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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Reddown Road \(37\))Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (37 Reddown Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Coulsdon)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Surrey)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (CR5 1AN)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 331.89 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Lee Willis)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 285.18 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Reddown Road \(37\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (37 Reddown Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Coulsdon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Surrey)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (CR5 1AN)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01737559309)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (F/P01737559309)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Milbury Care Services Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (8)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 382.81 m 565.6 382.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 568.1 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 568.1 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 568.1 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 282 m 568.1 282 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 280.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 280.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.21 Tm (The maximum number of service users who can be accommodated is: 8 )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 332.38 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (Only \(CRH - PC\) to service users of the following gender: Either whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 303.22 Tm (needs on admission to the home are within the following categories: Learning disability )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 288.64 Tm (- Code LD)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 267.21 m 315.25 267.21 l S 0.001 w 1 1 1 RG 20.58 w 317.5 267.21 m 346.55 267.21 l S 0.001 w 20.58 w 348.8 267.21 m 377.9 267.21 l S 0.001 w 20.58 w 380.15 267.21 m 409.2 267.21 l S 0.001 w 20.58 w 411.45 267.21 m 440.55 267.21 l S 0.001 w 20.58 w 442.8 267.21 m 471.9 267.21 l S 0.001 w 20.58 w 474.15 267.21 m 503.2 267.21 l S 0.001 w 20.58 w 505.45 267.21 m 534.55 267.21 l S 0.001 w 20.58 w 536.8 267.21 m 565.9 267.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 278.62 m 568.1 278.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 255.79 m 568.1 255.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 279.7 m 30.07 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 279.7 m 316.37 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 279.7 m 347.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 279.7 m 379.02 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 279.7 m 410.32 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 279.7 m 441.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 279.7 m 473.02 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 279.7 m 504.32 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 279.7 m 535.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 279.7 m 567.02 254.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 262.44 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 243.92 m 565.9 243.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 234.29 m 568.1 234.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 235.37 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 235.37 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.54 m 568.1 253.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.29 m 568.1 234.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 254.62 m 30.07 233.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 254.62 m 567.02 233.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 240.36 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 240.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 221.11 Tm (37 Reddown Road is a residential care home that offers accommodation and personal )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 204.11 Tm (support for up to eight generally middle aged men with complex learning disabilities, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 187.11 Tm (communication needs, and behaviours that may challenge. The service is owned and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 170.11 Tm (managed by Milbury Care Services, a subsidery of Voyage. Carmel Rees was appointed )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 153.11 Tm (the services new acting manager in May 2008 and has now submitted her application )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 136.11 Tm (to be registered, subject to a fit person interview with the CQC.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 119.11 Tm (The home is situated on a quiet residential street in Coulsdon, a suburb located a few )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 102.11 Tm (miles to the south of Croydon. The home has its own transportation, is close to several )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 85.11 Tm (bus stops on main line routes, and is also within ten minutes walk of a local train )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 68.11 Tm (station with good links to central London, Croydon and the surrounding areas. A wide )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 51.11 Tm (variety of local amenities and factilities, including shops, cafes, pubs, and banks are all )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 604.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 604.08 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 28.99 605.15 m 568.1 605.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (located in the nearby village of Coulsdon.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (This detached property is built over two floors and comprises of eight single occupancy )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (bedrooms, an open plan L shaped main lounge dinning area, a very well equipped )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (sensory room, kitchen, laundry room, ground floor office, and staff sleeping in room. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (There is a passenger lift to enable people with mobility needs access their first floor )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (bedrooms. Sufficient numbers of toilets and bathing facilities are located throughout )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (the home, including a Parker bath and several raised toilet seats. The rear garden is )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (relatively well maintained and accessible.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (All the people who use the service and or their representatives have been supplied )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (with information about what services and facilities are provided at 37 Reddown Road )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (and how much they can expect to be charged for them.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 593.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 576.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 556/Matrix [1 0 0 1 0 0]>>stream xMo09> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 145.27 572.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 503.92 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 469.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 435.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 400.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 366.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The outcomes the people who live at 37, Reddown Road experience has significantly )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (improved since the services last Key inspection. Consequently, we have increased its )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (rating from a 1 to a 2 star 'good' performing residential care home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (From all the available evidence we gathered during this key inspection it was clear the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (service now has more strengths than areas for improvement. There are no longer any )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (significant areas for improvement relating to poor medication handling practises and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (low staff morale identified in the services last inspection report. Nonetheless, although )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (National Minimum Standards under key outcome groups are generally met, there )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (remains scope for further improvement in a number of important areas of practise \(See )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (the summary section entitled - what the service could do better\). We are nevertheless )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 163.38 w 32.32 730.84 m 566.72 730.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 648.02 m 568.92 648.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 646.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 646.95 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (confident the new manager will continue to recognise and rectify all the shortfalls that )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (emerge. We spent 5 hours at the service. During the site visit we met all 5 of the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (people who currently live at 37, Reddown Road, the relatively new acting manager, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (and 4 support workers, 2 of whom we informally interviewed. We also looked at )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (various records and documents including, the care and health action plans for two )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (people who use the service. The remainder of the visit was spent during the premises.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (Finally, the new manager completed and returned our Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (Assessment \(AQAA\) when we asked for it. This self-assessment document tells what )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (the providers think they do well, what has improved since the homes last inspection, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (and what the manager thinks they could do better.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 253.86 w 32.32 663.89 m 566.72 663.89 l S 0.001 w 20.58 w 32.7 524.42 m 569.35 524.42 l S 0.001 w 385.08 w 33.82 319.34 m 568.22 319.34 l S 0.001 w 20.58 w 33.45 114.26 m 570.1 114.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 535.84 m 568.92 535.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 534.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 535.84 m 569.35 535.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 513.01 m 569.35 513.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 513.01 m 570.42 513.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 125.68 m 570.42 125.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 125.68 m 570.1 125.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 102.85 m 570.1 102.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 514.09 m 32.7 124.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 534.