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We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm (�)Tj ET /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. 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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 /F3 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 /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm (� )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 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 /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm (�)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm (�)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 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 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 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 26.14 158.05 m 569.2 158.05 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 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm (� Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and � Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 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 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Parklands Nursing Home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (33 Newport Road )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Woolstone)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Milton Keynes)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Buckinghamshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.3 Tm (MK15 0AA)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01908692690)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01908231329)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 607.81 Tm (manager@pnh.demon.co.uk)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 566.03 Tm (�)Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 499.76 m 564.77 499.76 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 20.58 w 31.2 500.88 m 565.9 500.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 478.05 m 353.25 478.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 478.05 m 565.9 478.05 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 455.22 m 353.25 455.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 455.22 m 565.9 455.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 567.8 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 534.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 567.8 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.1 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 490.54 m 354.37 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 442.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Mr Vaz, Mrs M Officer)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Mrs )Tj ET /F3 12 Tf BT 1 0 0 1 59.76 496.11 Tm (Caroline Ann )Tj ET /F3 12 Tf BT 1 0 0 1 140.93 496.11 Tm (Vaz)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 473.28 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 473.28 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 450.45 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 450.45 Tm (30)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 431.51 Tm (�)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 414.51 Tm (�)Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 372.19 m 564.47 372.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 383.6 m 567.8 383.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 406.43 m 567.8 406.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 383.6 m 567.8 383.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 340.19 m 567.8 340.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 407.51 m 30.07 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 384.68 m 298.32 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 407.51 m 566.72 339.11 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 390.25 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 367.42 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 367.42 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 346.84 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 346.84 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 318.11 m 297.3 318.11 l S 0.001 w 35.16 w 299.55 318.11 m 431.45 318.11 l S 0.001 w 35.16 w 433.7 318.11 m 565.6 318.11 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 287.99 m 565.6 287.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 567.8 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.75 m 568.1 253.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.82 m 567.8 336.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 568.1 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.75 m 568.1 253.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 187.18 m 568.1 187.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 337.89 m 30.07 186.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 337.89 m 298.42 298.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 337.89 m 432.57 298.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 337.89 m 566.72 186.1 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 320.63 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 306.05 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 320.63 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 320.63 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 283.22 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 260.39 Tm (The maximum number of service users to be accommodated is 30.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 237.56 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 222.98 Tm (home with nursing - \(N\) to service users of the following gender: Either Whose primary )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 208.4 Tm (care needs on admission to the home are within the following categories: Old age- not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 193.82 Tm (falling within any other category \(OP\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 172.39 m 315.25 172.39 l S 0.001 w 1 1 1 RG 20.58 w 317.5 172.39 m 346.55 172.39 l S 0.001 w 20.58 w 348.8 172.39 m 377.9 172.39 l S 0.001 w 20.58 w 380.15 172.39 m 409.2 172.39 l S 0.001 w 20.58 w 411.45 172.39 m 440.55 172.39 l S 0.001 w 20.58 w 442.8 172.39 m 471.9 172.39 l S 0.001 w 20.58 w 474.15 172.39 m 503.2 172.39 l S 0.001 w 20.58 w 505.45 172.39 m 534.55 172.39 l S 0.001 w 20.58 w 536.8 172.39 m 565.9 172.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 183.8 m 568.1 183.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 160.97 m 568.1 160.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 184.88 m 30.07 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 184.88 m 316.37 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 184.88 m 347.67 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 184.88 m 379.02 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 184.88 m 410.32 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 184.88 m 441.67 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 184.88 m 473.02 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 184.88 m 504.32 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 184.88 m 535.67 159.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 184.88 m 567.02 159.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 167.62 Tm (Date of last inspection)Tj ET /F3 12 Tf BT 1 0 0 1 328.2 167.62 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 359.53 167.62 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 390.86 167.62 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 422.18 167.62 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 453.53 167.62 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 484.86 167.62 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 516.18 167.62 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 547.53 167.62 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 149.1 m 565.9 149.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 139.47 m 568.1 139.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 140.55 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 140.55 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 158.72 m 568.1 158.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.47 m 568.1 139.47 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 30.07 159.8 m 30.07 138.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 159.8 m 567.02 138.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 145.54 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 145.54 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 126.29 Tm (Parklands is a small privately owned care home, registered to provide nursing care and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 109.29 Tm (accommodation for thirty older people.