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We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 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1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 705.6 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. 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The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Rose Park)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 (4 )Tj ET /F2 12 Tf BT 1 0 0 1 284.9 746.62 Tm (Park Avenue)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Bridlington)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (N Humberside)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (YO15 2HL)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 (01262672720)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 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (fillingham9@hotmail.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 126.48 w 32.32 510.05 m 564.77 510.05 l S 0.001 w 1 1 1 RG 35.16 w 355.5 556.83 m 565.9 556.83 l S 0.001 w 20.58 w 31.2 503.88 m 565.9 503.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 481.05 m 353.25 481.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 481.05 m 565.9 481.05 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 458.22 m 353.25 458.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 458.22 m 565.9 458.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 538.13 m 568.1 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 567.8 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 537.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.13 m 567.8 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 568.1 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.81 m 568.1 446.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 493.54 m 354.37 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 445.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Mrs Paula Rosina Fillingham and )Tj ET /F2 12 Tf BT 1 0 0 1 355.5 544.77 Tm (Mr Roger Frank Fillingham)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 521.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 499.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 476.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 476.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 453.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 453.45 Tm (10)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 434.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 417.51 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 375.19 m 564.47 375.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 409.43 m 567.8 409.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.19 m 567.8 343.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 410.51 m 30.07 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 387.68 m 298.32 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 410.51 m 566.72 342.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 393.25 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.42 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 370.42 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 349.84 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 349.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 328.4 m 297.3 328.4 l S 0.001 w 20.58 w 299.55 328.4 m 431.45 328.4 l S 0.001 w 20.58 w 433.7 328.4 m 565.6 328.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 305.57 m 565.6 305.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 567.8 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.59 m 568.1 227.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 568.1 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.59 m 568.1 227.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 204.76 m 568.1 204.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 340.89 m 30.07 203.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 340.89 m 298.42 315.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 340.89 m 432.57 315.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 340.89 m 566.72 203.68 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 323.63 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 323.63 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 323.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.97 Tm (1. The registered person may provide the following category of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 263.39 Tm (home only: Code PC, to service users of the following gender: Either, whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 248.81 Tm (care needs on admission to the home are within the following categories: Learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.23 Tm (disability: Code LD.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 211.4 Tm (2. The maximum number of service users that can be accommodated is: 10.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 189.97 m 315.25 189.97 l S 0.001 w 1 1 1 RG 20.58 w 317.5 189.97 m 346.55 189.97 l S 0.001 w 20.58 w 348.8 189.97 m 377.9 189.97 l S 0.001 w 20.58 w 380.15 189.97 m 409.2 189.97 l S 0.001 w 20.58 w 411.45 189.97 m 440.55 189.97 l S 0.001 w 20.58 w 442.8 189.97 m 471.9 189.97 l S 0.001 w 20.58 w 474.15 189.97 m 503.2 189.97 l S 0.001 w 20.58 w 505.45 189.97 m 534.55 189.97 l S 0.001 w 20.58 w 536.8 189.97 m 565.9 189.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 201.38 m 568.1 201.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 178.55 m 568.1 178.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 202.46 m 30.07 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 202.46 m 316.37 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 202.46 m 347.67 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 202.46 m 379.02 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 202.46 m 410.32 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 202.46 m 441.67 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 202.46 m 473.02 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 202.46 m 504.32 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 202.46 m 535.67 177.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 202.46 m 567.02 177.48 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 185.2 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 166.68 m 565.9 166.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 157.05 m 568.1 157.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 158.13 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 158.13 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 176.3 m 568.1 176.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.05 m 568.1 157.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 177.38 m 30.07 155.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 177.38 m 567.02 155.98 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 163.12 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 163.12 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 143.87 Tm (Rose Park is situated in a residential area of Bridlington; it is close to local amenities )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 126.87 Tm (including shops and public transport. It is only a short journey into the town centre )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 109.87 Tm (where more facilities, including shops, are found.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 92.87 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 75.87 Tm (The home is a detached property and offers a small courtyard area to the rear.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 58.87 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 706.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 706.08 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 28.99 707.15 m 568.1 707.15 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 (Accommodation is over two floors with the the communal areas and two bedrooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (being on the ground floor, and further bedrooms and bathrooms being on the first )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (floor. All of the bedrooms are single and have en-suite facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (Communal areas inlcude two lounges a dining area and kitchen. )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 556/Matrix [1 0 0 1 0 0]>>stream xMo09<89T*qB7ġ*ea|.Twjיw'C#X4[DCw@G]g+5D}g|}!{*syܫaPiuU YqAYizњ%{A? +rG6ݫ_a7ܥTgU=2\k[~].3ҚbѬ?v)y2WhT}3TwôG=j3U_`n]Z{X\,ډgZgWoy~v(ݗ endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 145.27 606.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 572.