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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Christ The King)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (68 Tankerville Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Streatham)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (London)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (SW16 5LP)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 331.89 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Lynne Field)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 285.18 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 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 28.35 250.18 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 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Christ The King)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 (68 Tankerville Road )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Streatham)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (London)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (SW16 5LP)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 (02084805028)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 (02084805031)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 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 /F2 10 Tf BT 1 0 0 1 28.35 566.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 539.83 m 353.25 539.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.83 m 565.9 539.83 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 558.54 m 568.1 558.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 521.13 m 568.1 521.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.61 m 30.07 520.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.61 m 354.37 520.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.61 m 567.02 520.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 542.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 542.35 Tm (The Healthcare Professionals )Tj ET /F2 12 Tf BT 1 0 0 1 355.5 527.77 Tm (Services Ltd)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 508.83 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 489.34 m 353.25 489.34 l S 0.001 w 1 1 1 RG 20.58 w 355.5 489.34 m 565.9 489.34 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 466.51 m 353.25 466.51 l S 0.001 w 1 1 1 RG 20.58 w 355.5 466.51 m 565.9 466.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 477.92 m 568.1 477.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.75 m 568.1 500.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 477.92 m 568.1 477.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 455.09 m 568.1 455.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.83 m 30.07 454.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 501.83 m 354.37 454.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 501.83 m 567.02 454.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 484.57 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 484.57 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 461.74 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 461.74 Tm (6)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 442.79 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 425.79 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 406.3 m 565.6 406.3 l S 0.001 w 41.16 w 31.2 373.18 m 297.2 373.18 l S 0.001 w 20.58 w 299.45 383.47 m 565.6 383.47 l S 0.001 w 20.58 w 299.45 362.89 m 432.52 362.89 l S 0.001 w 20.58 w 432.52 362.89 m 565.6 362.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.89 m 567.8 394.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.72 m 567.8 417.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.89 m 567.8 394.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 351.48 m 567.8 351.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.79 m 30.07 350.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 395.96 m 298.32 350.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.79 m 566.72 350.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 401.53 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.7 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 378.7 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 358.12 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 358.12 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 329.4 m 297.3 329.4 l S 0.001 w 35.16 w 299.55 329.4 m 431.45 329.4 l S 0.001 w 35.16 w 433.7 329.4 m 565.6 329.4 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 299.28 m 565.6 299.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 310.69 m 567.8 310.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.86 m 567.8 287.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.03 m 568.1 265.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.1 m 567.8 348.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.69 m 567.8 310.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.86 m 568.1 287.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.03 m 568.1 265.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 198.46 m 568.1 198.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.18 m 30.07 197.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 349.18 m 298.42 309.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 349.18 m 432.57 309.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 349.18 m 566.72 197.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 331.92 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.34 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 331.92 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 331.92 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.51 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.68 Tm (The maximum number of service users who can be accommodated is: 6)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 248.85 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.27 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 219.69 Tm (care needs on admission to the home are within the following categories: Mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 205.11 Tm (Disorder, excluding learning disability or dementia - Code MD)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 183.67 m 315.25 183.67 l S 0.001 w 1 1 1 RG 20.58 w 317.5 183.67 m 346.55 183.67 l S 0.001 w 20.58 w 348.8 183.67 m 377.9 183.67 l S 0.001 w 20.58 w 380.15 183.67 m 409.2 183.67 l S 0.001 w 20.58 w 411.45 183.67 m 440.55 183.67 l S 0.001 w 20.58 w 442.8 183.67 m 471.9 183.67 l S 0.001 w 20.58 w 474.15 183.67 m 503.2 183.67 l S 0.001 w 20.58 w 505.45 183.67 m 534.55 183.67 l S 0.001 w 20.58 w 536.8 183.67 m 565.9 183.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 195.09 m 568.1 195.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 172.26 m 568.1 172.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 196.16 m 30.07 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 196.16 m 316.37 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 196.16 m 347.67 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 196.16 m 379.02 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 196.16 m 410.32 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 196.16 m 441.67 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 196.16 m 473.02 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 196.16 m 504.32 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 196.16 m 535.67 171.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 196.16 m 567.02 171.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 178.9 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 160.38 m 565.9 160.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 150.76 m 568.1 150.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 151.83 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 151.83 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.01 m 568.1 170.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 150.76 m 568.1 150.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 171.08 m 30.07 149.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 171.08 m 567.02 149.68 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 156.82 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 156.82 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 137.57 Tm (Christ the King is a small residential care home that aims to provide 24-hour care and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 120.57 Tm (support in an independent living setting in the community. It can take up to six )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 103.57 Tm (residents, men or women aged 18 -65, who are experiencing mental health difficulties )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.57 Tm (and need continual rehabilitation in the community following their discharge from )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.57 Tm (hospitals or from other care institutions. There are six single bedrooms, four with en )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 723.08 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 (suite facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (The registered manager said the current fees payable for each resident range from )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (#1050-00 to #1500-00 according to the assessment of needs of the resident.)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 553/Matrix [1 0 0 1 0 0]>>stream xMo09> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 40.96 m 566.93 40.96 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 37.19 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 489.47 37.19 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 520 37.19 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.99 37.19 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 545.29 37.19 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 778.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 757.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 737.22 m 381.05 737.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 737.22 m 566.2 737.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 748.64 m 568.4 748.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 725.81 m 568.4 725.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.71 m 30.07 724.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 749.71 m 382.17 724.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.71 m 567.32 724.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 732.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 732.