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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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1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 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 (39)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 Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 705.6 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Crispins, 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. 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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 Adults \(18-65 years\))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 (39)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 (Baytrees Nursing Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (1 Highfield Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Worthing)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (West Sussex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (BN13 1PX)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 (01903693833)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 (01903693822)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 (baytreeshomes@aol.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)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 (Bay Trees Homes Ltd)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 (30)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 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.81 m 565.6 365.81 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 28.99 354.4 m 567.8 354.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 331.57 m 568.1 331.57 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 28.99 354.4 m 568.1 354.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 331.57 m 568.1 331.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265 m 568.1 265 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.13 m 30.07 263.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 401.13 m 298.42 376.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 401.13 m 432.57 376.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 401.13 m 566.72 263.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.87 Tm (physical disability)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 (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 361.04 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 338.21 Tm (The maximum number of service users to be accommodated is 30.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 315.38 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (home with nursing - \(N\) to service users of the following gender: Either Whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 286.22 Tm (care needs on admission to the home are within the following categories: Physical )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.64 Tm (disability \(PD\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 250.21 m 315.25 250.21 l S 0.001 w 1 1 1 RG 20.58 w 317.5 250.21 m 346.55 250.21 l S 0.001 w 20.58 w 348.8 250.21 m 377.9 250.21 l S 0.001 w 20.58 w 380.15 250.21 m 409.2 250.21 l S 0.001 w 20.58 w 411.45 250.21 m 440.55 250.21 l S 0.001 w 20.58 w 442.8 250.21 m 471.9 250.21 l S 0.001 w 20.58 w 474.15 250.21 m 503.2 250.21 l S 0.001 w 20.58 w 505.45 250.21 m 534.55 250.21 l S 0.001 w 20.58 w 536.8 250.21 m 565.9 250.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 261.62 m 568.1 261.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.79 m 568.1 238.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 262.7 m 30.07 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 262.7 m 316.37 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 262.7 m 347.67 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 262.7 m 379.02 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 262.7 m 410.32 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 262.7 m 441.67 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 262.7 m 473.02 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 262.7 m 504.32 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 262.7 m 535.67 237.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 262.7 m 567.02 237.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 245.44 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 226.92 m 565.9 226.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 217.29 m 568.1 217.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 218.37 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 218.37 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.54 m 568.1 236.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 217.29 m 568.1 217.29 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 30.07 237.62 m 30.07 216.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.62 m 567.02 216.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 223.36 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 223.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 204.11 Tm (Baytrees Nurings Home is a care home proving nursing care and accommodation for )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 187.11 Tm (30 younger adults with physical disabilities. Baytrees Homes Limited owns the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 170.11 Tm (and the Responsible Individual on behalf of the company is Mr T Francis. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 153.11 Tm (Registered Manager responsible for the day to day running of the service is Mrs Denise )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 136.11 Tm (McWilton. The home is located in Worthing and is close to shops, pubs and other )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 119.11 Tm (amenities. The main house consists of a three-storey building, which has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 102.11 Tm (extended and adapted. In 2004 a new extension for 10 service users was added to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 85.11 Tm (premises this increased the registration to 30 service users. All rooms in the new )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 68.11 Tm (extension and a small number of rooms in the main house have en-suite facilities. All )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 51.11 Tm (rooms are accessible by a passenger lift. Service users have level access to two )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 Adults \(18-65 years\))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 (39)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 30.07 723.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 723.08 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 28.99 724.15 m 568.1 724.15 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 (lounges/dining rooms, a conservatory and a large decked area to the rear of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (property. The fees charged range from 662.46 to 1500.00 per week. Additional )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (charges are made for dry cleaning, newspapers, hairdressing, personal items, clothing )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (and toiletries.)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 554/Matrix [1 0 0 1 0 0]>>stream xMo1+#H'!UPU)(|NvZZwb;c'w'C#X(w@G]Ě{"q>b|X=CFU0B洺=ǂZpL,x:|6QW+p 鵹-hza+R^,i7AYThAh !nsl*6`FA JDc!8XK X'Le4h ckH!9*Ky(,nX8'RNA$}i`̓ҹ`SCd|Av4J^Lw‘K]gSVX'皤R.ٳƑ,4nf^MNX~ӽ? Ћr;6ݫ_q:7ܥTwzeֶ, ].3ܚbѬ?)yB? 4PCg?7if!=j3U_`~[{X\,ډgZgWonY] 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 Adults \(18-65 years\))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 (39)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 1 410.5 749.45 Tm (zero star poor 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 1 145.27 606.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 572.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 537.91 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 503.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 469.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 434.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 400.11 Tm (Conduct and management of the home)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 (We visited this home on Tuesday 5th January 2010, arriving at 9.10 am and staying )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (until 7.00 pm. The purpose of this inspection was to assess how well the home is doing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm (in meeting the key National Minimum Standards and Regulations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (The registered manager and managing director were present during our visit. Both )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (assisted us throughout our visit. During our visit to the home we examined the care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (records of three residents and recruitment records of two staff. We also looked at other )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (documentation maintained in the home such as health and safety records, staff training )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (records and complaints. In addition to this we looked around the home and indirectly )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (observed interactions between residents and staff.)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 (An Expert by Experience accompanied us for part of our inspection. This is someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (who has direct knowledge and experience of receiving a care service. The Expert spoke )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (with nine residents in depth. Since our last key inspection of 5th July 2009 a pharmacy )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 Adults \(18-65 years\))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 (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 90.48 w 32.32 767.29 m 566.72 767.29 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 30.12 720.92 m 568.92 720.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 719.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 719.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (inspection has been undertaken on the 11th August 2009. A pharmacist inspector )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (accompanied us for part of this key inspection, assessing medication systems within )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (Information from all of the above sources was assessed and used to help us form )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (judgements on the quality of service provided to residents.)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 Adults \(18-65 years\))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 (39)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 297.6 w 32.32 625.02 m 566.72 625.02 l S 0.001 w 20.58 w 32.7 463.68 m 569.35 463.68 l S 0.001 w 166.38 w 33.82 367.95 m 568.22 367.95 l S 0.001 w 20.58 w 33.45 272.22 m 570.1 272.22 l S 0.001 w 195.66 w 34.57 161.85 m 568.97 161.85 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 30.12 475.1 m 568.92 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.1 m 569.35 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 452.27 m 569.35 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 452.27 m 570.42 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 283.64 m 570.42 283.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 260.81 m 570.1 260.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 283.64 m 570.1 283.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 260.81 m 571.17 260.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 453.35 m 32.7 282.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 261.89 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 453.35 m 569.35 282.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 261.89 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 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 (Pre-admission assessments completed by the home ensure prospective residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (health needs are identified before they move into the home.)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 (Risk management forms part of the care planning system that is in place. This includes )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (assessment of mobility, pressure care and nutrition and reduces risks to residents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (Residents told us they were happy with the choice of activities they can participate in. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm (For example one person told us, "There's lots to do here and we get to go out quite )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (frequently, you name it we go there".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (Specialist diets are catered for and a menu was seen to be on display that offers a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (choice of meals at every sitting.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (Staff were observed speaking and assisting residents with dignity and respect.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm (Safe systems are in place to manage personal finances of residents who are not able to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (do this for themselves.)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 (All residents that we spoke with expressed satisfaction with staff working at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (For example one person stated, "they work hard" and "they really look after me".)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 623.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 458.91 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 462.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 366.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (The home now employs an activity co-ordinator who arranges events that residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (can participate in if they wish to.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm (The ceilings in the home have been redecorated and the second sluice room has been )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (refurbished.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm (Staff recruitment processes now include obtaining two written references before they )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (commence work at the home.)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 (Accurate records are now maintained with regard to the monitoring of residents who )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (are at risk of dehydration and/or pressure areas.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 366.4 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 270.67 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 267.45 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 31.2 160.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.62 Tm (Shortfalls in training and medication were previously identified at the July 2009 )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 230.04 Tm (inspection and remain unmet. As a result of this, during this visit we issued code b )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.46 Tm (notices for continued non compliance and informed the registered manager and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.88 Tm (managing director that the commission may consider taking further action. We will )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (write to the home separately regarding this.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (Care plans on how medicine are taken must be kept up dated at all times and include )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (all medicines. Some care plans require more detail so that people can receive the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (treatment they have been prescribed. When people manage their own medicines this )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm (must have the associated risks assessed and minimised.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm (Residents must be supported to make decisions with respect to the care they receive. )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (Particular attention must be given to choice of staff undertaking personal care, training )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 Adults \(18-65 years\))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 (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 396.66 w 34.57 614.2 m 568.97 614.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 414.74 m 571.17 414.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 413.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 413.67 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (of staff to meet the communication needs of individuals and regular meetings where )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (residents can express their views.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (Records must be maintained in the home that demonstrate residents receive an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (necessary treatment from dentists, opticians and chiropody services.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (Residents must be made aware of the complaints procedure and the home must be )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (able to evidence that issues raised by residents are investigated and where possible )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (acted upon.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (Staff must not work at the home without a full enhanced CRB disclosure unless records )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (are in place that demonstrate this practice is used in exceptional circumstances to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm (maintain staffing levels.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (Improvement to the environment must be undertaken. Particular attention must be )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm (paid to ensuring adequate heating in all areas of the home, that the home is kept in a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm (good state of repair, that fire doors meet required standards of the fire department, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.86 Tm (that infection control measures in the kitchen meet standards set by the environmental )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.28 Tm (health department and that staff receive training in infection control.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 511.12 Tm (A system must be introduced that ensures suitable numbers of staff receive training in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.54 Tm (all required areas. This must include moving and handling, infection control, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.96 Tm (safeguarding, food hygiene, first aid and health and safety.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.8 Tm (Staff must receive regular, formal supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.64 Tm (Quality monitoring must be regularly undertaken.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 380.19 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 380.19 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 380.19 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 362.69 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 342.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 322.7 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 322.7 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 302.7 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 302.7 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 282.71 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 Adults \(18-65 years\))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 (39)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 \(standards 1 - 5\))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 (Individual needs and choices \(standards 6-10\))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 (Lifestyle \(standards 11 - 17\))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 (Personal and healthcare support \(standards 18 - 21\))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 (Concerns, complaints and protection \(standards 22 - 23\))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 (Environment \(standards 24 - 30\))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 (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.15 m 566.93 546.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 542.09 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.22 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 Adults \(18-65 years\))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 (39)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 172.25 w 32.32 627.38 m 562.53 627.38 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 102 w 31.2 593.38 m 563.65 593.38 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 28.99 541.25 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 (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, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (that includes how much they will pay and what the home provides for the money.)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 159.34 w 34.6 394.5 m 562.54 394.5 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 136.85 w 33.47 383.25 m 563.66 383.25 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 32.35 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 312.63 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 31.27 313.7 m 565.87 313.7 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 437.12 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 (People who may use this service and their representatives have the information )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (needed to decide if the home will meet their needs. However this is still not available )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (in alternative formats. This might disadvantage people who cannot understand the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (written word. Assessment processes ensure prospective residents health needs are )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (identified before the move into the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 298.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.81 w 34.6 184.93 m 562.54 184.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.84 m 564.79 278.84 l S 0.001 w 184.44 w 33.47 173.12 m 563.66 173.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.46 m 565.87 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.46 m 564.79 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 275.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (The homes statement of purpose and service user guide are displayed at the entrance )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (of the home. At our last key inspection the managing director for the service informed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (us that the statement of purpose was going to be produced in audio format. No )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (evidence of this being in place was available at this visit.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (As at previous inspections residents records that we looked at evidence that pre )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (admission assessments are undertaken before people move into the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (The pre admission assessments we looked at cover aspects of needs and support )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (required focusing on health.)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 Adults \(18-65 years\))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 (39)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 248.82 w 34.6 686.99 m 562.54 686.99 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 227.45 w 33.47 675.18 m 563.66 675.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 559.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 559.26 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 31.27 560.34 m 565.87 560.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The home uses a pre printed care planning document for recording assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (care plans. We noted that a statement is printed at the front of this system that states )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ('fulfils National Minimum Standards 3 and 7 for care homes for older people'. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (discussed this with the registered manager and managing director as the home is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (registered to provide services to younger adults and as such is inspected against )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (younger adults minimum standards. The registered manager and managing director )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (were not aware of the differences in contents for younger adults until we directed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (them to these. For example we showed them additional areas that are recommended )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (to be assessed for younger adults such as meaningful education and training, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (provision of disability equipment including arrangement for payment and supply and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (compatibility with others living in the home. The registered manager confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (assessments of need undertaken do not include these areas.)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 Adults \(18-65 years\))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 (39)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 (Individual needs and choices )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 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 85 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 28.99 611.5 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 28.99 524.25 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 (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (because the home has clear policies and procedures that staff follow.)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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 420.12 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 (Care planning and risk management processes give information to staff in order that )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (they can meet individuals needs. Some efforts are made to involve residents in )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (decision making but this continues to be limited. )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 (We sampled three residents care plans and found these give instructions to staff, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (describing how individual residents health needs should be met. A 'life story' )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (document was also in place for two of the residents. This information is centred on the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (individual and gives an insight into their past experiences. Care plans were in place for )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (areas including mobility and elements of personal care. All plans that we sampled had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (been reviewed on a monthly basis. We found no evidence that residents were involved )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (in this process. This was identified as an area that the home should explore at our )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (previous two inspections and still has not been acted upon.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (The home uses a pre printed care planning document for recording assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (care plans. We noted that a statement is printed at the front of this system that states )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 Adults \(18-65 years\))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 (39)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 ('fulfils National Minimum Standards 3 and 7 for care homes for older people'. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (discussed this with the registered manager and managing director as the home is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (registered to provide services to younger adults and as such is inspected against )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (younger adults minimum standards. The registered manager and managing director )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (were not aware of the differences in contents for younger adults until we directed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (them to these. For example we showed them recommendations that younger adults )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (services should be able to demonstrate residents involvement in decision making and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (participation by providing information in alternative formats, ensuring staff can )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (communicate with individuals with specific needs in this area and providing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (opportunities such as holding regular residents meetings, allocating key workers and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (involving in recruitment processes.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The homes current care planning format centres on the health needs of residents and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (provides minimum information \(and none in some cases\) of social, emotional, cultural )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and recreational needs. The managing director and registered manager said that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (would review the current system and introduce a new one now that this shortfall had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (been identified to them.)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 (As at the previous inspection the people who live at this home have a variety of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (communication needs. One resident is deaf and we were informed can lip read and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (understand sign language. One member of staff has knowledge of sign language. No )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (staff employed at the home have been trained in sign language. Signage was not seen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (around the home that would aid this person to communicate. Since our inspection the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (home has informed us that all residents who have difficulty in communicating have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (pictorial communication boards. On the day of our visit we did not see any of these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (being used.)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 (With regard to this resident the Expert by Experience reports 'The entertainments lady )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (is the only member of staff that knows some sign language, and as it was this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (residents birthday she showed the rest of the staff how to sign 'happy birthday' which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (was so obviously enjoyed by this resident as it was reiterated throughout my visit, and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (she smiled enthusiastically by way of reply. Her sister arrived by way of a birthday )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (visit, bearing flowers, which were so obviously welcomed as this resident could say )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ("flowers". Her sister sang happy birthday by mouthing the words. The delight was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (evident as she understood what was being said to her, I could sense her frustration as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (no one apart from her sister could understand her. After lunch as I walked past this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (resident she got my attention as she so obviously was trying to tell me something. I )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (really could not understand her needs so I found a member of staff. They too could )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (not understand her. Her sister was still on the premises and someone went to fetch )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (her. She communicated what she was trying to say'.)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 Adults \(18-65 years\))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 (39)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 161.34 w 34.6 730.73 m 562.54 730.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 139.97 w 33.47 718.92 m 563.66 718.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 647.82 m 565.87 647.82 l S 0.001 w [] 0 d /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 (At our last key inspection in July 2009 the managing director agreed residents may )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (benefit if the frequency of residents meetings increased. We found no evidence of this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (taking place with minutes available confirming that a meeting last took place on the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (1st September 2009. The minutes of the meeting before this were for May 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Risk management forms part of the care planning system that is in place. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (includes assessment of mobility, pressure care and nutrition. )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 Adults \(18-65 years\))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 (39)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 (Lifestyle )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 223.25 w 32.32 601.88 m 562.53 601.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.65 629.63 l S 0.001 w 1 1 1 RG 51 w 31.2 516.88 m 563.65 516.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 543.5 m 565.85 543.5 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 28.99 543.5 m 565.85 543.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.25 m 565.85 490.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 489.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 489.17 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 can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.57 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.57 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.57 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.32 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 472 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 450 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 450 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 427.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 369.74 m 562.54 369.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 414.17 m 564.79 414.17 l S 0.001 w 84.36 w 33.47 358.5 m 563.66 358.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 401.8 m 565.87 401.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 402.88 m 32.35 314.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 402.88 m 564.79 314.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 401.8 m 564.79 401.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 315.19 m 565.87 315.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 410.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 386.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 386.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 368.62 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 36.62 341.75 Tm (In the main residents have a choice of activities that they can participate in and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 324.25 Tm (receive a choice of well balanced, nutritious meals.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 299.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.3 w 34.6 185.67 m 562.54 185.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 280.32 m 564.79 280.32 l S 0.001 w 185.93 w 33.47 173.86 m 563.66 173.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.95 m 565.87 267.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 269.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 269.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.95 m 564.79 267.95 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 35.5 277.