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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 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34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Larchwood Gardens)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Pilgrims Hatch )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Brentwood)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Essex)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (CM15 9NG)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01277375316)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01277375473)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 580.39 Tm (brentwood@ranccare.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 433.64 m 353.25 433.64 l S 0.001 w 1 1 1 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253.55 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 268.14 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 268.14 Tm (112)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.73 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 230.73 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 230.73 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 153.72 w 32.32 124.6 m 564.77 124.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 180.88 m 567.8 180.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 158.04 m 568.1 158.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.71 m 567.8 203.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 180.88 m 568.1 180.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 158.04 m 568.1 158.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 47.74 m 568.1 47.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 204.78 m 30.07 46.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 204.78 m 566.72 46.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 187.52 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.69 Tm (The maximum number number of service users who can be accommodated is 112)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 141.86 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 127.28 Tm (with nursing - Code CRH N to service users of the following gender: Either Whose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.7 Tm (primary care needs on admission to the home are within the following categories: Old )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.12 Tm (age not falling into any other category who are over 60 years of age - Code OP )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.54 Tm (\(maximum number of places 112\) Service users with dementia who are over 50 years )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 68.96 Tm (of age - Code DE \(Maximum number of places 112\) Service users with a physical )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.38 Tm (disability who are over 40 years of age - Code PD \(Maximum number of places 9\))Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB 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Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 770.16 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 770.16 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 770.16 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 770.16 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 770.16 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 770.16 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 749.4 m 565.9 749.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 739.77 m 568.1 739.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 740.85 m 30.07 566.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 740.85 m 567.02 566.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 759.02 m 568.1 759.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 739.77 m 568.1 739.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 567.52 m 568.1 567.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 760.1 m 30.07 738.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 760.1 m 567.02 738.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 745.84 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 745.84 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 726.59 Tm (Brentwood Care Centre is a newly built care home situated on the outskirts of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 709.59 Tm (Brentwood Town.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 692.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 675.59 Tm (The home provides accommodation and nursing care for up to a maximum of one )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 658.59 Tm (hundred and twelve people.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 641.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 624.59 Tm (Accommodation is provided over three floors. Residents have access to comfortable )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 607.59 Tm (communal areas and all residents have single bedrooms with ensuite facilities.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 590.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 573.59 Tm (The costs for placement at the home range from 558.25 to 1016.00 per week.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (This was an unannounced random inspection. The purpose of the visit was to focus )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (primarily on medication practices and procedures, to confirm the management )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (arrangements within the service, to look at staffing levels and deployment of staff, staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (supervision, staff recruitment and to examine progress pertaining to staff training. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (visit took place over one day by one inspector and lasted a total of 6 hours. Additionally, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (a pharmacist inspector examined the home's medication practices and procedures. A )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (revised copy of the home's action plan to meet regulatory requirements and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (recommendations as highlighted at the previous key inspection \(May 2009\) was provided )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (to us prior to the site visit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (As part of this site visit we clarified management arrangements at the home. We were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (advised by the Nursing Director and Registered Provider that the Nursing Director is in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (day to day charge of the home, the previous manager has 'stepped down' and has )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (returned to their previous role of deputy manager and additional support is currently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (being provided by the newly appointed Quality Manager for Ranc Care Homes Ltd. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (can confirm at the time of the random inspection that this was the case. The Nursing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (Director confirmed that an external independent consultant is being utilised and care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (planning processes and records within the home have been examined. We were advised )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (that a report has been produced by the consultant and this includes a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (recommendations. The Nursing Director stated, "we feel the care plans are improving and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (risk assessments are now in place. We have taken on board all comments and most of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (the care plans are either adequate or good and are more person centred".)