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(5)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 122.79 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 122.79 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 122.79 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 122.79 Tm (0)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 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 (2)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 (14)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 (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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Merok Park Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Merok Park Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Park Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Banstead)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Surrey)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (SM7 3EF)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 (01737352858)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 (02086527702)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 (cooppencare@yahoo.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 35.16 w 31.2 494.83 m 353.25 494.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 494.83 m 565.9 494.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 464.71 m 353.25 464.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 464.71 m 565.9 464.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 441.89 m 353.25 441.89 l S 0.001 w 1 1 1 RG 20.58 w 355.5 441.89 m 565.9 441.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 430.47 m 568.1 430.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 429.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (Mrs Maleenee Coopen,Mr )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482.77 Tm (Soondressen Cooppen)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.95 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 459.95 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 437.11 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 437.11 Tm (29)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 418.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 374.73 m 564.47 374.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.1 m 567.8 410.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.61 m 567.8 341.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 411.17 m 30.07 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 388.34 m 298.32 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 365.51 m 432.52 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 411.17 m 566.72 340.53 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 393.91 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.08 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 371.08 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 348.25 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 348.25 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 326.82 m 297.25 326.82 l S 0.001 w 20.58 w 299.5 326.82 m 429.25 326.82 l S 0.001 w 20.58 w 431.5 326.82 m 565.9 326.82 l S 0.001 w 35.16 w 31.2 296.7 m 297.25 296.7 l S 0.001 w 35.16 w 299.5 296.7 m 429.25 296.7 l S 0.001 w 35.16 w 431.5 296.7 m 565.9 296.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 315.4 m 568.1 315.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 338.23 m 568.1 338.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 315.4 m 568.1 315.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 277.99 m 568.1 277.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 339.31 m 30.07 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 339.31 m 298.37 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 339.31 m 430.37 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 339.31 m 567.02 276.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 322.05 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 322.05 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 322.05 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.21 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.64 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 299.21 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 299.21 Tm (29)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 200.38 m 564.77 200.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 234.79 m 567.8 234.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.96 m 568.1 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.61 m 567.8 257.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.79 m 568.1 234.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.96 m 568.1 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 145.38 m 568.1 145.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 258.69 m 30.07 144.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 258.69 m 566.72 144.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 241.43 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.6 Tm (The maximum number of service users to be accommodated is 29)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.77 Tm (The registered person may provide the following category of service : Care home with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 181.19 Tm (nursing \(N\) to service users of the following gender: Either whose primary care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.61 Tm (on admission to the home are within the following category : Dementia \(DE\) Old age, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 152.03 Tm (not falling within any other category \(OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 130.6 m 315.25 130.6 l S 0.001 w 1 1 1 RG 20.58 w 317.5 130.6 m 346.55 130.6 l S 0.001 w 20.58 w 348.8 130.6 m 377.9 130.6 l S 0.001 w 20.58 w 380.15 130.6 m 409.2 130.6 l S 0.001 w 20.58 w 411.45 130.6 m 440.55 130.6 l S 0.001 w 20.58 w 442.8 130.6 m 471.9 130.6 l S 0.001 w 20.58 w 474.15 130.6 m 503.2 130.6 l S 0.001 w 20.58 w 505.45 130.6 m 534.55 130.6 l S 0.001 w 20.58 w 536.8 130.6 m 565.9 130.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 142.01 m 568.1 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 119.18 m 568.1 119.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 143.09 m 30.07 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 143.09 m 316.37 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 143.09 m 347.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 143.09 m 379.02 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 143.09 m 410.32 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 143.09 m 441.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 143.09 m 473.02 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 143.09 m 504.32 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 143.09 m 535.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 143.09 m 567.02 118.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 125.82 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 125.82 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 125.82 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 125.82 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 125.82 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 125.82 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 125.82 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 125.82 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 125.82 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 107.31 m 565.9 107.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 97.68 m 568.1 97.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 98.76 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 98.76 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 116.93 m 568.1 116.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 97.68 m 568.1 97.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 118.01 m 30.07 96.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 118.01 m 567.02 96.