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 514.09 m 569.35 124.6 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (All the written and verbal feedback received from a health care professional and just )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (over half the staff team who work at the home was extremely complimentary about the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (new mananger and the positive impact she had made on the service in a relatively )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (short period of time \(i.e. 10 months\). Typical comments included, 'the service has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (stabilised in the past year and the staff are working more as a team now', ' I feel the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (staff know the people who use the service and support them to the best of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (ability', and 'the service is much better at ensuring good care is provided according to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (care plans'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (All the staff met, including the new manager, were always observed interacting with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (the people using the service in a very kind, respectful and professional manner. It was )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (clear the staff team are familiar with the needs, wishes, and preferences of all the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (people who use the service and are able to communicate with them freely and easily )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (using their preferred methods of communication.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (The atmosphere in the home remained extremely friendly and relaxed throughout the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (course of this site visit.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 662.34 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 522.31 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 519.65 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 522.87 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 317.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 496.82 Tm (The relatively new acting manager has a clear vision about the direction she wants to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 482.24 Tm (take the home in and has made a number of significant improvements to the home in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 467.66 Tm (the past 10 months. All the requirements and the majority of good practise )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (recommendations made in the homes previous inspection report have been managed )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (well within the prescribed timescales for action:)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm (Records of all the appointments people who use the service have with health care )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (professionals are now appropriately maintained by staff in individualised health care )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (action plans.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm (The services arrangements for recording, safekeeping, quality controlling, and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (administering all medicines kept in the home on behalf of the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (service have been significantly improved to make these practises safe.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm (Sufficient numbers of staff have improved their knowledge and skills and received )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (suitable training in the safe handling of medication, British Institute of Leaning )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (Disability approved Non Violent Crises Intervention techniques, and promoting )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (continence.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (In addition to addressing all the issues identified in the last report it was evident from )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (all the feedback received from staff that their morale has also significantly improved in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm (the past year. There is a general consensus of opinion that staff are working better as )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (a team again and that Reddown Road is a much happier place to live and work.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (Finally, Reddown Road is a far more homely and comfortable place to live since a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm (number of the bedrooms and communal areas were redecorated.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 317.79 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 112.71 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 109.49 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 676.68 w 34.57 474.19 m 568.97 474.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 134.72 m 571.17 134.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 133.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 133.65 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 31.2 472.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 797.47 Tm (All the positive comments made above notwithstanding the new manager is the first to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 782.89 Tm (recognise there remains considerable room for further improvement:)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 768.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 753.73 Tm (Firstly, the way in which the providers let the people who use the service and/or their )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 739.15 Tm (representatives know about increases in the fees they can expect to be charged for )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 724.57 Tm (facilities and services provided should be reviewed to make the process more )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 709.99 Tm (transparent and responsive to change. This will enable all major stakeholders to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 695.41 Tm (determine whether or not the provider is giving them value for money.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 680.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 666.25 Tm (As recommended in the services last report arrangements for keeping the people who )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 651.67 Tm (use the service informed about what activities and meals are available each day has )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 637.09 Tm (still not been improved. The notice board in the lounge should be up dated a regular )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 622.51 Tm (intervals to ensure the people who use the service have all the information they need )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 607.93 Tm (to make decisions about what they do and eat each day.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 593.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 578.77 Tm (Although progress continues to be made regarding the number of activities the people )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 564.19 Tm (who use the service can choose to participate whilst at home \(e.g. access to a well )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 549.61 Tm (equipped sensory room and furniture in the garden\), the manager acknowledges )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 535.03 Tm (individuals should have far greater opportunities to engage in more meaningful and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 520.45 Tm (stimulating community based activities, including day trips and annual holidays.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 505.87 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 491.29 Tm (Easy read pictorial versions of the new healthier menus should be developed to enable )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 476.71 Tm (the people who use the service to make more informed decisions about what they eat )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 462.13 Tm (at mealtimes.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 447.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 432.97 Tm (As recommended in the previous report the providers should repaint all the homes )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 418.39 Tm (exterior window frames and sills, and supply the people who use the service with more )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 403.81 Tm (seating in the garden.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 389.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 374.65 Tm (Staff should be provided with lockers to keep their belongings in whilst they are on )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 360.07 Tm (duty. This will ensure the risk of staff losing their valuables is minimised. Despite the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 345.49 Tm (new manager ensuring the performance of each member of her team over the past )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 330.91 Tm (year has been appraised the training matrix currently being used to assess gaps in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 316.33 Tm (peoples knowledge and skills is not being kept up to date. We strongly recommend this )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 301.75 Tm (assessment is kept up to date to enable the manager to plan a staff training )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 287.17 Tm (programme.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 272.59 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 258.01 Tm (To meet the needs and wishes of all the people who use the service more staff should )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 243.43 Tm (receive specialist training in working with people with autism, communication )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 228.85 Tm (difficulties, and the elderly.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 214.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 199.69 Tm (Finally, The way in which senior staff carry out supervisions and record the outcome of )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 185.11 Tm (these sessions should be reviewed because at present they are not being held at )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 170.53 Tm (frequent enough intervals \(i.e. At least once every two months\). This will ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 155.95 Tm (people who use the service have their needs met by suitably trained and well )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 141.37 Tm (supported care staff.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 120.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 100.17 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 100.17 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 100.17 Tm ( is taking )Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.1 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 759.1 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 759.1 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 741.61 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 741.61 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 741.61 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 724.11 Tm (7535.)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 5\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 541.96 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 102 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (that includes how much they will pay and what the home provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 294.94 w 33.45 315.26 m 563.65 315.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 272.44 w 32.32 304.02 m 564.78 304.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 165.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 165.