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 732.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 732.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 700.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 624.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 145.27 589.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 555.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 520.91 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 486.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 452.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 417.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 383.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 317.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 266.08 m 567.85 266.08 l S 0.001 w 201.16 w 32.32 152.96 m 566.72 152.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 254.66 m 567.85 254.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.66 m 568.92 254.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 51.25 m 568.92 51.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 255.74 m 31.2 50.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 255.74 m 567.85 50.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 261.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 238.48 Tm (The unannounced inspection was carried out over one day in April 2009. The registered )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 223.9 Tm (manager facilitated the inspection. The inspection included a tour of the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 209.32 Tm (examination of records on care plans, medication records and the complaints book. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 194.74 Tm (home had no vacancies at the time of the inspection. We met all six residents including )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 180.15 Tm (one new resident. We spoke to three staff and the new deputy manager during the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 165.57 Tm (course of the inspection and all were very positive. The new staff told us about their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 150.99 Tm (experience of recruitment and working for the service. We checked relevant policies )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 136.41 Tm (and procedures as well as the resident's files, the care plans and building maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 121.83 Tm (records. During the visit we were able to observe how staff interacted with residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 107.25 Tm (and how residents responded to staff. Two staff and two residents responded to CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 92.68 Tm (survey and comments from these have been included in the report.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 78.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 63.51 Tm (The registered manager returned a standard form, the Annual Quality Assurance )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 1 1 1 RG 90.48 w 32.32 767.29 m 566.72 767.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 720.92 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 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (Assessment \(AQAA\)to CSCI. This was taken into consideration and used as part of the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (inspection process.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (There is a good level of commitment displayed by the registered manager and staff to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (ensure they were meeting the needs of the residents and complying with the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (standards.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 224.7 w 32.32 661.47 m 566.72 661.47 l S 0.001 w 20.58 w 32.7 536.58 m 569.35 536.58 l S 0.001 w 341.34 w 33.82 353.37 m 568.22 353.37 l S 0.001 w 20.58 w 33.45 170.16 m 570.1 170.16 l S 0.001 w 35.16 w 34.57 140.04 m 568.97 140.04 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 548 m 568.92 548 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 546.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 548 m 569.35 548 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 525.17 m 569.35 525.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 525.17 m 570.42 525.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 181.58 m 570.42 181.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 158.75 m 570.1 158.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 181.58 m 570.1 181.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 158.75 m 571.17 158.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 121.34 m 571.17 121.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 526.25 m 32.7 180.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 159.83 m 33.45 120.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 546.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 526.25 m 569.35 180.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 159.83 m 570.1 120.26 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (The registered manager is committed, hard working and motivates the staff team.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (The service promotes independence for residents who have mental health issues and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (offers good individualised specialist care for residents who need high levels of support.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (The manager and care staff manages the challenging behaviour of the residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (professionally and treat the residents with respect and dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (Residents are encouraged to participate in the running of the home and are consulted )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (on issues that are relevant to them through residents meetings.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (Staff are being encouraged to develop their skills to provide a holistic and individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (approach to the care and needs of each resident.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (Complaints are responded to and dealt with immediately.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 659.92 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 534.47 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 531.81 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 535.03 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 351.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 508.98 Tm (The home continues to work hard to comply with the regulations and have all the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 494.4 Tm (records needed to comply with the regulations.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 479.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 465.24 Tm (Documentation relating to the care of the residents is more comprehensive and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 450.66 Tm (contains information on how residents want their care to be provided.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (The registered manager has continued to develop the homes action plan that focuses )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (on the development and improvement of the service. This will help the residents )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm (develop their skills to make them more independent and encourage staff in their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (personal development. .)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 (The manager successfully applied to CSCI to be come the registered manager.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (The policy, storage and handling of medication has been reviewed to ensure there were )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (safer procedures in place. New systems of managing medication have been put in place )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (and there continues to be more rigorous medication checks in order to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (correct administration of the medication and to highlight any errors immediately.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (Three residents are being helped to self medicate and become more independent in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm (this process.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 202.8 Tm (Recruitment procedures are more robust and more permanent staff have been )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 188.22 Tm (recruited, including a deputy a manager.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 351.82 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 168.61 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 165.39 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 138.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (Some maintenance work is required on the kitchen cupboards and the resident's )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (radiators covers to make them safe. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 105.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 85.66 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 85.66 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 85.66 Tm ( is taking )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.1 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 759.1 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 759.1 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 741.61 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 741.61 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 741.61 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 724.11 Tm (7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 740.77 m 562.53 740.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 756.02 m 565.85 756.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 727.77 m 565.85 727.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 757.1 m 30.07 726.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 757.1 m 564.78 726.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 738.89 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 694.52 m 566.93 694.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 690.46 Tm (Choice of home \(standards 1 - 5\))Tj ET 16 w 28.35 672.52 m 566.93 672.