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 92.29 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 75.29 Tm (The home is situated in the Woolstone area of Milton Keynes. It is a short journey to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 58.29 Tm (the city centre where a varied range of amenities, which are accessible to those with )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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 655.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 655.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 656.15 m 568.1 656.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (disabilities, can be found.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (Parklands has twenty-two single bedrooms and four shared rooms. All rooms were )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (being used as single rooms at the time of the inspection. Most rooms have ensuite )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (shower rooms and the rest ensuite bathrooms, which may not be accessible by those )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (with disabilities. The lounge/dining room has four sets of French doors, which give )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (immediate access to the patio area and grounds beyond. Extensive well-tended )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm (gardens surround the home.)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 530/Matrix [1 0 0 1 0 0]>>stream x���Mo�0���>�e���G�J%NrC�n��RV���g��J�X*�"�;k��י��~�&�l�#�j�WF��C���� ����+�e2!�c2� Xf��t=|愒%�4����j2��R�)n��!U�����պ�E+I<�Z׃s{������e�fBkvkjO/��l|%Y���4 �i�(�9ʴ"5�q��r�X��s�1T1����%��,;��UA6�A$�Iޅ�&����A;���H�� RUf�SI�>�@h�<�;{�-E�D^*qV���i�f{�JB���U+LU�6$�� ��.v�Ş�U�R����;�̥n��o5�Hj�k���;jMֺf/�+�zq��Yi�ӹH�6t9vk��b�qx󞾸#]4нs1��ax�s:M�ۻ����x?\����{��E����*疯����.d�ꌷqa�������l1zܢ��ِf�����������iZ�;���'.�-�4}�������Z��v����V޵N<�:�f}��v���Gk�_�?�� 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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 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 /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This inspection was conducted over five days and included a review of the information )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (we hold about the service and two days in the home, one of which was unannounced. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (The key standards for older people's services were assessed. Information received )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (about the home since the last inspection was taken into account in the planning of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (visit. The manager completed an annual quality assurance assessment. This was )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (completed in full and returned on time. Surveys were sent to the home for distribution )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (to residents, families and staff. One resident, nine family members, one member of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (staff and one healthcare professional returned their surveys. Residents and visiting )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm (families were spoken to on the day of the unannounced visit. Discussions took place )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (with the manager, nursing, care and ancillary staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (Care practice was observed and the care of a number of residents was followed )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (through in detail. The communal areas and some residents rooms were checked and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (examination of records was also undertaken. The home's approach to equality and )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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 32.32 803.74 m 566.72 803.74 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 30.12 793.82 m 568.92 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 792.75 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm (diversity was considered throughout.)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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)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 472.56 w 32.32 537.54 m 566.72 537.54 l S 0.001 w 20.58 w 32.7 288.72 m 569.35 288.72 l S 0.001 w 195.54 w 33.82 178.41 m 568.22 178.41 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 30.12 300.14 m 568.92 300.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 299.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 300.14 m 569.35 300.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 277.31 m 569.35 277.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 277.31 m 570.42 277.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 79.52 m 570.42 79.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 278.39 m 32.7 78.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 299.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 278.39 m 569.35 78.44 l S 0.001 w [] 0 d /F3 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 /F3 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 /F3 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 /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (There is information available and the opportunity to visit the home to help people )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (decide whether they wish to move to the home. The Lead Nurse visits all prospective )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (residents before they move to the home to assess their needs and agree with them the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (care they would like. Prospective residents and their families are welcome to visit the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm (home without an appointment at any time.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm (Resident's care needs are recorded in a care plan, which is updated regularly. People )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm (told us that their privacy and dignity is respected and valued the fact that it was a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm (small home. When asked what the home does well one person wrote in the surveys )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (that ' this is a small home and the staff know all the residents and residents know all )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm (the staff '.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm (People can choose how they spend their day and are supported to take part in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (activities in the home if they wish. The standard of food is good and meets residents' )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (social and nutritional needs. Families said that they were welcome at any time. One )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (gentleman has lunch with his wife regularly, which they both enjoy.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 510.9 Tm (There are complaints policies and procedures in place and information is available to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (people about local advocacy services. Staff have received training in safeguarding older )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm (people and those spoken to said that they would report any concerns they had about )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (residents. The manager said that she had not had any complaints since the last )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.58 Tm (inspection. We are not aware of any complaints and are aware of one safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438 Tm (referral which the local authority is currently investigating.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.42 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 408.84 Tm (The home is small and set in attractive gardens. There is good access into the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 394.26 Tm (and garden for people with disabilities. Some rooms have French doors which open )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 379.68 Tm (onto the garden.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 365.1 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 350.52 Tm (Recruitment procedures are thorough and should protect residents from unsuitable )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 335.94 Tm (carers. People told us that the 'carers are kind and caring, 'they do their utmost to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 321.36 Tm (keep on top of their duties'. Staff have had training in safe working practices including )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 306.78 Tm (moving and handling. The standard of hygiene in the kitchen is good.