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 252.27 Tm (As at our last key inspection in July 2009 a notice board in the main lounge area )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.77 Tm (displays information regarding forthcoming activities. These include arts and crafts )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 217.27 Tm (and forthcoming day trips to a garden centre, museum and the zoo. One of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.78 Tm (residents that the Expert by Experience spoke with confirmed information is given )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 182.28 Tm (regarding forthcoming activities stating, "Wow, we have a good amount of activities )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.79 Tm (going on, quiz nights, bowling, shopping, all sorts. Its all on the board in the hallway )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 147.29 Tm (out there".)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 112.3 Tm (During our visit to the home we did not observe any in house activities taking place. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.8 Tm (Residents were seen to be watching the television. Since our inspection the home has )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 Adults \(18-65 years\))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 (39)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 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /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 (informed us that on the morning of our visit an exercise class was taking place in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (top lounge.)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 (In the main all residents that the Expert by Experience spoke with confirmed their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (satisfaction with the choice of activities on offer. For example one resident informed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (the Expert, "There's lots to do here and we get to go out quite frequently, you name it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (we go there".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The Expert by Experience also reports 'one gentleman so obviously enjoyed the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (outings that had been arranged. The bowling was a recent highlight, and he enthused )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (about the photos of their day that adorned the walls as a reminder. These had quips )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (attached to them making them all the more fun. Apparently the photos were taken by )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (one of the residents and a member of staff. Another resident was full of the fact that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (they were off to Horsham the following day for a shopping trip. These outings were in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (his view run well and fairly administered, as obviously they could not take everyone )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (one every trip due to the size of the bus'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (One resident informed the Expert that they do not participate in activities as they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (cannot remember when events are planned. We were informed that a newsletter is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (distributed that includes information about activities, however none of the residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (that the Expert spoke with had seen this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (As at our previous inspection specialist diets are catered for and a menu was seen to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (be on display that offers a choice of meals at every sitting.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The majority of residents that the Expert by Experience spoke with confirmed their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (satisfaction with meals provided by the home. For example comments made include )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ("Oh, we get given a choice by X each day. Like omelette's or egg and chips, nice food" )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (and "X is wonderful, there is a good choice of food, and if you really don't like )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (something they do listen and try to find an alternative".)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 (Two of the nine residents that the Expert by Experience spoke with commented that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (choice is limited. For example one stated, "X says something like 'gammon or salad?' I )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (hate salad. I don't like gammon so I had ploughman's but that was full of salad.")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 Adults \(18-65 years\))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 (39)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 (Personal and healthcare support )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 155.25 w 32.32 635.88 m 562.53 635.88 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 68 w 31.2 593.38 m 563.65 593.38 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 28.99 558.25 m 565.85 558.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 557.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 557.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 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 35.5 598.32 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 540 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 518 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 518 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 495.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 402.75 m 562.54 402.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 482.17 m 564.79 482.17 l S 0.001 w 154.34 w 33.47 391.51 m 563.66 391.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 469.8 m 565.87 469.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 470.88 m 32.35 312.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 470.88 m 564.79 312.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 469.8 m 564.79 469.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 313.21 m 565.87 313.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 478.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 454.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 454.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 436.62 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 36.62 409.75 Tm (The principles of respect, dignity and privacy are put into practise, however choices )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.25 Tm (can sometimes be limited. The health needs of residents at risk of dehydration or )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.76 Tm (pressure areas are now monitored safely and consistently. Systems are not in place )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.26 Tm (that ensure all residents receive health care attention with regards to sight, foot and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 339.77 Tm (mouth care. Some areas of medication continue to require improvement to offer )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.27 Tm (safeguards to residents.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 297.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.31 w 34.6 184.68 m 562.54 184.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.34 m 564.79 278.34 l S 0.001 w 183.94 w 33.47 172.87 m 563.66 172.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 265.97 m 565.87 265.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 265.97 m 564.79 265.97 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 35.5 275.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.28 Tm (As at our last key inspection in July 2009 residents that we saw during our visit )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.79 Tm (appeared appropriately dressed for their age, culture and the climate. Staff were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.29 Tm (observed speaking and assisting residents with dignity and respect. For example staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.79 Tm (were observed to knock on bedroom doors before entering and using individuals )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.3 Tm (preferred choice of name when having conversations with them.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.31 Tm (With regard to personal care the Expert by Experience found that the majority of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.81 Tm (residents receive this to their satisfaction. One resident stated they do not. The Expert )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.31 Tm (reports 'one person was very well presented and took an obvious pride in their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.82 Tm (appearance. The home encouraged this by arranging for a manicurist to attend at this )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 Adults \(18-65 years\))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 (39)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 (residents request, in order that they could have their nails done professionally. Due to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (a physical condition one resident relies on the staff for much of their needs. They take )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (a pride in their appearance and told me that they were pleased with their choice of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (attire, which I too had to agree looked good. The resident stopped smiling and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (seriously proceeded to tell me of a general toiletry/health care request they had'. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (informed the Expert they had asked not to be bathed/toileted by the younger femals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (carers but the resident was told they had to have care from the staff available.)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 (When looking at the records of three residents none detailed advice or treatment from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (chiropodists, dentists or opticians. We discussed this with the registered manager who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (produced a separate book for chiropody and dental treatment. This did not include )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (treatment for the three residents we had identified. The registered manager went and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (spoke with the residents and informed us two access chiropody services outside of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (home, that one had received treatment but that records were not in place regarding )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (this. We informed the registered manager that a requirement would be made )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (regarding this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Records do show that residents have access to community based health professionals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (such as district nurses where appropriate and general practitioners.)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 (We sampled three residents care plans pertaining to health care needs. The care plans )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (sampled were being used in conjunction with other monitoring documents that are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (used as part of the care planning process for individuals. These had been completed in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (full, demonstrating that the contents of the care plans are being complied with. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (meets a requirement made as a result of last key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (As a result of our last key inspection on the 7th July 2009 a random visit to the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (was undertaken on the 11th August 2009 where medication was examined. Two )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (requirements relating to medication were found to be met and two new requirements )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (relating to medication were made.)