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 668.46 Tm (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 650.52 m 566.93 650.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 646.46 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 628.52 m 566.93 628.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 624.46 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 606.52 m 566.93 606.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 602.46 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 584.52 m 566.93 584.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 580.46 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 562.52 m 566.93 562.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 558.46 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 540.52 m 566.93 540.52 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 536.46 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 516.46 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 494.59 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 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 229.33 w 34.6 359.51 m 562.54 359.51 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 206.83 w 33.47 348.26 m 563.66 348.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 242.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 242.64 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 31.27 243.72 m 565.87 243.72 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (The information in the Statement of Purpose and Resident Guide needs to be revised )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (to include details of the changes in the organisation.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (Residents have their needs assessed by senior staff before they move to the home )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (and know that staff have decided that the home can meet their needs before they )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm (move there.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 287.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.28 Tm (Prospective residents and their relatives can come and look around the home and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 252.78 Tm (meet staff before they decide to move there.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 228.04 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 135.82 w 34.6 149.94 m 562.54 149.94 l S 0.001 w 1 1 1 RG 22.5 w 32.35 208.85 m 564.79 208.85 l S 0.001 w 114.45 w 33.47 138.13 m 563.66 138.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 196.48 m 565.87 196.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 197.56 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 197.56 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 196.48 m 564.79 196.48 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 35.5 205.54 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (There has been one resident admitted since the previous inspection in April 2008. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (manager said they always go to see a prospective resident to do an assessment at the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (place the prospective resident was living and gather information about the resident. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (The resident would then be invited to come to spend time in the home and meet all )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (the residents living there. If they liked it they would come for a day with any friends )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (or family. If this is successful there would be a discharge meeting when the whole )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 423.78 w 34.6 599.52 m 562.54 599.52 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 402.41 w 33.47 587.7 m 563.66 587.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 384.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 384.3 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 31.27 385.38 m 565.87 385.38 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 (care package is put together. We met the resident who had been recently admitted. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (They said they had visited the home before making a decision about whether to come )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to live at the home and had all the information they needed to make a decision about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (whether to live there or not. They had stayed over night as well as coming for a meal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (and had a chance to meet the residents who were living at the home as well as the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (staff of the home. Another resident said they had visited the home several times )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (beforre moving in. They said "it is a lovely house. A really nice home".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (We checked the statement of purpose and resident guide and noted these had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (reviewed and updated to include all the information relating to the changes in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (management of the home. We were told and saw each resident had a copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (statement of purpose and resident guide in their bedroom.)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 (We looked at three residents files including the new residents and noted they all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (contained a community care assessment and the relevant assessments and summary )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (of needs that were completed by the home before the resident came to live there were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (seen on file. Care plans that were developed from these gave a thorough description )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (of resident behaviours, reactions and preferences and how the resident was to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (treated. There were immediate, medium term and long-term goals and these are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (reviewed monthly and recorded.)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 (Risks were identified and how these would be minimised, with actions agreed and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (recorded.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 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 194.33 w 34.6 360.01 m 562.54 360.01 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 171.84 w 33.47 348.76 m 563.66 348.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 260.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 260.64 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 31.27 261.71 m 565.87 261.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Families and other professionals are involved when reviews are held.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (Residents are consulted and supported to make decisions about their lives by staff and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (appropriate independent professionals.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.27 Tm (Care plans are thorough and reflect residents' needs and goals and are reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.77 Tm (within the allotted time scale or before if needed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 246.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 153.82 w 34.6 158.93 m 562.54 158.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 226.84 m 564.79 226.84 l S 0.001 w 132.45 w 33.47 147.12 m 563.66 147.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 214.47 m 565.87 214.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 215.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 215.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 214.47 m 564.79 214.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 223.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (We checked three resident files including the new residents file and noted that the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (care plans gave a thorough description of resident behaviours, reactions and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (preferences and how the resident was to be treated. The residents care plans and risk )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (assessments are individualized that are developed with the resident participating fully )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (and in consultation with the residents family, care co-coordinator and other )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (professionals. We were told the risk assessments from the previous placement would )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (be checked and then the home would develop their own risk assessments to suit the )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 559.26 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 (residents changing needs. The care plans are written based on the residents assessed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (needs and information gained during the assessment. There is a lone working risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (assessment for each resident. Care plans reviewed regularly within the allotted time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (scale or sooner if things have changed or there have been developments in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (residents behaviour and life. We saw copies of the care plans that indvidulised and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (different for each resident. We saw a copy of the initial six week review, the three )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (monthly review and from then on the monthly reviews. The care plans we checked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (were signed by the residents,)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (We were shown copies of the minutes of residents meetings and staff meetings where )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (the choice of activities has been discussed by staff and residents. These are held every )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (two months. Residents fully participate in home meeting and one resident said they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (could say what they wanted to and they were listened )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 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 281.81 w 34.6 282.27 m 562.54 282.27 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 259.32 w 33.47 271.02 m 563.66 271.