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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 470.11 m 160.38 470.11 l S 0.001 w 1 1 1 RG 73.32 w 162.63 470.11 m 563.65 470.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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383.54 l S 0.001 w 1 1 1 RG 20.58 w 361.2 383.54 m 565.9 383.54 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 394.95 m 568.1 394.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 372.12 m 568.1 372.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 396.03 m 30.07 371.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 396.03 m 360.07 371.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 396.03 m 567.02 371.05 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 378.77 Tm (The quality rating for this )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 1 191.92 378.77 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 1 255.59 378.77 Tm ( is:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 400.14 378.77 Tm (two star good service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 359.87 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 340.81 Tm (A quality rating is our assessment of how well a care home)Tj ET /F3 12 Tf BT 1 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/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 (2)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 (33)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. 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. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /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 (33)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 (33)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 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.75294 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 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /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 (Lime Tree House)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 (Chantry Green, Main Street)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Upper Poppleton)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (York)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (YO26 6DL)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01904795280)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 625.39 Tm (Dinka.rch@gmail.com)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 517.34 m 564.77 517.34 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 20.58 w 31.2 518.46 m 565.9 518.46 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 495.63 m 353.25 495.63 l S 0.001 w 1 1 1 RG 20.58 w 355.5 495.63 m 565.9 495.63 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 472.8 m 353.25 472.8 l S 0.001 w 1 1 1 RG 20.58 w 355.5 472.8 m 565.9 472.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 567.8 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 551.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 567.8 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.39 m 568.1 461.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 508.12 m 354.37 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 460.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Roseville Care Home Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Mrs )Tj ET /F3 12 Tf BT 1 0 0 1 59.76 513.69 Tm (Marie Denise )Tj ET /F3 12 Tf BT 1 0 0 1 141.79 513.69 Tm (Whitelock)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 490.86 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 490.86 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 468.03 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 468.03 Tm (26)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 449.09 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 432.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 389.77 m 564.47 389.77 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.18 m 567.8 401.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.01 m 567.8 424.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.18 m 567.8 401.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.77 m 567.8 357.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.09 m 30.07 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.26 m 298.32 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.09 m 566.72 356.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 407.83 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 385 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 385 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 364.42 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 364.42 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 335.69 m 297.3 335.69 l S 0.001 w 35.16 w 299.55 335.69 m 431.45 335.69 l S 0.001 w 35.16 w 433.7 335.69 m 565.6 335.69 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 305.57 m 565.6 305.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.4 m 567.8 354.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 567.8 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 355.47 m 30.07 293.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 355.47 m 298.42 315.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 355.47 m 432.57 315.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 355.47 m 566.72 293.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 338.21 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 323.63 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 338.21 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 338.21 Tm (26)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 300.8 Tm (Additional conditions: )Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 279.37 m 315.25 279.37 l S 0.001 w 1 1 1 RG 20.58 w 317.5 279.37 m 346.55 279.37 l S 0.001 w 20.58 w 348.8 279.37 m 377.9 279.37 l S 0.001 w 20.58 w 380.15 279.37 m 409.2 279.37 l S 0.001 w 20.58 w 411.45 279.37 m 440.55 279.37 l S 0.001 w 20.58 w 442.8 279.37 m 471.9 279.37 l S 0.001 w 20.58 w 474.15 279.37 m 503.2 279.37 l S 0.001 w 20.58 w 505.45 279.37 m 534.55 279.37 l S 0.001 w 20.58 w 536.8 279.37 m 565.9 279.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 290.78 m 568.1 290.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.95 m 568.1 267.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 291.86 m 30.07 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 291.86 m 316.37 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 291.86 m 347.67 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 291.86 m 379.02 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 291.86 m 410.32 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 291.86 m 441.67 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 291.86 m 473.02 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 291.86 m 504.32 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 291.86 m 535.67 266.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 291.86 m 567.02 266.88 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 274.6 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 256.08 m 565.9 256.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 246.45 m 568.1 246.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 247.53 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 247.53 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.7 m 568.1 265.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 246.45 m 568.1 246.45 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 30.07 266.78 m 30.07 245.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 266.78 m 567.02 245.38 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 252.52 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 252.52 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 233.27 Tm (Lime Tree House provides personal care and accommodation for up to 26 older people )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 216.27 Tm (and is owned and managed by Roseville Care Homes Ltd. It was last inspected on 9 )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 199.27 Tm (January 2009. The home is a large detached property set in private gardens in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 182.27 Tm (village of Upper Poppleton on the outskirts of York, to the west of the city. There is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 165.27 Tm (some parking on the site, and on the road nearby. Upper Poppleton has village )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 148.27 Tm (amenities within walking distance. People expressing an interest in moving to Lime )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 131.27 Tm (Tree House are given a brochure about the home and a Statement of Purpose and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 114.27 Tm (service user guide are available, which describe the facilities and services provided )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 97.27 Tm (there. The latest inspection report, written by our predecessor The Commission for )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 80.27 Tm (Social Care Inspection is displayed in the reception area of the home. On 6 January )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 63.27 Tm (2010 we were told the weekly fees to live at Lime Tree House are between 450 and )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 (33)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 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 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 28.99 758.15 m 568.1 758.15 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 (525 per week. Additional charges are made for hairdressing and chiropody services )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (and personal items like newspapers and personal toiletries.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 (33)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 1 411.34 749.45 Tm (two star good 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 is what was used to write this report.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (Information about the home kept by the Care Quality Commission.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (Information asked for, before the inspection, which the manager provides. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (called an Annual Quality Assurance Assessment or AQAA. This tells us about how the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (service is affecting outcomes for people living there, as well as some numerical )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (information about the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (A visit to the home by one inspector, which lasted about 7.5 hours. This visit included )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (talking to people who live there and their visitors, and to staff and the manager about )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (their work and training they had completed. It also included checking some of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (records, policies and procedures that the home has to keep.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm ()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 (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 163.38 w 32.32 730.84 m 566.72 730.84 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 30.12 648.02 m 568.92 648.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 646.