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We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 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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 0.8 0.8 0.8 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 (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.8 0.8 0.8 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 0.8 0.8 0.8 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 (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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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 (Woodmead)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 (35 Portway)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Warminster)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Wiltshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (BA12 8QQ)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 (01985213477)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 (01985216456)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.woodmead@osjctwilts.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 602.56 Tm (www.osjct.co.uk)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 540.17 m 564.77 540.17 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (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 (48)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 435.43 m 564.47 435.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.67 m 567.8 469.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 567.8 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.75 m 30.07 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.92 m 298.32 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.75 m 566.72 402.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 453.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 410.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 410.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.64 m 297.3 388.64 l S 0.001 w 20.58 w 299.55 388.64 m 431.45 388.64 l S 0.001 w 20.58 w 433.7 388.64 m 565.6 388.64 l S 0.001 w 35.16 w 31.2 358.52 m 297.3 358.52 l S 0.001 w 35.16 w 299.55 358.52 m 431.45 358.52 l S 0.001 w 35.16 w 433.7 358.52 m 565.6 358.52 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 328.4 m 565.6 328.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 377.23 m 567.8 377.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 568.1 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.06 m 567.8 400.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.23 m 567.8 377.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 568.1 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 568.1 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.01 m 568.1 213.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.13 m 30.07 211.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 401.13 m 298.42 338.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 401.13 m 432.57 338.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 401.13 m 566.72 211.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.87 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.87 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 361.04 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 346.46 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 361.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 361.04 Tm (48)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.63 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (The maximum number of service users who may be accommodated is 48)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.97 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 263.39 Tm (providing personal care only \(Code PC\) to service users of either gender whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 248.81 Tm (needs on admission to the home are within the following categories: Old Age, not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.23 Tm (falling within any other category Dementia over 65 years of age - Code DE\(E\) - )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 219.65 Tm (maximum of 10 places)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 198.22 m 315.25 198.22 l S 0.001 w 1 1 1 RG 20.58 w 317.5 198.22 m 346.55 198.22 l S 0.001 w 20.58 w 348.8 198.22 m 377.9 198.22 l S 0.001 w 20.58 w 380.15 198.22 m 409.2 198.22 l S 0.001 w 20.58 w 411.45 198.22 m 440.55 198.22 l S 0.001 w 20.58 w 442.8 198.22 m 471.9 198.22 l S 0.001 w 20.58 w 474.15 198.22 m 503.2 198.22 l S 0.001 w 20.58 w 505.45 198.22 m 534.55 198.22 l S 0.001 w 20.58 w 536.8 198.22 m 565.9 198.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 209.63 m 568.1 209.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.8 m 568.1 186.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 210.71 m 30.07 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 210.71 m 316.37 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 210.71 m 347.67 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 210.71 m 379.02 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 210.71 m 410.32 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 210.71 m 441.67 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 210.71 m 473.02 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 210.71 m 504.32 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 210.71 m 535.67 185.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 210.71 m 567.02 185.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 193.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 174.93 m 565.9 174.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 165.3 m 568.1 165.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 166.38 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 166.38 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.55 m 568.1 184.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 165.3 m 568.1 165.3 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 30.07 185.63 m 30.07 164.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 185.63 m 567.02 164.23 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 171.37 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 171.37 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 152.12 Tm (Woodmead was originally opened in 1962. It is a residential care home, for up to 48 )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 135.12 Tm (older people, 10 of whom may have a dementia. Originally managed by Wiltshire )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 118.12 Tm (County Council, the home is now registered to the Orders of St John Care Trust. Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 101.12 Tm (Sarah Hill was registered as manager on 7th October 2009. She had been in post since )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 84.12 Tm (November 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 67.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 50.12 Tm (Woodmead is situated on a main road close to the centre of Warminster. It is within )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.8 0.8 0.8 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 0.8 0.8 0.8 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 (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 655.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 655.08 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 28.99 656.15 m 568.1 656.15 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 (easy access of the shops, parks and community hospital. There is a small car park and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (street parking. People's bedrooms are located on the ground and first floor. All are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (single rooms but they do not have en-suite facilities. A passenger lift gives easy access )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (to the first floor. There are comfortable communal areas consisting of a choice of )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (lounge and dining room. There is an integral day service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (Staffing levels are maintained at seven care staff members on duty during the morning )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (and six care staff members during the evening. There are four waking night staff.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 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 (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 749.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The quality rating for this service is 2 star. This means the people who use this service )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (experience Good outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (This unannounced Key inspection took place on 30th December 2009 between 9:00am )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (and 6:40pm. Mrs Sarah Hill, registered manager, was present during the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (and received feedback on our findings at the end of the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (We looked at the report Mrs Hill sent us to let us know how she had addressed the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (requirements and recommendation we made at the last Key inspection of 6th January )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (2009.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (We spoke to people who use the service, staff and a relative. We looked at care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (planning documentation, risk management, accident reports, staff recruitment and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (training, staffing rotas, menus and medication.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 221.7 w 32.32 701.68 m 566.72 701.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 589.7 m 568.92 589.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 588.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 588.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (We asked the home to complete an Annual Quality Assurance Assessment \(known as )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (the AQAA\). This was their own assessment of how they were performing. It told us )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (about what has happened during the last year and about their plans for the future.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (As part of the inspection process we sent survey forms to the home for people who use )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (the service, staff and healthcare professionals to tell us about the service. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (are found in the relevant part of 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 (We looked at information we had received since the last inspection to decide which )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (areas to focus on during the inspection.)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 judgements contained in this report have been made from evidence gathered )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 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 32.92 598.6 Tm (views and experiences of people using the service.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 385.08 w 32.32 581.28 m 566.72 581.28 l S 0.001 w 20.58 w 32.7 376.2 m 569.35 376.2 l S 0.001 w 299.64 w 33.82 213.85 m 568.22 213.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 387.62 m 568.92 387.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 386.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 387.62 m 569.35 387.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 364.79 m 569.35 364.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 364.79 m 570.42 364.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 62.9 m 570.42 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 365.87 m 32.7 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 386.