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 139.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 402.88 m 564.79 139.16 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 31.27 140.23 m 565.87 140.23 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 0.99216 0.89804 0.5451 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 (Residents are encouraged to develop independent skills and interests as well as access )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 324.25 Tm (the community with the support of staff when required.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 289.26 Tm (Families and friends are encouraged to keep in touch with the residents and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 271.77 Tm (participate in social activities.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 254.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 236.77 Tm (Residents engage in appropriate, enjoyable and fulfilling activities and mix with the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 219.28 Tm (general community.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 201.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 184.29 Tm (Residents rights and responsibilities are respected.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 166.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 149.29 Tm (A healthy diet is provided, which the residents enjoy.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 124.55 Tm ()Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 774.35 Tm (Each resident has an individual activities programme designed to meet their needs. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 756.85 Tm (Some of the weekly activities were related to independent living skills, such as )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 739.36 Tm (cooking, laundry and keeping their room clean. Care plans are very well developed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 721.86 Tm (and include clear details of residents needs and how they can be met. Residents are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 704.36 Tm (also encouraged to take part in activities commissioned by outside specialists such as )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 686.87 Tm (reflexology, aromatherapy and healthy eating and this continues to be developed. In )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 669.37 Tm (this way residents are supported and encouraged to take part in activities that are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 651.88 Tm (enjoyable, beneficial to their mental and physical health and which give them the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 634.38 Tm (opportunity to develop skills within their abilities. Residents said they felt free to say )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 616.88 Tm (what type of activity they wanted to take part in. We noticed one resident seemed to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 599.39 Tm (be particularly reluctant to get up out of bed and it was quite late in the day before )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 581.89 Tm (they came downstairs although they had been up for breakfast. The manager and staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 564.4 Tm (said the resident will come down to make themselves a meal and they do try to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 546.9 Tm (motivate them to do more in the home. We were told by the registered manager the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 529.4 Tm (residents are encouraged to take part in activities they enjoy instead of being told )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 511.91 Tm (which ones to participate in. One resident told us in the survey they returned to us as )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 494.41 Tm (part of the inspection, "I spent a lot of time in my bedroom by choice. I am a loner )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 476.92 Tm (and find it hard to mix with people, which has added to my depression and other )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 459.42 Tm (problems".)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 441.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 424.43 Tm (The home adopted the Rehabilitation Recovery Model of social inclusion that was )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 406.93 Tm (introduced by the present manager who has encouraged residents use the community )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 389.44 Tm (amenities like anybody else. They do their own shopping for their food, attend local )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 371.94 Tm (events and eat out in various restaurants. We were told they continue to go to one )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 354.44 Tm (particular favorite Pakistan restaurant which is near the home that they all enjoy going )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.95 Tm (to. The resident who has independently formed friendships with storekeepers from his )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.45 Tm (own country, shares new with him from his home country. The home has checked that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.96 Tm (this is acceptable by the shopkeepers and was assured it was. Two residents go to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.46 Tm (local church or sometimes as a change with staff to their church. The ladies go to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.96 Tm (local hairdressers saloon and the males to local barber.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.97 Tm (The manager and staff said residents were taking more responsibility for self )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.48 Tm (managing the number of cigarettes they smoke. Residents are being supported to do )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.98 Tm (this and this has been written into their care plan and helps them become more )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.48 Tm (independent.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.49 Tm (Birthdays are celebrated, and family members always attend. Relatives and care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127 Tm (coordinators are invited to attend social activities and religious celebrations. The staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.5 Tm (and residents said the home celebrated all faiths of the residents. Residents told us )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92 Tm (about a recent birthday party which residents family had come with gifts and a cake. )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 493.76 w 34.6 564.52 m 562.54 564.52 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 472.39 w 33.47 552.71 m 563.66 552.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 314.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 314.31 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 31.27 315.39 m 565.87 315.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The residents have said although they are of different faiths and cultures, one from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (India, one from Mauritius, one from Sri Lanka and two from Britain they all wanted to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (celebrate Christmas. One resident said they spoke to their family every week. Another )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (resident goes to visit their family and their relatives are always visiting and keeping in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (touch. Relatives are encouraged to visit the home and keep in contact with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (resident. Relatives said the home keeps them informed about what is going on in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (home and the only way they knew about a review meeting was by the home telling )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (them it was to take place.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Residents said they enjoy the meals served at the home. We were told by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (residents and the manager that residents choose and prepare their own breakfast and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (evening meal. This means residents are able to cook their preferred dishes with some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (supervision from staff. They told us they enjoyed their meals and they are able to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (choose what they want to eat instead of rigidly sticking to the weekly menus. The staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (said this is easy to implement because of the smallness of the home. One resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (takes pride in cooking their ethnic meals on a regular basis and another does so once )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (in a while. The resident goes out with a member of staff to shop for the type of food )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (they wanted to eat and cook. They have a midday meal prepared for them by staff but )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (are encouraged to help prepare this. One resident has several large bowls of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (homemade soup made for them that has helped them cut down on their alcohol )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (intake. They said they really enjoy the soup and it is very fresh and tasty.)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 (We were told each resident has been given a mobile phone and a badge with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (homes details on it that they can pin somewhere discreet, to enable them to contact )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (the home in an emergency. This has been agreed with their families and is written in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (their care plan along with the risk assessment.