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 (At this key inspection the pharmacist inspector visited the home to assess the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (medicine management in the home and found that the home had good provision for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (safe storage and management of medicines. There are two storage rooms, a fridge )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (and two medicine trolleys are available so that medicine can be kept and administered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (safely. We saw the records kept of temperatures of medicine storage areas which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (means medicines are stored at the temperatures recommended by the manufacturers. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Records are kept of medicine received and medicine disposed off. Medicines for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (disposal are through a clinical waste disposal company as required by the law. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (Medicines given to people are signed for and good practise is followed. We noted some )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 Adults \(18-65 years\))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 (39)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 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /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 (gaps on the Medicine administration record sheet where medicine were not signed for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (and so we could not be sure that people had been given these medicine or not.)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 (There are good individual care plans showing how people take their medicines which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (incorporates a risk assessment and includes information about medicines to be taken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (only when needed and action to take if people refuse medicine. This is reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (monthly. However, when a new medicine is started new information is not included in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the care plan until the next review date. In addition we noted, for one person, for a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (medicine to be given only when needed which was not newly prescribed there was no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (clear detailed care plan and the medicine was not on the MAR chart.)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 (With regard to medication one resident informed the Expert by Experience, "I'm )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (allergic to penicillin, I didn't know. I was taken to the dentist last month and he told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (me I was allergic, why did no one ever tell me. No one knew here apparently, but he )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (had it on his records". She continued for a few minutes questioning why no one here )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (knew, as it should be known.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (We examined the records for this resident and found that this information had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (added after the resident visited the dentist and was not in place before. The home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (have since informed us that the resident in question did not inform them of this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (allergy when pre-admission assessments were being undertaken and that their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (General Practitioners records also did not include this information.)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 person was managing one of their own medicines. However there was no risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (assessment relating to this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (When information was handwritten onto the printed MAR charts this was not always )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (dated nor initialled. One two occasions, new information relating to the dose of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (medicine was written over the old information. This is confusing and could lead to an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (error being made.)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 (Due to the two requirements made as a result of the random visit to the home in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (August 2009 not being met in full we copied some medication documents under Code )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (b of the Police and Criminal Evidence Act. We will write separately to the responsible )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (individual regarding this.)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 Adults \(18-65 years\))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 (39)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 (Concerns, 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. Their 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, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 488.25 m 562.54 488.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 119.35 w 33.47 477 m 563.66 477 l S 0.001 w [] 0 d 2.25 w 0.75294 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 32.35 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.2 m 565.87 416.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 522.12 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 (Residents are able to express their concerns and have access to a complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (procedure. However their views are not always listened to and acted upon. Residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm (would be offered greater protection if more staff received safeguarding training. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm (systems for managing residents finances offer safeguards to individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 0.001 w 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 368.96 m 565.87 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 368.96 m 564.79 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (There is a complaints procedure on display in the home that informs people of their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (rights. There is also a suggestions box that residents can use to raise informal issues. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (The registered manager informed us this is checked daily. No evidence of this being )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (used was available.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (The registered manager informed us that there has been one complaint received by )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (the home since our last key inspection in July 2009. Records were in place regarding )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (this including action taken by the home as a result.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (With regard to complaints the Expert by Experience found that the some residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (knew who to complain to and others not. Many residents informed the Expert that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (they feel they are not listened to when raising issues. As the Expert reports 'one )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (person told me "Oh, if things aren't right I'm sure to say something, X is the person to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (see, but I don't need to very often." Another resident knows who to complain to if )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (necessary, telling me it was matron. They said they have no qualms about )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (complaining if they feel the need. But said it does not get you anywhere. Another )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 Adults \(18-65 years\))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 (39)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 (resident told me that if somethings not right then they tell whoever is around. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (said they do not know if there is someone in particular they should see. A third )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (resident when asked about complaints first said yes, they knew who to see. They then )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (said "But what good does it do?" They elaborated explaining that there was a crack in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the floor of the bathroom. The resident informed the home of the problem and also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (what to do to avoid the problem worsening, thinking they had done them a favour. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The resident said they feel they were "fobbed off", as they thanked him and said they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (would deal with it. Nothing was done. The next thing was they had to replace the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (whole flooring when it could so easily have been avoided'.)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 (Two of the residents that the Expert by Experience spoke with explained that a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (suggestions box was in place. The Expert reports 'Suggestion box, the resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (pointed to a large box situated in full view below the T.V. set, laughing wryly and said )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ("what's the point". The resident said they feel it is for show only. Another resident said )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ("I feel fobbed off" explaining they were being told that they would look into a matter )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (just to shut them up. "They need to listen to us". The resident pointed across the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (room to the larger than life suggestion box saying "they might as well not have one". )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The resident went on to tell me "The top lounge is very cold" and "you may wonder )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (why most of us come down here, well it's ridiculously cold up there" and pointing to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (their own and other residents wheelchairs said, "we can't run around to warm up.")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 (We saw that the home has a copy of the West Sussex Multi-disciplinary safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (adult policy and procedures in place.)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 (During this visit we were supplied with training documentation that states there are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (currently fifty one staff employed at the home, thirty five of whom have not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (undertaken safeguarding training. Lack of training in this area was identified at our )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (last key inspection in July 2009. This is discussed in greater detail in the staffing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (section of this report.)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 (One resident currently has a deprivation of liberty authorisation in place. We noted )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (that information regarding this was not included in any care plans or risk assessments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (completed by the home.)