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 365.87 m 569.35 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People benefit from a clear admission policy and full assessment of their care and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (support needs before they move in.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (People benefit from having their care and support needs set out in a plan of care. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (People have good access to healthcare professionals. Safe systems are in place for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (managing people's medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm (People are offered a varied menu with plenty of choice.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (Staff members make sure that people's privacy and dignity is a priority.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (Visitors are encouraged and people are supported to maintain good links with family )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (and friends.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (Complaints and concerns are taken seriously and people are confident in telling the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm (manager when things go wrong. Staff are confident in reporting any bad practice and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (referring any concerns about safeguarding people from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (People benefit from having sufficient care and support staff members available at times )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (when they need them. Staff members have good access to a relevant training )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.16 Tm (programme.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.58 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438 Tm (People who use the service are protected from anyone who may be unsuitable to work )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.42 Tm (with them by a robust recruitment process.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 408.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.26 Tm (Mrs Hill is an experienced manager and plans to develop the service further.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 579.73 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 374.09 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 371.43 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 374.65 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 212.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm (Mrs Hill is now registered as manager. She has worked hard to ensure that staff work )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (as a team, improving the service for people who live there.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (Much effort has been made to ensure that the care plans are updated with an accurate )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (record of people's care and support needs. The new care planning format means that )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (staff members can evaluate people's care and support needs more easily without )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (duplication of information or information being lost. The daily reports show that the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (care plans direct the care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm (Where people are assessed as at high risk of developing pressure damage and cannot )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 202.8 Tm (move without staff support, care plans identify how often they need to be moved. Turn )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 188.22 Tm (charts are filled out each time staff help someone who is at risk to move.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 173.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 159.06 Tm (Significant effort has been made to make sure that the home smells fresh and clean. )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 144.48 Tm (Some commodes have been replaced whilst others have been refurbished so that they )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 129.9 Tm (are cleaned more easily. People are benefiting from the many improvements and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 115.32 Tm (upgrading of the environment.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 100.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 86.16 Tm (We did not see any of the behaviour we had noted at the last inspection. Mrs Hill told )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 71.58 Tm (us that she had reviewed the care of those people who were most challenging in their )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 212.29 Tm ()Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 33.82 803.74 m 568.22 803.74 l S 0.001 w 20.58 w 33.45 782.41 m 570.1 782.41 l S 0.001 w 224.7 w 34.57 657.52 m 568.97 657.52 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 793.82 m 570.42 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 770.99 m 570.1 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 793.82 m 570.1 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 770.99 m 571.17 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 544.04 m 571.17 544.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 772.07 m 33.45 542.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 772.07 m 570.1 542.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (behaviour and they were no longer at the home.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 780.86 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 777.64 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 655.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 754.81 Tm (Whilst food and fluid charts are in place for people whose nutrition and hydration may )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 740.23 Tm (be compromised, the records should show what amount of fluid should be achieved )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 725.65 Tm (each day for monitoring purposes. All drinking vessels should be measured so that an )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (accurate amount is recorded rather than recording 'half a cup'.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (If people living with diabetes are monitoring their food intake themselves, this must be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (recorded in their care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 652.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 638.17 Tm (All records and any amendments should be dated for monitoring purposes.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 623.59 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 609.01 Tm (Staff must always give first aid unless anyone has an Advanced Statement. Any )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 594.43 Tm (advanced decisions are for the person to arrange with their GP.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 579.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 565.27 Tm (Relocation of the computer away from the front door to a more private would mean )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 550.69 Tm (that more people would probably use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 529.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 509.49 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 509.49 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 509.49 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 491.99 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 472 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 452 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 452 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 432 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 432 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 412.01 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 386.74 m 562.54 386.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 84.36 w 33.47 375.5 m 563.66 375.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.19 m 565.87 332.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (People benefit from having a detailed assessment of their care and support needs )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (before they move in.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 316.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.3 w 34.6 194.17 m 562.54 194.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 297.32 m 564.79 297.32 l S 0.001 w 202.93 w 33.47 182.36 m 563.66 182.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.95 m 565.87 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 286.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 286.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.95 m 564.79 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 294.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 269.27 Tm (New pre-admission assessment documentation had been implemented. Either Mrs Hill )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.77 Tm (or the head of care carried out the assessments with people who were considering )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (moving in. In the AQAA Mrs Hill told us "we actively encourage a visit before the move )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (so the resident is familiar with the surroundings and can feel at ease when moving in." )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (One person told us they had come to look around before they moved in. We spoke )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (with one person who used the respite service. They said they had enjoyed their stay )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (and wanted to have a permanent place.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (In the AQAA Mrs Hill told us "the focus on life history has proved invaluable. When )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (going to assess a potential new resident the assessor with leave a life history )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (document for the resident and family to have a look at and complete allowing the )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 143.84 w 34.6 739.48 m 562.54 739.48 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 122.47 w 33.47 727.67 m 563.66 727.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 664.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 664.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 665.31 m 565.87 665.31 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (team to have informed background knowledge of the resident.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (We were shown 'starter packs' of toiletries which were given to everyone when they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (moved in.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (In a survey form one of the relatives told us "I am happy I chose the right home for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (my \(relative\).")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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 385.75 m 562.54 385.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 154.34 w 33.47 374.51 m 563.66 374.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 296.21 m 565.87 296.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (A new care planning format means that people's care and support needs are more )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (fully documented and reviewed. Significant effort has been made to make sure the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (care plans are up to date. Risks are regularly assessed, with more evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (assessing people's risk of developing pressure damage, dehydration and malnutrition. )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (People have good access to relevant healthcare professionals. Systems are in place to )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm (safely manage people's medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 280.