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 646.95 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm (Some time was also spent watching the general activity to get an idea of what it's like )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm (to live at Lime Tree House.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (Information about what was found during the inspection was given to the general )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (manager at the end of the visit.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 715.24 Tm (We have reviewed our practice when making requirements, to improve national )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 700.66 Tm (consistency. Some requirements from previous inspection reports may have been )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 686.08 Tm (deleted or carried forward into this report as recommendations - but only when it is )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 671.5 Tm (considered that people who use services are not being put at significant risk of harm. )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 656.92 Tm (In future, if a requirement is repeated, it is likely that enforcement action will be taken.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /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 (33)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 370.5 w 32.32 588.57 m 566.72 588.57 l S 0.001 w 20.58 w 32.7 390.78 m 569.35 390.78 l S 0.001 w 314.22 w 33.82 221.13 m 568.22 221.13 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 30.12 402.2 m 568.92 402.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 401.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 402.2 m 569.35 402.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 379.37 m 569.35 379.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 379.37 m 570.42 379.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 62.9 m 570.42 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 380.45 m 32.7 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 401.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 380.45 m 569.35 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 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 (A detailed assessment of people's needs is carried out before a decision is made as to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (whether an individual should move to Lime Tree House. This process helps to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (sure that those assessed needs can be met, if they choose to move there, as well as )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (reassuring the individual and their family that staff have the skills and knowledge to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm (support the individual properly.)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 (People tell us they are 'well looked after' at Lime Tree House. Their comments include )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm ('Everybody's very kind and thoughtful. They will do anything for you'. Another person )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm (added 'the staff say I should ask them more for help, but I like to try to do things )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (myself'.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm (People tell us the staff are competent and helpful. Comments include 'I have no )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm (complaints about the staff' And 'oh yes, they \(staff\) know what they are doing. They're )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (very good'. One visitor commented that the home has a number of staff who have )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (worked at the home for a long time. Their knowledge and skills contribute to people's )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (quality of life.)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 (The home is clean, warm and comfortable. Because it is situated in the heart of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (village there are visitors coming and going all the time. They acknowledge other people )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm (living there, which makes peoples lives more interesting and promotes a 'big family' )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (feel to the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.58 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438 Tm (People have confidence in the new manager and feel she is making a difference to how )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.42 Tm (the home runs. One person said 'she's very willing to listen. I'm sure she would sort a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 408.84 Tm (problem out for me'.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 587.02 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 388.67 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 386.01 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 1 569.35 389.23 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 219.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 363.18 Tm (The company have recruited an experienced manager who has applied to be registered )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 348.6 Tm (with the Care Quality Commission. A business and improvement plan for the home has )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 334.02 Tm (been developed, which helps to focus on what areas need to improve, and by when. )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 319.44 Tm (The manager has prioritised ensuring personal care practices and the written records )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 304.86 Tm (about that care are to a good standard.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 290.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 275.7 Tm (Written information about the home, which is given to prospective residents and their )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 261.12 Tm (families has now been reviewed, so it more accurately describes Lime Tree House and )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 246.54 Tm (the facilities it provides.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 231.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 217.38 Tm (Care records have now been reviewed and in some cases re-written to make them )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 202.8 Tm (more user-friendly and so that they more accurately describe the care and support )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 188.22 Tm (people need. This means people are more likely to receive safe, consistent support.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 173.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 159.06 Tm (People's social needs are now being better met, though some very recent changes )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 144.48 Tm (need more time to become an established part of the home's routine. However people )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 129.9 Tm (told us they thought there was more going on at the home nowadays and there were )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 115.32 Tm (photographs displayed of two 'outings' last summer.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 100.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 86.16 Tm (Some fire safety and food hygiene records have improved in order to better protect )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 71.58 Tm (people from harm. However some shortfalls are still evident.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 219.59 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 (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 33.82 789.16 m 568.22 789.16 l S 0.001 w 20.58 w 33.45 753.25 m 570.1 753.25 l S 0.001 w 283.02 w 34.57 599.2 m 568.97 599.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 764.66 m 570.42 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 741.83 m 570.1 741.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 764.66 m 570.1 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 741.83 m 571.17 741.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 456.56 m 571.17 456.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 742.91 m 33.45 455.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 742.91 m 570.1 455.49 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.42 802.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.42 788.14 Tm (There has been ongoing re-decoration and refurbishment to improve the environment )Tj ET /F3 12 Tf BT 1 0 0 1 34.42 773.56 Tm (for people living there.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 751.7 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 748.48 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 31.2 597.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 725.65 Tm (Whilst medicines management at the home is generally satisfactory there could be )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 711.07 Tm (some improvements in record-keeping, both to comply with Medicines law and also to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 696.49 Tm (help to confirm that good practises are being maintained.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 681.91 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 667.33 Tm (The home could ensure that professional advice is always sought when their )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 652.75 Tm (assessments show that a person is at risk of deteriorating health. This would help to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 638.17 Tm (show that staff are doing all they can do to promote an individual's well-being.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 623.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 609.01 Tm (The home could ensure that all staff working at Lime Tree House are very clear of their )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 594.43 Tm (responsibilities should they witness or be told about someone living there being )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 579.85 Tm (mistreated. This would help to keep people safe from harm.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 565.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 550.69 Tm (Recruitment files could be better maintained so that it is easy to check that only )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 536.11 Tm (suitably vetted people work at the home. There could be better staff training records to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 521.53 Tm (demonstrate that people are attending refresher training in a timely way.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 506.95 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 492.37 Tm (Some health and safety processes could be made more robust so that people living, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 477.79 Tm (working and visiting the home are better protected. These include fire safety systems, )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 463.21 Tm (hot water monitoring, bed rail management and food hygiene practises.