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;ூO}%\}$_jč5Gi$ff$ 9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 3 0 obj<> endobj 4 0 obj<> endobj 5 0 obj<> endobj 6 0 obj<>/XObject<>/ProcSet[/PDF/Text/ImageC]>>>> endobj 8 0 obj<> endobj 9 0 obj<> endobj 11 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 12 0 obj<>/C[0 0 1]>> endobj 14 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 16 0 obj<>/ProcSet[/PDF/Text]>>>> 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 Adults \(18-65 years\))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 (30)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 30.07 621.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 621.08 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 28.99 622.15 m 568.1 622.15 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 (vegetable patch. The home has two cats and several caged birds. The home is )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (domestic in appearance, well maintained and has a homely feel.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (129 Winsor Terrace is located within the Beckton area within walking distance of a )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (local supermarket. There are good transport links with a nearby bus stop and )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (Docklands Light Railway \(DLR\) station.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm (The home currently accommodates six male service users. The home is part of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 647.47 Tm (East Thames housing association.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 630.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 19 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Subtype/Form/FormType 1/Matrix[1 0 0 1 0 0]>>stream xMo09> 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 Adults \(18-65 years\))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 (30)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 1 145.27 606.82 Tm (Individual needs and choices)Tj ET /F3 10 Tf BT 1 0 0 1 248.74 572.36 Tm (Lifestyle)Tj ET /F3 10 Tf BT 1 0 0 1 127.51 537.91 Tm (Personal and healthcare support)Tj ET /F3 10 Tf BT 1 0 0 1 106.2 503.46 Tm (Concerns, complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 469.02 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 434.57 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 92.9 400.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /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 (The quality rating for this service is 2 star. This means that people who use the service )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (experience good quality outcomes.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (This inspection was carried out as part of the Commission's inspection program to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (check compliance with key standards. The previous registered manager for the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (resigned approximately 1 1/2 years ago. Hence, the home has had a number of acting )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (managers overseeing the running of the home leading to some instability. At the time )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (of the inspection, the current scheme coordinator had been in post for the past three )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm (months who is supported by a registered manager for another local home operated by )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (the organization. The scheme coordinator was available at the time of the visit to assist )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (with the inspection and the overall manager for the scheme was available briefly during )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (the afternoon.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (The inspection included a tour of the building, assessment of three peoples care files, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (staff records, health and safety records, rotas and other relevant policies and )Tj ET endstream endobj 22 0 obj<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 90.48 w 32.32 767.29 m 566.72 767.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 720.92 m 568.92 720.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 719.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 719.85 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm (procedures. Information provided in the Annual Quality Assurance Assessment\(AQAA\) )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm (for the home was also taken into account as part of this inspection. I also had the )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm (opportunity to talk briefly with some of the people living at the home. Residents and )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (staff feedback forms were received. Feedback was also received from the community )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (psychiatric nurse who monitor and provide support to the residents as well as a care )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm (coordinator responsible for one individual in the home.)Tj ET endstream endobj 24 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 312.18 w 32.32 617.73 m 566.72 617.73 l S 0.001 w 20.58 w 32.7 449.1 m 569.35 449.1 l S 0.001 w 78.9 w 33.82 397.11 m 568.22 397.11 l S 0.001 w 20.58 w 33.45 345.12 m 570.1 345.12 l S 0.001 w 137.22 w 34.57 263.97 m 568.97 263.97 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 30.12 460.52 m 568.92 460.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 459.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 460.52 m 569.35 460.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 437.69 m 569.35 437.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 437.69 m 570.42 437.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 356.54 m 570.42 356.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 333.71 m 570.1 333.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 356.54 m 570.1 356.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 333.71 m 571.17 333.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 194.24 m 571.17 194.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 438.77 m 32.7 355.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 334.79 m 33.45 193.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 459.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 438.77 m 569.35 355.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 334.79 m 570.1 193.16 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 (Admissions to the home are only made after a thorough assessment of a person's )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (needs and whether they can be met by staff.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (The residents have clear and up-to-date care plans and associated risk assessments in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (place. This ensures that people's changing needs are reflected in a care plan which can )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm (be met in a consistent professional way by the staff team.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm (People living in the home undertake a range of activities according to their individual )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm (interests, both in the local community and within their own home. This improves their )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm (social inclusion.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm (People are encouraged to have appropriate relationships and maintain contact with )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (friends and family. This promotes their emotional well-being.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm (People's physical and emotional health care needs are met and they are offered a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm (healthy varied diet. This promotes their health and well-being.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm (People are protected from potential abuse as clear safeguarding adults procedures are )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (in place. The home has a clear complaints procedure. The rights of people to complain )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (is taken seriously by the home as people's views are listened to and acted upon.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (A qualified, skilled, stable staff team support the people living in the home. This )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm (ensures that people's needs can be met efficiently.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 510.9 Tm (There is an established quality assurance system in place that incorporates the views )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (of the people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm (There are effective health and safety procedures in place to protect the people living in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (the home.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 616.18 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 446.99 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 444.33 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 1 569.35 447.55 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 395.56 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 421.5 Tm (The scheme coordinator confirmed that all requirements and recommendations made )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 406.92 Tm (in the previous key inspection report have been met.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 392.34 Tm (The fridge freezer temperatures are recorded by night staff.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 377.76 Tm (All care plans are reviewed and updated six monthly.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 363.18 Tm (All risk assessments are in place in order to safeguard residents.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 395.56 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 343.57 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 340.35 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 31.2 262.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 317.52 Tm (The registered person to ensure that a suitable person is recruited to manage the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 302.94 Tm (home. The applicant must be registered with the Care Quality Commission as a first fit )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 288.36 Tm (person to manage the home.