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 188.31 w 34.6 176.18 m 562.54 176.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.34 m 564.79 261.34 l S 0.001 w 166.94 w 33.47 164.37 m 563.66 164.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 248.97 m 565.87 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 248.97 m 564.79 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 258.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (A new system for care planning and assessment had been introduced earlier in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (month, so that all care and support needs could be assessed, identified and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (monitored. The pre-admission documentation had also been filled out with those )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (people who already lived at Woodmead, so that the new care plan could be )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (commenced. The records set out how each person's needs were to be met. There were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (no unclear statements as we had found at the last inspection. People's medical as well )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (as social history was identified. There was good detail about how people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (communicated.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (People could choose the gender of the staff member providing their intimate personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (care and this was recorded in their care plan. One lady told us that male staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (supported her with personal care. One gentleman told us that it was mainly female )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (staff who supported him with bathing. He told us he had no preference. In the AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Mrs Hill told us "we do not have any male residents who choose a male carer only for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (personal care tasks. This information would be gained at the initial assessment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (decisions made as to whether the home could meet his need due to most care staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (being female.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Mrs Hill wrote to us to tell us how she was addressing requirements and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (recommendations from the last inspection. Mrs Hill told us that care plans for people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (with a diagnosis of diabetes had been updated following consultation with people's GP )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (and the nurse advisor on diabetes. She told us that some people's GP had said that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (their condition was stable and did not need regular monitoring. She told us that some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (people were able to monitor their own food intake. We advised that this should be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (included in their care plan. However we consider that the requirement about detailed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (care plans is now met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (the last inspection, Mrs Hill told us that advice and training had been obtained from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Wiltshire Sensory Team about supporting people with a visual impairment. Some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (people had had an assessment from the team and equipment ordered for their benefit. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (The Blind Association was also due to give support to those people identified. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (told us about the training and different things they had done with the trainer so they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (could appreciate how people with a visual impairment experienced having their care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (provided. The activities co-ordinator told us that she provided each person in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (bedroom with a large print copy of the programme for the week. Staff would then read )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (this to those people with any visual impairment. We said that the website for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Royal National Institute for Blind People gives information about what type of print )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (and backgrounds to use on written information, for easy reading.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (the last inspection, Mrs Hill told us that food charts were in place for anyone who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (experienced weight loss. People were regularly weighed and any significant loss )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (reported to their GP. Mrs Hill told us that following planned training in nutritional )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (assessment in January 2010, the Malnutrition Universal Screening Tool would be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (implemented. Currently the organisation's nutritional assessment tool was being used.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (Mrs Hill told us that all the milk supplied was now full fat, for people's improved )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (nutrition. She also told us that fluid charts would only be used if directed by the GP or )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (district nurse and would identify specific instructions about fluid consumption. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (in one person's file a record that the GP had said to 'push fluids'. However their food )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (and fluid chart kept in the office had a line though the section for fluids. We then )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (found that their fluid intake was being recorded on the immediate care chart in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (bedroom. This recorded when the person's position in bed was changed. It was clear )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (that staff members were also recording what the person had been given to eat and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (drink. We said that the record could be further improved if all drinking vessels were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (measured for more accurate monitoring. Mrs Hill told us that she would ask the GP )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (what was an ideal amount of fluid for the person to achieve each day. There was good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (evidence that staff members were encouraging the person to maintain a good diet. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (saw that those people we visited in their bedrooms had a drink within easy reach and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (their call bells near them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (the last inspection, Mrs Hill told us that care staff and kitchen staff were fully informed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (when anyone developed a pressure sore. "Measures are put in place at the onset to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (prevent any skin damage becoming a graded sore. The care plan will reflect how the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (staff are dealing with the wound including the input from the district nursing team." )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The head of care told us about one example of where an area of broken skin had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (healed recently. The district nurse had been involved immediately, an immediate care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (chart put in place and the area was healed within 6 days. We saw that a low air loss )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (mattress was in place for one person who was assessed as having a high risk of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (developing pressure damage. We said that information about the right setting on any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (dial for this equipment should be gained from the district nurse. This would mean that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (the support for the person in bed was correct. We saw that some other people had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (pressure relieving cushions and mattresses in place. Body maps were used to record )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (any marks or wounds, with details of size, colour and whether the skin was broken. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (Photographs had also been taken of some wounds. We advised that these record )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (should be dated for monitoring purposes.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (At the last inspection we recommended that there should be evidence of twenty four )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (hour and forty eight hour follow up assessment following a fall. This was so that any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (previously undetected injuries could be identified. We looked at the accident record to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (identify whether there had been any recent falls. We looked at one person's care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (records and found that they had been assessed regularly throughout the two days )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (following the fall. Each entry about the assessment in the daily report had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (highlighted. Moving and handling risk assessments were in place together with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (assessments of people's risk of falls. One person had moved to a ground floor room to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (reduce their risk when using the stairs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Risk assessments were in place for those people who went out alone or bathed and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (showered without staff support.