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 (We were informed that no staff have received mental capacity or deprivation of liberty )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (training. We were shown evidence that training had been arranged for some staff with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (regards to the Mental Capacity Act but this had to be cancelled due to a swine flu )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (outbreak at the home.)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 (As at previous inspections there are systems in place to manage personal finances of )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 Adults \(18-65 years\))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 (39)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 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /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 (residents who are not able to do this. These include individual records that detail )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (income, expenditure and balances. )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 Adults \(18-65 years\))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 (39)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 121.25 w 32.32 652.88 m 562.53 652.88 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 85 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 28.99 679.5 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 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 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, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (pleasant and 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. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 471.74 m 562.54 471.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 516.17 m 564.79 516.17 l S 0.001 w 84.36 w 33.47 460.5 m 563.66 460.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 416.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 416.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 417.19 m 565.87 417.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 512.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 488.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 488.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 470.62 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 36.62 443.75 Tm (Deterioration in some areas of the home means that residents do not live in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm (and comfortable environment.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 309.3 w 34.6 236.67 m 562.54 236.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 382.32 m 564.79 382.32 l S 0.001 w 287.93 w 33.47 224.86 m 563.66 224.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.95 m 565.87 369.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 371.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 371.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.95 m 564.79 369.95 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 35.5 379.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 354.27 Tm (There is a large decking area accessible to people who use wheelchairs through the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.77 Tm (lounge/conservatory. As at previous inspections it was observed that most people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.27 Tm (living in the home stayed in the smaller lounge throughout the morning and also )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (during lunchtime. Residents informed us this was due to the conservatory being cold. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm (We noted that only one small electric heater is in place in the conservatory.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm (With regard to the heating a resident informed the Expert by Experience "The top )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (lounge is very cold" and "you may wonder why most of us come down here, well it's )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (ridiculously cold up there". Another resident said, "colder up there so less busy".)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (Since our last key inspection in July 2009 the ceilings in the home have been )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.81 Tm (redecorated.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm (We looked around the communal areas of the home and at four residents bedrooms. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (Residents bedrooms have been personalised to suit their individual interests and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (hobbies.)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 Adults \(18-65 years\))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 (39)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 ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (We noted that many fire doors and surrounding frameworks we badly scoured and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (damaged. We also saw that part of the ceiling on the third floor was damaged and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (water stains were apparent around the emergency lighting. We were informed this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (was due to the leak roofing and that the ceiling cannot be repaired until fully dry. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (informed the registered manager and managing director that we would contact the fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (department regarding this. Since our visit the home have supplied additional )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (information that informs us that the roof had been repaired at the time of our visit and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (that the ceiling has been repainted.)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 (Many waste bins around the home did not have lids and some were seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (overflowing with items. We were informed that these were in the process of being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (changed.)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 (The shower room on first floor was out of use on the day of our visit. We were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (informed residents were using a facility on the ground floor until the repairs have been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (undertaken. The registered manager said that the shower room would be operational )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (within two weeks.)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 (Two residents expressed the view to the Expert by Experience that some bathing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (facilities could be improved. They stated, "Towel rails are missing," and "making it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (difficult when you finish".)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 (We saw that a one residents bedroom currently has no heating. We were informed this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (had been the case since the week before Christmas. We spoke with the registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (manager and managing director and informed them that if this was still the case when )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (we had completed our visit we would have to issue an immediate requirement form. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The managing director immediately unplugged an electric heater from the office and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (took this to the residents room.)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 (We saw several areas of concern in the kitchen. These include no food items being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (dated when opened, many also being inappropriately stored and one being out of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (date. Some wall tiles were chipped, dirt and grease was on shelves, cupboards, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (cooking utensils, the floor and walls and food debris was seen in the staff hand )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (washing sink.)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 (Training records show that the majority of staff working in the kitchen have not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (undertaken food hygiene training.)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 (We informed the registered manager and managing director that we would contact the )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 Adults \(18-65 years\))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 (39)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 318.8 w 34.6 652 m 562.54 652 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 297.43 w 33.47 640.19 m 563.66 640.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /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 (Environmental Health Department regarding our concerns. They informed us that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (were aware of the issues with the kitchen and that a meeting had already been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (arranged for Thursday to talk to staff. We asked if issues had been discussed before )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (this and they said no. We said that the kitchen should not have been allowed to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (deteriorate to this level before management take action.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The laundry room includes industrial washing and drying machines, flooring and walls )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (that are washable and waterproof. There are also separate storage facilities for soiled )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (and clean laundry.)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 home has two sluice rooms. Since our last key inspection in July 2009 one has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (been refurbished and both now include waterproof flooring and wall.)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 (During our visit to the home we were supplied evidence of fifty one staff working at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (the home. Eleven have received infection control training. Training was identified as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (an area requiring improvement at our last key inspection as remains an issue. This is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (discussed further in the staffing section of this report.)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 Adults \(18-65 years\))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 (39)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 121.25 w 32.32 652.88 m 562.53 652.88 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 34 w 31.2 610.38 m 563.65 610.38 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 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 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, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 463 m 562.54 463 l S 0.001 w 1 1 1 RG 22.5 w 32.35 516.17 m 564.79 516.17 l S 0.001 w 101.85 w 33.47 451.75 m 563.66 451.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 398.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 398.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.7 m 565.87 399.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 512.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 488.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 488.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 470.62 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 36.62 443.75 Tm (Residents are supported by caring staff. Monitoring systems do not ensure sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm (numbers of staff are trained to care for residents. Not all recruitment practises offer )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.76 Tm (safeguards to residents. Staff do not receive regular, formal supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 384.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.8 w 34.6 227.93 m 562.54 227.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.83 m 564.79 364.83 l S 0.001 w 270.43 w 33.47 216.12 m 563.66 216.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 352.45 m 565.87 352.