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 103.75 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 103.75 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 84.5 Tm (Merok Park is a large detached property located within a five-minute drive or fifteen )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 67.5 Tm (minute walk of Banstead town centre and its amenities. The home currently provides )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 50.49 Tm (accommodation and nursing care to twenty nine service users who are elderly and )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 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 (3)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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 559.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 559.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.85 m 568.1 560.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (some of whom suffer from dementia. The home has twenty-five single and two double )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (bedrooms. Fourteen of the single rooms have an en-suite toilet and washing facility )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (and all other rooms have a hand wash basin. The rooms are arranged over two floors )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (and the first floor can be reached by staircase or passenger lift. There are three toilets, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (a bath and a shower on the ground floor and three toilets, a bath and a shower on the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (first floor. The toilets and bathrooms are located in such a way that all bedrooms have )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (a toilet and bathing facilities nearby. There are two lounges and two dining rooms on )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (the ground floor and a large kitchen. The home stands in its own large gardens and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (has parking spaces to the front of the building.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (Fees at this home are in the region of 550 to 750 per week and do not cover )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm (hairdressing and chiropody costs.)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 (14)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 (We carried out a random inspection of this service on 15 March 2010. This included a site )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (visit by 2 inspectors were were in the home from 09:15 to 15:00.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (The focus of the visit was to check compliance with statutory notices issued on 23 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (February 2010 following our last Key inspection in December 2009. A number of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (requirements appear as outstanding in this report. Compliance with these requirements )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (was not checked during this visit, these issues will be looked at a t our next key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (We spoke to 3 members of staff, two care staff and one nursing. We also spoke with 2 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (resident, in private, in their rooms and a relative who was visiting the home. The relative )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (told us they were very happy with the care and support provided. We observed and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (spoke with other residents around the home. We provided feedback at the end of our visit )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (to the person in charge and the providers. We looked at the steps taken to comply, by 12 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (March 2010, with the requirement to ensure that pre-admission assessments cover all )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (the identified needs of people who are admitted to the Home, taking into account )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (information from, and consultation with, other agencies involved in their assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (need.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (There have been no new admissions since our visit to the home in December 2009. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (Shortfalls identified in the home's assessment information in relation to three service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (users have now been addressed. This information has now been included in care plans. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (Staff who we spoke to all knew about risks due to unpredictability and challenging )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (behaviours. There was still some concern about potential risk to the safety of staff and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (other residents although staff and management who were spoken to gave assurances )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (that there had been no actual violent behaviours since the person had moved into the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (home. Two members of staff agreed that there had been some verbal aggression v )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (towards other residents, particularly one person when they get in the way. There was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (some degree of unease expressed by staff when they provide personal care to this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (person.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (We discussed with the provider our concerns re the continued failure to comply with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (conditions of registration in that people have been admitted to the home who do not fall )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (into the category of older people or older people with dementia. The provider agreed that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (this was the case and gave assurances that this would not happen in the future.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (ensure that all of the service users care needs are clearly recorded in their care plans. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (This area has improved in that individual needs are now being identified. We looked at six )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (care plans. These now identify individual needs including mental health needs, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (challenging behaviours, visual and hearing impairment.)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 (We looked at the steps taken to comply, by 12 March 2010, with the requirement to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (ensure that the care plans are sufficiently detailed with clear action plans in place to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (ensure the identified needs of all the service users are fully met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (Compliance has not yet been achieved in that care plans currently accessible to staff are )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 (14)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 (not sufficiently clear in providing guidance about the action they need to take to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (peoples' health and welfare is promoted through consistency of approach and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (personalised care. We observed staff support for one person. Staff were not consistent in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (the support they gave in that different approaches were used. One resident was seen to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (be distressed. They were being encouraged to go into the dining room for lunch but were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (vehemently refusing to do so. Eventually the resident was led by the member of staff up )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (the stairs. This distressed the resident further who appeared afraid and cried out as they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (were encouraged to mount each step, The member of staff was walking backwards in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (front and holding the person's hands. We looked at the care plan to determine what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (guidance was recorded re the use of the stairs as the home has a passenger lift. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (was no guidance at all about supporting the resident to access their room on the first )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (floor. The person in charge of the home told us the resident did use the lift without any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (problem and did not know why they would be taken up the stairs. There was no guidance )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (for staff on how to manage distress or refusal. The risks observed in moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (practice were discussed with the person in charge and the provider.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Care plans are recorded using 3 sections. The first column identifies the need, the second )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (states the aim/goal and the third is headed 'care intervention' where guidance for staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (should be recorded. The third section consists mainly of statements rather than clear )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (personalised guidance for staff to follow. many of these statements are generic rather )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (than person centred.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (a system in place to ensure that the care plans contain up to date and accurate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (information, that is cross referenced and corresponds to information provided in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (assessments.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (We found that existing care plans are still inadequate. New care plans are still being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (formulated and are on computer awaiting relatives agreement. Samples of these plans )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (were viewed and still indicate a lack of understanding of personalised care planning and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (do not provide clear guidance to staff on how to provide care and support for each person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (in a consistent manner. It was of particular concern that new care plans have not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (cross referenced with assessment information. In one example it was documented clearly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (in the assessment information on the residents file that they were of a different faith. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (existing and new care plans indicate their religious faith is Church of England and staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (are instructed to ensure they attend Communion regularly. None of the staff spoken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (knew the resident was not C of E.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (ensure that the care plans are reviewed at least monthly and revised whenever individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (needs change.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (Current care plans seen show some evidence of compliance with this requirement in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (form of recorded dates to show that reviews have taken place each month. However, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (although some improvement is noted, the continued use of generic phrases, lack of clear )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (guidance, inconsistency of approach and conflicting information between assessment and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (care plans indicate that reviews are not being carried out effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (ensure that each identified risk has a clearly documented action plan in place to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (that the risk to the person's health and safety is minimised or eliminated.)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 (14)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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Individual risk assessments in care plans show some improvement in identifying risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (although guidance to minimise risk is still not clear. Again the use of generic statements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (are employed rather than clear person centred guidance on how to minimise risk. For )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (example risk assessments in relation to falls contain phrases such as: '.... will wear his )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (own shoes.')Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (During our visit we identified further risks which had not been identified or managed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (effectively. These were drawn to the attention of the provider. There does not appear to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (be any system for identifying or managing environmental risks. We were disappointed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (and concerned to note that the carpet in the lounge still posed a trip hazard, there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (still numerous raised ridges across the whole area where people walk. The ornamental )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (fire was still in situ without any barrier or guard. Sharp metal edges and spiked finials )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (pose a risk should anyone fall in this area. This was discussed at length with the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (in charge at our last visit when we received assurances that an immediate risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (assessment would be carried out. This has never been done. The provider told us the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (carpet was being replaced later in the week but had no explanation of why there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (interim risk assessment and action to minimise risk and make the area and fire safe in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (the meantime. He agreed to do an immediate risk assessment and take any action )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (necessary to ensure the safety of residents. The provider also told us the fire was being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (taken out and the carpet replaced shortly. We looked at the home's incident/accident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (records. Staff who complete these forms do not always state the location of the event so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (it was not possible to see how many falls had occurred in addition to the three falls )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (recorded in the lounge since June 2009. A carpet in a residents room was badly worn and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (also posed a trip hazard, this risk had not been identified and was also drawn to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (attention of the provider during our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (We noted further risk where people are not being adequately supervised. While we were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (observing the lunchtime meal being served in the new dining room one resident was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (wandering around the home. They attempted to move the DVD player in the lounge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (which was plugged in. There was no member of staff allocated in this area where some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (residents were eating their lunch. The resident also approached another resident, causing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (them some distress. We discussed these events with the provider and manager who said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (that staff are around. It was brought to their attention that staff were not specifically )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (allocated to remain in the lounge during the meal therefore there was no one supervising )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (residents in this area.