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 442 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 422.01 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 422.01 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 422.01 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 404.51 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 384.52 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 364.52 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 364.52 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 344.52 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 344.52 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 324.53 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 (33)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 (33)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 124.35 w 34.6 378 m 562.54 378 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 101.85 w 33.47 366.75 m 563.66 366.75 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 32.35 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 313.62 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 31.27 314.7 m 565.87 314.7 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 (The pre admission assessment ensures that individual care needs can be met at the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (home and the prospective resident receives information and help to enable them to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (choose whether Lime Tree House is the right place for them.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 299.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.8 w 34.6 185.43 m 562.54 185.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.83 m 564.79 279.83 l S 0.001 w 185.43 w 33.47 173.62 m 563.66 173.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.45 m 565.87 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.45 m 564.79 267.45 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 35.5 276.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (Several care plans were looked at as part of the inspection to check whether people's )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (needs had been looked into before the decision was made as to whether they should )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (move to the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm (Those records for people who have recently moved to the home generally contained )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (very detailed assessments of their needs, which had been completed by the general )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (manager. These included information about people's abilities to manage their )Tj ET /F3 12 Tf BT 1 0 0 1 509.39 146.79 Tm (day-to-)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (day)Tj ET /F3 12 Tf BT 1 0 0 1 58.36 129.3 Tm ( lives independently, as well as their preferences, such as how many pillows they )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (like to sleep with and what sorts of foods they particularly like or dislike. They had )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (been signed by the individual or a family member to confirm their agreement with )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 (33)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 (what had been written down.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The information gathered in this assessment helps to build up a picture of an )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (individual's needs and helps to make sure the care provided is tailored to what they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (want. Whilst most were dated in advance of the person being admitted, one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (assessment was not well completed so it was difficult to be certain that it had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (done before the person moved to the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (One care plan looked at contained a written assessment completed by a care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (manager, from the local authority. The manager had also carried out her own )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (assessment to check that the individual's needs could be met at the home. We spoke )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to two people who had moved to the home recently, but neither could recall being )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (visited by the manager, before they moved there. Both people said that their families )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (visited the home on their behalf and then talked to them about what it was like. One )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (said they were given written information to look at but added that they already knew )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (about the home, as they lived locally.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The Statement of Purpose, which describes the services and facilities provided by the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (home has been reviewed in the last year and now more accurately describes the home )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (and how it operates.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (Lime Tree House does not provide intermediate care.)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 (33)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 (Peoples 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. Peoples 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 124.35 w 34.6 412 m 562.54 412 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 101.85 w 33.47 400.75 m 563.66 400.75 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 32.35 347.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 347.62 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 31.27 348.7 m 565.87 348.7 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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 437.12 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 (People's personal and healthcare needs are generally well met but some of the record )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (keeping needs to more accurately reflect the risk to people and how these risks are )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (being managed.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 333.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 240.8 w 34.6 202.43 m 562.54 202.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 313.83 m 564.79 313.83 l S 0.001 w 219.43 w 33.47 190.62 m 563.66 190.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.45 m 565.87 301.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 302.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 302.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.45 m 564.79 301.45 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 35.5 310.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 285.77 Tm (Two care plans were looked at in detail at this visit and several others more briefly. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.27 Tm (Care plans are used in care homes to describe the care and support people need to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (stay in charge of their lives as much as possible. They help to ensure this support is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (provided in a consistent and safe manner.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (Those care plans looked at were written in a very person-centred way describing what )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (an individual can do for themselves, and what help the carers need to provide. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (Examples include 'pass flannel to X, as they will wash their hands and face'. And 'Y )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (can dress self with encouragement. Carers to say what's in their wardrobe and let Y )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (decide'. This sort of information is good practise as it helps to ensure carers don't )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (carry out tasks that the individual can do for themselves. It also ensures that people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (are supported in a consistent manner. Care plans were generally reviewed monthly to )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 (33)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 (make sure they are still appropriate.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Assessments were seen of the risk of a person falling, developing a pressure sore or )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (losing weight, because of a health problem or poor appetite. One assessment though )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (had identified a risk of harm, but it was unclear what had been done to minimise that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (risk. The manager told us that she had asked the community nurses to visit, but this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (had not been written down.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Another person had been prescribed high calorie drinks because they had lost weight, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (but the discussion with the doctor had not been recorded. The manager then told us, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and we saw, that this sort of information is generally written in the daily records. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (However as the days pass these details become difficult to find. The manager must be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (able to show that health care professionals have been consulted in a timely way, when )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (people's wellbeing is at risk. And this information must be incorporated into the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (individual's care plan.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The home is unable to monitor one person's weight, however they have been assessed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (as at risk of weight loss because of their poor appetite. The manager needs to seek )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (guidance from the individual's doctor to check whether there is anything more they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (should be doing in order to keep them well.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (One person has specialist equipment to minimise the risk of them developing a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (pressure sore. The care plans provide good detail about checking this equipment to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (make sure it is working as it should be.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (As previously mentioned care staff mainly record referrals and discussions with health )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (care professionals in the daily records. This way of working was discussed with the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (manager. We saw that some people had attended hospital appointments and had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (seen by their doctor in the last few days. Information from these visits needs to be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (recorded in the care plans so that these records are kept up-to-date and accurately )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (describe the care an individual needs. Evidence of visits by the chiropodist and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (optician were also seen.)