random checks on arrangements and each was in order. Two members of staff had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (signed records in the absence of residents being able to sign for themselves, and we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (saw only one example of a resident signing their own financial record.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (There was a formal staff supervision programme in place, with staff receiving twice )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (yearly performance and development reviews, and four other supervision sessions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (throughout the rest of the year. Staff confirmed that they had good support in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (home from their allotted supervisor.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (The home had written policies and procedures to promote the health and safety of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (residents, visitors and staff, and associated training was provided for staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Records showed us that regular safety checks and planned maintenance visits had )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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 513.76 w 33.45 554.53 m 563.65 554.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 492.39 w 32.32 542.71 m 564.78 542.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 295.39 m 566.98 295.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (been carried out on the fire safety systems. A fire risk assessment was in place, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (had been kept under review. Residents had an individual fire safety risk assessment in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (their care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Fire safety training had been delivered to all staff, which had incorporated theoretical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and practical training, with instruction in evacuation procedures in the event of a fire. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (There was a record of fire drills, with any unplanned fire alarm sound being used as a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (training opportunity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Hot water temperatures were being monitored for safe levels, and a Legionella risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (assessment and appropriate control measures were in place. Timely safety checks and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (maintenance had been carried out on utilities and equipment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (First aid facilities were available and staff had received First Aid training from an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (accredited training provider.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The home was secure and there were coded door entries to higher risk areas. We had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (previously been notified of two incidents of intruders in the grounds of the home. As a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (consequence a number of large trees had been removed to improve visibility in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (area, and new hedging and fencing was being provided.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (We were also informed about a recent incident when a carer had sustained a needle )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (stick injury from a lancet device that had been mistakenly left in a resident's bedroom )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (by an agency nurse. The appropriate health and safety measures were observed for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (the carer concerned, and the nurse's error was reported to the relevant agency for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (action. Further to this we have ensured that the relevant CQC inspector for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (supplying agency is aware of this serious incident in order that it can be pursued )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (through further inspection work.)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 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 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w 1 1 1 RG 204 w 31.2 446.51 m 91.05 446.51 l S 0.001 w 204 w 93.3 446.51 m 197.4 446.51 l S 0.001 w 204 w 199.65 446.51 m 289.45 446.51 l S 0.001 w 204 w 291.7 446.51 m 473.8 446.51 l S 0.001 w 204 w 476.05 446.51 m 566.1 446.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.3 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.38 m 568.3 343.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 550.71 m 92.17 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 550.71 m 290.57 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 550.71 m 474.92 342.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 342.31 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 536.45 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 536.45 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 536.45 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 536.45 Tm (The registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 519.45 Tm (must ensure that care plans )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 502.45 Tm (are documented which )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 485.45 Tm (address residents' every )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 468.45 Tm (assessed need, and that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 451.45 Tm (these are kept under regular )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 434.45 Tm (review.