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Mrs Hill showed us the room which had been allocated as a treatment room for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (district nurses. They came on a Monday and Thursday to provide regular treatments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (either privately in people's bedrooms or in the treatment room. People were registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (with either one of the two local surgeries. One person told us they either went to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (surgery for appointments or their GP would visit them at home. Records were kept of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the outcome of all medical appointments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Mrs Hill and the care leader with the delegated responsibility for medicines showed us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (the arrangements. We were told that no one currently administers their own )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (medicines. The care leader said that people were happy to hand over the responsibility )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (to staff members. We spoke with one person who wanted to administer a particular )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (medicine. They said they had administered their own medicines when they were at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (home. They said they had not discussed the matter with anyone since they moved in a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (few years ago when were told that "it was against company policy." We said they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (should pursue the matter again with Mrs Hill, the new manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the last inspection, Mrs Hill told us that "care plans indicate that a resident is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (prescribed PRN \(prescribed to be taken only when needed\) medication and detail what )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (it is for and how the resident will receive when required." In addition to the medicine )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (administration record, there was a separate sheet where times were recorded when )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (people took medicines prescribed for only when required. We saw that where people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (were prescribed variable dose medicines, the medicine administration record showed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (whether they had taken one or two. Mrs Hill told us that no homely remedies were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (used; people would be referred to their GP if they experienced coughs and colds.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Staff members checked with new people's GPs when they moved in to ensure they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (were taking the medicines that they were prescribed. Records were kept of all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (medicines received into the home and any unused or unwanted medicines returned to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (the pharmacy. Separate records were kept of administration of controlled medicines. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The medicine administration record had flash cards for when medicines were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (controlled. Controlled medicines were checked each day to ensure the balances were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (correct. Mrs Hill told us that two senior staff took the lead on managing medicines. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (They had been trained by the organisation to monitor staff continued competency in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (administering medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (the last inspection, Mrs Hill told us "we have a qualified person in to train care staff to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (take blood sugar monitoring safely. He was due to return to capture those staff who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (did not make the training. There is a list in the medication room of staff competent to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (undertake this task." The head of care showed us their certificate of training in blood )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (glucose monitoring. They told us that no one currently received insulin injections and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (in any case these would be given by the district nurse.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (In the AQAA Mrs Hill told us "end of life care plans are being undertaken to give )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (residents the opportunity to make some decisions and choices that they may not be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (able to make if they became poorly, this will allow the team, families and other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (professionals to be more person centred when making end of life decisions." Two staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (members had completed an extensive course on supporting people who were dying. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (This was run by a local hospice. We saw in the care planning index, a section on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (whether people and their GP had made any arrangements for people not to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (resuscitated. Mrs Hill told us that the forms had been sent to GPs but none returned. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (We advised that staff must always give first aid unless anyone had given the home a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (legal document, often referred to as an Advanced Statement. We advised that any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (advanced statements were for the person to arrange with their GP and it was not for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (the home to get involved. Mrs Hill told us that staff had received training in the Mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Capacity Act 2006 and an Independent Mental Capacity Advocate would be sought for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (any decisions about healthcare for people's best interests if they could not decide )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (themselves.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (One of the visiting relatives told us that staff were "very, very caring. They are always )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (there when needed. I can read the case notes." They said they would be told about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (any issue as they arose and dealt with things immediately.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (In a survey form one of the relatives told us "I am very happy my \(relative\) is in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Woodmead. She started in the day centre which was truly good for \(her\) which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (catered for her needs outstandingly and now she is a resident permanently. I know I )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (have no worries as to her needs and welfare as they are all met with the greatest of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (care. Through my experiences with care homes Woodmead is the best. To me )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Woodmead is a very caring home and I do not think there is anything lacking that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (could be done better. The home is always clean and the staff are always welcoming )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (and helpful.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (One of the GPs told us in a survey form: "\(Does well\) Caring hard working staff who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (make efforts beyond their requirements on a regular basis to ensure patients are safe )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (and happy. \(Do better\) When patients reviewed accurate and up to date information )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (with current problems and medication accurately recorded or able to be relayed )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 38.87 w 34.6 791.97 m 562.54 791.97 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 17.5 w 33.47 780.16 m 563.66 780.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 770.29 m 565.87 770.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (verbally.")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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 437.25 m 562.54 437.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 119.35 w 33.47 426 m 563.66 426 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 364.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 364.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 365.2 m 565.87 365.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People's interests and hobbies are known before they move in. A new activity )Tj ET /F2 12 Tf BT 1 0 0 1 510.5 426.75 Tm (co-)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (ordinator)Tj ET /F2 12 Tf BT 1 0 0 1 91.74 409.25 Tm ( with more hours means that the variety of different things for people to do is )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (improving. People benefit from regular contact with family and friends. Decision )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm (making is encouraged. People enjoy the quality of meals and have a healthy diet.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 349.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 257.3 w 34.6 210.68 m 562.54 210.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 330.33 m 564.79 330.33 l S 0.001 w 235.93 w 33.47 198.87 m 563.66 198.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 317.96 m 565.87 317.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 319.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 319.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 317.96 m 564.79 317.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 327.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 302.27 Tm (Most people chose how they spent their day; others relied on staff for direction. One )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (person told us they went out most days into town and would have a beer in the pub. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (We asked them if they had a key to the front door. They told us they were happy to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (ring the bell and for staff members to let them in. They told us they had a key to their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (bedroom.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (In the AQAA Mrs Hill told us "the home is undertaking an ongoing project of life )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (history work and this is an excellent way of residents maintaining their individuality. It )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (also promotes diversity and ensures that the staff are aware that every resident is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (treated as an individual with different beliefs, culture and wishes. The ongoing life )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (history work is being directly incorporated in personal plans. This allows staff to meet )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (the social needs of residents especially those with dementia or memory problems. By )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm (tailoring daily tasks and activities we are ensuring residents maintain their own )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (identity and personality.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (A new activities co-ordinator had recently been appointed for thirty hours a week. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (They showed us the weekly activity programme that they were printing out to give to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (everyone. They told us they had attended training in activities since coming to post )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (and other training was planned for March 2010. They said they geared each sessions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (for the best outcome for individual people; memory or physical games. They said they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (would work individually with those people who did not want to join in with the group )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (work. They told us they would chat with the ladies whilst painting their nails. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (also said that some of the gentleman enjoyed having hand massages.