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 (Medication systems were looked at and were generally satisfactory. Senior care staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (have completed extra training to make sure they are competent to carry out this task )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (and the manager carries out her own checks to satisfy herself that medicines are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (being managed properly.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (One person looks after their own medicines and these are securely stored in their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (room. An assessment had been completed when the individual first decided to )Tj ET /F3 12 Tf BT 1 0 0 1 512.36 96.75 Tm (self-)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 (33)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 563.75 w 34.6 529.53 m 562.54 529.53 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 542.38 w 33.47 517.72 m 563.66 517.72 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 32.35 244.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 244.33 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 31.27 245.41 m 565.87 245.41 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 (medicate)Tj ET /F3 12 Tf BT 1 0 0 1 89.26 779.1 Tm ( and they had signed to say they would look after them in a responsible )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (manner. The decision to continue being responsible for their own medicines is )Tj ET /F3 12 Tf BT 1 0 0 1 510.18 761.6 Tm (re-)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (looked)Tj ET /F3 12 Tf BT 1 0 0 1 73.91 744.11 Tm ( at each month as part of the review process and the individual then signs to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (confirm that the care plans describe the care and support they want.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (There were good records to show that people were having their medicines according )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (to their prescription, though some record keeping still needs improving. These )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (shortfalls were either addressed on the day, or the manager said she would sort them )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (out in the days following the visit.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (The home keeps a record of the signatures and initials of care staff at the home who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (administer medicines. Whilst this is good practice the form had not been completed by )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (all the staff who deal with medicines.)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 controlled drugs record book was not being completed properly. The way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (recording these medicines needs to be very robust, to comply with the law.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The running total of boxed tablets needs to be carried over from one record chart to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (the next so that it is possible to check by counting back, that people are receiving )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (their drugs properly.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (And one person had not had a prescribed high calorie drink for several days. Both the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (manager and senior carer told us separately that the local pharmacy had 'run out' but )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (that they had been delivered that day. Running out of prescribed items in this way is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (not satisfactory and the manager needs to take advice about what she should do if )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (this were to happen again.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (We observed carers speaking with and responding to people living there. This was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (always done in respectful and sensitive manner. People told us that the care staff were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ('very kind and thoughtful. They ask what I want'. Another said they were 'well looked )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (after'.)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 (33)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 106.85 w 34.6 454.74 m 562.54 454.74 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 84.36 w 33.47 443.5 m 563.66 443.5 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 32.35 399.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 399.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 400.19 m 565.87 400.19 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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 471.12 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 (Changes are being introduced to make people's lives more varied and they are )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (supported to live the life they choose.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 384.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 292.3 w 34.6 228.17 m 562.54 228.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 365.32 m 564.79 365.32 l S 0.001 w 270.93 w 33.47 216.36 m 563.66 216.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 352.95 m 565.87 352.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 354.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 354.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 352.95 m 564.79 352.95 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 35.5 362.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 337.27 Tm (People spoken with told us they were happy living at Lime Tree House. Comments )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (include 'I like it here. Staff will do anything for you. My clothes are well cared for'. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (Another said 'I'm quite happy. I spend the majority of my time in my room, but I go )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (to the lounge for activities'.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (People told us that there had been more to do at the home recently. There are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (photographs displayed from two trips out, which had taken place in the summer and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (people commented on craft afternoons and enjoying a game of scrabble. A number of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (people living there are from the local community and are still involved in local )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (activities and church groups.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (The diary of activities, kept by the home, shows that many people have regular )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (visitors and go out from the house with them. The manager has introduced a rota )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (system at the beginning of January, where care staff are rostered to organise and lead )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (social activities each afternoon. This needs to become established, so that particularly )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 (33)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 (people with few visitors can lead an interesting life, where one day is different to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (another.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The hairdresser visits weekly and a religious service is held at the home each month. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (People's social needs are looked into as part of the admission process. Staff need to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (look at how activities they provide can be tailored to people's individual interests and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (backgrounds.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The care plans identify people's likes and dislikes and the times they like to go to bed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (and rise in the morning. Two people told us they had a key to their room, but did not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (feel the need to use it. People were seen in the lounge with hot drinks and glasses of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (juice.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Resident's meetings are held every other month and minutes from the last two were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (seen. These show that people had been consulted about new chairs purchased and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (people had commented on how the home was running, such as that the board on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (which the day's menu choices were written was not always filled in. People had also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (been consulted about changes they would like to see on the menu.)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 (The menus looked at showed that suggestions made last autumn have been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (incorporated into the meal choices. People were asked about the meals they received. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (They were not particularly critical, but nor were they very enthusiastic. They made )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (comments like 'on the whole its satisfactory' and 'it's alright'. There is a four week )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (menu and people have a choice of main meal at both lunch and teatime. People are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (asked in advance of each meal as to what they would like. Home baking was seen in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (the pantry though we were told that fresh fruit is not regularly offered to people living )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (there.)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 (The dining room is pleasantly set out. People tend to sit at the same table and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (order the tables are served changes each week. The meal alternatives on the day of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (the visit were gammon and egg with chips and green beans or cheese and onion flan. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (People had water with their meal. Although each table had a cruet, people weren't )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (offered sauces. We were told that staff know which meals people like sauces with and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (put them on the tables at those times. At other times people are able to ask.