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.25 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 159.34 w 34.6 411.5 m 562.54 411.5 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 136.85 w 33.47 400.25 m 563.66 400.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 329.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 470.88 m 564.79 329.63 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 31.27 330.7 m 565.87 330.7 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 454.12 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 (Residents receive personal support, in the way they prefer and their physical and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.25 Tm (emotional needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.26 Tm (Medication is handled safely.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 339.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 222.81 w 34.6 193.43 m 562.54 193.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 295.84 m 564.79 295.84 l S 0.001 w 201.44 w 33.47 181.62 m 563.66 181.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 283.46 m 565.87 283.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 284.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.46 m 564.79 283.46 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 35.5 292.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.78 Tm (We looked at three residents personal files including the new residents file. The home )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.28 Tm (has developed Holistic Individualised care plans to ensure that the residents needs are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.79 Tm (thoroughly assessed with their participation and the appropriate care and support )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.29 Tm (given. These contained all the information staff need to support the residents in their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.79 Tm (preferred personal care routines and details of how much help an individual requires )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.3 Tm (with different personal care tasks. We spoke to all the residents during the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.8 Tm (who said they were pleased with the support they were being given by the home. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.31 Tm (Each resident has their own folder they have access to.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.31 Tm (Residents are registered by the local GP and have the initial baseline medical check )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.82 Tm (appointment when they come to live at the home. There were records on file of )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (routine checks to the dentist, chiropodist, and appointments. Emergency )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (appointments are made with the GP, if the need arises. All the appointments are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (entered in the diary, so that they will not be missed. The record of health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (appointments attended indicated that staff supports each resident to attend an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (appropriate range of healthcare appointments in line with their individual healthcare )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (needs. Records include the outcome of the appointment.)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 (The home works with the Diabetic Nurse and Incontinence Nurse to meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (individual residents. The new resident has been a diabetic for many years and is able )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (to control this independently. They check their blood each morning and record it in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (their book. This is monitored by the home and the Diabetic Nurse who support the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (resident and home. One resident attended the smoke cessation clinic run by the local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (pharmacist and now controls their cigarettes with the support of staff. Another )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (resident is a recovering alcoholic and has been helped by the home to cut down on his )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (consumption of alcohol by eating bowls of homemade soup several times a day.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Residents weight, blood pressure, temperature and pulse are monitored and recorded )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (weekly, so that potential health problems can identified and dealt with at early stage.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The home also works closely with the Community Mental Health Teams for the mental, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (psychological, social and financial factors of the residents. The residents attend )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (regular appointments with Psychiatrist where their mental state is assessed and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (medication reviewed. Community Programme Approach meetings are carried out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (every six months either in the home or at the CMHT. The resident, their family, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (staff of the home, their care coordinator and other professionals involved in their care, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (attend these comprehensive meetings where the whole care package is reviewed.)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 (The home now places more emphasis on educating, developing and promoting the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (independence of residents. To help residents become more independent and give )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (them more control in their lives, two residents are being encouraged to manage their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (own cigarettes and tobacco-smoking regime. Another resident is managing his alcohol )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (drinking in a socially accepted manner.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (We checked three residents medication and all were correct. We found the medication )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (procedures have continued to improve and they now use blister packs. Three residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (are being helped to self medicate. This was risk assesssed. Each resident has a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (medication book where medication coming into the home or is returned to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (pharmacy is recorded and this is written on a new page each month. We checked were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (told the storage and handling of medication is managed according to the home policy )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (and this had been reviewed to ensure there were safer procedures in place. The bottle )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 336.3 w 34.6 643.26 m 562.54 643.26 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 314.93 w 33.47 631.44 m 563.66 631.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 471.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 471.78 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 31.27 472.86 m 565.87 472.86 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 (of eye drops had the date of opening and when it should be discarded. Rigorous )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (medication checks have been put in place in order to ensure the correct administration )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (of the medication and to highlight any errors immediately. Medication charts are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (written more clearly and different strengths of the same medication are recorded on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (separate lines. Only the trained nurses dispense medication. The local pharmacist )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (audits the medication every six months and has recorded there were no problems. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (manager told the inspector she does a medication spot check every week and records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (this on the medication charts. The manager said if a mistake was made the manager )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (would immediately contact the member of staff involved and dealt with in supervision )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (and through refresher training. Medication issues are discussed at staff meetings and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (in supervision. The manager says she feels the more medication is discussed the more )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (it raises staff awareness. None of the residents are self-medicating at the moment. If )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (there are concerned about the effects of medication on a resident, they inform their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (GP and Psychiatrist and ask for medication review. The home thought one resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (could be ready to self medicate, but after some discussion with the care coordinator )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (and other professionals at the residents review meeting, it was decided not to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (introduce this yet.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. 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 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (Practices and training at the home ensure that residents are protected from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm (Residents confirmed that they felt their views were listened to and acted upon.