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 273.78 Tm (A recommendation is made that all staff undertake up to date the mental health )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 259.2 Tm (training and complete Mental Capacity Act training.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 244.62 Tm (Although the medication administration procedure was improved at the time of writing )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 230.04 Tm (this report, a recommendation is made at a full audit is undertaken to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 215.46 Tm (residents are protected by the home's policies and procedures for dealing with )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 200.88 Tm (medicines in a robust manner.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 178.55 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 158.56 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 158.56 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 158.56 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 141.06 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 121.07 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 101.07 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 101.07 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 81.07 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 81.07 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET endstream endobj 26 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 799.09 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 \(standards 1 - 5\))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 (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.15 m 566.93 546.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 542.09 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 31 0 obj<> 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 Adults \(18-65 years\))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 (30)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 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 102 w 31.2 593.38 m 563.65 593.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /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, what they hope for and want to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (achieve, and the support they need.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (that includes how much they will pay and what the home provides for the money.)Tj ET /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 159.34 w 34.6 394.5 m 562.54 394.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 136.85 w 33.47 383.25 m 563.66 383.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 313.7 m 565.87 313.7 l S 0.001 w [] 0 d /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 (Prospective service users and their relatives have the information they need to be able )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (to make an informed choice about moving into the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (The assessment of needs and other information received from health and social care )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm (professionals means that staff have detailed information to enable them to determine )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.77 Tm (whether or not they can meet the needs of prospective service users.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 298.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.81 w 34.6 184.93 m 562.54 184.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.84 m 564.79 278.84 l S 0.001 w 184.44 w 33.47 173.12 m 563.66 173.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.46 m 565.87 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.46 m 564.79 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 275.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (A Statement of Purpose, Service User Guide \(information pack \) and the last key )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (inspection report are available. However the documents\(statement of purpose and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (service user guide\) are general to the organization. These are to be reviewed and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (developed to be more specific to Winsor Terrace. All service users are given a copy of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (the information pack. Admissions are not made to the home until a full needs )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (assessment has been undertaken. The home have a detailed pre admission )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (assessement procedure which is followed by a skilled and experienced member of staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (to ensure that the home is able to meet the needs of the prospective service user and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (staff have the skills and ability to meet the assessed needs through the service )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (delivered. Admission to the home will only take place if the home is confident that the )Tj ET endstream endobj 33 0 obj<> endobj 34 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 248.82 w 34.6 686.99 m 562.54 686.99 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 227.45 w 33.47 675.18 m 563.66 675.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 559.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 559.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 560.34 m 565.87 560.34 l S 0.001 w [] 0 d /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 (staff have the skills, ability and qualifications to meet the assessed needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (prospective service user. The AQAA states that prospective residents are encouraged )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to visit the scheme to give them opportunities to make an informed choice about the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (placement. A review of the placement takes place after the trial stay to assess if the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (placement is suitable. The admission process would be designed around the needs of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (the prospective service user. The prospective service user would be encouraged to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (make several visits to the home and have overnight stays to ensure that they like the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (home and to meet the other service users. This transition period would also allow staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (to get to know the prospective service user and to know whether they can meet the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (service user's needs. The funding authority and health professionals would also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (provide assessments. Further information would be gathered from the prospective )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (service user, their families and an advocate where required.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET endstream endobj 36 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (Individual needs and choices )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 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 85 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (information on which to base decisions.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /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 159.34 w 34.6 377.5 m 562.54 377.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 136.85 w 33.47 366.25 m 563.66 366.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 295.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 295.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 296.7 m 565.87 296.7 l S 0.001 w [] 0 d /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 (All of the service users identified needs are reflected in up to date care plans and risk )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (assessments. This ensures that service users needs are being appropriately met.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (Staff provide the service users with assistance and support so that they are able to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.26 Tm (participate in all aspects of life in the home and are enabled to make independent )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.77 Tm (decisions about their lives.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 281.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 188.81 w 34.6 176.43 m 562.54 176.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.84 m 564.79 261.84 l S 0.001 w 167.44 w 33.47 164.62 m 563.66 164.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 249.46 m 565.87 249.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 249.46 m 564.79 249.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 258.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm (The manager and staff have ensured that the service users are involved in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (decision making process about their lives. There is a good care planning system in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (place that is clear and concise. An individual profile of the service user is drawn up )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (using information gathered from various sources for example, from the service user, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (family, social services and previous mental health history and other professionals )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (involved in the person's life. The care plans for three service users were case tracked )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (which were completed with the involvement of the service user, key worker, next of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (kin, GP and consultant. The care plan gave detailed actions to guide staff about the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (care and support to be provided and it includes relapse indicators so that staff can )Tj ET endstream endobj 38 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /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 (take appropriate action should the service user display any of the signs and symptoms )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (identified. The care plan was person centered and was linked to and reflected the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (assessed needs of the individual. It identified goals that are to be achieved for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (example, encourage and develop independent living skills, communication