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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 (Evergreen Lodge 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 (38 )Tj ET /F1 12 Tf BT 1 0 0 1 299.2 719.2 Tm (Haddon Road)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Rock Ferry)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Birkenhead)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Wirral)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (CH42 1NZ)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 (01516431068)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 (0151446486)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 (haddon@newbloom.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 31.2 479.3 m 353.25 479.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 479.3 m 565.9 479.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 456.46 m 353.25 456.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 456.46 m 565.9 456.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 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 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.05 m 568.1 445.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 443.97 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 (Evergreen Lodge Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 474.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 451.7 Tm (34)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 432.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 389.3 m 564.47 389.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.67 m 567.8 424.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.75 m 30.07 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.92 m 298.32 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 380.09 m 432.52 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.75 m 566.72 355.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 408.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 385.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 362.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 362.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 341.39 m 297.25 341.39 l S 0.001 w 20.58 w 299.5 341.39 m 429.25 341.39 l S 0.001 w 20.58 w 431.5 341.39 m 565.9 341.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 352.81 m 568.1 352.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.89 m 30.07 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 353.89 m 298.37 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 353.89 m 430.37 328.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 353.89 m 567.02 328.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 336.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 336.63 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 336.63 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 87.15 w 32.32 263.78 m 564.77 263.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 286.77 m 567.8 286.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.61 m 567.8 309.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.77 m 568.1 286.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.21 m 568.1 220.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 310.68 m 30.07 219.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 310.68 m 566.72 219.13 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 293.42 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.59 Tm (The registered person may provide the following category or service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.01 Tm (with nursing - Code N. To service users of the following gender: Either. Whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.43 Tm (care needs on admission to the home are within the following categories: Dementia - )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.85 Tm (Code DE. The maximum number of service users who can be accommodated is: 34.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 205.41 m 315.25 205.41 l S 0.001 w 1 1 1 RG 20.58 w 317.5 205.41 m 346.55 205.41 l S 0.001 w 20.58 w 348.8 205.41 m 377.9 205.41 l S 0.001 w 20.58 w 380.15 205.41 m 409.2 205.41 l S 0.001 w 20.58 w 411.45 205.41 m 440.55 205.41 l S 0.001 w 20.58 w 442.8 205.41 m 471.9 205.41 l S 0.001 w 20.58 w 474.15 205.41 m 503.2 205.41 l S 0.001 w 20.58 w 505.45 205.41 m 534.55 205.41 l S 0.001 w 20.58 w 536.8 205.41 m 565.9 205.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 216.83 m 568.1 216.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 194 m 568.1 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 217.91 m 30.07 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 217.91 m 316.37 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 217.91 m 347.67 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 217.91 m 379.02 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 217.91 m 410.32 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 217.91 m 441.67 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 217.91 m 473.02 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 217.91 m 504.32 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 217.91 m 535.67 192.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 217.91 m 567.02 192.92 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 200.65 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 200.65 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 200.65 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 200.65 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 200.65 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 200.65 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 200.65 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 200.65 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 200.65 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 182.13 m 565.9 182.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 172.5 m 568.1 172.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 173.58 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 173.58 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.75 m 568.1 191.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 172.5 m 568.1 172.5 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 30.07 192.83 m 30.07 171.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 192.83 m 567.02 171.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 178.57 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 178.57 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 159.32 Tm (Evergreen Lodge is a purpose built care home providing personal care and support for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 142.32 Tm (thirty four older people with dementia care needs. The home is owned by a company )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 125.32 Tm (know as Newbloom, who also own another home on the Wirral.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 108.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 91.32 Tm (The buildinf is a purpose built care home. Facillities include sitting rooms, conservatory )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 74.32 Tm (and dining rooms on the ground floor. Bedrooms are available on the ground and first )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 57.31 Tm (floors. There are twenty six single rooms, two of which have ensuite facilities. There is )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 (13)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 30.07 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 508.77 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 28.99 509.85 m 568.1 509.85 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 (an enclosed courtyard to the rear of the home that provides a nice place for people to )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (sit. Evergreen Lodge has a no smoking policy. The service has developed a seperate )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (unit to support people with eary onset dementia under retirement age.