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 325.8 w 34.6 244.93 m 562.54 244.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 304.43 w 33.47 233.12 m 563.66 233.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 370.77 Tm (The complaints book is on display in the hall for residents or visitors to look at or write )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (in and there is a copy of the complaints procedure on the notice board in the hall. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (There have been a number of complaints by neighbour about noise who had also )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (contacted CSCI as well as being in touch with the home and their local MP. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (complainant has sent us a a number of documents and records relating to their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (complaint which are very comprehensive. This was referred back to the home who )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (dealt with appropriately by contacting the complainant. During the inspection we )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (spoke to the manager about the complaint. At this time the home feels it has dealt )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (with it fully and addressed all the concerns by putting procedures in place to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (noise levels are kept down. The manager said she continues to monitor the situation )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (and speaks to residents and staff about appropriate noise levels and behaviour. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (Appropriate professionals have been informed. The manager said they take all )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (complaints seriously and aim to deal with them promptly and within the time scales. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (Every resident has the complaint procedure in their information booklet. All )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (communication relating to complaints are well documented. The manager said they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (have continued to maintain a reflective log on all complaints received to enable them )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (to pro actively deal with situations before they arise, by observing a trend. There are )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (diagnostic discussions among staff, which always follow any complaints received, in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (order to elicit the cause of the complaint and plan ways to resolve the complaints )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (amicably.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (We spoke to all the residents and who said they were happy living at the home. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (spoke to one resident who said it is good here and would speak to the manager or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (staff if they had any complaints.)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 (There is an adult protection policy and procedure in place including whistle blowing. In )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (addition, there is an appropriate restraint policy, stating that restraint should be used )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (only as a last resort. We spoke to the manager and care staff during the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (about adult protection and they said there were different types of abuse, not just )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (physical abuse, such as verbal abuse and financial abuse. They said if they suspected )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (abuse was happening they would reassure the resident and report what they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (suspected to the manager. We saw each resident had a care plan on adult )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (safeguarding deprivation of liberty and the mental capacity act. This stated the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (residents identified need, goals, types of abuse and how the resident will be protected. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Staff said they had access to all the policies and procedures in the home and if they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (were not sure of anything they could look it up. Staff said they had training on POVA )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (and whistle blowing and said they felt confident that they would know what to do. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (manager said they have never had to use any restrain on the residents but if they had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (to they would follow their restraint policy. She said staff are aware that this should be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (used as a last resort and this is reinforced during any training they have.)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 (We saw copies of the minutes of the residents meetings and noted that residents are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (encouraged to speak out about any concerns they may have. In the past residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (were put in touch with the Croydon Advocacy Service, an independent advocacy )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (service. The manager said if the need arose they could contact them again for any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (help they might need. The home said they were aware that because of the mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (health issues the residents have, relying on written documents to facilitate complaints )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (can be dis empowering and they endeavored to find other ways of empowering them. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (They said they always remind residents about the complaints procedure and their right )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (to complain and to keep them up to date with the latest complaints procedures from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (their providers.)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 manager has been empowering residents to look after their own money. One )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (resident has managed to save a large sum of money by not drinking so much and this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (has pleased them. One resident manages their own money and has a bank account. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (Four other residents have their own bank account and staff supports them to the bank )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (and make transactions. All money is recorded in separate named residents books and )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (is checked by two staff at the daily handover. One residents support plan is learning to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (take responsibility of the budgeting of their money.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 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 159.34 w 34.6 445.5 m 562.54 445.5 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 136.85 w 33.47 434.25 m 563.66 434.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 363.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 363.63 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 31.27 364.7 m 565.87 364.7 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 488.12 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 (The home is comfortable with adequate private and shared space, toilets and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm (bathrooms. Residents' bedrooms promote their independence.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.26 Tm (The home is generally well maintained and furnished apart from the radiator covers in )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 373.77 Tm (residents bedrooms that need to be repaired to make them safe.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 349.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 256.81 w 34.6 210.43 m 562.54 210.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 329.84 m 564.79 329.84 l S 0.001 w 235.44 w 33.47 198.62 m 563.66 198.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 317.46 m 565.87 317.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 318.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 317.46 m 564.79 317.46 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 35.5 326.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (The manager showed us around the home. Most of the home was well decorated and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm (homely. but there were a number of areas that requires attention. Such as the kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm (unit doors needed to be repaired and at least two radiator covers were broken. This )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm (was pointed out to the manage who said they would get the handy man to mend )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (them. This needs to be done as it could be a health and safety risk. There is a good )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (range of communal spaces, including large lounge / dining room. The garden has a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm (raised patio area that has been extended to include a walkway to the large heated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (outhouse that is used for some of the homes activities. Residents are encouraged to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.81 Tm (smoke outside but in the colder weather they use the heated out house when it is not )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.31 Tm (being used for activities. There is a personal computer available in the lounge area for )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm (use by the residents. One resident in particularly enjoys using this and was using it )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (during the inspection. There is large kitchen that leads off the dinning area. As stated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (above some of the kitchen units need to be repaired or replaced. The door between )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 353.8 w 34.6 634.51 m 562.54 634.