skills, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (compliance with medication, issues relating to personal care. The care coordinator )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (stated that the care plan is a working document and is reviewed regularly involving )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (the service user. Two service users spoken to at the time of the inspection who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (confirmed that they were consulted about daily living and assisted by staff as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (required. A comprehensive individual profile of each person is in place to enable staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (to better understand and interatct with individual service users. A multi-disciplinary )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (team approach is used to support, guide and advise the service users in order to meet )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (their individual needs and make appropriate choices. Health action plans are in place )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (for each individual including nutrition, falls, moving and handling, well being and ill )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (being. These are regularly reviewed. The key workers also seek feedback from the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (community psychiatric nurses and consultants who offer constant support and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (guidance and visit the home regularly. Regular forensic psychological assessments )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (with hospital consultants also take place to monitor each service users mental health )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (and progress. The care plans include comprehensive risk assessments which are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (regularly reviewed and updated as the individual's needs change. For example, for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (non-compliance with medication, financial risk assessment, inappropriate behavior and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (how staff should respond in these situations. The care co-ordinator is aware that risk )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (assessments must be continually reviewed to reflect changing needs and record how )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (decisions have been made and who was involved.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (There is a focus on maintaining and promoting independence whenever possible, and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (individual staff were observed providing service users with information, assistance and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (support and were respectful of their right to make decisions. Each service user works )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (on a one to one basis with staff/their key worker about how to maintain their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (independence skills such as tidy room, change bed linen, do own laundry and make )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (breakfast.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (The scheme coordinator stated staff are being encouraged to engage with service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (users to further identify their individual interests and capacity and are attempting to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (motivate people to pursue these in order enhance the variety of activities provided )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (and their level of independence. )Tj ET endstream endobj 40 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (Lifestyle )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 223.25 w 32.32 601.88 m 562.53 601.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.65 629.63 l S 0.001 w 1 1 1 RG 51 w 31.2 516.88 m 563.65 516.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 543.5 m 565.85 543.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 543.5 m 565.85 543.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.25 m 565.85 490.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 489.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 489.17 l S 0.001 w [] 0 d /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 can take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 583.57 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 566.57 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 549.57 Tm (place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 496.32 Tm (People choose and participate in suitable leisure activities.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 472 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 450 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 450 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 427.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 326.01 m 562.54 326.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 414.17 m 564.79 414.17 l S 0.001 w 171.84 w 33.47 314.76 m 563.66 314.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 401.8 m 565.87 401.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 402.88 m 32.35 226.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 402.88 m 564.79 226.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 401.8 m 564.79 401.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 227.71 m 565.87 227.71 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 410.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 386.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 386.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.75 Tm (Opportunities for social and leisure pursuits and personal development are actively )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 324.25 Tm (promoted and supported by staff for all people who use the service to enable them to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 306.76 Tm (participate in the wider community in which they live.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 289.26 Tm (People who use the service are provided with appropriate, varied and nutritious meals, )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 271.77 Tm (staff promote healthy eating and individual preferences are catered for.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 254.27 Tm (Visitors are made to feel welcome in the home and people who use the service are )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 236.77 Tm (supported to maintain and establish family links and friendships.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 212.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.82 w 34.6 141.93 m 562.54 141.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 192.84 m 564.79 192.84 l S 0.001 w 98.45 w 33.47 130.12 m 563.66 130.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 180.47 m 565.87 180.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 181.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 181.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 180.47 m 564.79 180.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 189.53 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.79 Tm (The service has a strong commitment to enabling service users to develop and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 147.29 Tm (maintain their skills including social, emotional, communication and independent living )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.79 Tm (skills. The staff have sought the views of the service users and considered their varied )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 112.3 Tm (interests when planning the routines of daily living and arranging activities both in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.8 Tm (home and the community. Service users care plans identify lifestyle choice such as )Tj ET endstream endobj 42 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (local leisure activities, activities within the home and family contact which are very )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (flexible and show that the service users have been consulted about making choices in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (major areas of their life. The plans list various activities they like to do such as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (bowling, snooker, pub, freetime, keyworker session, free choice and also include )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (developing independent living skills such as preparing and cooking lunch, tidy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (bedroom and washing. Service users individual interests are also encouraged for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (example, one person goes to play badminton weekly, traveling independently. Another )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (person enjoys gardening and painting and attends a group. There are musical )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (instruments available in the home for another resident, who enjoys playing these and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (staff actively encourage him to do so as well as other service users. A jazz group is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (also organized every fortnight with residents from another home to which two of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (service users enjoy going to. This helps them to socialize and interact with others. Day )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (trips out to the DLR museum, cinema outings, shopping and visits to local restaurants )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (and cafes are also encouraged independently or with staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (One service user is on a customer panel, to act on behalf of the residents and receive )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (feedback from them regarding organizational change and involvement. The manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (is aware that, additional staffing support must be obtained to ensure sufficient )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (supervision of the service users out in the community. The service are also applying )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (for a community computer for group use.