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 537.91 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 503.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 469.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 434.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 400.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The quality rating for this service is 1 star. This means that the people who use this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (service experience adequate quality outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (The inspection report is based on information gathered by the Care Quality Commission )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (\(CQC\) since the last inspection of the home on 3rd March 2009, including information )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (gathered during a site visit to the home. It began at 9.30 am and finished at 5 pm. On )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (the day of the visit the inspector spoke with the owners of the home, one of whom is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (also the manager, and chatted to people living at the home and some of the staff. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (Inspection of the premises and close examination of a range of documentation )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (including three care plans were also undertaken.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (The manager completed an Annual Quality Assurance Assessment \(AQAA\) and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (returned this to us within the given timescale.The AQAA is a self assessment document )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (that provides information about the home.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 119.64 w 32.32 752.71 m 566.72 752.71 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 691.76 m 568.92 691.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 690.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 690.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (The manager told us that the current fees for living in the home are 372.53 per week.)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 (We have reviewed our practice when making requirements, to improve national )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (consistency. Some requirements from previous inspection reports may have been )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (deleted or carried forward into this report as recommendations - but only when it is )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (considered that people who use services are not being put at significant risk of harm. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (In future, if a requirement is repeated, it is likely that enforcement action will be taken.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 297.6 w 32.32 625.02 m 566.72 625.02 l S 0.001 w 20.58 w 32.7 463.68 m 569.35 463.68 l S 0.001 w 195.54 w 33.82 353.37 m 568.22 353.37 l S 0.001 w 20.58 w 33.45 243.06 m 570.1 243.06 l S 0.001 w 166.5 w 34.57 147.27 m 568.97 147.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 475.1 m 568.92 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.1 m 569.35 475.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 452.27 m 569.35 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 452.27 m 570.42 452.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 254.48 m 570.42 254.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 231.65 m 570.1 231.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 254.48 m 570.1 254.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 231.65 m 571.17 231.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 453.35 m 32.7 253.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 232.73 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 474.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 453.35 m 569.35 253.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 232.73 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People are assessed before they move into the home to make sure that the home are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (fully aware of all of their needs and how these are to be met before they move in. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (helps to make sure that people only move into a home that can meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (People receive good support in maintaining activities of their choice that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (undertook before they moved into the home. This helps people with their choices and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (in living their lives as they would wish to.)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 (People receive good support in maintaining relationships of their choice: this helps )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (them to have positive relationships in their lives and to live their life as they choose.)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 (People receive good support in maintaining their health and personal care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (People live in a home that is kept clean, warm, comfortable and homely, helping them )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (live in an environment that they value and that they find comfortable.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (People feel that they receive good support to raise concerns and are listened to.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (People live in a home that is well managed by an experienced manager, helping them )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (to live their lives as they choose with the appropriate support.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 623.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 458.91 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 462.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 351.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (People now have contracts with the home that reflect the majority of the required )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (details. This helps to make sure that people are aware of the terms and conditions for )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (There are risk assessments in place to support people to undertake different activities )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm (of their choices, this helps them to live their life as they choose.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (There are records of the medication received, administered and disposed of in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (home. This helps to provide a clear audit trail and to ensure that peoples medication )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (Staff have now received training on the safeguarding of adults. This will assist them in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (supporting a service user should an allegation of harm occur.)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 31.2 241.51 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 238.29 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 145.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.46 Tm (Peoples files could be clearer and more concise with out of date documents being )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.88 Tm (removed to make access and understanding easier for the staff to support people in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (the meeting of their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (Staff should receive medication training to ensure that peoples medication needs )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (continue to be fully met.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm (There should be a training and development plan in the home; this will help to make )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm (sure that all staff are trained in the necessary courses to meet peoples needs.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (Staff recruitment practices must include that the home request references directly and )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 34.57 774.58 m 568.97 774.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 735.5 m 571.17 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 734.