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 535.99 Tm (�)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 286.61 Tm (�)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 283.95 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 287.17 Tm (�)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 176.86 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 261.12 Tm (The lead nurse has worked hard to ensure that people's care plans are reviewed )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 246.54 Tm (regularly and reflect their needs. There have been significant improvements in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 231.96 Tm (administration of medication which is monitored carefully. There is a need to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 217.38 Tm (that these improvements are maintained and improved upon.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 202.8 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 188.22 Tm (Better records of complaints are kept and people told us that their concerns were )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 173.64 Tm (listened to. Staff have had training in safeguarding vulnerable people and the manager )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 159.06 Tm (has made referrals as necessary to help protect residents from harm.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 144.48 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 129.9 Tm (The hot water supplies have been refurbished and the manager and care staff said that )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 115.32 Tm (hot water was now available in all the ensuite shower rooms. A programme to upgrade )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 100.74 Tm (the bathrooms and shower rooms is being implemented.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 86.16 Tm (�)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 176.86 Tm (�)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 33.45 802.24 m 570.1 802.24 l S 0.001 w 283.02 w 34.57 648.19 m 568.97 648.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 33.45 790.82 m 570.1 790.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 813.65 m 570.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 790.82 m 571.17 790.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 505.55 m 571.17 505.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 791.9 m 33.45 504.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 791.9 m 570.1 504.48 l S 0.001 w [] 0 d /F3 10 Tf BT 1 0 0 1 31.2 800.69 Tm (�)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 797.47 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 646.64 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 774.64 Tm (People must be supported to shower or bathe as often as they wish and people should )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 760.06 Tm (be supported to get up in a timely way.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 745.48 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 730.9 Tm (Residents must be supported at meal times and a carer must be in the dining room to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 716.32 Tm (ensure that residents are able to eat their meals and are not at risk of choking.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 701.74 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 687.16 Tm (The home must ensure that they have sufficient staff to meet people's needs in a )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 672.58 Tm (timely way. They must ensure that there are enough qualified nurses with the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 658 Tm (necessary knowledge skills and experience to meet the care needs of those who have )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 643.42 Tm (complex problems including those who require specialist care at the end of their lives.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 628.84 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 614.26 Tm (The home must ensure that medication is given as prescribed and that accurate )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 599.68 Tm (records of medication received, administered and disposed of by the home are kept.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 585.1 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 570.52 Tm (Bedpans and urinals must be decontaminated using heat disinfection in a recognised )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 555.94 Tm (washer disinfector, to ensure people are not at risk of acquired infection.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 541.36 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 526.78 Tm (The electrical wiring must be tested by a competent person and verified as safe. Any )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 512.2 Tm (defects must be remedied.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 490.99 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 471 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 471 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 471 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 453.5 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 433.51 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 413.51 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 413.51 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 393.51 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 393.51 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 373.52 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 /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F2 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 /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home� \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care� \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities� \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection� \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment� \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing� \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration� \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 360.5 m 562.54 360.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 136.85 w 33.47 349.25 m 563.66 349.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 278.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 278.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 279.7 m 565.87 279.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (There is information available and the opportunity to visit the home to help people )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (decide whether they wish to move to the home. People's health and social care needs )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (and cultural wishes are assessed before they move to the home, to ensure they can )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 306.26 Tm (be met.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 288.77 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 264.02 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 171.81 w 34.6 167.93 m 562.54 167.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 244.84 m 564.79 244.84 l S 0.001 w 150.44 w 33.47 156.12 m 563.66 156.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 232.46 m 565.87 232.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 233.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 233.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 232.46 m 564.79 232.46 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 /F3 12 Tf BT 1 0 0 1 35.5 241.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (There is information available to prospective residents in the form of a statement of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (purpose, which describes the services provided by the home and a home brochure. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm (Prospective residents and their families are welcome to visit the home and stay for a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (trial period before deciding whether the home is for them. The care files of three )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (residents who have moved to the home since the last inspection were checked. Their )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (needs had been assessed by the lead nurse to identify with them their needs and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (wishes for care. The assessment documentation prompts staff to take note of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (resident's cultural and faith wishes as well as their health and social care needs. The )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 91.36 w 34.6 765.73 m 562.54 765.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 69.98 w 33.47 753.92 m 563.66 753.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 716.