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (People who use the service are encouraged and assisted to stay in contact with friends )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (and relatives. Most of the service users have some form of contact with their families )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (and representatives who may visit them regularly and staff also help people to remain )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (in contact with their families via phone calls and home visits. Those service users )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (spoken to said that they liked the food and there is sufficient choice. The staff prepare )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (and cook meals with involvement from some of the service users and staff know what )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (each person likes to eat. The afternoon lunch was being prepared by a service user )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (with a member of staff and other service users were also present chatting. Staff were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (patient and helpful, and the service users were clearly enjoying the activity. During )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (the visit, the inspector checked the menus which constituted a varied and nutritious )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (diet taking into account personal preferences, hence menus are flexible and take into )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (account people's differing dietary, cultural and religious needs.)Tj ET endstream endobj 44 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (Personal and healthcare support )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 155.25 w 32.32 635.88 m 562.53 635.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 68 w 31.2 593.38 m 563.65 593.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.25 m 565.85 558.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 557.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 557.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (way.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 540 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 518 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 518 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 495.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 402.75 m 562.54 402.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 482.17 m 564.79 482.17 l S 0.001 w 154.34 w 33.47 391.51 m 563.66 391.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 469.8 m 565.87 469.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 470.88 m 32.35 312.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 470.88 m 564.79 312.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 469.8 m 564.79 469.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 313.21 m 565.87 313.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 478.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 454.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 454.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.75 Tm (People who use the service are prompted and encouraged to take responsibility for )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.25 Tm (their own personal care.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 374.76 Tm (Service users physical and emotional health care needs are monitored and this )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.26 Tm (ensures that their needs are recognised and met.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 339.77 Tm (The medication policies and procedures are clear. Staff have undertaken medication )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.27 Tm (training in order to ensure the safety of the service users.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 297.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.31 w 34.6 184.68 m 562.54 184.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.34 m 564.79 278.34 l S 0.001 w 183.94 w 33.47 172.87 m 563.66 172.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 265.97 m 565.87 265.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 265.97 m 564.79 265.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 275.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.28 Tm (People receive personal and healthcare support using a person centred approach with )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.79 Tm (support provided based upon the rights of dignity, equality, fairness, autonomy and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.29 Tm (respect. Personal health care needs including specialist health, and dietary )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.79 Tm (requirements are recorded is each person centred care plan or health action plan. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.3 Tm (Care plans and daily records were examined and discussed with the manager. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.8 Tm (care plans clearly identify health and personal care needs and how these needs should )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.31 Tm (be met. Whilst some of the service users require encouragement and prompting, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.81 Tm (others need physical assistance. The delivery of personal care is individual and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.31 Tm (flexible, consistent, reliable and person centred. However, comment was received that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.82 Tm (there is a pre-dominance of female carers in an all male environment, meaning that )Tj ET endstream endobj 46 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 668.72 w 34.6 477.04 m 562.54 477.04 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 647.35 w 33.47 465.23 m 563.66 465.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 140.43 m 565.87 140.43 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (the service users don't have a choice in relation to same gender care preferences )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (when receiving personal care. This imbalance needs to be addressed by the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (organization when recruiting staff. Records inspected showed that service users have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (comprehensive personal health records and health action plans; all of these have been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (reviewed within the past six months. As stated above a health action plan has been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (developed for all service users. Most of the service users have a high number of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (specialist medical appointments and staff support them to attend these and follow up )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (on actions required. Appropriate referrals are made for individuals to specialist health )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (professionals for example, the community mental health team and community )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (psychiatric nurses. This was confirmed by the professionals have spoken to on the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (phone. They also commented that the staff working at the home are knowledgeable, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (and proactive in supporting the service users to appointments at short notice and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (make appropriate referrals for additional support in a timely manner.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Service users are supported to access dental care, opticians, chiropody, GP as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (required. The manager pointed out that they have good partnership working with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (colleagues in the mental health profession who visit to the residents every six weeks )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (to offer long-term support and advise and are also available at the end of the phone. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Staff have access to training in health care matters. The aims and objectives of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (home reinforce the importance of treating individuals with respect and dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (There are policies and procedures for the handling and recording of medication within )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the home. Staff have received medication training, which is to be updated. There is a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (list of staff \(with their signatures\) that are competent in the administration of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (medication. Each person has a locked medication cupboard in their bedroom where )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (their individual medication is stored. At the time of the inspection medication )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (administration to one person was observed. The inspector was informed that the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (medication is supplied by a local pharmacist who does not provide printed MAR sheets, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (so the staff made handwritten entries of medication. There are also occasions when a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (service user missed his mid day medication as he was out at that time. These issues )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (were fully discussed with the scheme coordinator who agreed to do a medication audit )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (for all of the service users, and also speak with the local pharmacist regarding the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (need to provide printed MAR sheets. At the time of writing this report, the care co )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (ordinator confirmed that the pharmacist is providing medication in NOMAD packs as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (well as providing printed MAR sheets. As a result of this issue being resolved a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (requirement has not been made. The scheme coordinator also confirmed that staff will )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (be attending a refresher medication administration training course so that they have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (up to date information regarding the receipt, recording, storage, handling, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (administration and disposal of medicines. )Tj ET endstream endobj 48 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (Concerns, 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. Their 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, neglect and self-harm and takes action to follow )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (up any allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (There are no additional outcomes.)