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (The service is situated in a residential area of Rock Ferry in Birkenhead. There is easy )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (access to the local bus and train routes. The tunnel to Liverpool is within a five minute )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (drive and provides access to and from the Liverpool area. Parking is available at the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (front access of the building.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (The fees range from 450 pounds up to 650 pounds per week . This depends on the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (assessed needs of the individual. The avergae fees for the home are 610 pounds per )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm (week. Privately arranged fees are based on the assessed individual needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm (individual. Fees for the seperate unit will also depend on the assessed needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm (individuals moving in there. Personal items such as newspapers are charged )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 518.16 Tm (separately.)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 (The staff records for three newly appointed staff were looked at and contained all the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (necessary information. The criminal record bureau check for 2 staff members noted )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (offences had been committed. A risk assessment should be completed to ensure these )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (staff are suitable to work with vulnerable people. At present staff are informally )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (supervised by the manager who will work alongside them to provide support and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (guidance. A system of formal supervision and annual appraisal is currently being )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (introduced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (Some of the pre admission assessments had not been completed properly and only )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (minimal information had been recorded. One assessment had been completed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (retrospectively, although no information had been recorded in relation to the service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (user's mobility, history of falls and nutritional needs. No information had been recorded in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (relation to one service user's diagnosis. This lack of information means staff may not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (provide the right level of care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (The care plans are not completed properly and some lacked detail on how care is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (provided. To ensure staff accurately monitor and review service users' well being and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (ensure their care needs are planned for and met, more detailed information must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (included in this documentation. Arrangements are in place for all care plans to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (updated using the Essential Lifestyle Plan.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (During the inspection the specialist pharmacist inspector looked at how well medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (were handled to make sure that people who live in the home were being given their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (medicines properly and their health was not at risk. This was because at the previous )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (inspection we found that people were not safe because medicines were not handled )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (After the previous inspection we wrote a warning letter to the providers detailing the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (serious concerns we had about medication. In this letter we asked for an improvement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (plan. This is a document which they must use to tell us what actions were being taken to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (make medication handling safer.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (During the inspection looked at a sample of medication and records about medicines for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (some people who live in the home. We talked to the new manager who also had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (responsibility for handling medication on the day of the visit. At the end of the inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (we gave full feedback to the manager.)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 found that the actions outlined in the improvement plan had been taken and they had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (significantly improved the safety of people who live in the home. However we found some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (areas needed further improvement and some areas of medication handling which had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (improved but had slipped backwards during the week before our inspection. At the last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (inspection we found that medication which should have been stored in the fridge had not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (been properly stored. During this inspection we found that all medicines which should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (kept in the fridge were, however we also found items such as eye drops in the fridge )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (when the should not have been. When medicines are not stored at the correct )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (temperature they may not work properly and people may not have their conditions )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (treated effectively and as a result their health may be at risk. Creams are no longer kept )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 (in peoples' room and the manager told us that she had plans to improve further the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (storage of creams.)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 (We found that the level of record keeping had improved there were clear records made of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (the quantity of medication received into the home and when medication was left over )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (from the previous month. There was clear information available for staff to follow when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (giving people medication which was prescribed "when required". This was especially )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (important for people who had poor communication skills. Short care plans had been put )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (in the medication file to help staff be able to administer medication consistently and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (safely. Better records were made when doses of medication were changed or stopped by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (the doctor. Records were also made of medication which was refused or was unwanted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (and needed to be sent for destruction. There were also better records made when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (medication was not needed, these records included a clear outline of why the medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (was not administered.)