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 716.72 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 31.27 717.8 m 565.87 717.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (manager said that people were welcome to visit at any time and that they could stay )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (for a trial visit. The home also offers respite care for people who wish to stay for a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (short while. The home does not offer intermediate care for those requiring intensive )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (rehabilitation. )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People�s health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. People�s right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 385.75 m 562.54 385.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 154.34 w 33.47 374.51 m 563.66 374.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 296.21 m 565.87 296.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (In general peoples' care needs are met however the care needs of those with complex )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (needs or requiring palliative care are not met consistently by all staff. People have not )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (been offered showers or baths as often as they would wish. Medication management )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm (has improved although some inconsistencies were found which must be addressed if )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.77 Tm (people are to receive their medication safely and as prescribed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.27 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 280.52 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 188.31 w 34.6 176.18 m 562.54 176.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.34 m 564.79 261.34 l S 0.001 w 166.94 w 33.47 164.37 m 563.66 164.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 248.97 m 565.87 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 248.97 m 564.79 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 258.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (The care of eight residents was followed through. All had care plans which had been )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (developed in the main by the lead nurse and these had improved since the last )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (inspection. Most but not all had photographs of the resident. Although photographs )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (were found on the medication records, these would not routinely be available to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (carers. The lead nurse said that residents and families were involved in drawing up )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (their care plans and some had evidence of this in the care plan. Everyone had been )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (assessed as to their risk of developing pressure damage, of falling or of becoming )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (malnourished and a care plan had been put in place. The manager said that three )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (people had developed pressure damage since they moved to the home. These had )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (been recognised and care plans had been developed which were being implemented )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (and evaluated on a regular basis. The lead nurse had said that she had asked that the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (tissue viability specialist nurse visit one resident who has complex needs and whose )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (pressure damage was not responding but had been told that she could not now visit )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (nursing homes. It is understood that at the request of the local authority she has now )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (visited the resident.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Carers and residents and their families told us that all care was given in resident's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (rooms and that their dignity was protected. Carers were seen to address residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (politely. When asked what the home does well one person wrote in the surveys that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm ('this a small home and the staff know all the residents and residents know all the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (staff'. Residents told us that staff were caring and that the home had a happy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (atmosphere.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (The home accepts people with complex needs who are funded by the local health )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (service. Staff had not had the necessary training to meet these needs and there have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (been a number of incidents when people's care needs have not been met. One )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (gentleman's pain relief was not administered in a timely way and he experienced pain )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (when being moved. This has been addressed since our unannounced visit and systems )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (have now been put in place to enable him to take his medication himself within the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (prescribed amounts to control his pain. His catheter blocked and the nurse on duty )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (replaced it with a female catheter which had to be replaced again by the lead nurse )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (the following morning. Residents also told us that they had not been supported to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (shower as often as they wished. One person said that they had not had a shower for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (eight weeks, another for three weeks. Staff said that they endeavoured to offer people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (a shower when they wished but may not have time. The manager and lead nurse )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (however had recognised this and had begun to put systems in place to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (everyone received a shower when they wished before our unannounced visit. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Following our first day in the home the lead nurse had met with everyone and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (recorded their preferences as to when they liked to have a shower or bath and a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (preference chart had been drawn up to guide carers as to when they should be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (offering people a shower. This was being put into place on the second day of our visit.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The home is supported by the local general practitioner \(GP\) who visits on a regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (basis. People told us that their healthcare needs were met and that they saw the GP )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (when they needed. He said that staff put his advice into action although had concerns )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (as to whether all staff had the knowledge and skills to care for people with complex )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (palliative care needs. He had confidence in the lead nurse but felt that if she was not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (on duty people's care needs, particularly those who needed palliative care, may not be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (met as competently.)