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (One person needed their meal cutting up and a carer offered to do this. The individual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (may prefer this to be done before the plate is given to them, so that they are not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (identified as having this care need. Their ability to cut up different sorts of foods could )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (be discussed with them so that their independence is promoted, but then they receive )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (discreet help when necessary. Another person had been identified as having a small )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 (33)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 (appetite but their meal seemed to be the same size as other people's. When their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (plate was taken away they appeared to have eaten very little, and a normal portion )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (size may have overfaced them. People's meals need to suited to the individual's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (assessed needs and requirements.)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 (33)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 (Peoples 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 (Whilst people know how to make a complaint and report that they feel very safe, )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (some systems in place to protect them are not as robust as they could be. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 435.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.3 w 34.6 253.67 m 562.54 253.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.32 m 564.79 416.32 l S 0.001 w 321.93 w 33.47 241.86 m 563.66 241.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 403.95 m 565.87 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 403.95 m 564.79 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /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 (The home's complaints process is displayed in the entrance area of the home and is )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (also given to people when they move to the home. This document, like the Statement )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (of Purpose could also be offered in a larger print to make it easier for some people to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (read.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (People told us that they would definitely report any concerns to the manager or a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (member of staff. They felt confident that issues would be addressed properly. One )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (person commented 'I'm sure she, \(the manager\), would sort a problem out for me'.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (The manager keeps good records of negative comments and complaints made to her )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (and how she has addressed them. The manager told us in her AQAA that the home )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (has received eight complaints in the past year and these are all recorded. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (Commission has not received any complaints about the service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (The manager has a copy of the multi agency policy for safeguarding vulnerable adults )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (and she told us that all staff have attended safeguarding adults training, almost a year )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.33 Tm (ago. The home has made two safeguarding referrals to the local authority in the past )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 90.83 Tm (year though one of these was not reported as quickly as it might have been.)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 (33)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 ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (One worker spoken with knew that they must immediately report any incident to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (whoever was in charge, when they witnessed or were told that someone may have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (been mistreated. They were less clear though about the need to report if they had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (been told about an incident in confidence. They also said that they couldn't recall )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (attending any safeguarding adultds training. The manager needs to ensure that all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (staff working at the home are very clear about their responsibilities in keeping people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (safe and she needs to be satisfied that her staff have understood what has been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (discussed in the training session. Alert staff contribute to keeping people safe.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Some recruitment processes at Lime Tree House need to be more robust as this will )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (also contribute to protecting people from harm.)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 (33)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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 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 (People live in a warm comfortable house, which has been adapted to meet their )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (needs.)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 (Lime Tree House is a mature detached house with a single storey extension at the rear )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (of the property. It provides a large lounge and dining area and some people also )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (choose to sit in the large reception area, where they can watch people come and go. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (The home was noted to be clean, warm and comfortable, with no unpleasant smells.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (Most of the private rooms are on the ground floor. A vertical passenger lift aids access )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (to the first floor and the manager told us that people's needs are taken into account )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (when deciding who should have a first floor room. Eight of the rooms have an en-suite )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (toilet and wash handbasin. And one room is suitable for two people to share, although )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (currently just one person has that room. Those rooms looked at had personal items )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (which made the room feel more like home. One person in a larger room had a lot of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (their own furniture. People have their own television and at least one individual has )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (their own telephone.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (In the last year the reception area and lounge have been redecorated and new seating )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (purchased. People living there 'trialled' several different types of chairs so that they )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (could choose the ones they liked the most. Other areas, including bedrooms, are )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 (33)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 353.8 w 34.6 634.51 m 562.54 634.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 332.42 w 33.47 622.7 m 563.66 622.7 l S 0.001 w [] 0 d 2.25 w 0.75294 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 32.35 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 455.36 m 565.87 455.36 l S 0.001 w [] 0 d /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 (redecorated as part of a planned refurbishment programme.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The home has a hoist to help with moving and handling people, when their assessed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (needs require it. The bedrooms have call bells and one was pulled and responded to in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (less than a minute. The person we were talking with said that that was about how )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (long staff generally took to respond.)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 (Although the manager tells us that the call bells in the lounge are not fixed to the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (walls and can be placed, for example, next to a person, people spoken with in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (lounge told us they thought the call bells were fixed to the wall. One person said they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (would get up and use it on another person's behalf if necessary, in order to summon )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (help. The manager needs to make sure carers use these appropriately so that people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (can call for help independently.)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 manager makes sure that appropriate aids are available and used to make sure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (that people living in the home are protected against infection, however we noticed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that the door to the laundry room does not lock. The manager needs to carry out her )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (own risk assesment and take advice if necessary to determine whether the home )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (needs to keep the room more secure in order to protect people from harm. )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 (33)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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 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 (Whilst people are supported by staff who are properly trained and supported, the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (records don't always evdence this well. Some recruitment processes need to be more )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (robust in order to keep people safe.)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 (People spoken with on the day of the site visit agreed that they were treated well by )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (staff. People told us that the staff are 'very good' and 'very kind and thoughtful'. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (Another said 'I have no complaints about the staff'. One visitor said the staff group are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm ('very nice and kind' and felt many had worked at the home for some time. They felt )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (this stability contributed to people's quality of life.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (On the day of the visit there were four care staff, two kitchen staff and a domestic )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (working during the morning. The maintenance man was also present for part of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (day. One of the kitchen staff is responsible for serving people's breakfasts and drinks, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (when they are ready for them. This allows care staff to concentrate on providing care. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (Three carers work the late shift and two through the night. These numbers are for 26 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (people. Care staff are also responsible for the laundry services.