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 (However on the day of our inspection we saw that the standard of record keeping had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (begun to slip backwards. For example the fridge temperatures which had been recorded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (each day since out last inspection had not been recorded for the week before out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (inspection. We found that there were some gaps in records of administration where it was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (not possible to tell if medication had been given or not. We found some medicines had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (not been signed for as given on the day of our inspection, but by examination of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (blistered medicines it was clear they had been given. We found that sometimes more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (medication had been signed for as given than had actually been received into the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (such as a short course of antibiotics.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (At the previous inspection we found that a lot of people could not have medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (because it had "run out". At this inspection we found that this was no longer the case. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (From careful examination of the records it was clear that effective systems had been put )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (in place to prevent medicine supplies running out.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (During the inspection we looked at medication records and care plans for two people. One )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (person had recently come out of hospital and another who had recently come to live in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (the home. We looked at these people because at the last inspection we found when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (people had medication altered by hospitals, consultants or other healthcare professionals, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (staff had failed to act swiftly to ensure they got the correct treatment. Medication records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (administration sheets \(MARs\) for the person who had recently come home from hospital )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (were not entirely clear, however the professional visit notes recorded were clearer and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (explained the changes to medication that had been started in hospital and later what her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (GP had prescribed as result of his visit to the individual. We found that this person was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (being given medication as prescribed and their health was not at risk. When we looked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (the medication records for the newest person who had come to live in the home, we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (found that almost all their medication was being given properly. However nurses had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (failed to notice that on the new MARs one of their morning medicines had been changed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (to night time and no explanation could be given for this. The change in dosage time may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (have put this person's health at risk. We also found that medication records for people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (who came to stay at the home for short periods of care were poor.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (All staff administering medication had been assessed as competent to do so safely, so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (that people were given their medication safely. At previous inspections it was highlighted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (that formal audits, checks, should be made by the manager to ensure that any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (weaknesses in medication handling, recording or staff practice do not go unnoticed. We )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 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 (saw that an effective auditing system had been put in place and that peoples' health was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (not placed at risk from harm.)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 (Overall we found that significant improvements had been made in medicines handling, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (however due to our findings during inspection it is important that certain areas need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (more work to ensure that peoples' health is no longer at risk.)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 (An activity organiser is employed at the home and group and individual activities are now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (provided. This gives service users an opportunity to meet the other people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (home and prevents them from getting bored.)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 (The kitchen is clean, tidy and well organised. Varied meals are provided although the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (menu had been in place for over a year. The menu should be changed regularly to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (provide service users with a more interesting diet. The cook should be provided with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (more information about service users' individual dietary needs to ensure they receive the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (meals they need. Plastic bowls and cups are used unnecessarily. To promote service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (users' dignity a proper dinner service should be used unless it is identified that this could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (present as a risk of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (The record of complaints made to the home could not be found on the day of the visit. To )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (ensure complaints are monitored for the purpose of improving the service, a record of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (this information must be kept. The complaint procedure needs to be updated so that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (service users and their carers know who to contact if they are unhappy with the service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (they receive and want to make a complaint.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (The standard of the environment is mixed. Some areas are homely and well maintained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (while others require improvement. Some bedrooms need redecorating and bathrooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (need refurbishing. Thermometers were not available in the bathrooms to test the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (temperature of the hot water and some of the towels were badly frayed and worn. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (bathroom was out of use resulting in service user either having to use the bathroom in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (the bungalow or have a bed bath.)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 (Staff are provided with a range of training to support them in their role and keep them up )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (to date with new ways of working. It is recommended that a training need analysis is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (carried out with each staff member, the outcome of which should formulate next year's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (training programme.)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 (Ms Bernadette Couch was appointed manager of the home the day before this visit. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (formal quality assurance system and long term plan for the development of the service is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (not in place. This issue should be addressed to ensure the effective and efficient running )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (of the home.)