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 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 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 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (The service users views are listened to and acted upon.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (Service users are protected by the homes safeguarding adults policies and procedures )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm (and the monitoring systems within the home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 325.8 w 34.6 244.93 m 562.54 244.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 304.43 w 33.47 233.12 m 563.66 233.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (The home has an open culture that allows service users to express their views and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (concerns in a safe and understanding environment. There is a clear complaints )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (procedure, which is available in written formats. It is also available upon request in a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (number of formats \(other languages,sign,makaton,large print\). A copy of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (procedure has been made available to all of the service users and is displayed in a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (number of areas within the service, as well as the entrance to the home and in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (communal areas. Service users and others involved with the home do understand how )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (to make a complaint and are clear about the procedure that will be followed if a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (complaint is made. Evidence was seen that all complaints received are investigated )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (and the scheme coordinator makes sure that individuals are regularly updated on the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (progress of any investigation into their complaint.The manager is aware that all )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (complaints, no matter how small should be recorded so that they can be evaluated )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (over a period of time to establish any patterns and take action to remedy this. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (schemecoordinator has worked hard with staff, service users and their representatives )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (to see complaints as a positive tool to be used to improve services. The complaints log )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.33 Tm (was examined with only one complaint recorded which was appropriately dealt with by )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 90.83 Tm (the service. The inspector was informed that often there are issues arising between )Tj ET endstream endobj 50 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 371.29 w 34.6 625.76 m 562.54 625.76 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 349.92 w 33.47 613.95 m 563.66 613.95 l S 0.001 w [] 0 d 2.25 w 0.75294 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 32.35 436.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 436.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 437.86 m 565.87 437.86 l S 0.001 w [] 0 d /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 (the service users which they resolve between themselves and staff intervention is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (rarely sought.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Service users were asked individually what they would do if they were unhappy with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (anything at the home, responses included, they would tell the manager and/or key )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (worker.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The service users spoken to told the inspector that they were happy at the home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (There are weekly service users meetings, this ensures their views are listened to. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (service users are encouraged to participate in decision making on issues, activities and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (events within the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (All staff working in the home have received safeguarding adults training and know )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (how to respond in the event of an alert. However, some staff who have been working )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (at the home for a long period of time and should complete updated safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (training, this process had already begun at the time of writing this report. There is a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (comprehensive safeguarding adults policy and procedures; there was evidence that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (these have been read by the staff. All staff receive this training during their induction )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (period. Staff members are clear about what constituted abuse and their responsibility )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (to report any potential or actual abuse. The inspector is informed of any safeguarding )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (concerns and the appropriate procedure is followed should any incidents arise.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Service users are protected by the homes safeguarding adults policies and procedures )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (and the monitoring systems within the home.)Tj ET endstream endobj 52 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 121.25 w 32.32 652.88 m 562.53 652.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 85 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 l S 0.001 w [] 0 d /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, comfortable, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (pleasant and 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. People have )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 463 m 562.54 463 l S 0.001 w 1 1 1 RG 22.5 w 32.35 516.17 m 564.79 516.17 l S 0.001 w 101.85 w 33.47 451.75 m 563.66 451.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 398.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 398.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.7 m 565.87 399.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 512.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 488.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 488.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.75 Tm (The home is very welcoming and the furnishings are of a good standard.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.25 Tm (The living environment is appropriate for the particular lifestyle and needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.76 Tm (service users living there. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 384.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.8 w 34.6 227.93 m 562.54 227.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.83 m 564.79 364.83 l S 0.001 w 270.43 w 33.47 216.12 m 563.66 216.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 352.45 m 565.87 352.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 352.45 m 564.79 352.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 361.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.77 Tm (The home was toured at the start of the inspection, some bedrooms and all communal )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.27 Tm (areas were viewed with the manager. All the bedrooms are single with a washbasin )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.78 Tm (available in the room. The home provides an environment that is appropriate to the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.28 Tm (specific needs of the people who live there. The home has been refurbished recently )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.79 Tm (and is therefore, well decorated in a homely fashion with modern furnishings and all )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.29 Tm (areas of the home were well-maintained, clean, tidy and odour free. The previous )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.79 Tm (requirement relating to the recording of the fridge /freezer temperatures, is now )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.3 Tm (carried out by the night staff. The bedrooms were individually decorated and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.8 Tm (personalised with the service users own possessions.There is a kitchen and a separate )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.31 Tm (dining area. The service provide an environment that fully meets the service users )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.81 Tm (diverse needs. The organisation provides a friendly home which encourages )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.31 Tm (independence of service users in an environment which is personalised and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.82 Tm (appropriate to meet the needs of people with mental health needs. The service users )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.32 Tm (are encouraged to see the home as their own, it is well maintained and has good )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.83 Tm (access to community facilities and services. Adaptations and specialised equipment )Tj ET endstream endobj 54 0 obj<> endobj 55 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 388.79 w 34.6 617.01 m 562.54 617.01 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 367.42 w 33.47 605.2 m 563.66 605.2 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 32.35 419.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 419.29 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 31.27 420.37 m 565.87 420.37 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 (are obtained for service users who require this to maximise their independence. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (kitchen was clean, tidy and spacious. The kitchen is suitable for the service users to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (carry out domestic tasks, such as washing up, making cups of tea and preparing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (meals/snacks. There is an accessible garden to the rear of the home which the service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (users make full use of during the warmer months. Two residents showed the inspector )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (around the garden where they have a vegetable patch and a herb garden.There is a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (selection of communal areas both inside and outside of the home. A small room )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (downstairs is used by a service user who is a keen keyboard player and the inspector )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (was informed that he is often joined by other service users who play and sing along )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (with him. Service users are able to receive their visitors in the lounge or their own )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (bedroom or the garden in the warmer weather. The service users are fully involved in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (decisions about the decor and any changes to the accommodation. The home is well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (maintained and there was evidence that all repairs are dealt with promptly. Some of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (the service users participate in the health and safety checks with staff, for example )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (one person checks the fire zones and another is responsible for checking the tunstall )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (system. Service users spoken said they feel safe and secure in the home. The home is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (close to community facilities and local services with good transport links. The service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (users are responsible for cleaning their own rooms as part of independence training. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The home has a robust infection control policy and would seek advise from external )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (specialist if and when required.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET endstream endobj 57 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 121.25 w 32.32 652.88 m 562.53 652.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 34 w 31.2 610.38 m 563.65 610.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.25 m 565.85 592.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 591.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 591.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (they need from their managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (expected of them.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 574 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 552 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 529.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 436.75 m 562.54 436.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 516.17 m 564.79 516.17 l S 0.001 w 154.34 w 33.47 425.51 m 563.66 425.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 503.8 m 565.87 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 504.88 m 32.35 346.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 504.88 m 564.79 346.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 503.8 m 564.79 503.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 347.21 m 565.87 347.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 512.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 488.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 488.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.75 Tm (Staffing levels are satisfactory and there are sufficient staff on duty to meet the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.25 Tm (individual assesed needs of the service users.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.76 Tm (Service users benefit from a committed, culturally diverse staff team, who have the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.26 Tm (skills and training to meet their needs.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 373.77 Tm (The procedures for the recruitment of staff are robust and provide safeguards for )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 356.27 Tm (people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 331.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 239.31 w 34.6 201.68 m 562.54 201.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 312.34 m 564.79 312.34 l S 0.001 w 217.94 w 33.47 189.87 m 563.66 189.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 299.97 m 565.87 299.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 301.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 299.97 m 564.79 299.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.28 Tm (The home provides twenty four hour support to service users, with sufficient staffing )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.79 Tm (levels maintained at all times to meet the needs and activities of the service users in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.29 Tm (an individualised and person centred way. There is a diverse staff team that has a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.79 Tm (balance of the skills, knowledge and experience to meet people's needs. The employer )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.3 Tm (demonstrates a pro-active approach to staff recruitment which incorporates equality )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.8 Tm (and diversity throughout the recruitment, induction and training process. Evidence )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.31 Tm (was seen that staff were aware of individual service users' needs which enabled them )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.81 Tm (to deliver effective person centred care. They stated that the staff team support each )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.31 Tm (other and share skills and knowledge with colleagues. The staff team were refelctive of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.82 Tm (the ehnic/cultural backgrounds of service users in the home. Hence, through )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.32 Tm (observation and discussion it was evident that staff have a good understanding of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.83 Tm (their roles and responsibilities of the individual and collective needs of service users. )Tj ET endstream endobj 59 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (There is a staff handover which is recorded, at the beginning of each shift and regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (staff meetings take place. Since the previous manager left the service, supervision )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (sessions became erratic, however evidence was seen that the current scheme )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (coordinator has begun to offer regular supervision which staff confirmed they find )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (helpful. Currently two staff members are on secondment as part of their learning and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (development program. The scheme coordinator confirmed that any shortfalls in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (staffing hours are met via calling upon regular bank /agency staff, who have received )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (induction and are aware of the needs of the service user group and therefore can )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (provide consistency. At the time of this inspection staffing levels reflected the needs of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (the people using the service and rotas are flexible to fit around the lifestyles of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (individuals. The manager is aware that staffing levels should be regularly reviewed to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (reflect service users changing needs. Records showed that key workers spend specific )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (allocated time with the service users. Through observation it was clear that staff have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (the skills to communicate effectively with service users. Staff were seen to interact )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (with service users in a friendly and respectful manner. The AQQA provided by the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (home stated that all the staff group have acheived an NVQ Level two and/or Level )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (three qualification. Staff feedback received states that they had undertaken a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (comprehensive induction programme on commencing work at the home. Staff have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (also completed specific training in relation to mental health training and all mandatory )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (training such as health and safety, fire safety, food hygiene,infection control, manual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (handling, safeguarding vulnerable adults and medication administration training. A )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (recommendation is made that staff undertake refresher training in all of the above )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (areas as well as undertake specific mental health training and Mental Capacity Act )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (training in order to update their skills.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (There is a good recruitment procedure that clearly defines the process to be followed. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The files checked and staff feedback confirmed that the home was clear about what )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (was involved at all stages and was robust in following its procedure. The scheme )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (coordinator stated that some of the people who use the service are regularly involved )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (in the recruitment process and their opinions are sought and respected. The service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (only confirm permanent employment when satisfied that competence and progress )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (has been shown to be satisfactory.)Tj ET endstream endobj 61 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 (Conduct and management of the 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 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 85 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (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. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (things should be done. )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 159.34 w 34.6 394.5 m 562.54 394.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 136.85 w 33.47 383.25 m 563.66 383.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 313.7 m 565.87 313.7 l S 0.001 w [] 0 d /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 (At the time of inspection, the home was being efficiently managed, service users )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (interests are safeguarded and they benefit from living in a home which is run in their )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (best interests.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm (Monitoring visits are undertaken by the responsible individual to monitor and report on )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.77 Tm (the quality of the service being provided in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 298.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.81 w 34.6 184.93 m 562.54 184.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.84 m 564.79 278.84 l S 0.001 w 184.44 w 33.47 173.12 m 563.66 173.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.46 m 565.87 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.46 m 564.79 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 275.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (At the time of the inspection,the scheme coordinator was present who has experience )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (of previously working at Winsor Terrace. Overall managerial support is provided by a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (manager registered for a home operated nearby by the same organization. Both the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (manager and the scheme coordinator have the required qualifications and are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (experienced and competent to run the home. The service are aware that a new )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (manager must be recruited to fill the post and any new manager must register with )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (the Care Quality Commission as a fit person to manage the home. At the time of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (inspection, it was clear that the current acting manager and the scheme coordinator )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (communicated a clear sense of direction motivating the staff to deliver a service based )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (on the principles of respecting people's diversity, age, sexual orientation, race, religion )Tj ET endstream endobj 63 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /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 (or belief and disability. Effective systems are in place to monitor practise and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (compliance with record keeping and adherence to policy and procedure. Staff feedback )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (states that the scheme coordinator is approachable and available to provide support )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (and guidance at all times. Evidence was seen that staff now receive regular )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (supervision from the scheme coordinator and responsibilities were delegated to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (various members of staff so that they have a collective responsibility for the smooth )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (running of the home. The AQAA contains good information that is fully supported by )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (appropriate evidence. Discussion with the acting manager and the scheme coordinator )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (showed they had a high level of understanding about the importance of equality and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (diversity and there was evidence to show that good progress is being made to identify )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and meet the needs of people from diverse backgrounds.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (The AQAA identified areas where improvements need to be made and how these will )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (be acheived. A good quality assurance process is in place to inform its own quality )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (assurance.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (There are clear lines of accountability through named line managers. A representative )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (of the registered organisation undertakes monthly Regulation 26 monitoring visits to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (monitor and report on the quality of the service being provided in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Currently the manager does not act as appointed agent for any service users. Service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (users finanacial afffairs are managed by themselves and/or their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (relatives/representatives. The home has resposibility for managing personal )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (allowances for several service users. Appropriate procedures are in place to handle )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (people's personal allowances and two people sign all entries to provide safeguards for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (both service users and staff and all the money is counted at each hand over.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (Appropriate record keeping is in place. Records are kept securely and staff are aware )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (of the requirements of the Data Protection Act.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (The home has a comprehensive range of organizational policies and procedures to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (promote and protect service users and employees health and safety. Staff are trained, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (understand and consistently follow these. There is robust monitoring of its )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (performance by the provider.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Health and safety systems are regularly reviewed and updated and are developed on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (the basis of experience in the home. Staff have undertaken various health and safety )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (related training. The AQAA contained evidence that the home has had all required )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (health and safety checks within the appropriate timescales. The management of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (home are aware that it is their responsibility to ensure that the service is operated in a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (way which ensures that the service users and staff are safeguarded at all times.)Tj ET endstream endobj 65 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> endobj 66 0 obj<> endobj 67 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)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 68 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)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 339.54 w 32.32 456.32 m 564.97 456.32 l S 0.001 w 1 1 1 RG 238 w 31.2 406.68 m 91.05 406.68 l S 0.001 w 238 w 93.3 406.68 m 197.4 406.68 l S 0.001 w 238 w 199.65 406.68 m 289.45 406.68 l S 0.001 w 238 w 291.7 406.68 m 473.8 406.68 l S 0.001 w 238 w 476.05 406.68 m 566.1 406.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 527.88 m 30.07 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 285.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.55 m 568.3 286.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 595.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 513.62 Tm (37)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 513.62 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 513.62 Tm (The registered person is )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 496.62 Tm (required to ensure that a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 479.62 Tm (suitable person is recruited )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 462.62 Tm (to manage the home. The )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 445.62 Tm (applicant must register with )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 428.62 Tm (the Care Quality Commission )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 411.62 Tm (as a 'fit' person to manage )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 394.62 Tm (the home.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 377.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 360.62 Tm (So that service users benefit )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 343.62 Tm (from a well-run home which )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 326.62 Tm (is managed by a qualified, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 309.62 Tm (competent and experienced )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 292.62 Tm (person.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 513.62 Tm (30/06/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 190.57 w 32.32 169.77 m 564.97 169.77 l S 0.001 w 1 1 1 RG 49.74 w 31.2 152.46 m 91.05 152.46 l S 0.001 w 49.74 w 93.3 152.46 m 197.4 152.46 l S 0.001 w 49.74 w 199.65 152.46 m 566.1 152.46 l S 0.001 w 49.74 w 31.2 100.47 m 91.05 100.47 l S 0.001 w 49.74 w 93.3 100.47 m 197.4 100.47 l S 0.001 w 49.74 w 199.65 100.47 m 566.1 100.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 126.47 m 568.3 126.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 179.54 m 30.07 73.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 179.54 m 567.22 73.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.73 m 568.4 197.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 178.46 m 568.3 178.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 179.54 m 92.17 73.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 179.54 m 198.52 73.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.3 m 568.4 267.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.73 m 568.4 197.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 126.47 m 568.3 126.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 74.48 m 568.3 74.