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (During the morning we saw that people in one of the sitting rooms were involved in a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (game throwing bean bags into a slotted board. This board was taken to people where )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (they sat in the room. The activities co-ordinator said they would provide a group )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (session in the mornings; people particularly liked quizzes. Individual sessions took )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (place in the afternoon. They told us they planned to take people out as the weather )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (improved. One person showed us the baby clothes they were knitting. Mrs Hill told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (there was a manager from the organisation who arranged different inter-home or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (central entertainments. In the AQAA Mrs Hill told us that outings were planned )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (following comments from people at the residents meetings.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The activities co-ordinator told us that there were fundraising events for the amenity )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (fund which paid for activities. They said they found that there was a range of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (resources to use; including games and art and craft materials. One of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (members told us that people had recently planted bulbs in tubs for the front entrance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (and the patio. In the AQAA Mrs Hill told us "a gardening and cooking club has been )Tj ET /F2 12 Tf BT 1 0 0 1 542.16 341.7 Tm (re-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (introduced)Tj ET /F2 12 Tf BT 1 0 0 1 98.29 324.2 Tm ( to the activity programme and it is evident that more residents now come )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (to the lounge areas during the day to interact with fellow residents rather than )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (choosing to stay in their own rooms.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (People and their relatives were contributing to life histories both as part of the )Tj ET /F2 12 Tf BT 1 0 0 1 513.19 254.22 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (admission)Tj ET /F2 12 Tf BT 1 0 0 1 94.64 236.72 Tm ( assessment and with those people already living at Woodmead. This meant )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (that people's interests and hobbies were known. There were photographs on notice )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (boards of people being involved in different activities and outings during the last year. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (There were also albums with photographs of involvement in activities. Mrs Hill told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (that these were made available when relatives visited so they could discuss the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (different things people had done. One of the relatives told us that they joined in with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (the activities.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (One person told us about an outing to Boscombe during the summer. They said they )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (had really enjoyed it and would like to go on more trips. They said they enjoyed the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (fish and chip supper on the way home. They said they also went to the local pub )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (recently for a skittles match. They told us "I would like to go to the park for a picnic." )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (They told us about going to another home in the organisation for a concert party.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Mrs Hill told us that staff members were starting a project following a recent dementia )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (conference held by the organisation. One of the sitting rooms was being transformed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (into a dedicated activities room and a 'rummage box' would be available for people to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (access different things to stimulate memory and discussion.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Mrs Hill told us that one person who uses the service and was well travelled, gave )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (regular slide shows of places they had visited. There were various bookcases around )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (the home with large print books for people to help themselves to.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (We asked people whether they used the computer, sited by the front door. No one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (said they used it. One person said they had not been shown how to use it. Mrs Hill told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (us that one of the staff was going to do a computer course so that people could be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (shown how to use it. She also said that a staff member had shown people different )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (pictures and information to be found on the internet. We advised that it was probably )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (not sighted in an accessible or private place, by the front door.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (Everyone we spoke with made very positive comments about the food. One person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (said "they make lovely custard. You always have a choice. Today it's something with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (onions, which I don't like, so I'm having the gammon with green beans and mashed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (potato. Then I'm having a lighter tea. The manager brought my breakfast this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (morning. I have a boiled egg each morning." Another person told us that there were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (always two choices for each meal, except for on a Sunday lunchtime when there was a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (roast dinner. They told us they went to the dining room for breakfast and that staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (would bring a meal to their room if there was something they wanted to watch on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (television. We looked at the menus which showed a cooked breakfast each day, choice )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (at each meal, with vegetarian options and salad. In the AQAA Mrs Hill told us that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (chef sought people's feedback on the meals and made changes to the menus. Mrs Hill )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (showed us the dessert trolley which had been a success with people able to see the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (range of sweets of offer.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (We were told that no one needed full assistance to eat their meals at the dining room )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (table. Mrs Hill said that some people might need some initial encouragement. She )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (went on to say that staff would now sit with people when they were supporting them )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (to eat and no staff would support two people at the same time which was what we had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (seen last time we inspected. The meal was well presented and looked appetising. )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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 388.79 w 34.6 617.01 m 562.54 617.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 367.42 w 33.47 605.2 m 563.66 605.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 419.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 419.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 420.37 m 565.87 420.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (People told us that it was tasty.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Wiltshire Council Environmental Health Department had awarded the home's kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (five stars at their last inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (In a survey form one person told us that they wanted "more activities, soon to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (rectified. More use of local activities, library, park, baths." One of the relatives told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (in a survey from: "My \(relative\) has Alzheimer's and the home gives her excellent )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (care. I have completed the form on her behalf as she is unable to do so. \(Do better\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (An information form with dates of hairdresser, chiropractic etc and who does what in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (home and setting out the process and rules re taking out your relative and who takes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (care of doctors appointments etc.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Another relative told us that they wanted "more places for visitors to sit with their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (relatives when they visit. More activities in the afternoons. Mum finds it hard to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (with large groups, so maybe smaller groups for activities." A further relative told us in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (answer to the question about what the home could do better "Food - choices and fresh )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (foods and vegetables. Care of personal clothing/laundry. Supervision of some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (residents with dementia with regards to personal goods and space \(understandably )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (difficult\).")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 505.74 m 562.54 505.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 84.36 w 33.47 494.5 m 563.66 494.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 451.19 m 565.87 451.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People know that their complaints are taken seriously and fully investigated. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (members are confident in reporting any abuse or poor practice.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 435.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.3 w 34.6 253.67 m 562.54 253.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.32 m 564.79 416.32 l S 0.001 w 321.93 w 33.47 241.86 m 563.66 241.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 403.95 m 565.87 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 403.95 m 564.79 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 413.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 388.27 Tm (The organisation's complaints procedure was displayed in the entrance hall. Action had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 370.77 Tm (been taken to address the recommendation we made that letters to a complainant )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (should state precisely when the person could expect a reply, in accordance with the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (home's procedure. The complaints log showed full investigations, action taken and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (responses to complainants. In the AQAA Mrs Hill told us "the number of complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (has gone down this year. This may be due to the fact hat the home deals with small )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (issues before they become cause for concern resulting in a complaint. Communication )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (has improved with the families and they feel comfortable in passing on any concern )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (they may have with confidence.