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 (Although health and safety is promoted in the building by way of fire safety and regular )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (checks on equipment around the building, a number of issues arose which could leave )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (service users vulnerable to the risk of harm . One of the radiators in the ground floor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (corridor was extremely hot and did not have a cover fitted, this issue was addressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (during the visit. There was no heating in two bedrooms and radiator covers in some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (rooms were not fitted to the wall. The temperature of the hot water in one bedroom was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (cool. Toiletries and razors were stored in communal bathrooms and the temperature of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (the hot water in communal bathrooms and toilets was not being regularly checked. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (had not been provided with training on the use of bed rails. Following a fire at the home )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 61.32 w 31.2 754.57 m 580.26 754.57 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 28.99 722.78 m 582.46 722.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 721.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 721.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (earlier in the year, the fire department visited and made a number of recommendations. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (The provider was not sure if these recommendations had been met. To ensure service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (user and staff safety, a system of regular audits and checks must be put in place in all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (areas of the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 704.71 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 1 175.95 704.71 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 93.48 w 31.2 646.78 m 580.26 646.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 694.65 m 582.46 694.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 598.91 m 582.46 598.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 695.72 m 30.07 597.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 695.72 m 581.38 597.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 678.46 Tm (Systems are in place to promote the the health and safety of the service users and social )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 663.88 Tm (activities are now improved. Staff files are more organised and improvements have been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.3 Tm (made to the way medicines are managed. Some of the bedrooms are well maintained and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm (provide a comfortable and homely environment for service users to live. Staff have been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm (provided with more training to support them in their role.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 578.59 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 151.8 w 31.2 491.51 m 580.26 491.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 568.53 m 582.46 568.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 414.48 m 582.46 414.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 569.61 m 30.07 413.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 569.61 m 581.38 413.4 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 552.34 Tm (When a staff criminal record bureau check indicates an offence has been committed, a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 537.77 Tm (risk assessment must be completed to ensure they are suitable to work with vulnerable )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.18 Tm (people. Improvements need to be made to the assessment and care planning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.61 Tm (documentation to ensure staff have all the information they need on how to support and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.02 Tm (care for the service users in line with their particular needs. The complaint procedure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.45 Tm (should be updated and a more varied diet should be provided to ensure service users' )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 464.86 Tm (interest. Some improvements need to be made to the environment particularly bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.29 Tm (bathrooms and toilets. The management systems need to be improved to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.7 Tm (ongoing improvement of the service. Issues relating to health and safety need to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.13 Tm (improved and a long term plan for the development of the service should be drawn up.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 396.17 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 396.17 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 380.17 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 183.96 w 31.2 484.24 m 91.05 484.24 l S 0.001 w 183.96 w 93.3 484.24 m 197.4 484.24 l S 0.001 w 183.96 w 199.65 484.24 m 289.45 484.24 l S 0.001 w 183.96 w 291.7 484.24 m 473.8 484.24 l S 0.001 w 183.96 w 476.05 484.24 m 566.1 484.24 l S 0.001 w 125.64 w 31.2 327.19 m 91.05 327.19 l S 0.001 w 125.64 w 93.3 327.19 m 197.4 327.19 l S 0.001 w 125.64 w 199.65 327.19 m 289.45 327.19 l S 0.001 w 125.64 w 291.7 327.19 m 473.8 327.19 l S 0.001 w 125.64 w 476.05 327.19 m 566.1 327.19 l S 0.001 w 125.64 w 31.2 199.3 m 91.05 199.3 l S 0.001 w 125.64 w 93.3 199.3 m 197.4 199.3 l S 0.001 w 125.64 w 199.65 199.3 m 289.45 199.3 l S 0.001 w 125.64 w 291.7 199.3 m 473.8 199.3 l S 0.001 w 125.64 w 476.05 199.3 m 566.1 199.3 l S 0.001 w 91.68 w 31.2 88.39 m 91.05 88.39 l S 0.001 w 91.68 w 93.3 88.39 m 197.4 88.39 l S 0.001 w 91.68 w 199.65 88.39 m 289.45 88.39 l S 0.001 w 91.68 w 291.7 88.39 m 473.8 88.39 l S 0.001 w 91.68 w 476.05 88.39 m 566.1 88.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 391.14 m 568.3 391.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.24 m 568.3 263.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 135.35 m 568.3 135.35 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 28.99 391.14 m 568.3 391.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.24 m 568.3 263.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 135.35 m 568.3 135.35 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 (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Care plans need to give staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (clear instructions on how to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (meet people's individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (needs. These need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (updated monthly or as their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (needs change and agreed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (with by the individual or their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (representative.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm (To make sure that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (health and welfare needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (meet.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (28/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 374.95 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 374.95 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 374.95 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.95 Tm (Staff need to record )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.37 Tm (accurately and carry out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (instructions given to them by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (external professionals.