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 734.43 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (that references are verified to ensure their authenticity, this will help to make sure that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (only people suitable for the role are employed in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (Records of electrical maintenance checks should be up to date to help to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (systems do not pose a risk to the health and safety of the people who live in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 720.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 700.95 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 700.95 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 700.95 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 683.45 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 663.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 643.46 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 643.46 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 623.46 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 623.46 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 603.47 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 5\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.15 m 566.93 546.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 542.09 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 102 w 31.2 593.38 m 563.65 593.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (that includes how much they will pay and what the home provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 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 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 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 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (We looked at standard 2.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (People are assessed before they move into the home to help to make sure that the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (home can meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (The manager recorded in the AQAA, 'We promote independence and encourage the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (service users to pursue their interests in the community and within the home. We )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (encourage service users to approach the manager or staff if they have any concerns.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (They also recorded that there had been one new service user admitted to the home )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (since the last inspection. The manager told us that the new service user visited the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (home on a weekly basis until the process for them moving in was completed and that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (their care plan and risk assessment were completed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (We looked at the files of three of the people who live in the home. The files included )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (an assessment of the person detailing their needs and how these are to be met. The )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 266.32 w 34.6 678.25 m 562.54 678.25 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 244.94 w 33.47 666.44 m 563.66 666.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 541.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 541.76 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 31.27 542.84 m 565.87 542.84 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 (areas of need covered were varied and included, for example, maintaining )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (independence, personal care, communication, continence, mobility and nutrition. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (These assessments had then been used to develop an individual plan of care for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (service user, including any necessary risk assessments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (One person has been supported through re-assessment with a view to moving to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (another service. This person told us how they were looking forward to this and chatted )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (to the staff about this.)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 saw that people have contracts that detail the terms and conditions for living in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (the home. This includes the majority of the areas required, although it does not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (include the details of the room to be occupied and does not refer to the service user )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (plan.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (The previous requirement for people to have a contract has been met. )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Individual needs and choices )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 85 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 377.5 m 562.54 377.5 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 136.85 w 33.47 366.25 m 563.66 366.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 295.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 295.63 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 31.27 296.7 m 565.87 296.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (We looked at standards 6, 7 & 9.)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 (People receive support through the care planning process to have their needs met and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (to live their lives as they choose.)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 28.35 281.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 188.81 w 34.6 176.43 m 562.54 176.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.84 m 564.79 261.84 l S 0.001 w 167.44 w 33.47 164.62 m 563.66 164.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 249.46 m 565.87 249.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 249.46 m 564.79 249.46 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 35.5 258.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (The manager recorded in the AQAA that, 'We include all service users in their care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (planning to ensure their needs are met. We train all staff to listen to the service users )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (and to help them with their communication.' They also recorded, 'I feel the service )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (users have all their needs met and are able to make their own decisions or choices )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (this is reflected in each individual care plan.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (We looked at the care files for three of the people who live in the home. These )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (contained a large amount of information, which due to the volume made it at times )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (difficult to determine the latest information regarding the service users. However 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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 528.76 w 34.6 547.03 m 562.54 547.03 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 507.38 w 33.47 535.22 m 563.66 535.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 279.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 279.32 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 31.27 280.4 m 565.87 280.4 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 (information provided covered a variety of areas that included: a persons basic details, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (a personal profile and history, their care plan, and activity sheets. Care plans included )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (a tick box that identified the area of need to be covered, for example, self care, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (continence, communication, mobility, social and nutritional needs. It then described )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the individual areas of need as ' potential building areas' and went on to describe the ' )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (prescribed care', which is the necessary support people need to have their needs met. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (They also included a care plan action sheet, with the actions and objectives, a person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (specification, qualifications, and details of their general interests, team style, an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (assessment overview, and risk assessments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Risk assessments included, for example, nutritional risks, the risk of slipping, a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Waterlow risk assessment, and a moving and handling risk assessment. Additionally )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (there were individual risk assessments regarding the risks if a fire occurred in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (home. When we spoke to staff they told us that they refer to peoples care plans for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (information about people and to keep up to date with the latest information on how to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (meet peoples needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (We saw that people were able to make choices throughout the day, deciding what to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (do, to stay in or go out, and what to have to eat and whether to be alone or with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (others.)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 (Peoples daily notes included diary sheets that recorded, for example, the times that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (people got up or went to bed, their personal care needs and how these were met, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (their mood, and how they participated in the daily routines of the home and their own )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (leisure choices.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (There were some records of review in peoples files , however these need to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (improved upon and should include the details of regular reviews within the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Lifestyle )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.25 w 32.32 601.88 m 562.53 601.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.65 629.63 l S 0.001 w 1 1 1 RG 51 w 31.2 516.88 m 563.65 516.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 543.5 m 565.85 543.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 543.5 m 565.85 543.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.25 m 565.85 490.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 489.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 489.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.57 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.57 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.57 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.32 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 472 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 450 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 450 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 427.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 361 m 562.54 361 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 101.85 w 33.47 349.75 m 563.66 349.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 401.8 m 565.87 401.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 402.88 m 32.35 296.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 402.88 m 564.79 296.62 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 31.27 297.7 m 565.87 297.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 410.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 386.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 386.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.75 Tm (We looked at standards, 12, 13 14, 15, 16 & 17.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 324.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.76 Tm (People are supported to have their work, education , leisure and dietary needs met.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 282.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.8 w 34.6 176.93 m 562.54 176.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 262.83 m 564.79 262.83 l S 0.001 w 168.43 w 33.47 165.12 m 563.66 165.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 250.46 m 565.87 250.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 251.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 251.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.46 m 564.79 250.46 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 35.5 259.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.77 Tm (The manager recorded in the AQAA, 'All service users attends activities, and work in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 217.27 Tm (the community as well as at home. This is recorded in their individual care plans. We )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.78 Tm (created a garden for the service users, where they grew their own flowers, and we )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 182.28 Tm (introduced some games for them.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 147.29 Tm (The majority of the people who live in the home were out during the day , attending )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.79 Tm (adult education and a work placement. One person had been supported by the home )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 112.3 Tm (to maintain their employment after moving into the home. When we spoke to staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.8 Tm (they told us that people do different things each day and that this includes: attending )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (adult education, attending a farm activity, a drama group and a place of work. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (also told us that leisure activities include:shopping, going out for a drink or a meal, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (attending social evenings, trips out and parties. People who live in the home told us )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (that they can do as they wish,and that there is plenty to do including baking and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (bowling.)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 (People also told us about the support they receive to maintain relationships. One )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (person has received specific 1:1 support from staff to maintain an important )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (relationship. They talked to us about this and how they value this. Other people told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (us how they maintain contact with people who are important to them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (We observed that staff and people who live in the home talked easily with each other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (and that these conversations were respectful. We saw that people could access )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (different areas of the home as they chose and that they could decide when to be with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (others or alone. Staff told us how one person holds a key to their room and how they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (support people to open their own post.)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 (There were some records of peoples likes and dislikes, although at times records were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (duplicated and confusing, one form stating a persons like or dislike and another form )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (stating differently.)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 (Although meals are thought out and planned the menus did not include details of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (different choices that are available to people, including fruit. The manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (fresh fruit and vegetables are available each a day and it is recommended that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (menus reflect these. People have nutritional risk assessments in place, although )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (weight records and reviews of these assessments had not been carried out or were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (unclear in peoples files. One persons records stated that they required a specific diet )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (to help them manage a health condition, records for this were unclear. In discussion )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (with the manager it was explained that this condition was now managed through an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (ordinary diet. However records did not reflect this and these must be made clearer.