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (From discussions with the newly appointed Quality Manager, we were advised that at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (time of the site visit they had been in post for approximately 3 weeks. Although )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (employed as the Quality Manager for the organisation, they are currently providing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (support at Brentwood Care Centre each day. We were advised by them that their main )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (focus of their involvement, is to look at care plans/records, promote customer satisfaction )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (and to examine health and safety issues. They told us that initially, although 1 or 2 care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (files were of a good quality, they acknowledged there was no consistency in recording, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (some lacked detail and were not person centred. In addition they stated that in their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (opinion, records did not meet regulatory requirements and shortfalls were identified in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (relation to daily care records, with staff requiring guidance and direction. The Quality )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (Manager also advised that where care plans/records have been reviewed and re-written )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (and following further staff training, the quality of information recorded has improved and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (individual's records are more detailed and person centred.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (We were advised by both the Registered Provider and Nursing Director that a new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (manager has been appointed and is due to commence employment at Brentwood Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (Centre on 24th August 2009. The Registered Provider confirmed that he is "100% )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (commited" to taking this home forward and in making and sustaining improvements.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (A copy of the home's staff training matrix was provided to us. This showed that since the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (last key inspection, a commitment to provide continual training for staff in both core and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (specialist subject areas is in place. Records showed that some members of staff have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (received training and/or updated training relating to manual handling, safeguarding, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (health and safety, COSHH \(Control of Substances Hazardous to Health\), fire awareness, )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (first aid, death, dying and bereavement, person centred care for people with dementia )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (and care planning and risk assessing. The deputy manager provided us with a list of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (planned training for August, September and October 2009. In addition to further training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (pertaining to subjects as detailed above, staff are to receive blood sugar monitoring and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (challenging behaviour training. We were advised by staff that the quality of training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (provided has improved and senior/qualified staff have observed that people are putting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (what they have learnt into practice and staff confidence has grown.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (As part of this site visit, staff recruitment records for 3 people newly employed since the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (key inspection were examined. Records showed the majority of records as required by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (regulation had been sought, however some shortfalls were highlighted. These relate to no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (recent photograph for 2 people however there was a photocopy of a photograph )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (contained within their proof of identity e.g. passport and/or driving licence, no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (employment history recorded for one person on their application form and no dates )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (recorded on another application form as to when they commenced and terminated their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (employment. Evidence of training undertaken was available within each staff file )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (examined. Certificates to confirm training undertaken was not always available as they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (had not yet been received in some cases. A record of induction was available for one out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (of three members of staff's files case tracked and when discussed with the administrator )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (we were told that staff, carry their induction booklet.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (From inspection of a random sample of staff files and the supervision matrix, records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (showed that staff are now receiving regular formal supervision and the majority of people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (have received an appraisal. Records showed in April 2009 that in some cases, people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (didn't feel valued, they didn't feel that they were working as part of a team or that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (organisation acknowledged their commitment. From discussion with staff at this site visit, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (people advised they feel more positive and that systems within the home are beginning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (to improve. We were advised that this relates specifically to better communication and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (better support and guidance from the management team of the home. One person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (stated, "the new Quality Manager has had an impact, wish she had been here since day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (1".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (We requested a copy of 4 weeks staff rosters for all units. Records showed that staffing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (levels as previously highlighted are being maintained and staff presence within communal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (areas was more prominent than on previous occasions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (Whilst undertaking a tour of the premises we noted one person on Sandringham Unit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (trying to reach for their drink. No obvious staff presence was available so we provided )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (assistance. We noted that this person had a 'turn chart' in place, however on closer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (examination of the document we observed these to be completed inconsistently. At the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (time of looking at the document \(approximately 11.45 a.m. and 14.30 p.m.