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.05 Tm (To maintain the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.47 Tm (welfare of people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.89 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 374.95 Tm (28/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.06 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 247.06 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 247.06 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.06 Tm (All medication must be given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.48 Tm (as prescribed .)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.32 Tm (To show that medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.74 Tm (given to people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.16 Tm (home as prescribed and can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.58 Tm (show that all medication can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142 Tm (be accounted for.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 247.06 Tm (28/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 119.17 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 119.17 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 119.17 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.17 Tm (All records regarding )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.59 Tm (medication handling must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 90.01 Tm (clear and accurate. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.85 Tm (To show that medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 119.17 Tm (28/08/2009)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 305.52 w 32.32 631.34 m 564.97 631.34 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 140.22 w 31.2 547.57 m 91.05 547.57 l S 0.001 w 140.22 w 93.3 547.57 m 197.4 547.57 l S 0.001 w 140.22 w 199.65 547.57 m 289.45 547.57 l S 0.001 w 140.22 w 291.7 547.57 m 473.8 547.57 l S 0.001 w 140.22 w 476.05 547.57 m 566.1 547.57 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 30.07 475.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 475.25 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 92.17 475.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 475.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 475.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 475.25 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 28.99 476.33 m 568.3 476.33 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 (given to people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (home as prescribed and can )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (show that all medication can )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (be accounted for.)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 (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 602.61 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (All medication must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (stored according to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (manufacturers' instructions. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (To make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (medications availiable remain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (effective and people's health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm (and welfare needs are not at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (risk.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 602.61 Tm (28/08/2009)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 /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 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carried )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.08 Tm (out before a service user )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.5 Tm (moves into the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.34 Tm (This will ensure staff have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.76 Tm (the information they need on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.18 Tm (how to provide the right level )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.6 Tm (of care.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 243.24 Tm (03/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 100.77 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 100.77 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 100.77 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.77 Tm (A detailed care plan, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.19 Tm (including risk assessments, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.61 Tm (must be in place for each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.03 Tm (service user.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 100.77 Tm (03/12/2009)Tj ET 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(temperatures and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.48 Tm (temperature of radiator )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.9 Tm (surfaces. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.74 Tm (This will ensure the safety )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.15 Tm (and welfare of service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.57 Tm (and staff.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 258.8 Tm (03/12/2009)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 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BT 1 0 0 1 202.5 680.2 Tm (Plastic cups and bowls should not be used to ensure service )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.61 Tm (users' dignity is respected.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.78 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 642.78 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.78 Tm (A record of all complaints and details of their investigation )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 628.21 Tm (must be available for inspection. The complaint procedure )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 613.63 Tm (should be updated so that service users and their carers )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.04 Tm (know who to contact if they are unhappy with the service )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 584.47 Tm (they receive. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.64 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.64 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.64 Tm (More varied meals should be provided and the cook should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 547.05 Tm (be given information about service users' specific dietary )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.47 Tm (needs. This will ensure service users' dietary needs are met )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.9 Tm (and they receive more interesting meals. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 495.07 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 495.07 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 495.07 Tm (The recommendations made by the fire department during )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 480.48 Tm (their last visit should be met. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.65 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 457.65 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 457.65 Tm (A training need analysis should be carried out with each )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 443.08 Tm (member of staff, the outcome of which should formulate )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 428.49 Tm (the forthcoming year's training plan. This will ensure staff )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 413.92 Tm (are kept up to date with new ways of working and changing )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 399.33 Tm (care practices.)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 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 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 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 28.35 638.01 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 28.35 623.42 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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