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 268.38 m 30.07 177.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 198.81 m 92.17 178.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 198.81 m 198.47 178.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 268.38 m 567.32 177.38 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 251.12 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 233.54 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 218.96 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 34.05 204.38 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 183.56 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 183.56 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 183.56 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 162.27 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 162.27 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 162.27 Tm (The service user guide and statement of purpose are going )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 147.69 Tm (to be reviewed and updated by the acting manager to )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 133.11 Tm (make them more service specific.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 110.28 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 110.28 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 110.28 Tm (The scheme coordinator to ensure that personal support is )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 95.7 Tm (provided by a person of the same gender where possible, )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 81.12 Tm (especially if the service user wishes.)Tj ET endstream endobj 70 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 138.59 w 32.32 742.11 m 564.97 742.11 l S 0.001 w 1 1 1 RG 49.74 w 31.2 698.81 m 91.05 698.81 l S 0.001 w 49.74 w 93.3 698.81 m 197.4 698.81 l S 0.001 w 49.74 w 199.65 698.81 m 566.1 698.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 725.89 m 30.07 671.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 671.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 671.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 671.74 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 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.82 m 568.3 672.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.31 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 34.05 750.73 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 708.62 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 708.62 Tm (35)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 708.62 Tm (The staff to undertake extended mental health training as )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 694.04 Tm (well as Mental Capacity Act training to update their skills )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 679.46 Tm (and understanding.)Tj ET endstream endobj 72 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>>> 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 Adults \(18-65 years\))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 (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F3 12 Tf BT 0 0 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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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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 79 0 obj<> endobj 80 0 obj<>/FontDescriptor 79 0 R/DW 1000>> endobj 81 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 <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 82 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]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 91 0 obj<> endobj 92 0 obj<>/FontDescriptor 91 0 R/DW 1000>> endobj 93 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 94 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 TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) d4?56_Sf:[߮vmЉIs2i6cV87փw|A4Ӭ:9gGBTc^ws:kӼ.!yDR=KY'rLg#@ {q_ki@&Y66(ӡ%M;d&yB46r8ѹχP@ʚ `"sxXr;c7w@Bad"ߡ1\:g݈-[oDS|fPve>JDz9qGC|<3'5$*Y6\4G)L!,#G/&R> Wb?r<)xV%֫$z85Y4_Lt+a$l zGjql0EdQ[{wo`=ycn%(&9y-WgՋ%~h\O!@q㙑  X0/[.C:)]xCpx##GBY"1/n>*JIxEӼ1Q*р'Th& vzf_Fh".MVX2V p0#)w*|DUd[wb*ZY~`eBD W+@'pշF`2JE%jsdSvΟdk*_|{bWЩwlEm#U\t֨ Y}rKO|fKR"a8F@5VlvhmxqGHoGiT0e^^gx8Ys_]l{$^'{2hތ4m佳Od2sWt3AEzXj F\QɃC)pd=ԗSl*EXq dƚS*G][M7Y.ŗ1(gM.C̮Ӏ E`inB.fPM"/' ..oHti@Bd2MCAy>m;<`grxf?$Pz8㤨E|xw,վUf-J/:SC 4bɌ~eY{Wz6)q{o4Epr%! kPY@:pSC$ sg <=XAx"1U{' ަk#]5ZMxƸ&\5" 3$nw(1)#`Pb2nlx]\z'߰[kQB `*eָ5[C)<Ѩ3f9cuE9CxcV+L Y g\ /EIHxK^=u)f=,( :0wu9?CP4(&wxX= u?Q3*!4e?O XCJ.~dMT.ɂbؒ"c,dƔ'pv#eY.,cЦpi@HP2ñ#}xL5ݡPkч]x{nȕdrdG1 ~Ed8"abo&g 吤,x(:J刖;8'-[ dO-|Q[.A`S+A+qrLO8ZĊKLПDōHr?"4lRr+) 2)Ql΄!M}xRi2Hm;p ߳SZgle1b0)LZm O48' ȏ*MOX Vi,δ^ d~u6/bqhS [\A(Z沣׈n}T@<^fLvɩaq4-KRȔŋl,n:6 kұ?@OC'~ӸMh.&0Ki }dW;1|jZPѰxTzDSz(GR2ʱW;ezT3P0S< yk$&mPI2D!:x>I璱{_Y%v 4f-rDFg[T!^lB#\wM* do(-µ׼Tb uALQtsS( BKJzv͈*qnQ#*CSu m#wY gATA,SsS1{?c;pxZc_GqNYPnn<HL(|M\')I%l!'43>x 3(_~! f%~r*IfnQ52}/b̳ 7v$JFy #e<:6~4܋%ZDacAC-c)=džN/&k- ;8C3A>0!Mkh?iv\XboثOVD-Sũ5je $nP<]54:.)`iؽyiҀcgQҬF_hnA,=;էn Iy>sK2AY R$y@pQ̬޵Ҡ#wlħ&oDs;8pZvai~=Ûa)Kו'1?2M?e:렝1P3q3#Uʭ211 sj Y酫vzR : BmKUpV+RxVtb= 0hFS-?`?L?*p‡'}EɅ$,Vv=i t3{>N Y 7Lylzn􋙡4F/&mw !:%/OxQny̼r"1@,Nئ /#o}Cz[u؁şkwFvvitd '1DzNqiNW}&Y>-~Ǖ..6"7I E^oWM j ĥ/hv]C{O~tt izIš1tycY dlÂe!$̽3v7@ Qx83Ig/S</4.FcDnH cT9(gM5=fg"[ҹbe5X#V_@4'pǖoEqR)e5 +}i E%o͠Ƚly(;-%C) }5* adQ-Zf`>2_ZSD׌a&dҀÒ,&6Q\zmv,peʤFQO?`ϦsVH,|.~LT"9FBnjq,\ٳ?_*]hIIe;HnԑG"C3|z0^$*'ZH%usդ/D8AOm&Y Y#eIگ8:}x,Oo:S>GT8b<@P&COܑX.j᝛ ?:C8hYq_350=0!Vw@UW+8Knn!gޑ]%Pv͸ߒ}.`wԀ+Vhֻx!B,J|g0[d@6#~H8˪Et9:J1KTд>b|04²jRju O!(ɬh/0}!n_p 2^:+œOި`|eT*N hd*bR%~Gy;K $ V^ ܰZ?p[7TU!\ĩZ KT4~Ajx.s&\ 3pJ1UT*'PE]i.uHH8_xi3 }QO߈HPC0Ȏd}\pDh (te!;Y&^ 7c)æ^"e›{OKQ4y(%V<Nވـ/K#Q-~ n!!<.٧{>IZo{(Cn6wժyvVV+4 ( :Lrb%l| s=Y|,A̓!(XF1D7T8Wۈø^,>@ϡI eFIRBVǿ(LH߃kF P+vr]h͂˖ 0yDέ8- [GlGS)$1r:k{+e $#b1ɢɗRqz@zϷ$݄/-CHco'’_u>a;Pr,'{aG" }~ph e- lـz0([=4(S,'l 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endobj 302 0 obj 5633 endobj 303 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38998 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14999 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14999 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14999 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14999 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14999 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14999 255.17999 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14999 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14999 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14999 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14999 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14999 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14999 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 306 0 obj 8917 endobj 307 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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607.81 Tm (Email address:)Tj /TT0 12 Tf ( donna.palmer)Tj /T1_0 12 Tf (@east-living.co.uk)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 499.75998 m 564.76996 499.75998 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 31.2 500.87994 m 565.90002 500.87994 l S 0.95294 0.95294 0.95294 RG 31.2 478.04999 m 353.25 478.04999 l S 1 1 1 RG 355.5 478.04999 m 565.90002 478.04999 l S 0.95294 0.95294 0.95294 RG 31.2 455.22 m 353.25 455.22 l S 1 1 1 RG 355.5 455.22 m 565.90002 455.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 567.79999 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 354.37 559.02997 m 354.37 534.04999 l S 28.99001 466.63995 m 568.10004 466.63995 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 567.79999 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 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336.82001 m 567.79999 336.82001 l S 28.99001 313.98999 m 567.79999 313.98999 l S 28.99001 276.57999 m 567.79999 276.57999 l S 28.99001 253.75 m 568.10004 253.75 l S 28.99001 230.92 m 568.10004 230.92 l S 30.07001 337.88998 m 30.07001 229.84 l S 298.41998 337.88998 m 298.41998 275.5 l S 432.56998 337.88998 m 432.56998 275.5 l S 566.71997 337.88998 m 566.71997 229.84 l S BT /T1_0 12 Tf 1 0 0 1 34.05 320.63 Tm (dementia)Tj 1 0 0 1 302.39999 320.63 Tm (1)Tj 1 0 0 1 436.54999 320.63 Tm (0)Tj 1 0 0 1 34.05 297.80002 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 283.22 Tm (disability or dementia)Tj 1 0 0 1 302.39999 297.80002 Tm (1)Tj 1 0 0 1 436.54999 297.80002 Tm (4)Tj 1 0 0 1 34.05 260.38998 Tm (Additional conditions: )Tj 1 0 0 1 34.05 237.56 Tm (of which up to two may also be P.H or P.H/E or M.P/E)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 216.12999 m 315.25 216.12999 l S 1 1 1 RG 317.5 216.12999 m 346.54999 216.12999 l S 348.80002 216.12999 m 377.89999 216.12999 l S 380.14999 216.12999 m 409.20001 216.12999 l S 411.44998 216.12999 m 440.54999 216.12999 l S 442.80002 216.12999 m 471.89996 216.12999 l S 474.14996 216.12999 m 503.20001 216.12999 l S 505.44998 216.12999 m 534.54999 216.12999 l S 536.79999 216.12999 m 565.90002 216.12999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 227.53998 m 568.10004 227.53998 l S 28.99001 204.70999 m 568.10004 204.70999 l S 30.07001 228.62 m 30.07001 203.62999 l S 316.37 228.62 m 316.37 203.62999 l S 347.66998 228.62 m 347.66998 203.62999 l S 379.01999 228.62 m 379.01999 203.62999 l S 410.31998 228.62 m 410.31998 203.62999 l S 441.66998 228.62 m 441.66998 203.62999 l S 473.01999 228.62 m 473.01999 203.62999 l S 504.31998 228.62 m 504.31998 203.62999 l S 535.66998 228.62 m 535.66998 203.62999 l S 567.01996 228.62 m 567.01996 203.62999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 211.36 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 192.84 m 565.90002 192.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 183.20999 m 568.10004 183.20999 l S 30.07001 184.28998 m 30.07001 39.14999 l S 567.01996 184.28998 m 567.01996 39.14999 l S 28.99001 202.45999 m 568.10004 202.45999 l S 28.99001 183.20999 m 568.10004 183.20999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 203.53998 m 30.07001 182.12999 l S 567.01996 203.53998 m 567.01996 182.12999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 189.28 Tm (Brief description of the )Tj 1 0 0 1 177.31 189.28 Tm (care home)Tj 1 0 0 1 35.5 170.03 Tm (129 Winsor Terrace is a care home offering accommodation for up to six a\ dults with )Tj 1 0 0 1 35.5 153.03 Tm (mental health difficulties. The home is staffed on a 24-hour basis, with\ waking night )Tj 1 0 0 1 35.5 136.03 Tm (cover.)Tj 1 0 0 1 35.5 119.03 Tm (\240)Tj 1 0 0 1 35.5 102.03 Tm (The property consists of an entrance hall, lounge, kitchen diner, quiet/\ smoking room, )Tj 1 0 0 1 35.5 85.03 Tm (utility room, toilet, bathroom staff office and two bedrooms on the grou\ nd floor. Access )Tj 1 0 0 1 35.5 68.03 Tm (to the first floor is by stairs, where a further four bedrooms, a bathro\ om and shower )Tj 1 0 0 1 35.5 51.03 Tm (room are located. 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