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 166.67 m 566.98 166.67 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People who use the and their representatives have access to all the information they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (need to make an informed decision about whether or not the service is right for them )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (and/or loved one/client.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (The impact any new referral would have on the people already living at the home is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (always taken into account when assessing the suitability of a prospective new )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (admission.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 245.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.22 Tm (The providers arrangements for keeping the people who use the service and/or their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 210.72 Tm (representatives informed about fee increases should be reviewed to make the process )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 193.23 Tm (far more open and transparent. Without this information major stakeholders are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 175.73 Tm (unable to determine whether or not they are getting value for money.)Tj ET 0.99608 0.9451 0.76078 RG 72.57 w 33.45 104.51 m 563.65 104.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 131.8 m 565.9 131.8 l S 0.001 w 51.2 w 32.32 92.7 m 564.78 92.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 119.43 m 566.98 119.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 120.51 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 120.51 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 119.43 m 565.9 119.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 128.49 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (As recommended in the services last report the acting manager has up dated the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (Guide to reflect current provision. The Guide was also available in an easy read format.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The manager told us the service had not received any new referrals since being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (appointment in May 2008 and has been very reluctant to accept any new admissions in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (this time because of all the staffing problems she inherited. Carmel demonstrated a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (good understanding of what constituted 'best' practise regarding new admissions and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (was very clear that she would not accept any new referrals without first considering )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the impact this would have on the people already residing at Reddown Road.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (The manager acknowledged that the range of fees people who use the service and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (their representatives are expected to pay for facilities and services provided has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (increased in the past year, but the new costs are not reflected either in the services )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Guide or individual terms and conditions of occupancy. We recommend the providers )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (review their arrangements for keeping major stakeholders informed about fee )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (increases and make the process more transparent and responsive to changes.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 85 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.95 w 33.45 333.26 m 563.65 333.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 202.46 w 32.32 322.01 m 564.78 322.01 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 218.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 218.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 219.65 m 566.98 219.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Care plans are very person centred and reflect what is important to the individual, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (what their capabilities are, and what support they need to achieve their personal goals )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (and aspirations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm (The service has satisfactory arrangements in place regarding the assessing, managing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm (and reviewing of identified risks. This minimises the likelihood of people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 246.21 Tm (service being harmed, whilst ensuring they retain their right to take 'responsible' risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.72 Tm (and live their lives as independently as reasonably practicable.)Tj ET 0.99608 0.9451 0.76078 RG 125.56 w 33.45 131.01 m 563.65 131.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 184.79 m 565.9 184.79 l S 0.001 w 104.19 w 32.32 119.19 m 564.78 119.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 172.41 m 566.98 172.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 173.49 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 173.49 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 172.41 m 565.9 172.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 181.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (We looked at the care plans for two people who use the service. Both plans were very )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (person centred and set out in detail their strengths, short and long terms goals, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (personal preferences, daily routines, and what support they each required to ensure all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (their personal, social, and health care needs were met. Both the plans viewed had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (been reviewed in the past six months and up dated accordingly to reflect any changes )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (in provision. Minutes of the last two care plan reviews revealed the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (service, their relatives, and professional representatives, had all been invited to attend )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (these meetings. Both the care staff who completed our surveys told us they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ('usually' given all the information they need to know about the people they support.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Both plans viewed also contained a lot of detailed information about these individuals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (communication needs and preferred methods of communication. Since the service was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (last inspected the manager has introduced communication books and photographs to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (enable staff to communicate more effectively with the people who use the service and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (to ascertain their views. The manager told us the people who use the service do not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (have their own meetings because these large group forums are not ideal for enabling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (people with complex communication needs to express themselves. We agree that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (regular one to one sessions with designated keyworkers and sitting-in on staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (meetings are more suitable forums for the people who use the service to participate in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (the running of their home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (However, it disappointing to note during a tour of the premises that despite the good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (practise recommendation being made in the services last report the information board )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (in the dining area was not being kept up to date to reflect what meals and activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (were available that day, and who was on duty.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (A health care professional who returned our survey ticked the 'usually' box in response )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (to the question - Do care staff support individuals to live the life they choose? All the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (risk assessments included in the two care plans examined in depth were very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (individualised and covered every aspects of these services users personal, social and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (health care needs. It was positively noted that one risk assessment had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (immediately reviewed following the occurrence of a significant incident involving this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (individual. Furthermore, all the risk assessments looked at had been reviewed in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (past three months and up dated accordingly by keyworkers to reflect any changes in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (need or circumstances. The manager demonstrated a good understanding of her risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (assessing responsibilities and was very clear that the people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (should not be denied the opportunity to take 'responsible' risks in order to enable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (individuals to develop their independent living skills.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Lifestyle)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.25 w 32.32 584.79 m 562.53 584.79 l S 0.001 w 1 1 1 RG 51 w 31.2 499.79 m 563.65 499.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 473.17 m 565.85 473.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 472.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 472.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.48 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.48 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 532.48 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 479.23 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 432.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 432.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 432.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 415.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.51 w 33.45 239.98 m 563.65 239.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 402.73 m 565.9 402.73 l S 0.001 w 322.14 w 32.32 228.17 m 564.78 228.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 390.36 m 566.98 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 391.44 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.36 m 565.9 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 399.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 374.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 374.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 357.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 337.