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (One person told us about a complaint they had made. They said it was dealt with by )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (Mrs Hill and the event had not happened since. The person told us that they could talk )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (to Mrs Hill at anytime and that they were confident in putting any complaints to her.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (One of the visiting relatives told us "they answer concern promptly. They've always )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (done it when I asked. The staff are very approachable and Sarah \(Mrs Hill\) keeps her )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (door open." They told us that they were able to look at the records kept of the money )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (held for their relative so that they knew what it was spent on.)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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 441.27 w 34.6 590.77 m 562.54 590.77 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 419.9 w 33.47 578.96 m 563.66 578.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 367.88 m 565.87 367.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (We did not see any of the behaviour we had noted at the last inspection. Mrs Hill told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (us that she had reviewed the care of those people who were most challenging in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (behaviour and they were no longer at the home. In the AQAA Mrs Hill told us "over the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (past year a number of residents have moved to alternative accommodation as a result )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (of changing need the home constantly reviews needs and will actively ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (needs can be met.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (We looked at the recording arrangements for people to keep small amounts of money )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (in the safe. At the last inspection we recommended that receipts should reflect the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (transactions made with people's money. We saw that handwritten receipts identified )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (each transaction and shopping receipts automatically identified purchases. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (balance sheets had records of what had been purchased.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (We asked staff about the local safeguarding procedures. They were quick to tell us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (how they would report any allegations or observations of abuse. They also told us that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (they would report directly to the safeguarding unit or care manager if senior )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (management was not available. Mrs Hill gave us examples of staff using the whistle )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (blowing process which resulted in people being protected by unsuitable staff. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (contact details of the safeguarding unit were prominently displayed on the office )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (notice board. Mrs Hill told us that potential staff were asked questions about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (safeguarding people at interview. Staff members told us they had received training in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (safeguarding vulnerable people from the police at the local safeguarding unit.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Significant effort has been made to upgrade the environment for people's benefit. One )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (significant improvement has been eliminating unpleasant odours. Further )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (improvements are planned. People benefit from a clean, well maintained and more )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (comfortable home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (All of the bedrooms are singles, although none of them have ensuite facilities. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (Bathrooms and toilets were nearby. People had personalised their bedrooms with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (small items of furniture and pictures. One person said they were waiting for shelves to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (be put up so they could display their ornaments.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (the last inspection, Mrs Hill told us "many carpets have been replaced along with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (either refurbishment or renewal of many commodes. We now have a full compliment )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (of housekeepers led by a head housekeeper. This ensures that all areas are kept clean )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (and odour free. Any odours that occur are dealt with without delay on an ongoing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (basis." When we first arrived at the home and indeed throughout the inspection, we )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (did not notice any unpleasant odours in any part of the building. Mrs Hill told us that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (having a head housekeeper meant that checks were made on different parts of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (building to make sure they were clean and fresh. She said that one staff member had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (the delegated responsibility for continence management and had ensured that people )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (had been reassessed to make sure they had the correct continence aids. Bins were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (available in some bedrooms and all toilets and bathrooms for disposal of continence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (pads. The housekeepers and care support staff helped with bed making.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (the last inspection, Mrs Hill told us "new commodes have been bought with procedures )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (in place to ensure they are emptied as soon as possible after use." We spoke with one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (person who confirmed that their commode was emptied when they had used it. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (told us "the staff don't mind emptying it. I just ring this." Mrs Hill also told us "the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (refurbishment of commodes has taken place enabling the care team to keep them )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (clean in line with infection control guidelines. Rooms are checked by care staff and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (housekeepers to ensure residents who change their own continence pads in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (rooms are removed as soon as possible. Small pad bins with liners are provided for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (their use to minimise any odours." Mrs Hill told us that she had decided not to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (implement our recommendation from the last inspection about installing a washer )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (disinfector for commode buckets. She said she had found that only one or two buckets )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (could be put through the machine at a time and the operation was time consuming. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (She said she concluded that this was not efficient for the home's needs. As a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (consequence, Mrs Hill had purchased new buckets and commodes and arranged a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (cleaning schedule which meant that the commodes were emptied and cleaned )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (individually soon after use and returned directly to the person. We looked at commode )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (buckets in some of the rooms and confirmed that they were cleaned to a satisfactory )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (standard.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (In her report on how she was addressing requirements and recommendations from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (the last inspection, Mrs Hill told us "care staff and housekeeping staff are aware that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (all linen must be clean. Some residents make their own beds and are not always )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (aware that sheets may be soiled. Staff are aware who these residents are and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (discretely check to ensure the linen is fresh." We saw that people's beds were made )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (with clean sheets.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (Large flat screen televisions had been installed on the walls in the sitting rooms so )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (that everyone could see the screen.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (People's names and pictures of things they were interested in were displayed on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (individual bedroom doors. Large signage was also displayed around the home so )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (people could know where things were.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (We saw that new pictures had been put up around the home, making the environment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (more interesting. We thought that some of the pictures should be re-hung at eye level )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 476.27 w 34.6 573.27 m 562.54 573.27 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 454.9 w 33.47 561.46 m 563.66 561.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 331.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 331.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.89 m 565.87 332.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (for people's benefit. New seating had been purchased for the sitting rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (We saw that laundry carts were available to housekeepers. This meant that laundry )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (was now sorted at source and not in the laundry room. People who we spoke with told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (us they were pleased with the laundry service. The home now had a member of staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (employed to undertake laundry. The housekeepers had been provided with cleaning )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (carts with a removable bin liner section and space for brushes, cleaning liquids and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (other cleaning equipment. There were disposable gloves and aprons available.