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 417.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 400.45 Tm (This is to ensure that care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 383.45 Tm (records are up to date and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 366.45 Tm (are appropriate to meet )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 349.45 Tm (residents' assessed needs. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 536.45 Tm (31/08/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 536.45 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 271.22 m 566.2 271.22 l S 0.001 w 18.15 w 31.2 226.24 m 91 226.24 l S 0.001 w 18.15 w 93.25 226.24 m 197.4 226.24 l S 0.001 w 18.15 w 199.65 226.24 m 566.2 226.24 l S 0.001 w 1 1 1 RG 49.74 w 31.2 190.04 m 91.05 190.04 l S 0.001 w 49.74 w 93.3 190.04 m 197.4 190.04 l S 0.001 w 49.74 w 199.65 190.04 m 566.1 190.04 l S 0.001 w 49.74 w 31.2 138.05 m 91.05 138.05 l S 0.001 w 49.74 w 93.3 138.05 m 197.4 138.05 l S 0.001 w 49.74 w 199.65 138.05 m 566.1 138.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 236.44 m 568.4 236.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 216.04 m 568.4 216.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 237.52 m 92.12 162.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.05 m 568.3 164.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 306.01 m 568.4 306.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.44 m 568.4 236.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 216.04 m 568.3 216.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.05 m 568.3 164.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 112.06 m 568.3 112.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 307.09 m 30.07 110.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 217.12 m 92.17 110.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 237.52 m 198.52 110.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 307.09 m 567.32 110.98 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 289.82 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 272.24 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.66 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 243.08 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 225.26 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 222.26 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 222.26 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 199.85 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 199.85 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 199.85 Tm (The registered manager should ensure that staff review )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 185.27 Tm (existing risk assessments for residents, to ensure that they )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.69 Tm (fully support the documented care planning.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 147.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 147.86 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 147.86 Tm (The registered manager should ensure that residents' )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 133.28 Tm (wishes regarding the management of their medications is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 118.7 Tm (consistently recorded on admission forms.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj[6 0 R/XYZ 0 272 0] endobj 82 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. 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+Y#B#B endstream endobj 85 0 obj<> endobj 86 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 87 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 73 0 obj<> endobj 88 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 91 0 obj<> endobj 92 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 93 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 94 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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C)L`Fsnwͮ\24WLPB~bۏnlẆ?t7%RjDT@Fy3!l!*]!xuvydy&WCn ;0Vռ/ %#d7x$ ޠʎ ih׼ \DOO}ՉK7|GV8Us6jqf,$F]Ǻ%kD:> s-rt\ږ؅nzV95[ɞ-{v"z@"A?ջ߃1>zL9jda;M=f~ܟ('_{EssH${FȆm{ _T*{pe>rSNеk 8vdWP#W -/ֺ5Y|:bh4c$9Zy`?}bŲoreMT*ubA::NǢ]ߧ%[N-~XO੫3ƒ+F=S<[<|m# =h^Ad+j)Yo!lQG92# .7҆N*%ݖTTz&E+?ۥP4tѥJdǀj:e7P/t(Iҍ9Pφ<8>A(vfCyLÆ(칡\ wtNYα9 |c~Nn}|;5!=2SF_If5.M+uh^|kp+w<@Rg mLe+36#w\M3!6Z8bL, 2OMz$ٙMYz֑"'N܌>gYst<qWU0HTH3kjsB?IU-#XcZ -?;#+mA"֞FgcѦ0{C@$TOOBuEWv{9l9v݇ KZ' 栦T_㭛of=͇%c)nQb[._1ڃz5{%nTA3boC׾ b`vM*xS5%ڃ,?92_@Iשͫ)705frK%׷[kKNd:@EP2KEҖP,Lj!EbF[. 5^8vu~@É7Osy4:]ûrl{SO`Du\ $ VX `3F`Q[k[k`*>AslR7ho59Q77t7Cu~fN"?>n=^Sl61 ~>ON x0_V8e2dOsUb<К1W<$wMhȧE@?y2BO㣌'B1}X^ޝ82*l%l"6V]uv@Tc^iB^: 6Pdj'SG4) 7󱼮6BMzpN*l Hzx +K?(Kh@Ze( pX>'O5jAkE\qG\#("vY{nݚQK1ϞP3td![M\Fx }Ga^`Ht"px:iWV7̠=tqDN^@T]69) sN| i٧Vv)fWB8 9r~']w0pҴӠ֖j`sK.a^rQQQvZ% k!0VS&wZFL*D*`}H(um@7͘LZ2Oo)HgQ]AA-{y [< jnRX=;:#R=֥mu,O+쩰aB0)=!udhZ| d|qE"Ep,zޅ[C|6ƥއ윺+z;4TXȲX3YEKQL֏{"MK:Mȅ ҆NЉD|BG1 Sּgh: e0ۏ뗳g:˹ag ٸych7VKNϯ!9fZSfա"ÒN+1ՕMMvV{vIH)xeq~@m%O+痷e66̠_KS6DlJ!Iu?0ήA:F {UH*_FUNт_NQGO _ܙH6m5iߊפ㨫RܳߺH[ܽϧ j֌ ?'#euDZyux[u:s`r&NaxAl mI0@<>"{0MoPR7 懥NKuVovzr_A4I%l Dcc)Oqϯ}TJVt]xWo9Y(vXch]H?4o𼋮àrchSej@*h!bL|hvgX pXFj81+VE*n8*W@2 "aJnǯ|CvmiW|ޠDŽ9sk_'bM3Ћ/O;Y rZJ:"һCnvXz@M^୩uivJ{E7_w2^0TOfɌ]iҹ\4 0+u:iME Gy9:¦=Bcc>?[ 06ϛbb-5|Xw]T 7lR**7iPlp7G}{c NC@cۨPi0Sy.Y͋~sf됑{=$)yeښN(ow"R h?WX°N ط-C۶v Ai㧩Τ|m)qLx;Oj2 En_Y">nqOWZEtky""mxů2 'Ϋ:Ž/hO rCs 5 Y#-geD;!C(X:êٯJ<GnBciޓzݎ")ڽ1KULBqK]ˎuEV0+7x:=X(GH6,974>\F[uG3W ci-A/iE8l7D6 /",U6: (CX fJHKxf'ۋKvtRa@ kɲEK-E]p$L3""Vo\yWC8f[({]t! fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 95 0 obj<> endobj 19 0 obj<> endobj 96 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,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! 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 97 0 obj<> endobj 98 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 99 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 100 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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