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 317.19 Tm (The opportunities the people who use the service to maintain and development their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (independent living skills and participate in the day to day running of their home has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (significantly improved since the last inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 247.2 Tm (Furthermore, the number and variety of social, leisure and recreational activities the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 229.71 Tm (people who use the service have the opportunity to participate in has also improved in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 212.21 Tm (the past 12 months, although the service should be doing more to ensure individuals )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 194.72 Tm (get out more and enjoy more meaningful activities in the local community, go on day )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 177.22 Tm (trips and annual holidays.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 159.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 142.23 Tm (The dietary needs and preferences of the people who use the service are well catered )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 124.73 Tm (ensuring they are offered daily variation and choice at mealtimes. The menus have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 107.24 Tm (also been recently improved following some professional input from a qualified dietitian )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 89.74 Tm (ensuring the people who use the service are now offered far more nutritionally )Tj ET /F2 12 Tf BT 1 0 0 1 516 89.74 Tm (well-)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 72.24 Tm (balanced)Tj ET /F2 12 Tf BT 1 0 0 1 89.14 72.24 Tm ( and healthier meal options.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 21.91 w 33.45 800.45 m 563.65 800.45 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 0.542 w 32.32 788.64 m 564.78 788.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 786.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 786.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 787.24 m 566.98 787.24 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Judgement:)Tj ET 0.99608 0.9451 0.76078 RG 693.15 w 33.45 415.92 m 563.65 415.92 l S 0.001 w 1 1 1 RG 22.5 w 31.2 753.5 m 565.9 753.5 l S 0.001 w 671.77 w 32.32 404.11 m 564.78 404.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 741.12 m 566.98 741.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 742.2 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 742.2 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 741.12 m 565.9 741.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 750.18 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 725.44 Tm (We looked at activities schedules for two people who use the service contained their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 707.94 Tm ('My life' plans, which the manager has recently introduced. These activity schedules )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 690.45 Tm (were person centred and reflected the social interests of the individuals concerned. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 672.95 Tm (During the visit staff were observed offering people who use the service the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 655.46 Tm (opportunity to go in the sensory room. Entries made in daily diaries in the past three )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 637.96 Tm (months revealed people who use the service had more opportunities to participate in a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 620.46 Tm (wide variety of in-house activities and household chores including; reflexology, music, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 602.97 Tm (and cooking sessions. The manager told us activity schedules were very flexible and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 585.47 Tm (were used by staff as a 'rough guide' to help them plan with the people who used the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 567.97 Tm (service what they might wish to do each day.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 550.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 532.98 Tm (However, the manager conceded that the service could do more to ensure the people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 515.49 Tm (who used the service participated in more community based activities. Staff who were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 497.99 Tm (informally interviewed during this site visit made similar points and told us none of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 480.49 Tm (people who use the service had been on holiday in 2008 or many day trips. Daily diary )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 463 Tm (notes looked at in depth indicated the people who used the service had not engaged in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 445.5 Tm (very many 'meaningful' and/or 'fulfilling' social activities outside their home in recent )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 428.01 Tm (months. The manager told us this problem had been exasperated because the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 410.51 Tm (only employed one driver, although this what about to change as the homes most )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 393.02 Tm (recent recruit was qualified to drive the homes vehicle. We recommend people who )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 375.52 Tm (use the service are provided with more opportunities to engage in appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 358.02 Tm (community based leisure activities. Progress made by the service to achieve this aim )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 340.53 Tm (will be assessed at its next inspection. Both staff spoken with at length told us the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 323.03 Tm (service is now much better at encouraging the people who live at Reddown Road to do )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 305.54 Tm (more for themselves with appropriate staff support. Chores people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 288.04 Tm (regularly engage in include, cleaning their bedrooms, vacuuming the lounge, mopping )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 270.54 Tm (the kitchen, bringing down dirty laundry, and helping staff to prepare meals. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 253.05 Tm (relatively new manager is commended for placing more emphasis on the strengths and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 235.55 Tm (rights of the people who use the service to do more for themselves, although we do )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 218.05 Tm (recommend this ethos is formally recognised in individuals care plans in the form of a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 200.56 Tm (structured programme for promoting independent living skills.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 183.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 165.57 Tm (The services visitors book, which staff ensured we signed on arrival in line with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 148.07 Tm (providers visitors policy and best practise, indicated that the home continues to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 130.57 Tm (receive lots of guests including, the relatives and professional representatives of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 113.08 Tm (people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 95.58 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 78.09 Tm (The manager told us a new one week menu which staff actively encouraged the people )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 163.84 w 33.45 729.48 m 563.65 729.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.47 w 32.32 717.67 m 564.78 717.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.32 m 566.98 645.32 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (who use the service to create has now been approved by a qualified dietitian. The new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (healthier menu advertised a choice between two main meals at lunch and dinner, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (was typically English in style, which reflected the cultural heritage of the people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (use the service. The manager told us she was conscious the new menu was not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (available in an easy to read pictorial format, but was planning to rectify this after three )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (more weekly rotating menus had been approved. Staff continue to maintain a record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (of the actual meals consumed by the people who use the service, which showed us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (people are now enjoying a healthier diet.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 155.25 w 32.32 618.79 m 562.53 618.79 l S 0.001 w 1 1 1 RG 68 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.17 m 565.85 541.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 540.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 540.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 500.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 500.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 500.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 483.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.95 w 33.45 367.26 m 563.65 367.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 470.73 m 565.9 470.73 l S 0.001 w 202.46 w 32.32 356.01 m 564.78 356.01 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 458.36 m 566.98 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 459.44 m 31.2 252.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 459.44 m 565.9 252.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.36 m 565.9 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 253.65 m 566.98 253.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 467.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 442.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 442.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 405.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 385.19 Tm (People who use the service experience good quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (Suitably robust arrangements are in place to ensure the people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.2 Tm (receive personal support in the way they prefer and require, and that their unique )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 297.71 Tm (physical and emotional health care needs are continually recognised and met.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.21 Tm (Staffs medication handling practises have significantly improved ensuring the people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 262.72 Tm (who use the service are kept safe from unnecessary harm or abuse.)Tj ET 0.99608 0.9451 0.76078 RG 159.56 w 33.45 148.01 m 563.65 148.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 218.79 m 565.9 218.79 l S 0.001 w 138.19 w 32.32 136.19 m 564.78 136.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 206.41 m 566.98 206.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.49 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 207.49 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 206.41 m 565.9 206.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 215.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm (All the people who use the service were suitably dressed in well-maintained clothes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm (that were appropriate for the time of year. Written feedback from the people who use )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm (the service indicated they can do what they want during the day, evenings and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (weekends. Staff told us this includes being able to decide when you get up, go to bed, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (have a bath, and what clothes you wear.