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (Staff also told us how people make choices in their daily routines and that this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (includes: what to eat, what to drink, what to wear, when to go shopping and that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (people were able to express their own opinions about things.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Personal and healthcare support )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 155.25 w 32.32 635.88 m 562.53 635.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 68 w 31.2 593.38 m 563.65 593.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.25 m 565.85 558.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 557.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 557.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 540 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 518 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 518 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 495.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 420.25 m 562.54 420.25 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 119.35 w 33.47 409 m 563.66 409 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 469.8 m 565.87 469.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 470.88 m 32.35 347.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 470.88 m 564.79 347.12 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 31.27 348.2 m 565.87 348.2 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 454.12 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 (We looked at standards 18, 19 & 20.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.76 Tm (People receive good support in the meeting of their health and medication needs. )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.26 Tm (However the lack of staff training may compromise this.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 332.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 240.3 w 34.6 202.18 m 562.54 202.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 313.33 m 564.79 313.33 l S 0.001 w 218.93 w 33.47 190.37 m 563.66 190.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 300.96 m 565.87 300.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 302.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 302.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 300.96 m 564.79 300.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 310.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 285.27 Tm (The manager recorded in the AQAA , 'We liaise with GPs, nurses, continuance teams )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.78 Tm (and centres some of the service users attend. All medical appointments are attended )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.28 Tm (by staff to support the service users. All professional appointments are recorded in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.79 Tm (care plans.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.79 Tm (We spoke to one professional who supports people who live in the home. They were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.3 Tm (very positive about the support offered for people in the home and commented that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.8 Tm (there were good interactions and that the home had a family feel.Peoples records )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.31 Tm (included details of appointments with health professionals and the reasons for these )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.81 Tm (visits. This included accessing specialist professionals, for example, specialist learning )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.31 Tm (disability nurses. When we spoke to the staff team they told us about the support that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.82 Tm (people receive in the meeting of their health needs. They were clear about peoples )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 406.28 w 34.6 608.26 m 562.54 608.26 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 384.91 w 33.47 596.45 m 563.66 596.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 401.79 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 31.27 402.87 m 565.87 402.87 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 (individual needs and the actions that they should take to meet these.When we spoke )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (to the people who live in the home, they also told us that they are supported to have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (their health needs met.)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 (Staff also told us how they make sure that peoples privacy is respected when they are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (completing personal care, this included: closing doors when completing personal care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (tasks, standing outside of the bathroom to encourage independence, supporting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (people to handle their own post and how some people hold their own key to their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Medication is stored in a locked cabinet in the office of the home. We examined the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (records for receipt, administration and disposal of medicines and saw that these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (appeared to be correct. At times staff are having to copy information onto the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Medication Administration Sheet \(MAR\), although only one person is completing this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and it is best practice that there is also one person checking and countersigning these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (entries to help to reduce the risk of errors occurring.)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 (There is also a fridge for the storing of any medicines that are required to be kept )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (cool. Monitoring of the fridge temperature with records of this is not taking place and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (the manager was advised as to this on the day of the visit.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (There was no evidence in the staff training records that staff have undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (accredited medication training and this must be addressed.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Concerns, complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Their concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 488.25 m 562.54 488.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 119.35 w 33.47 477 m 563.66 477 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.2 m 565.87 416.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (We looked at standards 22 & 23.)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 (There are policies in place in the home to help people to raise concerns and to be )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm (protected from harm.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 0.001 w 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 368.96 m 565.87 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 368.96 m 564.79 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (The manager recorded in the AQAA, 'Complaints procedures in place showing how )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (complaints can be made. Whistle blowing policy in place, all staff sign to state they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (understand the meaning of policies in place. Complaints procedure is on service users )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (notice board. For those that cannot understand due to communication problems or )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (those that cannot read, the manager will explain to their understanding ability )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (makaton.