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 332.42 w 33.47 622.7 m 563.66 622.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 455.36 m 565.87 455.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (the kitchen and the living area, which is a fire door, has been fitted with a fire door )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (guard that was recommended at a previous inspection. From the kitchen is a door )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (leading to a small passage. To the left is a laundry that has a washing machine and a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (dryer. Opposite this is a small toilet with a wash hand basin. There is a sink installed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (for clothes that need to be hand washed. Residents said they were supported by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (staff to do their washing and ironing and this was written in their care plans.)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 (There are six single bedrooms over three floors. There is one bedroom on the ground )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (floor and all bedrooms are of adequate size with four having en-suite facilities. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (were shown and visited four residents bedrooms. The residents who spoke to us said )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (they were happy with their bedrooms and they had been able to make them homely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (by bringing personal possessions. All the residents have a television in their bedroom. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The home is clean and well maintained apart from the previously mentioned radiator )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (covers and kitchen cupboards. It is decorated and furnished in a comfortable style. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (The staff and residents continue to do a good job keeping the house clean.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()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 ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 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 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 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 159.34 w 34.6 445.5 m 562.54 445.5 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 136.85 w 33.47 434.25 m 563.66 434.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 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 32.35 363.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 363.63 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 31.27 364.7 m 565.87 364.7 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 488.12 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 (Staff files and the homes recruitment policy and practices continue to improve and are )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm (robust.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.26 Tm (Staff are having regular appropriate training and supervision to enable them to meet )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 373.77 Tm (the needs of the residents. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 349.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 256.81 w 34.6 210.43 m 562.54 210.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 329.84 m 564.79 329.84 l S 0.001 w 235.44 w 33.47 198.62 m 563.66 198.62 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 317.46 m 565.87 317.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 318.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 317.46 m 564.79 317.46 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 35.5 326.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (The home has recruited a number of perminent staff and now has eight staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm (members. There is an ongoing action plan for the development of the home. We were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm (told this was one of the key areas the manager has looked at and wanted to to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm (develop the staffing. This included looking at recruitment procedures and the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (recruitment of permanent staff, staff induction process, skills and knowledge of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (staff. She said she wanted to make sure she gets the right staff and has recently )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm (employed a deputy manager who started to work at the home the week before the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (inspection as well a member of staff who will be the activity co ordinator.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.31 Tm (We checked three staff files. Two were new members of staff and we met both staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm (during the inspection. All staff files viewed there were two written references, a signed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (copy of their contract stating terms and conditions and Criminal Records Bureau )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (checks as required including confirmation of training that has been undertaken. There )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 686.22 w 34.6 468.3 m 562.54 468.3 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 664.85 w 33.47 456.48 m 563.66 456.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 121.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 121.86 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 31.27 122.93 m 565.87 122.93 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 (were copies of the certificates of training the staff had received held on their files. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (included induction training and mandatory training, diversity and equality training.)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 (The manager said all staff including agency staff is given mandatory training when )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (they first come to the home. The manager said when a new member of staff started )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (they would have weekly supervision sessions then these would be monthly to six )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (weekly after the initial induction period had taken place. During the probational period )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the home will monitor the staff attitude, abilities and skills in terms of residents care. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (All staff have training and development plans. We could see from these they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (completed their mandatory training. Staff are given information about the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Minimum Standards so they have an understanding of the expectation of the service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (provided to the residents. We were told all staff have had training in adult protection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (issues.)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 home has a qualified nurse on each shift and care assistants who hold the NVQ )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (qualification or are in the process of doing so. Staff have regular clinical supervision )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (and their performance is reviewed through use of annual appraisals. Other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (professional development offered through in house training as well as training offered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (by various organisations or arranged by the management of the home.)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 were shown copies of the staff meetings and these indicated that the home had a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (high level of commitment to raising the standards of care the residents were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (receiving. The manager emphasised the importance of staff training and encouraged )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (staff to come up with new ideas that will improve the quality of the service. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (manager had arranged for support workers to attend medication training and is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (arranging for support workers to attend Croydon College to take NVQ level 3.)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 (We were able to speak to two staff who had recently started work at the home. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (said the induction was done with the manager and things were explained clearly if )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (they had any questions. One nurse who responded to the CSCI survey said the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (provided on going training for staff such as medication, care plans and any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (relevant up to date issues. Staff said they had regular supervision every six weeks and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (it was noted there were copies for the supervision notes on file, which were signed by )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (the manager and the member of staff.)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 ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /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 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 0.99216 0.89804 0.5451 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 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 89.36 w 34.6 429.49 m 562.54 429.49 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 66.86 w 33.47 418.24 m 563.66 418.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 382.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 382.61 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 31.27 383.69 m 565.87 383.