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (Manual handling and nutritional assessments had been carried out on the two people )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (whose care was being case tracked to enable staff to meet their mobility and dietary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (needs. Weight charts were also made available on request, which staff are carry out on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (a monthly basis.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (As required in the last report the manager has introduced new health care action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (plans, which set out in detail the outcomes of all the appointments the people who use )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the service had attended with various health care professionals. These records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (indicated advice and input is continually sought from various outside health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (professionals including, GP's, dentists, dietitians and a speech and language. Written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (feedback from a health care professional who returned one of our surveys told us staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ('usually' seek advice and act upon any given by health care professionals - adding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ('although its sometimes difficult to understand the people who use the service because )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (of their learning difficulties carers do seem aware if individuals are distressed or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (showing behaviour which is out of character'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Two people who use the service were admitted to casualty in the past year. Both these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (incidents had been appropriately recorded by staff and the Commission notified about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (their occurrence without delay. The manager told us both the incidents were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (appropriately handled by staff on duty at the time. No serious injuries or side effects )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (were sustained and risk assessments were reviewed to minimise the likelihood of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (similar incidents reoccurring in the future.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Documentary evidence was produced on request to show that the half a dozen )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (outstanding requirements and good practise recommendations made about the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (services poor medication handling practises at the last inspection have all been met in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (full in accordance with the improvement plan the service sent us.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (No recording errors were noted on any of the medication administration records \(MAR\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (sheets used in the past 3 months and there was a clear audit trail of all the medicines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (received into the service on behalf of the people who lived there. As required in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (last report the service has significantly improved its medication monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (arrangements and the manager told us an independent pharmacist had inspected the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (service three times in the past year. Furthermore, senior managers representing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Voyage always check medication stocks during their regulation 26 visits and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (manager regularly carries out spot checks on her staff teams medication handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (practises. All staff that are authorised to administer medication in the home have also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (refreshed their medication training and been reminded about their safe medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (handling responsibilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (As recommended in the last report staff now maintain appropriate records that clearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (states their rational for using as required \(PRN\) behavioural modification drugs. PRN )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 163.84 w 33.45 729.48 m 563.65 729.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.47 w 32.32 717.67 m 564.78 717.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.32 m 566.98 645.32 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (records also showed the use of this type of medication had been significantly reduced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (in the past year and was clearly being used only as a last resort in exceptional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (circumstances in line with individualised protocols for it use and best practise )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (guidelines. Furthermore, staff are now expected to keep a separate record when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Controlled Drugs \(CD\) are handled, which a second member of staff always counter )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (signs. Finally, as recommended in the last report the service is no longer stock piling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ('unwanted' medication, which has made auditing them easier and minimised the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (mistakes happening.)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Concerns, complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Their concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 452.75 m 563.65 452.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 167.46 w 32.32 441.5 m 564.78 441.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 355.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 355.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 356.65 m 566.98 356.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (The services arrangements for dealing with concerns and complaints are sufficiently )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (robust and understood by staff to ensure people who use the service feel listened too )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (and safe.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 400.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.2 Tm (The people who use the service are protected and kept safe by the safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 365.71 Tm (arrangements that are in place, which includes those relating to financial protection.)Tj ET 0.99608 0.9451 0.76078 RG 262.55 w 33.45 199.5 m 563.65 199.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 321.78 m 565.9 321.78 l S 0.001 w 241.18 w 32.32 187.69 m 564.78 187.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 309.4 m 566.98 309.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 310.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 309.4 m 565.9 309.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 318.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (The manager told us she has received one formal complaint about Reddown Road )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (since she has been in charge. A record of the complaint and the outcome of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (internal investigation undertaken by the providers was made available on request. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (services complaints book showed us the concern was taken seriously at the time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (dealt with in a very prompt, transparent and professional manner. Trellising has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (erected in the rear garden to minimise th risk of similar incidents reoccurring in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (future. The manager told us the complainant was notified about the action the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (providers planned to take in response to the complaint as soon as their enquiry was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (completed. A health care professional who completed one of our satisfaction surveys )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (ticked the 'usually' box in response to the question - Does the service manage )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (concerns raised well?)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (The manager demonstrated a good understanding of what constituted abuse and who )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 338.8 w 33.45 642.01 m 563.65 642.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 317.43 w 32.32 630.19 m 564.78 630.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 470.36 m 566.98 470.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (should be notified immediately if abuse was witnessed or suspected. Records indicate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (that there have been no disclosures of abuse made within the service since it was last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (inspected or any staff refereed for possible inclusion on the Protection Of Vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Adults register. As required in the previous report documentary evidence was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (produced on request that showed us sufficient numbers of the current staff team had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (recently attended an annual refresher course in the British Institute of Learning )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Disability \(BILD\) approved Non Violent Crisis Intervention \(NVCI\) training. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (manager told us that none of her staff team had physically intervened to deal with an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (incident of aggression in the past year. Staff informally interviewed were both )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (adamant that they would only ever use approved physically intervention techniques as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (a last resort when all other deescalation strategies had failed and they felt the people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (who used the service were in immanent 'danger'. The manager told us all her current )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (staff team had received safeguarding training that enabled them to recognise, prevent, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (and report abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Records and receipts of all the financial transactions that staff had taken on behalf of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (the people who use the service were made available on request. Balances recorded on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (financial records and bank books held in respect of two people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (matched the actually amounts of money individually stored in the homes safe.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 85 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (pleasant and hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 418.75 m 563.65 418.