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (Another resident was observed in the lounge. A member of staff assisted him to his chair )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (with his zimmer frame. The resident objected to this assistance, he got up again and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (moved the frame to opposite side of room, then walked back unsupported to the chair. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (There was no guidance in risk assessment documentation about staff approach or action )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (to take when people are uncooperative or refuse support. This persons risk assessment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (simply states 'Staff will supervise/assist during mobility' but gives no guidance on how to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (do this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Documents seen, observations made and absence of environmental risk assessment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (continue to indicate that there is a lack of understanding of risk management in the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (which is placing people at risk of harm. We looked at the steps taken to comply, by 12 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (March 2010, with the requirement to ensure that the risk assessments and corresponding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (action plans are reviewed at least monthly and updated according to the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (changing needs.)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 (14)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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (There was some documented evidence of review of individual risk assessments in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (form of dates recorded at monthly intervals. Observations recorded above show a lack of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (effective risk management processes both for individual and environmental risks.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (There was further concern where care staff informed us that there were occasions when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (one resident expresses anger and frustration verbally when other people who live in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (home get in their way. There were no records of such incidents on daily notes which are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (only completed by nursing staff. The nursing staff we spoke to were not aware of these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (incidents. Therefore risk assessments were not updated to reflect this risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (There is no moving and handling risk assessment with appropriate guidance for staff to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (ensure the safety of people who go or are taken up and down stair although we observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (this practice during our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (submit an action plan to the Commission on how you are going to ensure that the Home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (provides adequate dining room facilities in a congenial setting to meet the specific )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (numbers and needs of service users living in the Home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Although no action plan has been submitted compliance has been achieved with this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (requirement. The providers have created a new dining room in the second lounge at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (rear of the house overlooking the garden. They have purchased a commercial hot trolley )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (from which they are serving meals at the tables providing more opportunity for choice. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Several small tables have been purchased to ensure people who choose to eat in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (lounge can do so comfortably.Some people were eating their meal in the dining room to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (the rear of the house and a group of people were seen taking their meal in a smaller )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (room at the front of the property which has also been improved by rearranging furniture )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (to create more space. These changes have greatly improved the mealtime experience for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (The menu was recorded on a white board in both dining rooms. We observed staff to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (providing support discreetly to people who require assistance with their meals and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (interaction was caring and friendly. Two choices of main course were offered, either )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (chicken or savoury mince and vegetables. There were a variety of desserts on offer on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (the sweet trolley, including strawberry mousse, banana custard and cheese and biscuits. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (There is still more that could be done to increase peoples understanding of the choices on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (offer. For example the choice of main meal is offered verbally rather than by sight. One )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (person was not offered gravy and their meal looked dry. Gravy is also served from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (trolley rather than people having the opportunity to say where they would like it and how )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (much they would like. Condiments were not available on each table and drinks were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (provided in opaque plastic jugs, which were coloured, this did not enable people to see )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (what drink was available. Drinks are served in plastic beakers.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (We looked at the steps taken to comply, by 12 March 2010, with the requirement to have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (a system in place to ensure that visits to the Home by the provider or their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (representative are undertaken each month and a full written report of the conduct of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (home is provided to the manager, the Commission and each of the partners.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Compliance has been achieved with this requirement. We looked at reports the provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (prepared for the last 3 months. Two of these reports were brief records which would have )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 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 (14)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 (limited value as part of the home's quality assurance system. The latest report was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (recorded on a new pro forma and was more detailed and comprehensive.