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 368 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 275.79 w 34.6 219.92 m 562.54 219.92 l S 0.001 w 1 1 1 RG 22.5 w 32.35 348.82 m 564.79 348.82 l S 0.001 w 254.42 w 33.47 208.11 m 563.66 208.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 336.45 m 565.87 336.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 337.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 337.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.45 m 564.79 336.45 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 35.5 345.51 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 320.76 Tm (The manager started to work in the home in February 2008 and applied and has been )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 303.27 Tm (accepted by CSCI as the registered manager of the home. She is a trained registered )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 285.77 Tm (mental health nurse. She is a teaching award and is an NVQ assessor D32 / D33. She )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (has past experience in managing a rehabilitation unit and has experience and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (knowledge having worked in the various fields of general nursing and various aspects )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (of mental health nursing. She puts the residents "first" but doesn't loose sight of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (needs of the staff.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (The residents and staff spoke highly of her and said she has continued to improve the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (home. Staff said they have regular contact with the manager who gives support and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (clarification on any issues that are of concern to them. Another member of staff said )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm ("she always gives her support". One resident said they "thought the manager is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (superb and the team are amazing." They said "I am amazed how I have improved )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (since I arrived at the home". The manager said she thinks in the terms of )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 371.29 w 34.6 625.76 m 562.54 625.76 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 349.92 w 33.47 613.95 m 563.66 613.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 436.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 436.79 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 31.27 437.86 m 565.87 437.86 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 ("rehabilitation" and of residents developing their skills to their meet their full potential )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (rather than being looked after by staff as well as believing staff need to develop their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (skills too. Staff continued to say "since the manager took over there has been a lot of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (improvements and to provide holistic care for each resident" and "there continues to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (be more outing for residents and with staff learning about more about rehabilitation".)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 (Residents said they are given the opportunity to give their views of the home at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (residents meetings, which were recorded in the minutes of the meeting that are held )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (every two months. We saw copies of the minutes of the meetings. The home showed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (us copies of the completed residents surveys and they were all very positive. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (found there is a relaxed feel about the home and when we had to speak to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (manager about the complaint made about the noise the manager dealt with it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (immediately. Residents said they felt that their views were listened to and at residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (meetings they felt they could speak up. One new resident said they "felt able to speak )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (to staff about any concern they had and they would get an answer".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The home has policies and procedures in place around health and safety. We checked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (the records relating to health and safety measures and servicing of the equipment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (these were correct and up to date.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 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 0.99608 0.9451 0.76078 RG 66.74 w 31.2 593.85 m 566.2 593.85 l S 0.001 w 30.3 w 31.2 543.08 m 91 543.08 l S 0.001 w 30.3 w 93.25 543.08 m 197.4 543.08 l S 0.001 w 30.3 w 199.65 543.08 m 289.5 543.08 l S 0.001 w 30.3 w 291.75 543.08 m 473.9 543.08 l S 0.001 w 30.3 w 476.15 543.08 m 566.2 543.08 l S 0.001 w 1 1 1 RG 170 w 31.2 440.68 m 91.05 440.68 l S 0.001 w 170 w 93.3 440.68 m 197.4 440.68 l S 0.001 w 170 w 199.65 440.68 m 289.45 440.68 l S 0.001 w 170 w 291.7 440.68 m 473.8 440.68 l S 0.001 w 170 w 476.05 440.68 m 566.1 440.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 527.88 m 30.07 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 353.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.55 m 568.3 354.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 595.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 513.62 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 513.62 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 513.62 Tm (Radiator covers in the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 496.62 Tm (residents bedrooms must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 479.62 Tm (repaired and kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 462.62 Tm (cupboard doors repaired. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 445.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 428.62 Tm (Radiator covers need to be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 411.62 Tm (repaired to ensure residents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 394.62 Tm (are not able to fall against a )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 377.62 Tm (hot radiator and burn )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 360.62 Tm (themselves. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 513.62 Tm (01/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 299.39 m 566.2 299.39 l S 0.001 w 18.15 w 31.2 254.41 m 91.05 254.41 l S 0.001 w 18.15 w 93.3 254.41 m 197.35 254.41 l S 0.001 w 18.15 w 199.6 254.41 m 566.2 254.41 l S 0.001 w 1 1 1 RG 49.74 w 31.2 219.34 m 91.05 219.34 l S 0.001 w 49.74 w 93.3 219.34 m 197.4 219.34 l S 0.001 w 49.74 w 199.65 219.34 m 566.1 219.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 246.41 m 30.07 192.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 246.41 m 567.22 192.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.61 m 568.4 264.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 245.33 m 568.3 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 246.41 m 92.17 192.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 246.41 m 198.52 192.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.18 m 568.4 334.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.61 m 568.4 264.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.34 m 568.3 193.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 335.26 m 30.07 244.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 265.69 m 92.17 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 265.69 m 198.47 245.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 335.26 m 567.32 244.26 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 317.99 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 300.41 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.83 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.25 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 250.43 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 250.43 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 250.43 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 229.15 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 229.15 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 229.15 Tm (The home could look at different ways of getting the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214.57 Tm (resident who is reluctant to participate in activities and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 199.99 Tm (daily living skills by involving other professionals. )Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj[6 0 R/XYZ 0 272 0] endobj 82 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 93 0 obj<> endobj 94 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578 889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 95 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 32 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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5F#]2mNǑ|q鍛x,lW+ؓy"0tEΪz".D犿v5T`c!L];Tzeд}앑JZ qUk٣|CCW뇵Ȱ$:@D?^h>:,bt `Jea&iM:M+I~;!XEr;PF@ݴ#HkgQ@ B &abXPxNIԎ9YW {" L_Ee8+7@z M^k0^Ɏ^|opkP.Tv߳c:M.unA~F#kdž}>7VvZ!: ɨݘՕc>q:C.Hn)|7U)> ւXfJ86HW/jה mG]k8e .( Q1u??zOb_fV֊ٷ| LX2MT3h>!6s0`$S$e(grRCPy7&^xOvumڽiY3sЈݴu8n旵.Uhǖ*6muѕR@E)jIB!<Gcv׾VǑAUD~E kYxƿc8@zaSϚ21uw6>/yp@J "6:Wi,wԏj*l])qoIz9R1|%cb72JH냷~t>v}۟l}-Sa\FA1>R#fe6,qW瞖lT5[' e. ^?*+KO>]+3u/Ģy]a{=5cb3T#8I}oEI_t7iI? #.4M alGa ҷ4ހ[#[1w# >v[B1j/*fcJwq}J`UC4$hI ҲaYFGEO ٝoo#xM ?t.3|I`EAAEUv|W7x?;U(MܗEJfNd ]rJP R 12; ׆n1Gu^o"i"@f/ 7-NQ6Z->YSi."Ctt3\Sׄ:iC()_Ĥ܈r]k\יJjU L$]3>Z8Hs[2X"ҦW-uoY1/Hauw Ӊ#IF &|Nv}fɢ@hnɍ)]3}5t3(}]5ʔ nbV_DniF@G)${3{ԭ{ÛNRK(".ñ9.IZ%l|@}HMnL7pU<(ʘ8zaХ z9Vvbn0VXIGR>НSN5^8f=GO:lϡt+nN㷁,xW#XGX} W$.,n,F$+j6^ q[5\k1r;fRQv&k̃nYtRȪEkgQ`ֹ n{Ev @hFlM(8yS CōV fK -+p刍@;vp7_dDTD6:Ndˁ7>z1q Np潥p舮zDZr1}U?=:*+ ϧfŪ6O- ݡWќ0` bld}e 0tw[rZ-D s_=7zl v6[f)DRI܂ȍK9L QD`rO"pBtKs` HKS){V̊Ew."@_@l<K]r^d<}AiFKL/{D%PRfEFKBe?|yQFCc{_4yNZ͉RYܼǡc 6uleG$m衲"ҎG`~ԹS r ,|> ٤+uנcX(37Cms/ 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iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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