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 167.46 w 32.32 407.5 m 564.78 407.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 321.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 321.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 322.65 m 566.98 322.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (The interior decoration of the home, including its fixtures, and fittings, are well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (maintained ensuring the people who use the service live in a very homely and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (comfortable environment.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 349.2 Tm (The homes arrangements for controlling infection are sufficiently robust to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 331.71 Tm (people who use the service also live in a very clean and safe environment.)Tj ET 0.99608 0.9451 0.76078 RG 228.55 w 33.45 182.5 m 563.65 182.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 287.78 m 565.9 287.78 l S 0.001 w 207.18 w 32.32 170.69 m 564.78 170.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.4 m 566.98 275.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.4 m 565.9 275.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 284.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (Since the services last inspection there have been no changes made to the interior )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (layout of the home, although there have been several improvements made to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (decoration of the lounge, a number of bedrooms, and toilets. We confirmed during a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (tour of the premises that as stated in the services AQAA a number of the communal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (areas and bedrooms had been redecorated, and supplied with new curtains, flooring, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (soft furnishings, ornaments, pictures, and photographs. Staff spoken with told us the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (providers had also improved there arrangements for responding to routine )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (maintenance issues and things tended to get repaired more quickly these days.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (Bedrooms viewed during a tour of the premises were in the main very personalised )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (and decorated to a good standard, although a badly damaged chest of drawers was )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 391.29 w 33.45 615.76 m 563.65 615.76 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.92 w 32.32 603.95 m 564.78 603.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 417.87 m 566.98 417.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (noted in a ground floor bedroom. This will need to be repaired or replaced as a matter )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (of urgency.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (A recommended in the services last report some wooden seating for the people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (use the service to sit on has been purchased for the garden. However, this bench has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (become rather unstable and will need to be repaired or replaced. Now the weather is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (getting better we also recommend the service makes better use of the rear garden, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (especially the patio area, by purchasing some more garden furniture. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (told us an action plan to repaint the homes exterior windows and sills had now been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (agreed as recommended in the last report, but was unsure when the work would be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (During a tour of the premises it was noted that all the communal areas and bedrooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (were kept spotlessly clean. The laundry room is also well organised with freshly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (laundered clothes now kept in separately labelled boxes ready to be returned to their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (owners bedrooms. The cupboard in the laundry room where hazardous chemicals and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (substances are kept was securely locked at the time of this visit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The manager told us staff do not have their own lockers to store their belongings in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (whilst on duty. We recommend as a good security measure to minimise the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (theft the providers should supply staff with their own lockers.)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 418.75 m 563.65 418.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 167.46 w 32.32 407.5 m 564.78 407.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 321.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 321.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 322.65 m 566.98 322.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (People who use the service have safe and appropriate support as there are enough )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (competent, qualified staff on duty at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm (Peoples needs are also met because staff get all the training they need to carry out )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 349.2 Tm (their duties effectively, although there remains scope to improve the services staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 331.71 Tm (supervision arrangements.)Tj ET 0.99608 0.9451 0.76078 RG 228.55 w 33.45 182.5 m 563.65 182.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 287.78 m 565.9 287.78 l S 0.001 w 207.18 w 32.32 170.69 m 564.78 170.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.4 m 566.98 275.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.4 m 565.9 275.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 284.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (All three members of staff who were working the early shift on the day of this site visit )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (were observed interacting with a number of the people who use the service in a very )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (caring, respectful, and professional manner throughout the morning. A health care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (professional who completed our survey told us the staff 'always' respected the privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (and dignity of the people who used the service, and seemed to understand their needs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (The manager told us there were always at least three staff employed to work across )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (the day which remained sufficient to meet the needs and wishes of the people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (currently residing at Reddown Road. Both of our satisfaction surveys returned to us by )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (staff working at the home ticked the 'always' box in response to the question - Are )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (there enough staff on duty to meet the needs of the people who use the service? The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (two support workers informally interviewed during the visit told us staff moral had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (significantly improved since the appointment of the new manager and they had begun )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to work as a team again. The manager confirmed that as she had stated in the AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (the service had experienced very low levels of staff turnover in the past year and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (consequently she had not needed to recruit any new staff or rely on temporary agency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (staff who would not be so familiar with the needs and wishes of the people who used )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The manager told us she was in the process of employing one new member of staff to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (fill the services one remaining vacancy. The manager demonstrated a good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (understanding of what constitute good recruitment practises and as recommended in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (the services last report told us she was always fully involved in the process and would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (not allow anyone to start without first supplying her with satisfactory pre-employment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (checks. The manager also told us she was looking into ways of enabling the people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (who used the service to participate in the selection of new staff. This standard will be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (assesed in greater depth at the services next inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (100% of our surveys returned to us by staff working at the home told us the training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (they received was relevant to their role, helped them meet the needs of the people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (who used the service, and kept them up to date with new ways of working. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (manager confirmed that as recommended in the services last two reports the majority )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (of her current staff team \(i.e. well over 50%\) had either now achieved a National )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Vocational Qualification Level 2 or above in care or were enrolled on a suitable course. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The manager stated in the AQAA that this had mainly been achieved because Voyage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (had appointed a manager and a number of assessors to oversee NVQ training. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (new manager has also introduced a training matrix which sets out her staff teams )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (strengths as well as gaps in their current knowledge and skills. Unfortunately, this tool )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (was not particularly useful during this inspection because it had not been kept up to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (date. The manager confirmed that as stated in the AQAA most of her staff team were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (suitably trained to meet the needs of the people who used the service. Areas covered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (included, fire safety, first aid, basic food hygiene, health and safety, safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (adults, medication, and infection control. As required in the services last report )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (documentary evidence was produced on request to show that sufficient numbers of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (staff had attended a promoting continence course. We recommend a number of staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (receive specialist training to improve their understanding in relation to working with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (people with autism, communication needs, and who are elderly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (The manager was able to produce documentary evidence to show us the each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (members of staffs individual performance since her appointment had been appraised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (as recommended in the services last inspection report. However, records of one to one )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 198.83 w 33.45 711.99 m 563.65 711.