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (The provider has continued to rely on the person in charge to manage the home and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (comply with the statutory notices and the requirements from the last report. He was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (unaware that there was still no effective quality assurance system in operation. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (provider has not overseen the process of updating care plans and risk assessments and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (was unaware of the content of these documents. The provider informed us of his )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (intention to apply for registration as manager of the home until the person in charge is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (properly trained and qualified to carry out this role. He gave assurances that he would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (oversee all future activity to achieve compliance and meet the minimum standards )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (required. He further gave assurances that he would operate as a full time manager in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 558.91 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 1 175.95 558.91 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 93.48 w 31.2 500.98 m 580.26 500.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 548.84 m 582.46 548.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.11 m 582.46 453.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 549.92 m 30.07 452.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 549.92 m 581.38 452.04 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (Actions taken by the provider since our last visit have greatly improved the experience of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (residents at mealtimes. There are two pleasant and well furnished dining rooms and small )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (tables have been provided for people who wish to eat their meals in the lounge.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm (Staff in the home are very caring and friendly. They support people with gentleness and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (good humour whilst promoting their privacy and dignity at all times.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.8 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 166.38 w 31.2 338.42 m 580.26 338.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 422.73 m 582.46 422.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 254.1 m 582.46 254.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 423.81 m 30.07 253.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 423.81 m 581.38 253.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 406.55 Tm (Care planning processes must be improved to ensure staff are provided with clear )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.96 Tm (guidance to enable them to provide personalised care in line with people's wishes and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.39 Tm (expectations. Care plans must reflect peoples assessed needs including their individual )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.8 Tm (spiritual needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (Risk management processes must be improved to ensure all risks, individual and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.07 Tm (environmental, are identified and staff are provided with clear guidance on how to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.48 Tm (minimise risks effectively to protect people from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 275.33 Tm (The registered person must ensure that he complies with the conditions of registration )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.74 Tm (which apply to the home.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 235.79 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 235.79 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 219.79 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 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 (14)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 286.02 w 31.2 433.21 m 91.05 433.21 l S 0.001 w 286.02 w 93.3 433.21 m 197.4 433.21 l S 0.001 w 286.02 w 199.65 433.21 m 289.45 433.21 l S 0.001 w 286.02 w 291.7 433.21 m 473.8 433.21 l S 0.001 w 286.02 w 476.05 433.21 m 566.1 433.21 l S 0.001 w 213.12 w 31.2 181.39 m 91.05 181.39 l S 0.001 w 213.12 w 93.3 181.39 m 197.4 181.39 l S 0.001 w 213.12 w 199.65 181.39 m 289.45 181.39 l S 0.001 w 213.12 w 291.7 181.39 m 473.8 181.39 l S 0.001 w 213.12 w 476.05 181.39 m 566.1 181.39 l S 0.001 w 30.03 w 31.2 57.56 m 91.05 57.56 l S 0.001 w 30.03 w 93.3 57.56 m 197.4 57.56 l S 0.001 w 30.03 w 199.65 57.56 m 289.45 57.56 l S 0.001 w 30.03 w 291.7 57.56 m 473.8 57.56 l S 0.001 w 30.03 w 476.05 57.56 m 566.1 57.56 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 289.08 m 568.3 289.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 73.71 m 568.3 73.71 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 28.99 289.08 m 568.3 289.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 73.71 m 568.3 73.71 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 (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (The home must make proper )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (provision for people's health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (and welfare, so far as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (practicable ascertain and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (take into account their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (wishes and feelings. In that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (the service user's plan must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (set out in detail the action to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.52 Tm (be taken by care staff to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.94 Tm (ensure that all aspects of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 415.36 Tm (health, personal and social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 400.78 Tm (care needs of the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 386.2 Tm (user are met. Care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.62 Tm (should be reveiwed regularly. )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 (To ensure people are cared )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.88 Tm (for in a way that meets their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.3 Tm (needs and promotes their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.72 Tm (wellbeing)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 272.89 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 272.89 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 272.89 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.89 Tm (The home must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.31 Tm (unnecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.73 Tm (health or safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.15 Tm (users are identified and so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.57 Tm (far as possible eliminated. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.99 Tm (Including risks associated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.41 Tm (with heatwave in that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.83 Tm (temperatures, particularly in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.25 Tm (bedrooms should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.67 Tm (monitored.