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (One person told us that the staff 'know what they are doing', but they thought )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (sometimes they were short of time. On the day of the visit care staff didn't appear too )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (rushed, though carers were busy providing care and didn't appear to have much spare )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 (33)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 651.23 w 34.6 485.79 m 562.54 485.79 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 629.86 w 33.47 473.98 m 563.66 473.98 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 32.35 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 156.85 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 31.27 157.93 m 565.87 157.93 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 (time to sit and chat with people.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Two recruitment files for staff who have started work in the last year were looked at. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (These files were disorganised and it was difficult to be sure that all the recruitment )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (checks had been returned and had been checked, before they started working at the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (home. One person's file contained a character reference but we could not see one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (from their previous employer though the manager told us afterwards that the second )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (reference was in the file. Because the agency doesn't keep a copy of letters sent out )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (requesting references it was difficult to be certain that the reference had even been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (requested.)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 (The second person started work about a week before their full police check had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (returned. A PoVAfirst check had been completed, which confirms that an individual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (isn't barred from working with vulnerable people because of a previous offence. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (However this check is not as thorough as a Criminal Records Bureau \(CRB\) check and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (the manager needs to ensure that, prior to the return of the CRB, the individual's work )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (is being supervised at all times and she should be able to evidence this.)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 (Staff are employed for a six month probationary period and records of a meeting with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (the individual at the end of this period were seen.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The manager has a training programme, however it is not up-to-date so we can't be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (sure that people are attending refresher training in a timely way. One person's file was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (looked at, which showed that she had attended training in Dementia Care, Health and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Safety and Infection Control in the past year. The manager has completed extra )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (training so that she can provide up-to-date knowledge and skills in Moving and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (Handling. She told us that this training will be provided in the coming weeks to all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (staff. Care staff have attended training in safeguarding Vulnerable Adults, but this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (should be provided for all staff at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (The manager contacted us in the days following the visit to confirm that staff had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (attended fire safety training in the past year, and more was being arranged. The home )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (also continues to encourage and support staff to attain a National Vocational Level 2 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Qualification in Care. This nationally recognised award helps staff to know what good )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (care is, and how to deliver it.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()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 (33)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 124.35 w 34.6 395 m 562.54 395 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 101.85 w 33.47 383.75 m 563.66 383.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 330.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.7 m 565.87 331.7 l S 0.001 w [] 0 d /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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 420.12 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 (After a number of staff changes, the home now has a committed manager who is )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (making changes to improve the way the home operates and making sure people living )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (there are contributing to that process.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 316.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.8 w 34.6 193.93 m 562.54 193.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.83 m 564.79 296.83 l S 0.001 w 202.43 w 33.47 182.12 m 563.66 182.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.45 m 565.87 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.45 m 564.79 284.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 293.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.77 Tm (The general manager has been in post for about six months. She is very experienced )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.27 Tm (and has attained extra qualifications to help her in her role. She has also managed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm (other care homes prior to Lime Tree House. She is in the process of applying to the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (Care Quality Commission to be registered, to confirm her suitability to manage a care )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (home. This process needs to be completed as the service has been without a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (registered manager for several years.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (People spoken with knew who the manager was and felt she was very approachable )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (and available to speak with. This could be seen on the day of the visit. People told us )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (that they saw her regularly around the home. And because the manager also works )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (two shifts as a care worker she has direct contact with people and is able to informally )Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 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 (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 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 (33)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 (monitor her staff and how the home is running.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (People living at Lime Tree House and their relatives were asked to complete a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (questionnaire last Autumn to give their views on how the home is performing. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (responses from residents were very positive. Relatives views also were generally )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (positive though one person said that communication between the home and family )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (members could be improved. Others though wrote 'I feel my relative is in safe hands )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and if there are problems, then the home will contact me'. And 'we are very happy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (with the care and support'. The manager should consider asking health and social care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (professionals their views about the home too, to find out how they think it could be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (improved.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Some people's personal monies are managed by the home. Although records are kept, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (the manager showed us new documentation she planned to introduce in the coming )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (weeks, which will provide better records and evidence that people's monies are being )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (safeguarded. People also told us that they had a lockable drawer in their room where )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (they could keep personal items safe and secure.)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 (The new manager has prioritised ensuring people's care records more accurately )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (reflect the care that people want and need. And that this care is being provided )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (properly. This is demonstrated by the improved care records and people's positive )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (comments about the service. There is however still work in progress to make sure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (some of the other records and health and safety processes are well maintained. These )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (help to show the home is running well and people's health and safety are protected.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The home has health and safety procedures in place and staff are provided with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (training to help make sure they work in a safe, consistent way. However we identified )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (these issues that need addressing:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Records detailing fire safety checks at the home stated that some of these checks are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (either being carried out very infrequently, or not at all. The fire risk assessment has )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (not been reviewed for more than a year. The manager contacted us within two days of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (our visit to tell us she had spoken with the fire safety officer and had implemented )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (changes already, on their advice. A requirement was made about fire safety records at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (the last inspection a year ago.)