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 177.46 w 32.32 700.18 m 564.78 700.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 610.32 m 566.98 610.32 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (supervision meetings staff had attended with senior staff since May 2008 revealed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (they were not being held on a bi-monthly basis contrary to best practise and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (providers own supervision policy. Staff spoken with also told us that although they felt )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (suitably supported by the new manager who was particularly good at sharing good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (practise ideas with them, they had only received two supervision each in the past 10 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (months. This point notwithstanding it was positively noted that the relatively new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (manager had arranged for 7 staff meetings to be held since being appointed in May )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (2008. Minutes of the last two meetings revealed they had both been well attended by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (staff and had covered a wide variety of relevant topics, including safe medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (handling practises, E-learning, team building and time keeping.)Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Conduct and management of the home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 85 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately, with an open approach that makes them feel valued and respected. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (things should be done. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 242.45 w 33.45 341.51 m 563.65 341.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 219.95 w 32.32 330.26 m 564.78 330.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 218.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 218.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 219.16 m 566.98 219.16 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (The people who use the service benefit from living in a home that is now being well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (run by an experienced and competent manager.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (The quality assurance systems that are in place ensures the views of the people who )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (use the service and their representatives underpin all self-monitoring and future )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (developments of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 245.72 Tm (Health and safety arrangements are sufficiently robust to safeguard the welfare of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.22 Tm (people who use the service, their guests, and staff.)Tj ET 0.99608 0.9451 0.76078 RG 125.06 w 33.45 130.76 m 563.65 130.76 l S 0.001 w 1 1 1 RG 22.5 w 31.2 184.29 m 565.9 184.29 l S 0.001 w 103.69 w 32.32 118.95 m 564.78 118.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 171.92 m 566.98 171.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 172.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 172.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 171.92 m 565.9 171.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 180.98 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (Carmel Rees has been operational day-to-day control of 37 Reddown Road since May )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (2008. It was evident from the typical comments made by staff on duty at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (this visit that the team like the leadership style of the relatively new manager. Typical )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (comments from staff included, 'Carmel's very approachable - you can talk to her about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (anything', 'the new manager has brought some stability to the home and staff now )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 723.71 w 33.45 449.55 m 563.65 449.55 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 702.34 w 32.32 437.74 m 564.78 437.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 85.44 m 566.98 85.44 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (work much better as a team', and 'Reddown is a much more pleasant place to work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (now, and i think the people who live here are much happier as a result'. Furthermore, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (a health care professional wrote in one of our surveys they returned to us that 'the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (new manager seems to be very good at her job and also caring'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Carmel told us she has submitted her application for the CQC to consider registering )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (her as the services new manager, as recommended in the last report. Carmel is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (suitably qualified to run a residential care service for adults with learning disabilities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (having achieved her registered managers award. In the past 10 months Carmel has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (received training in the Governments Mental Capacity Act.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (It was also evident from comments made by a number of staff that the new manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (is committed to ensuring her staff team take greater responsibility for running the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (home. For example, one member of staff have been designated in charge of fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (safety, while another is responsible for carry out health and safety checks.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The manager was able to produce evidence to show Voyage had carried out a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (comprehensive internal audit of the home in February 2009. The manager told us all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (the minor shortfalls identified in these reports have been acknowledged and action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (taken to resolve them.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The homes fire records revealed that the fire alarm system continues to be tested on a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (weekly basis. During this visit staff carried out a prearranged fire drill. The fire alarm )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (was audible throughout the home and staff responded promptly to the alarm being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (activated. One support worker spoken with about the services fire evacuation )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (procedures was very clear where all the homes fire exits and fire assembly points )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (where.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Certificates of worthiness were made available on request to show that the service gas )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (installations, portable electoral appliances, passenger lift, fire alarm system, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (extinguishers - had all been tested by suitably qualified professionals in the last 12 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (months in line with recommended best practise.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (As recommended in the services last inspection report records showed us staff are now )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (testing the temperature of hot water used in baths on a daily basis to ensure they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (remain close to a safe 43 degrees Celsius at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (During a tour of the kitchen all the food kept in the fridge which had been taken out of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (its original packaging was being correctly stored in covered containers that were all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (labelled and dated in line with basic food hygiene standards.)Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 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 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 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 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w 1 1 1 RG 153 w 31.2 472.01 m 91.05 472.01 l S 0.001 w 153 w 93.3 472.01 m 197.4 472.01 l S 0.001 w 153 w 199.65 472.01 m 289.45 472.01 l S 0.001 w 153 w 291.7 472.01 m 473.8 472.01 l S 0.001 w 153 w 476.05 472.01 m 566.1 472.01 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.3 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.38 m 568.3 394.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 550.71 m 92.17 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 550.71 m 290.57 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 550.71 m 474.92 393.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 393.31 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 536.45 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 536.45 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 536.45 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 536.45 Tm (The damaged chest of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 519.45 Tm (drawers in a ground floor )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 502.45 Tm (bedroom must be repaired )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 485.45 Tm (or replaced. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 468.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 451.45 Tm (This will ensure the people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 434.45 Tm (who use the service have )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 417.45 Tm (sufficient space to store )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 400.45 Tm (away all their belongings.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 536.45 Tm (01/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 536.45 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 323.35 m 566.2 323.35 l S 0.001 w 18.15 w 31.2 278.36 m 91 278.36 l S 0.001 w 18.15 w 93.25 278.36 m 197.4 278.36 l S 0.001 w 18.15 w 199.65 278.36 m 566.2 278.36 l S 0.001 w 1 1 1 RG 108.06 w 31.2 213.01 m 91.05 213.01 l S 0.001 w 108.06 w 93.3 213.01 m 197.4 213.01 l S 0.001 w 108.06 w 199.65 213.01 m 566.1 213.01 l S 0.001 w 94.95 w 31.2 109.25 m 91.05 109.25 l S 0.001 w 94.95 w 93.3 109.25 m 197.4 109.25 l S 0.001 w 94.95 w 199.65 109.25 m 566.1 109.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 288.56 m 568.4 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 268.16 m 568.4 268.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 289.64 m 92.12 156.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.85 m 568.3 157.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.13 m 568.4 358.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.56 m 568.4 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 268.16 m 568.3 268.