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 352.45 m 564.79 352.45 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 35.5 361.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.77 Tm (We were informed us that one nurse and eight care staff are allocated to the morning )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.27 Tm (shifts and one nurse and four care staff of an afternoon. At night there is one nurse )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (and two care staff. They also informed us that laundry and kitchen staff are employed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm (seven days per week. Rotas that we looked at do not demonstrate staffing levels have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm (been maintained to these levels at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (All the residents that the Expert by Experience spoke with expressed satisfaction with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (staff. The Expert reports 'one resident said, "Staff here are great". Another resident )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm (informed me they got on well with the staff and was genuinely pleased with the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (service received and said they were attentive and polite in all they did. A third resident )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.81 Tm (said that they were quite happy with staff, "they work hard" and "they really look after )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.31 Tm (me".)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (We examined the recruitment records for the two newest staff to commence working )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (at the home. They included completed application forms, two forms of identification )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 Adults \(18-65 years\))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 (39)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 (and two references \(meeting a requirement made at our last key inspection in July )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (2009\). One did not contain evidence of an Enhanced Criminal Bureau Disclosure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (\(CRB\). An ISA Adult First check was on file. Documentary evidence that the member )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (of staff has been allocated a supervisor who where possible is on shift with the new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (worker was not in place. We informed them that a requirement would be made )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (regarding this.)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 (Evidence was in place that confirms all qualified nurses employed at the home hold a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (current PIN \(this meets a requirement made at our last key inspection in July 2009\).)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 (At our last key inspection in July 2009 a requirement was made that a system is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (introduced that ensures suitable numbers of staff receive training in all required areas. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (This must include moving and handling, infection control, safeguarding, food hygiene, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (first aid and health and safety. The registered manager informed us that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (administration manager is responsible for arranging and monitoring training. We were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (given a training matrix that has been introduced to monitor staff training. We were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (informed this is accurate and up to date.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The training matrix details fifty one staff employed at the home. It states that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (seventeen staff have not received fire training, thirty five have not received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (safeguarding training, forty who have not received infection control training, twenty )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (who have not received first aid training and twenty three who have not received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (moving and handling training.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (The matrix also informs that two staff hold a National Vocational Qualification \(NVQ\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (at level 2 with eight others in the process of undertaking this, two staff who hold both )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (level 2 and 3 of this qualification and two staff who are about to start this. The matrix )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (also states two staff are undertaking a NVQ but it does not state at what level.)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 (We noted that the matrix states 'refused' next to two staffs names for NVQ. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (discussed one of these people with the registered manager and the administration )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (manager as the same person holds no qualifications at all. We were informed the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (member of staff refuses to attend training due to working nights. We were informed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (no actions have been taken as a result.)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 training matrix details other courses undertaken by staff as communication \(one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (person\), health and safety \(two people\), peg feed \(six people\), food hygiene \(four )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (staff\) and medication \(one person\). As mentioned in the care planning section of this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (report one resident has specific communication needs. One member of staff knows )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (some sign language. Due to the lack of staff who have been trained in this area the )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 Adults \(18-65 years\))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 (39)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 (resident is unable to communicate their views and wishes at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The training matrix details nine staff with no qualifications or training undertaken in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (any areas and eight other staff with training in one area only. We discussed this with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the administration manager who informed us one of these people does hold )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (certificates from a different employer and that these have been requested. Evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (these were supplied to us the day after our visit.)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 (One of the members of staff who holds no qualifications works nights when only three )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (staff are on duty and the majority of kitchen staff do not hold food hygiene )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (certificates.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (We looked at the staff rotas for the 28th December to 5th January 2010 and cross )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (referenced these with the training matrix. This evidences that six shifts in this time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (period were covered by a nurse with no training other than fire, six night shifts were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (covered by a care assistant with no qualifications at all, one morning shift had a care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (assistant with no qualifications at all and two other shifts had a care assistant with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (training in first aid only. We also found that on five shifts staff carrying out kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (duties have not undertaken food hygiene training.)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 (We issued a Code b notice to the registered manager for the continued shortfalls with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (regard to training that were previously identified at the key inspection in July 2009.)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 (Records confirm that new staff receive a structured induction. When we asked to view )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (staff supervision records we were given a document that details competency )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (assessments undertaken in areas including assisting with personal care and meals. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (asked to view supervision records for staff after they have completed the competency )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (assessments and were informed none is undertaken. We noted that several staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (members have been employed at the home for over two years. The Administration )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Manager confirmed that they would not have received formal, one to one supervision )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (since completing their competency assessments at the beginning of their employment. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (The registered manager said that supervision used to be undertaken but was unable )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (to say why this has ceased.)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 (When looking at the competency assessments we noted that care staff are being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (assessed to undertake enemas and catheter flushes. We asked the registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (manager who trains the care staff in these practises and she supplied the name of a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (member of staff who holds no nursing qualifications. We questioned the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (appropriateness of care staff carrying out these practises when the home is registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (to provide nursing care and has qualified nurses on each shift. The registered manager )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 Adults \(18-65 years\))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 (39)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 161.34 w 34.6 730.73 m 562.54 730.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 139.97 w 33.47 718.92 m 563.66 718.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 647.82 m 565.87 647.82 l S 0.001 w [] 0 d /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 (agreed and said she would stop this practise immediately.)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 (At our last key inspection in July 2009 records were available that demonstrate staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (meetings take place twice a year. This is below the National Minimum Standard for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Younger Adults which recommend a minimum of six per year. At this inspection we )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (were given the minutes of one meeting that took place for night staff and one for day )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (staff. No other records were available for inspection that could evidence improvements )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (have been undertaken in this area.)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 Adults \(18-65 years\))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 (39)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 (Conduct and management of the 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 172.25 w 32.32 627.38 m 562.53 627.38 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 85 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 28.99 628.5 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 28.99 541.25 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 (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (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. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (things should be done. )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 (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 437.12 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 (Management and monitoring systems are not meeting all of the needs of residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (safely and consistently with regards to some residents needs, the environment, staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (training and supervision, medication and recruitment practises. Evidence sited )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (throughout this report indicates that management of the home is reactive, based on )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (outside agencies identifying shortfalls in service provision. This has resulted in an )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm (inconsistent quality service.)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 (The registered manager was present when we visited the home as well as the director. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (Both assisted by providing written documentation and answering questions relating to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (the inspection process. The registered manager has been in post for several years and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (is also a qualified nurse. As a result of a requirement made at our last key inspection )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (in July 2009 residents questionnaires have been introduced to seek their views on the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (service they receive. In October 2009 these were analysed with the majority of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (feedback positive. During this visit we were shown visitors questionnaires that have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (been introduced. These are located at the entrance of the home. The managing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (director informed us that as yet none have been completed. We asked if )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 Adults \(18-65 years\))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 (39)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 213.83 w 34.6 704.49 m 562.54 704.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 192.46 w 33.47 692.68 m 563.66 692.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 595.33 m 565.87 595.33 l S 0.001 w [] 0 d /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 (questionnaires as sent to visitors and were informed they are not.)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 (As mentioned in other sections of this report this inspection has identified non )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (compliance with the Care Home Regulations 2001 with regards to care records, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (environment, staff training and supervision, recruitment and medication. These issues )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (were not identified by the home within its own quality monitoring systems.)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 (Shortfalls in training and medication were previously identified at the July 2009 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (inspection. As a result of this, during this visit we issued code b notices for continued )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (non compliance and informed the registered manager and managing director that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (commission may consider taking further action.)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 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 Adults \(18-65 years\))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 (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 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 (39)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 (5)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 1 546.75 783.16 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 532.47 w 32.32 451.17 m 564.97 451.17 l S 0.001 w 1 1 1 RG 256.86 w 31.2 486.12 m 91.05 486.12 l S 0.001 w 256.86 w 93.3 486.12 m 197.4 486.12 l S 0.001 w 256.86 w 199.65 486.12 m 289.45 486.12 l S 0.001 w 256.86 w 291.7 486.12 m 473.8 486.12 l S 0.001 w 256.86 w 476.05 486.12 m 566.1 486.12 l S 0.001 w 169.38 w 31.2 270.75 m 91.05 270.75 l S 0.001 w 169.38 w 93.3 270.75 m 197.4 270.75 l S 0.001 w 169.38 w 199.65 270.75 m 289.45 270.75 l S 0.001 w 169.38 w 291.7 270.75 m 473.8 270.75 l S 0.001 w 169.38 w 476.05 270.75 m 566.1 270.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 356.56 m 568.3 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 616.75 m 30.07 183.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 183.86 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 92.17 183.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 183.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 183.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 183.86 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 28.99 356.56 m 568.3 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.93 m 568.3 184.93 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 (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (18\(1\)\(a\)\(c\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (ensure that a system is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (introduced that ensures )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (suitable numbers of staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (receive training in all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (required areas. This must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.01 Tm (include moving and handling, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.43 Tm (infection control, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.85 Tm (safeguarding, food hygiene, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.27 Tm (first aid and health and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.69 Tm (safety.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 439.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 424.53 Tm (This must happen in order )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 409.95 Tm (that residents are supported )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 395.37 Tm (by suitably qualified staff at )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 380.79 Tm (all time.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 363.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (07/09/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 343.38 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 340.38 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 340.38 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 340.38 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 325.8 Tm (ensure quality monitoring is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 311.22 Tm (regularly undertaken, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 296.64 Tm (including obtaining the views )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 282.06 Tm (of residents.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 267.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 252.9 Tm (This must happen in order )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 238.32 Tm (that residents receive a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 223.74 Tm (consistent and safe service in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 209.16 Tm (all areas.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 191.58 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 340.38 Tm (07/08/2009)Tj ET endstream endobj 82 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 Adults \(18-65 years\))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 (39)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 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 306 w 31.2 373.8 m 91.05 373.8 l S 0.001 w 306 w 93.3 373.8 m 197.4 373.8 l S 0.001 w 306 w 199.65 373.8 m 289.45 373.8 l S 0.001 w 306 w 291.7 373.8 m 473.8 373.8 l S 0.001 w 306 w 476.05 373.8 m 566.1 373.8 l S 0.001 w 155.65 w 31.2 140.73 m 91.05 140.73 l S 0.001 w 155.65 w 93.3 140.73 m 197.4 140.73 l S 0.001 w 155.65 w 199.65 140.73 m 289.45 140.73 l S 0.001 w 155.65 w 291.7 140.73 m 473.8 140.73 l S 0.001 w 155.65 w 476.05 140.73 m 566.1 140.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 219.68 m 568.3 219.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.68 m 568.3 219.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 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 34.05 596.28 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 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 567.12 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 31.2 549.3 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 514.74 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 514.74 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 514.74 Tm (In line with regulation )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 497.74 Tm (12\(2\)\(3\)\(4\) The registered )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 480.74 Tm (person must enable )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 463.74 Tm (residents to make decisions )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 446.74 Tm (with respect to the care they )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 429.74 Tm (receive. Particular attention )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 412.74 Tm (must be given to choice of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 395.74 Tm (staff undertaking personal )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 378.74 Tm (care, training of staff to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 361.74 Tm (meet the communication )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 344.74 Tm (needs of individuals and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 327.74 Tm (regular meetings where )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 310.74 Tm (residents can express their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 293.74 Tm (views.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 276.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 259.74 Tm (This must happen in order )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 242.74 Tm (that residents rights are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 225.74 Tm (promoted.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 514.74 Tm (05/02/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 206.49 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 206.49 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 206.49 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 206.49 Tm (In line with regulation )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 189.49 Tm (13\(1\)\(b\) the registered )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 172.49 Tm (person must be able to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 155.49 Tm (demonstrate through )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 138.49 Tm (records maintained in the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 121.49 Tm (home that residents receive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 104.49 Tm (any necessary treatment )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 87.49 Tm (from dentists, opticians and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 70.49 Tm (chiropody services.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 206.49 Tm (05/02/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 206.49 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 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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. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 111 0 obj<> endobj 112 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 113 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 114 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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