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Nine family members and one resident completed the questionnaires. They all said )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (that the service 'always' or 'usually' met resident's needs. One commented that the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (home was 'person centred and treats residents as individuals respecting their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (individual needs'. Another said 'my mother's health has improved since she moved )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (here'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (There are medication policies and procedures in place. Records are kept when )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (medication is received in the home, administered and when it is destroyed. Staff have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (had medication training. Staff said that medication was never hidden and residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (always knew what they were taking. Residents spoken to confirmed this. One resident )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (was able to take her own medication and a risk assessment was in place. She had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (secure storage in her room. The lead nurse has developed protocols to guide staff as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (to when individual residents should take their medication if it was prescribed 'when )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (required'. The medication administration records held a photograph of the resident )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (and are checked regularly by the manager and lead nurse and the number of gaps in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (the records had been addressed. The requirements for improvement made at the last )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (inspection had been met. There was one inaccuracy noted at this inspection however )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (where the number of tablets remaining in the dosette box did not correlate with the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (number administered, indicating that one may have been signed for but not given. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (This was not accounted for on the medication administration record or in the care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (plan. These inaccuracies must be monitored and addressed.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 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 /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 428.5 m 562.54 428.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 136.85 w 33.47 417.25 m 563.66 417.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 347.7 m 565.87 347.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People can choose how they spend their day and are supported to take part in )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (activities in the home if they wish. The standard of food is good meeting residents' )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (nutritional needs. The home must put systems in place to ensure that people are not )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 374.26 Tm (left without support and supervision when eating their meals to ensure that they eat )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 356.77 Tm (well and are not at risk of choking.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 332.02 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 239.81 w 34.6 201.93 m 562.54 201.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 312.84 m 564.79 312.84 l S 0.001 w 218.44 w 33.47 190.12 m 563.66 190.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 300.46 m 565.87 300.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 301.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 300.46 m 564.79 300.46 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 /F3 12 Tf BT 1 0 0 1 35.5 309.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (Residents spoken to said that they had a choice as to when they got up and when )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm (they went to bed, although some expressed that this was not always followed and that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (they may have to wait some time, particularly in the mornings, for two people to be )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (available if they needed the hoist to help them get up. Care staff were aware of this )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (and two said that they preferred to start early at 7 am instead of 8 am so they could )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (help residents earlier if they wished.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (The activities coordinator left before Christmas and carers have been providing )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (activities for residents between 2:30 and 3:30 during the afternoon. On the day of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (unannounced visit carers were offering residents a manicure. Apart from this time )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (residents spent most of the day watching the television. The manager said that she )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (had not yet decided whether or when to replace the activities coordinator but in the )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 511.26 w 34.6 555.78 m 562.54 555.78 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 489.89 w 33.47 543.96 m 563.66 543.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 297.89 m 565.87 297.89 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (meantime in the meantime one carer is working additional hours to coordinate )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (activities and organise special events. The manager said that she is encouraging )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (carers to become involved in activities. Residents are supported to continue with their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (own hobbies if they wish and are able. Two residents had internet access and were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (keeping in touch with friends and families. A number of family members were spoken )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (to and all said that they could visit at any time and were made to feel welcome. They )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (said that they were kept up to date with their relative's needs and were told of any )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (untoward event.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The chef is knowledgeable about resident's likes and dislikes and said that she can )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (provide menus to meet resident's cultural wishes. There is a varied menu and all food )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (is home cooked. The chef was knowledgeable as to whether residents needed special )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (menus on health grounds and provided soft and pureed food for those who had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (difficulty swallowing. There is a choice of menus at each meal. When asked what the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (home does well one residents said 'the chef deserves a special mention as nothing is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (too much trouble for her'. One family member eats regularly with his wife and they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (both valued the opportunity to eat together. Residents can choose whether they eat in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (the dining room, at small tables in front of their chairs in the lounge or in their rooms. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The dining room was pleasantly laid with tablecloths, cutlery and glasses and meals )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (were observed to be a sociable occasion. One resident was observed to use a plate )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (guard although did not manage to eat all her lunch. Those residents who remain in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (bed are helped by carers. There were only two carers helping with lunch on both days )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (of the unannounced visits. Both were assisting people in their rooms. Two carers were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (having their break and the Registered Nurse was giving medicines. No one was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (supervising or helping residents in the dining area. Carers spoken to said that this was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (the usual practice. This must be addressed. Frail residents must not be left alone in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (the dining room to eat their lunch. Staff must be available to help residents to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (that they eat well and are not as risk of choking.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (People�s legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 505.74 m 562.54 505.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 84.36 w 33.47 494.5 m 563.66 494.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 451.19 m 565.87 451.