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.85 m 568.3 157.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 359.21 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 269.24 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 289.64 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 359.21 m 567.32 59.57 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 341.95 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 324.37 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 309.79 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 295.21 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 277.39 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 274.39 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 274.39 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 251.98 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 251.98 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 251.98 Tm (The way in which the providers let the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 237.4 Tm (service and/or their representatives know about increases )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 222.82 Tm (in the fees they can expect to be charged for facilities and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 208.24 Tm (services provided should be reviewed to make the process )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 193.66 Tm (more transparent and responsive to change. This will )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 179.08 Tm (enable all major stakeholders to determine whether or not )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 164.5 Tm (the provider is giving them value for money.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 141.67 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 141.67 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 141.67 Tm (The way in which the home keeps the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 127.09 Tm (service informed about what activities and meals are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 112.51 Tm (available each day should be reviewed. The notice board )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 97.93 Tm (should be up dated a regular intervals to ensure the people )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 83.35 Tm (who use the service have all the information they need to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 68.77 Tm (make decisions about what they do and eat each day. This )Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 789.16 m 91.05 789.16 l S 0.001 w 46.74 w 93.3 789.16 m 197.4 789.16 l S 0.001 w 46.74 w 199.65 789.16 m 566.1 789.16 l S 0.001 w 78.9 w 31.2 724.09 m 91.05 724.09 l S 0.001 w 78.9 w 93.3 724.09 m 197.4 724.09 l S 0.001 w 78.9 w 199.65 724.09 m 566.1 724.09 l S 0.001 w 93.48 w 31.2 635.65 m 91.05 635.65 l S 0.001 w 93.48 w 93.3 635.65 m 197.4 635.65 l S 0.001 w 93.48 w 199.65 635.65 m 566.1 635.65 l S 0.001 w 49.74 w 31.2 561.79 m 91.05 561.79 l S 0.001 w 49.74 w 93.3 561.79 m 197.4 561.79 l S 0.001 w 49.74 w 199.65 561.79 m 566.1 561.79 l S 0.001 w 93.48 w 31.2 487.93 m 91.05 487.93 l S 0.001 w 93.48 w 93.3 487.93 m 197.4 487.93 l S 0.001 w 93.48 w 199.65 487.93 m 566.1 487.93 l S 0.001 w 64.32 w 31.2 406.78 m 91.05 406.78 l S 0.001 w 64.32 w 93.3 406.78 m 197.4 406.78 l S 0.001 w 64.32 w 199.65 406.78 m 566.1 406.78 l S 0.001 w 93.48 w 31.2 325.63 m 91.05 325.63 l S 0.001 w 93.48 w 93.3 325.63 m 197.4 325.63 l S 0.001 w 93.48 w 199.65 325.63 m 566.1 325.63 l S 0.001 w 78.9 w 31.2 237.19 m 91.05 237.19 l S 0.001 w 78.9 w 93.3 237.19 m 197.4 237.19 l S 0.001 w 78.9 w 199.65 237.19 m 566.1 237.19 l S 0.001 w 108.06 w 31.2 141.46 m 91.05 141.46 l S 0.001 w 108.06 w 93.3 141.46 m 197.4 141.46 l S 0.001 w 108.06 w 199.65 141.46 m 566.1 141.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 764.66 m 568.3 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 683.51 m 568.3 683.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 587.78 m 568.3 587.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.79 m 568.3 535.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.06 m 568.3 440.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.49 m 568.3 373.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 277.76 m 568.3 277.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.61 m 568.3 196.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 764.66 m 568.3 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 683.51 m 568.3 683.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 587.78 m 568.3 587.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.79 m 568.3 535.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.06 m 568.3 440.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.49 m 568.3 373.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 277.76 m 568.3 277.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.61 m 568.3 196.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 86.3 m 568.3 86.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 85.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 85.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 85.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 85.23 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 200.25 802.72 Tm (recommendation was made at the services last Key )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 788.14 Tm (inspection, but was not implemented. It is repeated in this )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 773.56 Tm (report for the second and final time.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 748.48 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 748.48 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 748.48 Tm (When all the services new healthier menus get approved by )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 733.9 Tm (a dietitian easy read pictorial versions of them should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 719.32 Tm (developed to enable the people who use the service to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 704.74 Tm (make infirmed choices about what they can eat at )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 690.16 Tm (mealtimes.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 667.33 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 667.33 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 667.33 Tm (People using the service should be offered far more )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 652.75 Tm (opportunities to engage in more 'meaningful' and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 638.17 Tm (stimulating activities in the wider community and go on a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 623.59 Tm (week long holiday each year or the equivalent in day trips. )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 609.01 Tm (This will ensure that the social interests and lifestyle )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 594.43 Tm (expectations of the people who use the service are met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 571.6 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 571.6 Tm (28)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 571.6 Tm (Staff should be supplied with lockers to keep their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 557.02 Tm (belongings in whilst they are on duty. This will ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 542.44 Tm (risk of staff losing their valuables is minimised.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 519.61 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 519.61 Tm (28)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 519.61 Tm (The providers should repaint all the homes exterior window )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 505.03 Tm (frames and sills within a reasonable time frame. This will )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 490.45 Tm (improve the overall appearance of the property. This )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 475.87 Tm (recommendation was made at the services last key )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 461.29 Tm (inspection and was not fully implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 446.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 423.88 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 423.88 Tm (28)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 423.88 Tm (People who use the service should be provided with more )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 409.3 Tm (patio furniture to enable them to sit out and enjoy their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 394.72 Tm (garden. This recommendation was made at the service last )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 380.14 Tm (key inspection and was not fully implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 357.31 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 357.31 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 357.31 Tm (Specialist autism, communication, and working with older )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 342.73 Tm (people training should be offered to sufficient numbers of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 328.15 Tm (staff who work at the service. This will ensure staff have )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 313.57 Tm (the necessary knowledge and skills to effectively meet the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 298.99 Tm (unique needs and wishes of all the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 284.41 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 261.58 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 261.58 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 261.58 Tm (The matrix used by the service to assess the training )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 247 Tm (strengths and needs of the staff team should be kept up to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 232.42 Tm (date. This will enable the manager to make plans to rectify )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 217.84 Tm (any gaps identified in respect of her staff teams knowledge )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 203.26 Tm (and skills.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 180.43 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 180.43 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 180.43 Tm (The way in which senior staff carry out supervisions and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 165.85 Tm (record the outcome of these sessions should be reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 151.27 Tm (because at present they are not being held at frequent )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 136.69 Tm (enough intervals \(i.e. At least once every two months\). )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 122.11 Tm (This will ensure the people who use the service have their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 107.53 Tm (needs met by suitably trained and well supported care )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 92.95 Tm (staff.)Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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) 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+Y#B#B endstream endobj 93 0 obj<> endobj 94 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 95 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 78 0 obj<> endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. 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 99 0 obj<> endobj 100 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 101 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 29 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> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 102 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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