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (There is a complaints policy within the home and the information included in the AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (that there have not been any complaints received by the home.When we spoke to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (people who live in the home they told us that they would talk to the staff about any )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (concerns that they may have, and that they were confidemt that the staff would deal )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (with these.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (Staff have attended training on protecting vulnerable people and when we talked to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (staff about this, they were clear on the actions that they would take should an )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (allegation of harm occur.There is a policy in the home that instructs the staff on the )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 178.84 w 34.6 721.99 m 562.54 721.99 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 157.46 w 33.47 710.18 m 563.66 710.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 629.24 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 31.27 630.32 m 565.87 630.32 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 (actions to take should an allegation of harm occur, this includes how to report the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (allegation and the involvement of the Local Authority.)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 showed us the systems for handling peoples monies. These included that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (each person has a bank account held on their behalf by the organisation, additionally )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (they each also have their own bank account. The manager told us how they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (undertaken a lot of work to help people with their finances since, they moved into the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (home. She also told us how many of the people who live in the home receive the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (support of their family with the managing of their money.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 652.88 m 562.53 652.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 85 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (pleasant and hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 454.25 m 562.54 454.25 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 119.35 w 33.47 443 m 563.66 443 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 381.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 381.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.2 m 565.87 382.2 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 0.75294 0.75294 0.75294 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 (We looked at standards 24 & 30.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.76 Tm (People live in a home that is clean, warm and comfortable, where on the whole their )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.26 Tm (safety needs are met. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 366.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.3 w 34.6 219.18 m 562.54 219.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.33 m 564.79 347.33 l S 0.001 w 252.93 w 33.47 207.37 m 563.66 207.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 334.96 m 565.87 334.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 334.96 m 564.79 334.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 344.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.27 Tm (The home is located over 3 floors with a small courtyard and garden area to the rear )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (of the property. The ground floor includes the kitchen, dining room, office, laundry and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm (bathroom areas and two of bedrooms. Other bedrooms are over the two floors with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm (access to adjacent bathrooms also available.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (People showed us around their bedrooms. All are en-suite and have been decorated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (individually. People told us that they are happy with their rooms and we saw that they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm (have personalised them to make them individual.One of the owners told us about their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (plans for re-decoration of some of the bedrooms.)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 (The manager recorded in the AQAA, 'We have made the home bright and more )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm (welcoming. And safe and secure for the service users. Cleaning rota is in place with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (daily and weekly tasks.' We found the home to be clean, warm and homely )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (throughout.)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 213.83 w 34.6 704.49 m 562.54 704.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 192.46 w 33.47 692.68 m 563.66 692.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 595.33 m 565.87 595.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (There is laundry area available on the ground floor and people are able to access this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (as necessary. There was a letter in place to confirm that the water systems in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (home meet the requirements of the Water Supply Water \(Fittings\) Regulations.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (We looked at the records for fire safety in the home. A fire risk assessment was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (completed in April 2009 and records are kept of the fire drills, and emergency lighting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and fire alarm tests. The maintenance check for the fire extinguishers was last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (completed in December 2008 and required updating.This work has now been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (completed with the certificate being forwarded to the Commission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 652.88 m 562.53 652.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 34 w 31.2 610.38 m 563.65 610.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 454.25 m 562.54 454.25 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 119.35 w 33.47 443 m 563.66 443 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 381.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 381.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.2 m 565.87 382.2 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 0.75294 0.75294 0.75294 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 (We looked at standards 32, 34 & 35.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.76 Tm (People are supported by a staff team that are correctly employed and who receive )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.26 Tm (some training to help them meet peoples needs. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 366.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.3 w 34.6 219.18 m 562.54 219.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.33 m 564.79 347.33 l S 0.001 w 252.93 w 33.47 207.37 m 563.66 207.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 334.96 m 565.87 334.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 334.96 m 564.79 334.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 344.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.27 Tm (The manager recorded in the AQAA, 'Staff are recruited on CRB and POVA checks. At )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.78 Tm (interviews I involve some of the service users.')Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.79 Tm (We looked at the staff files for three of the people who work in the home. The files )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.29 Tm (included details of peoples recruitment and training. We saw that people had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.79 Tm (completed an application form, references and a Criminal Records Bureau check )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.3 Tm (\(CRB\), helping to make sure that the person is suitable for the role and that they do )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.8 Tm (not hold a criminal conviction that may prevent them from working with vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.31 Tm (people. One reference had been obtained that was entitled ' to whom it may concern', )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.81 Tm (it is recommended best practice that if these references are only accepted after )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.31 Tm (verification of the details.