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 (Whilst hot water temperatures from wash hand basins are monitored each month, the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (temperatures of water from bath taps are not checked. We found a thermometer in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (the bathroom, and the manager told us that staff check the temperature before )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (assisting with a bath. This though isn't recorded anywhere. Systems need to be in )Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 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 (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 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 (33)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 318.8 w 34.6 652 m 562.54 652 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 297.43 w 33.47 640.19 m 563.66 640.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /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 (place to demonstrate that the home is minimising the risk of people getting scalded.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (One person has bedrails on their bed. Whilst this decision has been risk assessed and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (the rails are checked each month, we saw that the rails were fitted in such a way that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the person could get their head trapped between the head of the bed and the bedrails. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The manager immediately arranged for these to be adjusted, however there needs to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (be systems in place to make sure they stay positioned correctly every day and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (home needs to be able to evidence these checks.)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 (Some kitchen record keeping has improved, but the manager needs to carry out her )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (own spot checks to ensure improved practises are being maintained. We saw several )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (prepared foods stored in the refrigerator, which had not been covered and labelled so )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (it was unclear when they would need to be thrown out. And an ingredient in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (pantry, used when baking cakes, had a use by date in 2008. Good food hygiene )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (practises are needed to protect people from the risk of food poisoning. A requirement )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (about poor record keeping in the kitchen was also made at the last inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (28)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 (33)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 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (29)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 (33)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 0.95294 0.95294 0.95294 RG 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 187 w 31.2 433.3 m 91.05 433.3 l S 0.001 w 187 w 93.3 433.3 m 197.4 433.3 l S 0.001 w 187 w 199.65 433.3 m 289.45 433.3 l S 0.001 w 187 w 291.7 433.3 m 473.8 433.3 l S 0.001 w 187 w 476.05 433.3 m 566.1 433.3 l S 0.001 w 187 w 31.2 244.05 m 91.05 244.05 l S 0.001 w 187 w 93.3 244.05 m 197.4 244.05 l S 0.001 w 187 w 199.65 244.05 m 289.45 244.05 l S 0.001 w 187 w 291.7 244.05 m 473.8 244.05 l S 0.001 w 187 w 476.05 244.05 m 566.1 244.05 l S 0.001 w 85.4 w 31.2 105.6 m 91.05 105.6 l S 0.001 w 85.4 w 93.3 105.6 m 197.4 105.6 l S 0.001 w 85.4 w 199.65 105.6 m 289.45 105.6 l S 0.001 w 85.4 w 291.7 105.6 m 473.8 105.6 l S 0.001 w 85.4 w 476.05 105.6 m 566.1 105.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 338.68 m 568.3 338.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.43 m 568.3 149.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 338.68 m 568.3 338.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.43 m 568.3 149.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /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 (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 514.74 Tm (Advice must be sought )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 497.74 Tm (about the individual )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 480.74 Tm (identified as at risk of weight )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 463.74 Tm (loss, but whose weight )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 446.74 Tm (currently cannot be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 429.74 Tm (monitored.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 412.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 395.74 Tm (This is to check that the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 378.74 Tm (home is doing all it can to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 361.74 Tm (maintain the individual's )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 344.74 Tm (wellbeing.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 514.74 Tm (05/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 325.49 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 325.49 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 325.49 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 325.49 Tm (Advice must be sought as to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 308.49 Tm (what must be done if there )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 291.49 Tm (is a delay in obtaining )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 274.49 Tm (prescribed medicines )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 257.49 Tm (because the dispensing )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 240.49 Tm (pharmacist is waiting for )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 223.49 Tm (fresh stock.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 206.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 189.49 Tm (This is to ensure people )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 172.49 Tm (receive their medicines as )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 155.49 Tm (prescribed.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 325.49 Tm (05/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 325.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 136.24 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 136.24 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 136.24 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 136.24 Tm (The controlled drug record )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 119.24 Tm (book must state the details )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 102.24 Tm (of each time the drug is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 85.24 Tm (administered to an )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 68.24 Tm (individual, and by whom.The )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 136.24 Tm (05/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 136.24 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (30)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 (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 746.25 w 32.32 438.28 m 564.97 438.28 l S 0.001 w 1 1 1 RG 102 w 31.2 659.99 m 91.05 659.99 l S 0.001 w 102 w 93.3 659.99 m 197.4 659.99 l S 0.001 w 102 w 199.65 659.99 m 289.45 659.99 l S 0.001 w 102 w 291.7 659.99 m 473.8 659.99 l S 0.001 w 102 w 476.05 659.99 m 566.1 659.99 l S 0.001 w 170 w 31.2 521.74 m 91.05 521.74 l S 0.001 w 170 w 93.3 521.74 m 197.4 521.74 l S 0.001 w 170 w 199.65 521.74 m 289.45 521.74 l S 0.001 w 170 w 291.7 521.74 m 473.8 521.74 l S 0.001 w 170 w 476.05 521.74 m 566.1 521.74 l S 0.001 w 187 w 31.2 340.99 m 91.05 340.99 l S 0.001 w 187 w 93.3 340.99 m 197.4 340.99 l S 0.001 w 187 w 199.65 340.99 m 289.45 340.99 l S 0.001 w 187 w 291.7 340.99 m 473.8 340.99 l S 0.001 w 187 w 476.05 340.99 m 566.1 340.99 l S 0.001 w 136 w 31.2 177.24 m 91.05 177.24 l S 0.001 w 136 w 93.3 177.24 m 197.4 177.24 l S 0.001 w 136 w 199.65 177.24 m 289.45 177.24 l S 0.001 w 136 w 291.7 177.24 m 473.8 177.24 l S 0.001 w 136 w 476.05 177.24 m 566.1 177.24 l S 0.001 w 42.96 w 31.2 85.51 m 91.05 85.51 l S 0.001 w 42.96 w 93.3 85.51 m 197.4 85.51 l S 0.001 w 42.96 w 199.65 85.51 m 289.45 85.51 l S 0.001 w 42.96 w 291.7 85.51 m 473.8 85.51 l S 0.001 w 42.96 w 476.05 85.51 m 566.1 85.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 607.86 m 568.3 607.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.61 m 568.3 435.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 246.36 m 568.3 246.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 108.11 m 568.3 108.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 607.86 m 568.3 607.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.61 m 568.3 435.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 246.36 m 568.3 246.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 108.11 m 568.3 108.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 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 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 751.31 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 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm (stock balance also needs to )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (be recorded after each )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 667.18 Tm (administration.)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 650.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 295.8 633.18 Tm (This is to comply with the )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 616.18 Tm (Misuse of Drugs Act 2001)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 594.68 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 594.68 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 594.68 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 594.68 Tm (All staff employed at Lime )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 577.68 Tm (Tree House must be very )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.68 Tm (clear about what they need )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.68 Tm (to do if they are told about, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.68 Tm (or witness an incident where )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.68 Tm (an individual may have been )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.68 Tm (mistreated)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 458.68 Tm (This will contribute to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 441.68 Tm (keeping people safe.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 594.68 Tm (28/01/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 594.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 422.43 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 422.43 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 422.43 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 422.43 Tm (Bed rails need to be fitted to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 405.43 Tm (the bed, checked and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 388.43 Tm (maintained according to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 371.43 Tm (MRHA \(Medicines and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 354.43 Tm (Healthcare products )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 337.43 Tm (Regulatory Agency\) )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 320.43 Tm (guidelines.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 303.