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.51 Tm (To ensure the safety and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.93 Tm (comfort of people who live in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.35 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 272.89 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.52 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 57.52 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 57.52 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.52 Tm (The home must consult )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 57.52 Tm (31/08/2009)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 (14)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 402.66 w 31.2 479.92 m 91.05 479.92 l S 0.001 w 402.66 w 93.3 479.92 m 197.4 479.92 l S 0.001 w 402.66 w 199.65 479.92 m 289.45 479.92 l S 0.001 w 402.66 w 291.7 479.92 m 473.8 479.92 l S 0.001 w 402.66 w 476.05 479.92 m 566.1 479.92 l S 0.001 w 232.66 w 31.2 160.01 m 91.05 160.01 l S 0.001 w 232.66 w 93.3 160.01 m 197.4 160.01 l S 0.001 w 232.66 w 199.65 160.01 m 289.45 160.01 l S 0.001 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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 (service users about the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (programme of activities )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (arranged by or on behalf of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (the care home, and provide )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (facilities for recreation )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (including, having regard to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (the needs of service users, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (activities in relation to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (recreation. In that people's )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm (interests should be recorded )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.64 Tm (and they must be given )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.05 Tm (opportunities for stimulation )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 496.48 Tm (through leisure and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 481.89 Tm (recreational activities in and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 467.32 Tm (outside the home which suit )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 452.73 Tm (their needs, preferences and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 438.15 Tm (capacities with particular )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 423.58 Tm (consideration given to people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 408.99 Tm (with dementia. Individual )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 394.42 Tm (and group activity )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 379.83 Tm (programmes should be in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 365.26 Tm (place.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 344.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 330.1 Tm (To improve the quality of life )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 315.52 Tm (and physical, mental and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 300.93 Tm (emotional wellbeing of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 286.36 Tm (people who live in the home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 261.27 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 261.27 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 261.27 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.27 Tm (The home must take into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.7 Tm (account peoples' wishes and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (feelings and conduct the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm (home so as to maximise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.96 Tm (service users'capacity to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.38 Tm (exercise personal autonomy )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.79 Tm (and choice in all aspects of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.21 Tm (their lives by ascertaining )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.63 Tm (and taking account of their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.05 Tm (views and presenting lifestyle )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.47 Tm (choices in a way in which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.89 Tm (people with dementia can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.32 Tm (understand. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.15 Tm (To improve peoples' quality )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 261.27 Tm (31/08/2009)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 (14)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 46.74 w 31.2 657.88 m 91.05 657.88 l S 0.001 w 46.74 w 93.3 657.88 m 197.4 657.88 l S 0.001 w 46.74 w 199.65 657.88 m 289.45 657.88 l S 0.001 w 46.74 w 291.7 657.88 m 473.8 657.88 l S 0.001 w 46.74 w 476.05 657.88 m 566.1 657.88 l S 0.001 w 213.12 w 31.2 525.7 m 91.05 525.7 l S 0.001 w 213.12 w 93.3 525.7 m 197.4 525.7 l S 0.001 w 213.12 w 199.65 525.7 m 289.45 525.7 l S 0.001 w 213.12 w 291.7 525.7 m 473.8 525.7 l S 0.001 w 213.12 w 476.05 525.7 m 566.1 525.7 l S 0.001 w 373.21 w 31.2 230.28 m 91.05 230.28 l S 0.001 w 373.21 w 93.3 230.28 m 197.4 230.28 l S 0.001 w 373.21 w 199.65 230.28 m 289.45 230.28 l S 0.001 w 373.21 w 291.7 230.28 m 473.8 230.28 l S 0.001 w 373.21 w 476.05 230.28 m 566.1 230.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.01 m 568.3 418.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 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 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 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 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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 (of life by maximising the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (control people have over )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (their own lives. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 617.2 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 617.2 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 617.2 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (The home must take account )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (of peoples wishes and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (feelings. In that meals must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (be provided in a congenial )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (setting, offering a choice of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (food in an appropriate way to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (suit peoples capacities, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (including people who have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (dementia. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm (To ensure mealtimes are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (enjoyable and people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (understand the choices on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (offer.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 617.2 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 401.83 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 401.83 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 401.83 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.83 Tm (The Registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.24 Tm (ensure that the physical )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.67 Tm (design and layout of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.08 Tm (premises meet the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.51 Tm (the service users.They must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.92 Tm (ensure that all parts of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.35 Tm (care home are kept clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.77 Tm (and reasonably decorated; )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (Shared rooms suitable to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (maintain adequate private )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (space; the garden is suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (and safe for use and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (appropriately maintained )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.29 Tm (with suitable seating. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.71 Tm (Bedroom doors should not be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.13 Tm (locked or rooms overly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.54 Tm (cluttered so as to impede )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.96 Tm (people's access to their own )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.38 Tm (rooms. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.22 Tm (To ensure that everyone who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.64 Tm (live in the home, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.07 Tm (people who have dementia, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.49 Tm (can find their way and are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.9 Tm (comfortable and safe. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 401.83 Tm (31/08/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 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 (12)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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 637.53 w 32.32 465.33 m 564.97 465.33 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 286.02 w 31.2 474.67 m 91.05 474.67 l S 0.001 w 286.02 w 93.3 474.67 m 197.4 474.67 l S 0.001 w 286.02 w 199.65 474.67 m 289.45 474.67 l S 0.001 w 286.02 w 291.7 474.67 m 473.8 474.67 l S 0.001 w 286.02 w 476.05 474.67 m 566.1 474.67 l S 0.001 w 183.96 w 31.2 237.43 m 91.05 237.43 l S 0.001 w 183.96 w 93.3 237.43 m 197.4 237.43 l S 0.001 w 183.96 w 199.65 237.43 m 289.45 237.43 l S 0.001 w 183.96 w 291.7 237.43 m 473.8 237.43 l S 0.001 w 183.96 w 476.05 237.43 m 566.1 237.43 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 28.99 330.53 m 568.3 330.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 143.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 143.24 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 92.17 143.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 143.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 143.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 143.24 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 28.99 330.53 m 568.3 330.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.32 m 568.3 144.32 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 (Suitable locks should be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (fitted to toilet doors which )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (can be overridden by staff in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (an emergency. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.61 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 602.61 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 602.61 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (staff employed to work at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (care home receive training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (appropriate to the work they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (are to perform. Training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (provided in the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (be adequate to ensure all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (staff understand how to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (the specific needs of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (who have dementia or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (mental health difficulties and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (documentary evidence of any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (relevant qualifications and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.08 Tm (training must be maintained. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (To ensure staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm (competent to meet the needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (and promote the wellbeing of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (people who live in the home. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 602.61 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 314.35 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 314.35 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 314.35 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.35 Tm (The registered provider must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.77 Tm (make immediate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (arrangements to register a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (manager for the home who is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (skilled and competent to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (carry out this role.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm (To ensure people can be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.71 Tm (confident in the management )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (of the home to meet their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.54 Tm (needs and provide a good )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.96 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 314.35 Tm (31/07/2009)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 (14)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 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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 0.95294 0.95294 0.95294 RG 122.12 w 32.32 537.73 m 564.97 537.73 l S 0.001 w 1 1 1 RG 20.58 w 31.2 488.08 m 91.05 488.08 l S 0.001 w 20.58 w 93.3 488.08 m 197.4 488.08 l S 0.001 w 20.58 w 199.65 488.08 m 289.45 488.08 l S 0.001 w 20.58 w 291.7 488.08 m 473.8 488.08 l S 0.001 w 20.58 w 476.05 488.08 m 566.1 488.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.67 m 568.3 476.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 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 34.05 567.85 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 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 398.77 m 564.97 398.77 l S 0.001 w 1 1 1 RG 20.58 w 31.2 354.91 m 91.05 354.91 l S 0.001 w 20.58 w 93.3 354.91 m 197.4 354.91 l S 0.001 w 20.58 w 199.65 354.91 m 566.1 354.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 367.4 m 30.07 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 367.4 m 567.22 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.3 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 367.4 m 92.17 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 367.4 m 198.52 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 456.3 m 568.4 456.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.4 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.49 m 568.3 343.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 457.37 m 30.07 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 387.8 m 92.17 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 387.8 m 198.47 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 457.37 m 567.32 365.25 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 440.11 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 422.53 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.95 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.37 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 372.55 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 372.55 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 372.55 Tm (Good Practice Recommendations)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 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 (14)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 (14)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 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 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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. 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The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 36 0 obj<> endobj 37 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 38 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 21 0 obj<> endobj 39 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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