\) the only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (entry for 19th August 2009 was at 06.00 a.m. This was not an isolated case and other )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (records examined showed limited entries. On inspection of the care file for this person, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (records recorded the person as being unable to mobilise and requiring 2 staff to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (hoist/transfer at all times. Records examined did not include information relating to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (frequency that the person should be turned or the rationale. When discussed with 2 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (members of staff, we were advised by one person that they did not know the frequency )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (or the rationale as to why this should be undertaken and the other member of staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (stated, "every 3 hours or so". We asked the service user if they were being 'turned' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (regularly and they responded by saying, "too regularly, means having to hump me about" )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (and "just because they write it down, doesn't mean they do it, does it".)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 323.76 w 31.2 623.34 m 580.26 623.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 460.34 m 582.46 460.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 459.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 459.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (We watched medication being given to some people and saw unsafe practices. Medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (was assembled to give to people without reference to the medication record form; the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (person signing the form to indicate medication was given was, in some cases not the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (person who gave the medication and the person who signed did not see the medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (being taken. Some of the records where blank giving no indication of whether medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (was given or not. We saw medication given to people as late as 12:00 but was recorded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (as given at 09:00 and further medication was given at 13:00. This increases the risk that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (doses of medication will be given too close together. We also saw that some medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (records were completed before people had taken their medication and found some stock )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (discrepancies which might indicate that people had not receive their medication as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (prescribed. The trolley carrying medication was left unattended in a corridor while the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (staff member was in a resident's room, this was out of view, the trolley was open and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (medication left on the top of it. This increases the risk that medication may be accessible )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (to people it is not prescribed for. We left an immediate requirement to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (are protected by having their medication given to them safely, for records to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (completed accurately and for people to be given their medication as prescribed. We also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (saw that some of the hand-written medication records did not clearly indicate the date )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (medication was administered as the forms were not dated and when medication was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (omitted, the reason for the omission was not always recorded. Some people had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (received their medication as it was 'out of stock', for one person this was for a period of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (three days.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 442.27 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 442.27 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 326.76 w 31.2 267.7 m 580.26 267.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 432.2 m 582.46 432.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.19 m 582.46 103.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 433.28 m 30.07 102.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 433.28 m 581.38 102.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 416.02 Tm (From inspection of the staff training matrix and from a random sample of staff's files, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 401.44 Tm (records showed that staff are now receiving training in both core and specialist subject )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (areas. This will ensure that within the whole staff group there is a range of skills and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 372.28 Tm (competence to meet the needs of individual people who live at the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.12 Tm (Staff are now receiving regular supervision and having their performance/practice )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (appraised.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.38 Tm (Staff rosters now show that staffing levels in the care home are being maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (The home undertake regular audits of medication and medication records and this is good )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm (practice, but their own records have also found discrepancies in medication.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (A requirement was made following the last inspection on 20th May 2009 for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.9 Tm (cupboards used to store controlled drugs to be fixed in a way which complies with legal )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.32 Tm (requirements On this inspection, we saw that this has been completed and so the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.74 Tm (requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.58 Tm (We also made a requirement that medication must only be given to people from correctly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 139 Tm (labelled containers where the medication can be clearly identified. On this inspection we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 124.42 Tm (saw that medication is supplied in individual packs and can be clearly identified so this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.84 Tm (requirement has also been met.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 82.88 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 30.26 w 31.2 57.68 m 580.26 57.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 73.93 m 582.46 73.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 75.01 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 75.01 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (Ensure suitable arrangements are in place so that people who require their body position )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 207.12 w 31.2 681.66 m 580.26 681.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.98 m 582.46 576.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 575.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 575.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (to be changed, have this undertaken according to their individual care needs. Ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (there is a clear audit trail and evidence to show the rationale for this being undertaken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (and staffs interventions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Residents must safeguarded by having their medication administered to them safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (Records made when medicines are given to people must be completed accurately and at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (the appropriate time so that it can be demonstrated that people receive their medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (as prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Residents must be administered their medication in accordance with prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (instructions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (There must be adequate supplies of medication for the continued treatment of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 560.92 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 560.92 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 544.92 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 256.86 w 31.2 447.79 m 91.05 447.79 l S 0.001 w 256.86 w 93.3 447.79 m 197.4 447.79 l S 0.001 w 256.86 w 199.65 447.79 m 289.45 447.79 l S 0.001 w 256.86 w 291.7 447.79 m 473.8 447.79 l S 0.001 w 256.86 w 476.05 447.79 m 566.1 447.79 l S 0.001 w 274.56 w 31.2 179.83 m 91.05 179.83 l S 0.001 w 274.56 w 93.3 179.83 m 197.4 179.83 l S 0.001 w 274.56 w 199.65 179.83 m 289.45 179.83 l S 0.001 w 274.56 w 291.7 179.83 m 473.8 179.83 l S 0.001 w 274.56 w 476.05 179.83 m 566.1 179.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 318.23 m 568.3 318.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.23 m 568.3 318.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Confirm in writing to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (resident and/or their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (representative that following )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (a full assessment, the needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (of the person can be met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (occasion. Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.52 Tm (1/7/09)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (To ensure that the person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (being admitted to the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.2 Tm (home is assured the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.62 Tm (can meet their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.46 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.88 Tm (occasion)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (19/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.05 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 302.05 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 302.05 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (Care planning at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.47 Tm (must identify, and be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.89 Tm (effective in meeting all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.31 Tm (residents' assessed needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.73 Tm (and ensure these are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.15 Tm (regularly updated and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.57 Tm (reviewed to reflect the most )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.99 Tm (up to date information.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.83 Tm (Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.25 Tm (1/12/08 and 1/5/09 not met. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.67 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.09 Tm (occasion. Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.51 Tm (17/8/09.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.35 Tm (This will ensure that staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.77 Tm (have the most up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 51.19 Tm (information and can provide )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 302.05 Tm (19/08/2009)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 75.9 w 31.2 643.29 m 91.05 643.29 l S 0.001 w 75.9 w 93.3 643.29 m 197.4 643.29 l S 0.001 w 75.9 w 199.65 643.29 m 289.45 643.29 l S 0.001 w 75.9 w 291.7 643.29 m 473.8 643.29 l S 0.001 w 75.9 w 476.05 643.29 m 566.1 643.29 l S 0.001 w 358.92 w 31.2 423.64 m 91.05 423.64 l S 0.001 w 358.92 w 93.3 423.64 m 197.4 423.64 l S 0.001 w 358.92 w 199.65 423.64 m 289.45 423.64 l S 0.001 w 358.92 w 291.7 423.64 m 473.8 423.64 l S 0.001 w 358.92 w 476.05 423.64 m 566.1 423.64 l S 0.001 w 198.25 w 31.2 142.8 m 91.05 142.8 l S 0.001 w 198.25 w 93.3 142.8 m 197.4 142.8 l S 0.001 w 198.25 w 199.65 142.8 m 289.45 142.8 l S 0.001 w 198.25 w 291.7 142.8 m 473.8 142.8 l S 0.001 w 198.25 w 476.05 142.8 m 566.1 142.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 604.22 m 568.3 604.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 243.05 m 568.3 243.05 l S 0.001 w [] 0 d [] 0 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198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (appropriate care to meet )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (occasion)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.03 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 588.03 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.03 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (Risk assessments must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (devised for all areas of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (assessed risk so that risks to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (residents can be minimised. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (Records must be explicit, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (detailing the specific risk, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (how this impacts on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (person and steps taken to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (reduce the risk.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (1/12/08 and 1/5/09 not met. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.08 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.49 Tm (occasion. Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.92 Tm (17/8/09)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (This will ensure that risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (areas are identified and staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (are aware of the associated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm (risks to residents health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.43 Tm (wellbeing.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 278.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.27 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 249.7 Tm (occasion)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.03 Tm (19/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.87 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 226.87 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 226.87 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (Where people are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.29 Tm (losing weight, maintain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.71 Tm (appropriate nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.13 Tm (records, including weight )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.54 Tm (gain or loss and appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.96 Tm (action taken.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.81 Tm (Previous timescale of 1/5/09 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.22 Tm (not met. Not inspected on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.64 Tm (this occasion. Previous )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.07 Tm (timescale 17/8/09.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.9 Tm (So as to ensure peoples' )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 226.87 Tm (19/08/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 465.9 w 32.32 551.15 m 564.97 551.15 l S 0.001 w 1 1 1 RG 61.32 w 31.2 650.59 m 91.05 650.59 l S 0.001 w 61.32 w 93.3 650.59 m 197.4 650.59 l S 0.001 w 61.32 w 199.65 650.59 m 289.45 650.59 l S 0.001 w 61.32 w 291.7 650.59 m 473.8 650.59 l S 0.001 w 61.32 w 476.05 650.59 m 566.1 650.59 l S 0.001 w 300.6 w 31.2 467.38 m 91.05 467.38 l S 0.001 w 300.6 w 93.3 467.38 m 197.4 467.38 l S 0.001 w 300.6 w 199.65 467.38 m 289.45 467.38 l S 0.001 w 300.6 w 291.7 467.38 m 473.8 467.38 l S 0.001 w 300.6 w 476.05 467.38 m 566.1 467.