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Mrs Hill told us that the sluices were due to be upgraded over the coming months. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (organisation's property department had assessed the bathrooms and toilets for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (gradual replacement and upgrade. We saw one of the bathrooms which had recently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (been refitted with a specialist bath and the new accessible shower room. New windows )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (would be included in the refurbishment plan.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (There was a hairdressing salon with a professional hairdresser visiting on Mondays )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (and Wednesdays. One person was very pleased to show us that they had had their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (hair cut and styled that morning.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The old style fitted wardrobes were gradually being removed. Vanity units, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (freestanding modern wardrobes and chests of drawers had been made available in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (bedrooms. There were plans to move the medicine storage room which would then be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (fitted out as a small kitchen, where people could be provided with tea and coffee )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (making facilities. There was a servery in the annex where meals were served and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (people could make hot drinks. A quiet room was planned where people could meet )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (with visitors and have hot drinks.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Staff members are available at times when people need them. Staff have good access )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (to relevant training. A robust recruitment process protects people from anyone who is )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (unsuitable to work with vulnerable people. Staff have established good relationships )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (with people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (The care staffing rota showed that there was a minimum of six care staff members )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (with a care leader during the mornings. During the evenings there were five care staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (and a care leader. Two care staff members were allocated to work with the nine )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (people who lived in the annex. There were four waking night staff. The day service )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (was separately staffed. There was a cook, a kitchen assistant, one housekeeper and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (handyman on duty. The head of care told us that one of the housekeepers was on sick )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (leave and cover had not been found. There was a housekeeper due in for the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (afternoon shift.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (A head of care had the delegated responsibility of managing the day to day care and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (support for people who use the service. Mrs Hill told us that the post was temporary )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (until one of the four care leaders retired in the new year. Mrs Hill told us that two care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (support staff had been appointed. This role was in carrying out bed making, help with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (meals and light cleaning. These staff members did not provide personal care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Two staff members told us they had received a good induction into their roles. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (from staffing records that all the information and documents required by regulation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (were obtained when recruiting new staff. Mrs Hill kept a record of when she had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (checked all the documents needed when applying for a Criminal Records Bureau )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (certificate. No one started working until checks on their suitability to work with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (vulnerable people was established by a negative Criminal Records Bureau certificate.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (One person told us "you never get the same service from agency staff." We asked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (whether there was a lot of agency staff use. They told us that "only when staff were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (extremely pushed or understaffed." In the AQAA Mrs Hill told us that following )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (permanent appointments there was less use of agency staff. She told us that the aim )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (was to stop using agency staff altogether.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Mrs Hill told us that all of the care and support staff had completed the organisation's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (dementia training. She went on to say that the organisation was now looking at a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (more advanced training programme in association with the Alzheimer's Society. In the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (AQAA Mrs Hill told us that five staff had attended the organisation's recent dementia )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (conference. One of the staff is the home's 'dementia champion' and meets with other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (staff in the organisation to discuss dementia care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Mrs Hill told us that eleven staff members were undertaking NVQ Level 2. There was a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (computer available for staff members to access the e-learning programmes provided )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (by the organisation. One staff member told us about the recent training they had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (undertaken including: infection control, moving and handling, blood glucose )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (monitoring, dual sensory loss, stoma care, death dying and bereavement and fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (safety. They told us that some of the training was via a DVD and questionnaire or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (from an outsourced specialist. The head of care was qualified to teach moving and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (handling. They told us they had the delegated responsibility for doing some in house )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (training. They also discussed each staff member's training need during supervision. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (There was a training matrix which showed mandatory course and when updates were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (due. The organisation's training lead also sent a list of which courses were available )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (month by month. Senior staff had been trained in leadership skills. In the AQAA Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Hill told us "staff have training on equality and diversity and work hard to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (individuals are not discriminated against.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (The organisation has provided a counselling service for staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Everyone we spoke with made very positive comments about the staff. One person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (described the staff as 'very friendly.' They were not aware of having a keyworker )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (when we asked them. They said they "were looked after by everyone." In a survey )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 196.33 w 34.6 713.24 m 562.54 713.24 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 174.96 w 33.47 701.43 m 563.66 701.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 612.82 m 565.87 612.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (form one person told us "Friendly and cheerful staff." We saw that staff members )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (engaged with people, some spending time sitting and chatting. We saw that staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (members knocked on people's bedroom doors before being invited to enter.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (One of the visiting relatives told us "staff are marvellous, fun, they have time for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (mum. There are more staff now." In a survey form one of the relatives told us "When )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (we visit at the weekend there never seems sufficient staff on duty to care for all the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (residents. Sometimes there is no help in the lounge. A warm and friendly home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Excellent staff who work hard. Always someone to speak to if I need information about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (my mother who has dementia.")Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 395 m 562.54 395 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 101.85 w 33.47 383.75 m 563.66 383.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.7 m 565.87 331.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (People benefit from having a manager who has improved the service over the last )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (year. The home is run in people's best interests. Staff benefit from regular )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (supervision. Everyone's health and safety are well managed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 316.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.8 w 34.6 193.93 m 562.54 193.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.83 m 564.79 296.83 l S 0.001 w 202.43 w 33.47 182.12 m 563.66 182.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.45 m 565.87 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.45 m 564.79 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.77 Tm (Mrs Hill had managed the home since November 2008, when she moved from )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (managing another home in the organisation. She had four years in her role as a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (manager in three different homes run by the organisation. Mrs Hill is the second )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (manager to be appointed in the last three years. Mrs Hill was registered as manager )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (for Woodmead on 7th October 2009. Mrs Hill had the Registered Managers Award and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (NVQ Level 4 in management and care. She told us that she had decided not to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (commence any further qualification at the moment, so she could concentrate on )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (further improvements for the home. Mrs Hill said she continued to seek training and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (had recently undertaken training in: deprivation of liberty safeguarding standards, the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (Mental Capacity Act 2005, first aid, train the trainer and recruitment and selection.