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.32 Tm (When we spoke to staff they told us that they had completed the necessary checks, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.83 Tm (including an application form, CRB and references before they started work in the )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 458.77 w 34.6 582.02 m 562.54 582.02 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 437.4 w 33.47 570.21 m 563.66 570.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 349.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 349.31 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 31.27 350.38 m 565.87 350.38 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 (home. There was no evidence that the staff are employed within the General Social )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Care Council code of conduct \(GSCC\) and this must be addressed.)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 (After commencing their employment people had undertaken an in house induction into )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the home and supervision sessions.The manager told us that people are undertaking )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (National Vocational Qualifications \(NVQ\). However there was no evidence that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (induction meets the requirements of the Skills for Care council.)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 (Training records recorded that people had undertaken a variety of courses including, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (fire equipment, Mental Health Awareness, Deprivation of Liberty, Safeguarding, Food )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Safety and Infection Control. People had individual training needs assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (details of the courses required and the dates by which these needed to be completed. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (When we spoke to staff they told us that they had completed different training that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (included: fire training, Deprivation of liberty training, Health and Safety, epilepsy and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (the safeguarding of vulnerable adults. There was no evidence that people have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (undertaken training in equality and again this is recommended.)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 (The manager told us that she does not have a training and development plan for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (staff team as a whole as she completes individual training plans.)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 ()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 ()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 ()Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Conduct and management of the home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 85 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately, with an open approach that makes them feel valued and respected. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (things should be done. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 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 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 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 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (We looked at standards 37, 39 & 42.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (People live in a home that is well managed and that on the whole meets their safety )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (needs. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (The manager is also one of the owners of the home. They told us that they have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (previous experience of managing care services and that over the last year they have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (undertaken training in: Deprivation of Liberty, Fire and First Aid training.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (There is a quality assurance system that includes staff, service user and visitor )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (questionnaires. This information is collected but has not been summarised into a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (report to be used as part of the development of the home. The manager recorded in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (the AQAA that, 'All service users enjoy participating in house meetings and always )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (give their input. All recorded in care plans.' A previous requirement for there to be a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (quality assurance system has been met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 213.83 w 34.6 704.49 m 562.54 704.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 192.46 w 33.47 692.68 m 563.66 692.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 595.33 m 565.87 595.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (We looked at the maintenance records in the home. This included the Gas and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (electrical safety records. The records for the electrical installation maintenance were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (for 2004, showing that these were over due. The manager felt that this check had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (been completed and was to forward the up to date record to the CQC, however this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (has not been received.)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 (Other maintenance records included that the portable appliances had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (maintained, that Control of substances Hazardous to health \(COSHH\) assessments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (had been undertaken, and checks that the hot water supply and fridge temperatures )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (were correct.The previous requirement for checks of the hot water has been met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 136 w 31.2 458.8 m 91.05 458.8 l S 0.001 w 136 w 93.3 458.8 m 197.4 458.8 l S 0.001 w 136 w 199.65 458.8 m 289.45 458.8 l S 0.001 w 136 w 291.7 458.8 m 473.8 458.8 l S 0.001 w 136 w 476.05 458.8 m 566.1 458.8 l S 0.001 w 204 w 31.2 286.55 m 91.05 286.55 l S 0.001 w 204 w 93.3 286.55 m 197.4 286.55 l S 0.001 w 204 w 199.65 286.55 m 289.45 286.55 l S 0.001 w 204 w 291.7 286.55 m 473.8 286.55 l S 0.001 w 204 w 476.05 286.55 m 566.1 286.55 l S 0.001 w 119.4 w 31.2 122.6 m 91.05 122.6 l S 0.001 w 119.4 w 93.3 122.6 m 197.4 122.6 l S 0.001 w 119.4 w 199.65 122.6 m 289.45 122.6 l S 0.001 w 119.4 w 291.7 122.6 m 473.8 122.6 l S 0.001 w 119.4 w 476.05 122.6 m 566.1 122.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 389.68 m 568.3 389.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.43 m 568.3 183.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 389.68 m 568.3 389.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.43 m 568.3 183.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. 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BT 1 0 0 1 200.25 713.87 Tm (within the home that will assist in the planning and )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 699.29 Tm (development of the training required to continue to support )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 684.71 Tm (people with the meeting of their needs.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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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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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 95 0 obj<> endobj 96 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 97 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 98 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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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