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (The policies and procedures in place should protect people from harm and their )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (concerns are listened to and addressed.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 435.51 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 304.93 w 34.6 272.86 m 562.54 272.86 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.32 m 564.79 416.32 l S 0.001 w 282.44 w 33.47 261.61 m 563.66 261.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 403.95 m 565.87 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.03 m 32.35 118.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.03 m 564.79 118.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 403.95 m 564.79 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 119.26 m 565.87 119.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 413.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 388.27 Tm (People in the home know who to complain to. There is a copy of the complaints )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (procedures in the home and information about local advocacy services. Everyone who )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (returned the questionnaires said that they knew how to make a complaint. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (complaints records were checked and showed that verbal and written complaints are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (recorded. There were no written complaints since the last inspection. The responses to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (the verbal complaints showed that action been taken. People who we spoke to said )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (that they if raised a concern with the manager or lead nurse it would be addressed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (The home has a copy of the local multi agency safeguarding policies and procedures )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (and staff have a received training in safeguarding vulnerable people. There are whistle )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (blowing policies and procedures in place and the staff spoken to said that would have )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (no hesitation in reporting any concerns. The manager said in the annual quality )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (assurance assessment that they have made nineteen safeguarding referrals since the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (last inspection, which the local authority has asked the home to address. We are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (aware of one safeguarding referral made to the local authority, which it is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (investigating.)Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 488.74 m 562.54 488.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 84.36 w 33.47 477.5 m 563.66 477.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 434.19 m 565.87 434.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The home is small and comfortable, providing a homely place for people to live. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (infection control facilities must be improved to protect people from acquired infection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.51 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 326.3 w 34.6 245.17 m 562.54 245.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 399.32 m 564.79 399.32 l S 0.001 w 304.93 w 33.47 233.36 m 563.66 233.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.95 m 565.87 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 388.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 388.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.95 m 564.79 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 396.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 371.27 Tm (The home is in a residential area of Milton Keynes. All rooms are on the ground floor )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (and some have access to the garden. It has good access for people with disabilities )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (and people were seen to move freely around the home in their wheelchairs. Most )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (rooms have ensuite facilities and there has been a programme over the years to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (upgrade these as many are not accessible to people with disabilities. The water supply )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (has been upgraded since the last inspection and all ensuites now have hot water which )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (is temperature regulated. The manager provided a plan which showed that there were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (four inaccessible ensuite bathrooms which remained to be converted to shower rooms )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (and sixteen shower rooms which, although usable, were due to be refurbished.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (There is a communal lounge-dining room linking the north and south wings of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (home. There is a quiet room for residents to use if they wish. Residents may have )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (their own telephone and there is internet access in the lounge and quiet room which )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (residents were using to keep in contact with families and friends.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (The home was clean and there were no offensive odours. There are infection control )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (policies and procedures in place. Training records showed that staff had had infection )Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 231.32 w 34.6 695.74 m 562.54 695.74 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 209.95 w 33.47 683.93 m 563.66 683.93 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 32.35 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 577.83 m 565.87 577.83 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (control training and staff were observed to wearing gloves appropriately and washing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (their hands. The disinfection facilities available to disinfect commode pans, urinals and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (jugs used for emptying catheters are inadequate. There is a disinfector on the south )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (wing which staff said was used to disinfect commodes although they were unaware )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (that it could also be used to disinfect urinals and urine jugs. The disinfector has been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (removed from the north wing and staff said that commode pans, urinals and jugs were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (emptied in the resident's toilets, rinsed and kept in their rooms. They could not use )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the disinfector on the south wing as the only access is though the lounge/dining room. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (This must be addressed as a matter of urgency and proper provision must be made to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (ensure that bedpans and urinals are decontaminated using heat disinfection in a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (recognised washer-disinfector. Further information about Infection Control in Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Homes is available from the Department of Health publications on www dh.gov.uk.)Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The staff are caring and well liked by residents. There are not enough staff to meet )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (everyone's needs in a timely way and not enough staff have the necessary knowledge )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (and skills to care for people with complex needs.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 401.01 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (The manager said that there was one registered nurse on duty at all times. She aimed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (to have four carers on duty in the mornings, three in the afternoons and one at night. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (The manager said that there had been some staff shortages over the last months as )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (one registered nurse was on maternity leave and they had not been able to replace )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (her. Existing staff had covered her by working overtime. She was expected back )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (shortly. There is a limited number of ancillary staff with one housekeeper on duty for )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (three days of the week and two for three days of the week. There are no )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (housekeeping staff on duty on Sundays. Families noted this and commented that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (there was a need for someone to 'hoover at the weekends'. The day carers do the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (laundry and the night carer, in addition to her caring duties, did the ironing and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (folding of linen. The manager said that she expected the carers to put their caring )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (duties first and that she had reduced the number of staff available at night to help in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (the mornings. People told us that they sometimes had to wait for care. One resident )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (said that the night staff helped her up initially and that she then undertook some )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (aspects of care for herself. She said that she often had to wait for day staff to be able )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (to help her complete washing and dressing. The practice in the mornings is for staff to )Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (work independently as far as is possible helping people to wash and dress in bed and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (then to join up to help those who needed the hoist to get up. This accounted for why )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (people were in bed dressed but waiting to be helped up into their chairs or )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (wheelchairs. One family member said that although they were happy overall with the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (care that their family member received, they had had concerns initially that he was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (not helped up enough and spent too much time in bed. When they raised this it was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (addressed, although they said there were still times when they visited at the weekend )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and he was still in bed. Two carers said that they preferred to start at 7am rather than )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (8am in order that people could be helped up earlier. When asked in the surveys )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (whether the service gave the support or care to their relative that they expected, two )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (family members said 'always', five said 'usually' and two said 'sometimes'. On the day )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (of the unannounced visit carers were observed to be helping people up throughout the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (morning. The last person on one wing was up at 11:45 am just in time for lunch. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (People were mixed in their views as to whether there were enough staff to help their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (family members with some saying ' staff always kind friendly and do their utmost to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (keep on top of their duties', 'they are kind and caring and the care is good'. Others )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (expressed concerns about the 'time taken to meet personal hygiene needs', that 'staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (should be given more training'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Staff told us that had had training in safe working practices and the training records )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (reflected this. A small number of staff had undertaken specialist training. The manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (said she was seeking specialist training and encouraging staff to use distance and )Tj ET /F3 12 Tf BT 1 0 0 1 533.48 411.68 Tm (e-)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (learning.)Tj ET /F3 12 Tf BT 1 0 0 1 87.42 394.19 Tm ( One registered nurse and one carer had had training in palliative care, two )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (registered nurses had had training in taking blood. Female nurses did not appear to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (have had training in male catheterisation and no one had had training or an )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (introduction to head injury. The manager has since confirmed that she is developing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (teh specialist training programme. This will be checked at the next inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Overall given the concerns in the health and personal care section of this report, the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (time it is taking for everyone to be up in the morning and the reduction in staffing at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (mealtimes, we consider that there are insufficient staff with the knowledge and skills )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (to meet everyone's needs in a timely way. The registered manager must review the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (staffing levels, deployment and skills of the staff team, with the lead nurse, and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (ensure that there are sufficient staff with the correct skills and knowledge to meet )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (people's needs in a timely way.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (The recruitment files of three people appointed since the last inspection were checked. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (They contained evidence of the staff member's identity and appropriate checks had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (been made. They had completed an application form and had been interviewed. Two )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (references and a Criminal Records Bureau \(CRB\) disclosure had been sought before )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (they started work. There was evidence in the files that they had undertaken a local )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (induction and a more comprehensive induction lead by the lead nurse.)Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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 /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 360.01 m 562.54 360.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 171.84 w 33.47 348.76 m 563.66 348.76 l S 0.001 w [] 0 d 2.25 w 0.75294 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 32.35 260.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 260.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 261.71 m 565.87 261.71 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (There have been improvements in the management of the home and the manager has )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (now registered with us. A quality assurance programme has been introduced but )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (needs to be consolidated if people are to be assured of good quality care at all times. )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.26 Tm (The staffing levels and skills of the nursing and care team must be improved and the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.77 Tm (steps needed to do this should be reflected in the home's business and financial plan, )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 288.27 Tm (if the home is to meet the needs of people with complex care needs including those )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 270.77 Tm (requiring palliative care. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 246.03 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 153.82 w 34.6 158.93 m 562.54 158.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 226.84 m 564.79 226.84 l S 0.001 w 132.45 w 33.47 147.12 m 563.66 147.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 214.47 m 565.87 214.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 215.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 215.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 214.47 m 564.79 214.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 223.53 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (The home is run as family business and is registered with us as a partnership. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (proprietor's wife is the manager and she has now registered with us. She confirmed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (that the nursing home continues to operate as a partnership and that this is the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (correct registration category with us. She has completed the National Vocational )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (Qualifications in Care and Management at level 4. She is not a registered nurse and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (has appointed a lead nurse to lead the nursing and care. She said that the lead nurse )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (should have two days a week when she was not the only nurse on duty to lead and )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 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 /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm (�)Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm (�)Tj ET 0.99608 0.9451 0.76078 RG 668.72 w 34.6 477.04 m 562.54 477.04 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 647.35 w 33.47 465.23 m 563.66 465.23 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 32.35 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 140.43 m 565.87 140.43 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (supervise the nursing and care team. Due to staff shortages this had been difficult to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (implement over recent months and the rotas seen did not confirm that this was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (happening reliably. She said that the home was not full, which had meant that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (improvements could not be implemented as quickly as she wished although they had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (recently completed the upgrade to the hot water system which meant that hot water )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (was available in all the ensuite bathroom/shower rooms. She had a business plan for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (ongoing repairs and refurbishment of the home. The manager said that the business )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (plan also identified the need for staff to have training to ensure that they had the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (skills and knowledge to care for people with complex needs although said that a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (specific financial allocation was not identified.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (She has begun to implement a full quality assurance programme and has undertaken )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (a baseline audit using a recognised tool. She said that improvements as a result of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (review would be incorporated into the business plan. The proprietor's daughter )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (undertakes the quality assurance visits required to comply with Regulation 26 of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (Care Homes Regulations on his behalf. The documentation in use states that copies of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (her report following the visits are sent to the both proprietors.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (People who responded to the surveys were mixed in their views. All said that the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (service responded to the different needs of individual people. One person commented )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (that the management of the home had improved and that she had seen a 'tangible )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (difference in the working atmosphere'. Another said there appears to be 'a genuine )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (wish to work together to provide the best care and resolve any difficulties'. Another )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (however said that the home would improve if ' the manageress was on duty in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (home more often'. The rotas did not enable the inspector to verify this.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (There are health and safety policies and procedures in place and training records )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (showed that staff have had training in safe working practices, including moving and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (handling. The application of the infection control policies and procedures should be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (improved with the provision of effective heat disinfection facilities for commode pans )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (and urinals. The home received a five star rating for food hygiene. The manager said )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (in the Annual Quality Assurance Assessment that the routine maintenance and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (servicing of essential services was up to date. She was unsure when the electrical )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (wiring had last been tested and the electrical wiring inspection report was not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (available in the home. This must be addressed and the electrical wiring must be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (inspected by a competent person and verified as safe. Any defects identified must be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (remedied.)Tj ET endstream endobj 63 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 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)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 /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm (� )Tj ET /F3 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 /F3 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 /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm (�)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 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 /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 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 /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm (�)Tj ET 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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 /F3 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 /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 514.74 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 514.74 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 514.74 Tm (The home must ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 497.74 Tm (people can bathe and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 480.74 Tm (shower on a regular basis, in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 463.74 Tm (line with their preferences.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 446.74 Tm (�)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 429.74 Tm (To ensure people are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 412.74 Tm (supported to maintain their 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C <�RG<29Ap@AC6/?o����� /?o����� 7���� 9999P���KKTB�KKSB� 2+K�dRB�����KRX��Y�KTX���Y�KSX���Y++++st+stst�E�Eha�#Ds�E�Eha�#D�E�Eha�#D�Eh�#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++�qEh�q#Dstu++++ endstream endobj 75 0 obj<> endobj 76 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 77 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 78 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec ��oc;�j���t����D[�2^��t�$��cd���r�eYj�RZb@�e F���>�" �F��+�$�l �`�v �.H֢�T)&���wa{�vI���t%Նsw��g,��l�on����rMWWI�Z���7p�6�\�5J���HrtPb ��E~1�C���e��w|;d}�Ty����m��8 �B� �����T�c���J6*]h<����i~�( \57Z�~JO-�a�C*��-��o��5���ᮻ��r�LJ->[���zeKq)Ʒ��W0�jl�BI����f14��%�B[��tn�qN��O��ד��e{�fC�;1I^�7^���r���5=��[�y����S�w�F 5ZUͧ���@;J��7{�P��h�x�� ғ*����⿅΅V1�lC�d�3Dk����9+ ~I�i�c*��x ���2�Y��C.�eK��g��t�_"t!�Z��t�b�$~��i�S�[��xd�w 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Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface � The Monotype Corporation plc. Data � The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 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0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 89 0 obj<> endobj 31 0 obj<> endobj 90 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 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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;�j���t����D[�2^��t�$��cd���r�eYj�RZb@�e F���>�" �F��+�$�l �`�v 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