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 286.43 Tm (This is to ensure people who )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 269.43 Tm (are assessed as needing )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 252.43 Tm (bedrails are kept safe.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 422.43 Tm (26/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 422.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 233.18 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 233.18 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 233.18 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 233.18 Tm (Prepared foods must be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 216.18 Tm (covered and labelled to say )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 199.18 Tm (when they were prepared so )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 182.18 Tm (it is clear when they need to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 165.18 Tm (be discarded. )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 148.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 131.18 Tm (Good food hygiene practises )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 114.18 Tm (help to keep people safe.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 233.18 Tm (26/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 233.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 94.93 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 94.93 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 94.93 Tm (23)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 94.93 Tm (More robust fire safety )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 77.93 Tm (systems, including reviewing )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 94.93 Tm (05/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 94.93 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 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92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 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 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 751.31 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 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm (the home's risk assessment, )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (as advised by the fire officer )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 667.18 Tm (must be established and )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 650.18 Tm (maintained. )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 633.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 295.8 616.18 Tm (This is to protect the health )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 599.18 Tm (and welfare of people at the )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 582.18 Tm (home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 560.68 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 560.68 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 560.68 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.68 Tm (Checks of all hot water )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.68 Tm (outlets to which people )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.68 Tm (living there have access to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.68 Tm (should routinely be carried )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.68 Tm (out, and recorded.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 458.68 Tm (This is to minimise the risk )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 441.68 Tm (of people being scalded.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 560.68 Tm (05/02/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 560.68 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 353.46 w 32.32 239.63 m 564.97 239.63 l S 0.001 w 1 1 1 RG 108.06 w 31.2 274.61 m 91.05 274.61 l S 0.001 w 108.06 w 93.3 274.61 m 197.4 274.61 l S 0.001 w 108.06 w 199.65 274.61 m 566.1 274.61 l S 0.001 w 64.32 w 31.2 186.17 m 91.05 186.17 l S 0.001 w 64.32 w 93.3 186.17 m 197.4 186.17 l S 0.001 w 64.32 w 199.65 186.17 m 566.1 186.17 l S 0.001 w 49.74 w 31.2 126.89 m 91.05 126.89 l S 0.001 w 49.74 w 93.3 126.89 m 197.4 126.89 l S 0.001 w 49.74 w 199.65 126.89 m 566.1 126.89 l S 0.001 w 35.75 w 31.2 81.9 m 91.05 81.9 l S 0.001 w 35.75 w 93.3 81.9 m 197.4 81.9 l S 0.001 w 35.75 w 199.65 81.9 m 566.1 81.9 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 219.46 m 568.3 219.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.89 m 568.3 152.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.9 m 568.3 100.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 330.85 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 330.85 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 349.04 m 568.4 349.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.77 m 568.3 329.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 330.85 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 330.85 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.61 m 568.4 418.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 349.04 m 568.4 349.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.46 m 568.3 219.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.89 m 568.3 152.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.9 m 568.3 100.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 419.69 m 30.07 328.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 350.12 m 92.17 329.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 350.12 m 198.47 329.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 419.69 m 567.32 328.69 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 402.43 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 384.85 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 370.27 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 355.69 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 334.87 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 334.87 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 334.87 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 313.58 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 313.58 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 313.58 Tm ('Carrying forward' the number of boxed tablets from one )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 299 Tm (medication record sheet to the new one would provide )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 284.42 Tm (more accurate records of drugs stored at the home and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 269.84 Tm (enable staff to check that the actual number of tablets is )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 255.26 Tm (the same as the calculated number, according to the record )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 240.68 Tm (sheet. This in turn would help to check that people are )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 226.1 Tm (receiving their medicines according to their prescription.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 203.27 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 203.27 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 203.27 Tm (Recruitment files should be put together in such a way that )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 188.69 Tm (it is easy for the manager and other authorised people to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 174.11 Tm (be certain that all the checks have been carried out before )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 159.53 Tm (an individual starts working at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 136.7 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 136.7 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 136.7 Tm (The records to show that staff have attended different )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 122.12 Tm (training sessions should be kept more up-to-date, to show )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 107.54 Tm (that people have attended in a timely way. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 84.71 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 84.71 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 84.71 Tm (Dry cooking ingredients should not be kept after their 'use )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 70.13 Tm (by date'. 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If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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iV7USԅ=W1KzDBy A釆Fe習'c](\tt2kM`ep`~wۻaШQ y%d8m-hsǍ|L7*<;<|PGX?w*;*Jf7V-~y 5*Jx=p@-Q-2L;:즫*O>3 ^ޡENpH2!t=TBHﱠn]/"S[*%ɨ52kG^4'zYrX$XgՁYOzocGD4vLr\AIIGjHsEtkieeJ*Q"5 T;mQ!E `c;'ϕ&n$g߯c|a8>|A">!W4,+/t$%BY8"6V+*9= OliDb<Wz<*aJfU YDV\Kc2Tkj51 j*A&pZ,E)Wt+ »w[PJKqTp+I`VUr$Gp$ŞQ{%"]dr@c{C oX|kN}&˵˳d7M.'*~u@nJY9JUGINz-~e*(>5H 8Љbze:e[VY'`" L@%ی|ҭ4P&yQgZ/n A2ėn̰̓Lе %$3hbe9jƅğ 淧%6lFr7?ɅO#[PE-.m:TTX:PSH(!TiIKtٱչ9Jxt8[)={6y*Cb{oG盧sRw;\4O\۱8Y MQMS*vA`sT?lPN;Z Z+T#Gq{^~8bH֬k] 2!{j{:e (Mz #Ԁp rěd\y=_[SUg @Jx!UT题EX'U<3e!.[#'"bjC#tC-:JPFHlJT8I;jE]zM !'P"XDe(q>ɨdC-Agr5*|&68)1aw"+5i4˪t9t|CAl~JjE/Ҙϐ/T]_7O{sX7.J=iKjƇԩ[gP\" \+WVr1'- П&3&};.S|HnMJOM00 U hF(>˿C1:bESWp|;zT|&9 fL7yTnɋe &3I@UVcHp_ hy{ |FeSCXdP3SZdf̒@ m+J³(*PRl# "l.cG}:if[XqoU,4HC#"%e> GOܟ/ԌsVew$ġ SH) hYjs輞ﻢvbp]z{ouVj'A/?-plaC3 jr,9ب/^ 5*9!1LKW+Z?߼L{ޗÔJpAӘw! e?' -@w'^s'4q&7rdH<L^EĈTdcy[r%ze$R*3}b+5f M!J˞j[Ah9:!d-n/U ADKwxʥ$!pR9`1ho[ Cvik^3PiO,xbsOk_@2G:c| P{"ZRT{ [!!`=|w;.(uc= 4c^4rǽ>r*Pq*57$E eVϱJY˿F?v$oZ$36&VCƤ#4`5K=k$b߶FU4I`f.?~}d #٩̀i}`ć񠇈p;KuJ&V|΅Uln Jf 67rT Ppuv{5:KQzJ slݥ 1 5"O+ \2p!Ui&]?)`.X4{MyERU}q&Ca럂Z<`0>}S,zXMpQ`r}ڣ=P%42tT0xr8~M %kei G=tcQ_@RaLrhD0cfӷ cZf^,{y, }|7;ݒ_qY'hxWB+IӬj٨jʯV粿 ik y=f&CuwKL;G,Q./}ꨭ`OgȮOxzѩ oA<_ Vf׮ t[#^ cX[V #F>>=#L<Ip#Z`@)wp_m"ɿ6o_O. +.}V= QGisH~râLTmo.RIw gia/S])l6OgAQXh1}'^C"gV^qaպ.~e^ wYJ6/Ʊ "( ̘1wx5ƞ  p|=19}vr%ϲSQ%_o\aY3[ߩ-w4T\jP z E/5%]e'tt^ k ܮQ̂Tq9hC9g-=<$t~ۄdfؕ;g>ۣƫ̈K.zMf?g_ :q’vgL,QV\sQzͭNB=+B0-GBDjj܊O8Czךn[$77X&#EϠP[sٶ1JjPB[j<,%x͂Ց71P# bz@q ]Uk>?њ".Z(<[OJ n|O}#X:N0 rw6~+@8ԚyR^&t |ݢ?AKn& @(7rBGNXoO-[3kaM ?"beaDIbݵ:G"*(y_[m]TVsHlPϙ[gWTM [DA#G-^7!ivdoh-.WskLT4s9um<ҖGK_ vTe~jBt50?_x qC7p )8<"10m6ʩGx[IgA̙jS7̷f= NȊYM7+73tI89DI'LN/1FSLgBdx/ʀ' ](aV!bzz-"y|ۏ_lh aoGJbiQ5,ZՄ)۾0s},%vC~ : ϴP`{d(T M{{bo7tt˨@oyh~J|7CF|Np9arLJ,?$?cxkݚ5dgV}t_믑g7 伶*Z\Ex|ƧIoMY?%)"2Qa%*$s~ne$I.i/FM0Oѧ͠^(0vBvWY̧RlXm×äX g^@-|h!O _Z_ +u~d  hF8Rf&1_AMFau|w3 KmuVK Omz<@>p"+klA~ŕJ3 cGo9ߒC^!UA) ۗ]#MdIU66]H<0 ʸRg{T%z"m`'̴X/ _ԑ0oOh*ӃQ{Ҝ Q6'ea[β±\PvTT1#nb3TD5ײ {1&i}uPʋUi)8ן= /.W;6 SC nF~4g/l׵l40 2U_ˎ}8EaGMP?9AFp>d>ڐkV+و:yK~^;L4C ~_=N+bY?3@O47?md`A0b52Ra2 0({8ۍv-.;'p mcA#r/|ʤr1?x[@Y{š3Fo" M)kn(ۅuATӵy$޽\ݩ9: 8|&,ы!l<`OOzȐ$D |U8cZ mBcH105*Nٹq*~+WбލPx_mݖ)O]}lWbTH@Λ^'~p1;^L $a6[ [L@ >g&PaH 0W)k{܁ӽ>]5RKڞ8b3=7h:m OlPՆ}wd[; ZRoMދQUG`5/g@[xH/$)ɩ[<|j|L@pI"s%'ԩ0e|WVoS]Ky-QHwc(2 KlL 0pԗ9EǎTB4+q S_7 o*f,H~fRwߣj.\n.eg#'맆ޣͶw?J2u%)QdkOщOӂvyt*%2@$Zca ?Cv[sL> 0PΏ"aR֖%USƮb`#8:K{l'a}A]"iRICǙ6/rS? !k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 90 0 obj<> endobj 31 0 obj<> endobj 91 0 obj <>stream  cvt bfpgmIglyf headg "6hheao"$hmtxłc#locaBmaxp b prep~ϚbcxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 92 0 obj<> endobj 93 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 94 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 95 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;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 98 0 obj<> endobj 99 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 100 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 101 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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