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 618.8 m 568.3 618.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 314.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.8 m 568.3 618.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 315.95 m 568.3 315.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (safety and wellbeing.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (occasion)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.61 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 602.61 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 602.61 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (All people who live at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (care home must be given the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (opportunity to engage in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (varied programme of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (activities. This refers )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (specifically to those people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (who have poor cognitive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (ability and who spend the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (majority of their day in bed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (occasion. Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (30/7/09.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm (So as to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (are enabled to maximise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm (their potential.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (Not inspected on this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (occasion)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 602.61 Tm (19/08/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 454.38 w 32.32 519.34 m 564.97 519.34 l S 0.001 w 1 1 1 RG 140.22 w 31.2 590.01 m 91.05 590.01 l S 0.001 w 140.22 w 93.3 590.01 m 197.4 590.01 l S 0.001 w 140.22 w 199.65 590.01 m 289.45 590.01 l S 0.001 w 140.22 w 291.7 590.01 m 473.8 590.01 l S 0.001 w 140.22 w 476.05 590.01 m 566.1 590.01 l S 0.001 w 125.64 w 31.2 454.83 m 91.05 454.83 l S 0.001 w 125.64 w 93.3 454.83 m 197.4 454.83 l S 0.001 w 125.64 w 199.65 454.83 m 289.45 454.83 l S 0.001 w 125.64 w 291.7 454.83 m 473.8 454.83 l S 0.001 w 125.64 w 476.05 454.83 m 566.1 454.83 l S 0.001 w 96.48 w 31.2 341.52 m 91.05 341.52 l S 0.001 w 96.48 w 93.3 341.52 m 197.4 341.52 l S 0.001 w 96.48 w 199.65 341.52 m 289.45 341.52 l S 0.001 w 96.48 w 291.7 341.52 m 473.8 341.52 l S 0.001 w 96.48 w 476.05 341.52 m 566.1 341.52 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 518.78 m 568.3 518.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 390.89 m 568.3 390.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 662.32 m 30.07 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 291.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.78 m 568.3 518.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 390.89 m 568.3 390.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 292.15 m 568.3 292.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.06 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 645.06 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 645.06 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 645.06 Tm (Records made when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 630.48 Tm (medicines are given to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.9 Tm (people must be completed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 601.32 Tm (accurately and at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.74 Tm (appropriate time.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 569.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 554.58 Tm (This will demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 540 Tm (people receive their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 525.42 Tm (medication as prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 645.06 Tm (20/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 502.59 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 502.59 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 502.59 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.59 Tm (Residents must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.01 Tm (administered their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.43 Tm (medication in accordance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.85 Tm (with prescribed instructions.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.69 Tm (This will ensure people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.11 Tm (recceive their medication as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.53 Tm (prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 502.59 Tm (20/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 374.7 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 374.7 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 374.7 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.7 Tm (Residents must safeguarded )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.12 Tm (by having their medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.54 Tm (administered to them safely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.38 Tm (This will protect people from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 298.8 Tm (harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 374.7 Tm (20/08/2009)Tj ET 0.95294 0.95294 0.95294 RG 209.98 w 32.32 148.66 m 564.97 148.66 l S 0.001 w 1 1 1 RG 110.69 w 31.2 97.89 m 91.05 97.89 l S 0.001 w 110.69 w 93.3 97.89 m 197.4 97.89 l S 0.001 w 110.69 w 199.65 97.89 m 289.45 97.89 l S 0.001 w 110.69 w 291.7 97.89 m 473.8 97.89 l S 0.001 w 110.69 w 476.05 97.89 m 566.1 97.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 155.44 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 155.44 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.91 m 568.4 186.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.37 m 568.3 154.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 155.44 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 155.44 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 155.44 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 155.44 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 255.9 m 568.4 255.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.91 m 568.4 186.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.37 m 568.4 154.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 256.98 m 30.07 153.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 187.99 m 92.12 153.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 187.99 m 198.52 153.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 187.99 m 290.62 153.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 187.99 m 475.02 153.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 256.98 m 567.32 153.29 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 242.72 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 222.72 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 208.14 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 208.14 Tm (Regulations 2001 and the National Minimum Standards. 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someone requires their body position to be changed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 412.81 Tm (on a regular basis, ensure that appropriate records are )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 398.23 Tm (maintained to evidence this.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 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0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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