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm ()Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Mrs Hill was supported by an administrator from a nearby home as her administrator )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (was on long term sick leave.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (One person told us about the monthly residents meetings. They said they talked about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the meals and activities. They also said "the trouble is, some people don't speak up." )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (We asked them whether they had contributed to the organisation's annual survey )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (questionnaire. They had no recollection of filling out a questionnaire. They went on to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (say that the home "was improving greatly" since Mrs Hill came to post. Minutes of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (meeting were posted on notice boards around the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (The organisation carried out the annual quality audit of the home. Questionnaires )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (were sent to people who used the service and other stakeholders. The organisation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (then completed an action plan which was sent to Mrs Hill. In the AQAA Mrs Hill told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ("the action plan is shared with all of the team so they are aware of views and opinions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (of our residents. As the manager I walk around the home on a daily basis. This has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (made me accessible to the residents and opened another forum for dialogue enabling )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (residents to share thoughts or off the cuff comments about the service we provide. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The home produces a regular newsletter that is distributed to residents." We saw from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (the AQAA that the unannounced monthly visits under Regulation 26 were carried out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (by an employee from another home, rather than senior management in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (organisation. We thought that other managers may not be as critical as senior )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (management when carrying out these visits.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (Staff told us that they received regular supervision. Mrs Hill kept a plan of when the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (sessions took place throughout the year. Records were kept of supervision in staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (members' personal files.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (Mrs Hill showed us the records she kept of falls monitoring each month. She showed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (us the board in the office where staff recorded any falls and when people's families )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (were informed. We also saw the highlighted record in the daily reports where people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (were monitored after a fall. Mrs Hill told us that the handyman had the delegated )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (responsibility to carry out and review the environmental risk assessments. He had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (been trained to do this. There were generic risk assessments provided by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (organisation, with individual risk assessments relating specifically to the home, tasks )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (that staff were involved in or events in the locality.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (In a survey form one of the staff told us "Improvements are there to see and feel with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (our new manager. I am proud to work at Woodmead. I think the manager is doing an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (outstanding job for the needs of the residents and staff." Another staff member told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ("Although greatly improving there is still times when communication is not at its best. )Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (33)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 38.87 w 34.6 791.97 m 562.54 791.97 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 17.5 w 33.47 780.16 m 563.66 780.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 770.29 m 565.87 770.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (I believe Woodmead has greatly improved over the past months.")Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (34)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /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 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (35)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /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 0.75294 0.75294 0.75294 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 /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 392.79 w 32.32 429.7 m 564.97 429.7 l S 0.001 w 1 1 1 RG 136 w 31.2 457.68 m 91.05 457.68 l S 0.001 w 136 w 93.3 457.68 m 197.4 457.68 l S 0.001 w 136 w 199.65 457.68 m 289.45 457.68 l S 0.001 w 136 w 291.7 457.68 m 473.8 457.68 l S 0.001 w 136 w 476.05 457.68 m 566.1 457.68 l S 0.001 w 153 w 31.2 310.93 m 91.05 310.93 l S 0.001 w 153 w 93.3 310.93 m 197.4 310.93 l S 0.001 w 153 w 199.65 310.93 m 289.45 310.93 l S 0.001 w 153 w 291.7 310.93 m 473.8 310.93 l S 0.001 w 153 w 476.05 310.93 m 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92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 595.16 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 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 566 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 31.2 548.18 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 513.62 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 513.62 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 513.62 Tm (When people living with )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 496.62 Tm (diabetes are monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 479.62 Tm (their food intake )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 462.62 Tm (themselves, this must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 445.62 Tm (recorded in their care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 428.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 411.62 Tm (Enabling people to maintain )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 394.62 Tm (choice and control.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 513.62 Tm (01/03/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 375.37 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 375.37 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 375.37 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 375.37 Tm (Staff must always give first )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 358.37 Tm (aid unless anyone has an )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 341.37 Tm (Advanced Statement. Any )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 324.37 Tm (advanced decisions are for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 307.37 Tm (the person to arrange with )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 290.37 Tm (their GP.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 273.37 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 256.37 Tm (Ensuring people wishes are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 239.37 Tm (recorded and followed.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 375.37 Tm (01/03/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 375.37 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 151.15 w 32.32 136.23 m 564.97 136.23 l S 0.001 w 1 1 1 RG 62.31 w 31.2 92.93 m 91.05 92.93 l S 0.001 w 62.31 w 93.3 92.93 m 197.4 92.93 l S 0.001 w 62.31 w 199.65 92.93 m 566.1 92.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 126.29 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 126.29 m 567.22 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.48 m 568.4 144.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 125.21 m 568.3 125.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 126.29 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 126.29 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.05 m 568.4 214.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.48 m 568.4 144.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 215.13 m 30.07 124.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 145.56 m 92.17 125.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 145.56 m 198.47 125.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 215.13 m 567.32 124.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 197.87 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.29 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 165.71 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 34.05 151.13 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 130.31 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 130.31 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 130.31 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 109.02 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 109.02 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 109.02 Tm (Fluid charts should indicate the amount of fluid to be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 94.44 Tm (achieved each day, for monitoring purposes. All drinking )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 79.86 Tm (vessels should be measured so that an accurate amount is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 65.28 Tm (recorded rather than recording 'half a cup'.)Tj ET endstream endobj 86 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (36)Tj ET 0.75294 0.75294 0.75294 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 178.01 w 32.32 722.4 m 564.97 722.4 l S 0.001 w 1 1 1 RG 49.74 w 31.2 696.8 m 91.05 696.8 l S 0.001 w 49.74 w 93.3 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m 568.3 633.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.31 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 34.05 750.73 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 706.61 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 706.61 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 706.61 Tm (Consideration should be given to moving the computer )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 692.03 Tm (from the front entrance to a more private and accessible )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 677.45 Tm (space, so that people are more likely to use it.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.62 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 654.62 Tm (37)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 654.62 Tm (All records and any amendments should be dated for )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 640.04 Tm (monitoring purposes.)Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 0.75294 0.75294 0.75294 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 (37)Tj 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(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 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 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 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj[6 0 R/XYZ 0 318.87 0] endobj 92 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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