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(5)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)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 (21)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 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582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 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 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 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 (Winterbourne)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 (Winterbourne )Tj ET /F1 12 Tf BT 1 0 0 1 365.92 719.2 Tm (London Road)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Salisbury)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Wiltshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (SP1 3YU)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01722428210)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 436.64 m 353.25 436.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 436.64 m 565.9 436.64 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 413.8 m 353.25 413.8 l S 0.001 w 1 1 1 RG 20.58 w 355.5 413.8 m 565.9 413.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 567.8 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 492.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 425.22 m 568.1 425.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.71 m 567.8 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 425.22 m 568.1 425.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.39 m 568.1 402.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 401.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 449.13 m 354.37 401.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 401.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Caring Homes Healthcare Group )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.52 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.7 Tm (Ms )Tj ET /F1 12 Tf BT 1 0 0 1 54.64 454.7 Tm (Gillian )Tj ET /F1 12 Tf BT 1 0 0 1 96.12 454.7 Tm (Brinkley)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.86 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 431.86 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 409.04 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 409.04 Tm (80)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 390.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 346.64 m 564.47 346.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 336.36 m 567.8 336.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 336.36 m 567.8 336.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.52 m 567.8 313.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.09 m 30.07 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 360.26 m 298.32 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 337.43 m 432.52 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 383.09 m 566.72 312.45 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 365.83 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 343 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 320.17 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 320.17 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 298.73 m 297.25 298.73 l S 0.001 w 20.58 w 299.5 298.73 m 429.25 298.73 l S 0.001 w 20.58 w 431.5 298.73 m 565.9 298.73 l S 0.001 w 35.16 w 31.2 268.61 m 297.25 268.61 l S 0.001 w 35.16 w 299.5 268.61 m 429.25 268.61 l S 0.001 w 35.16 w 431.5 268.61 m 565.9 268.61 l S 0.001 w [] 0 d 2.25 w 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RG 28.99 206.71 m 567.8 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.29 m 568.1 169.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 146.46 m 568.1 146.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.54 m 567.8 229.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 568.1 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.29 m 568.1 169.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 146.46 m 568.1 146.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 65.32 m 568.1 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 230.61 m 30.07 64.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 230.61 m 566.72 64.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (Service users whose primary care needs on admission to the home relate to their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (dementia may only be accommodated to receive personal care and not nursing care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.11 Tm (The maximum number of services users who can be accommodated in 80.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.28 Tm (The registered person may provider the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 115.7 Tm (with nursing - Code N to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.12 Tm (admission to the home are within the following categories Old age, not falling within )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.54 Tm (any other category \(Code OP\) - maximum of 80 places Dementia \(Code DE\) - )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 71.96 Tm (maximum of 41 places)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 50.53 m 315.25 50.53 l S 0.001 w 1 1 1 RG 20.58 w 317.5 50.53 m 346.55 50.53 l S 0.001 w 20.58 w 348.8 50.53 m 377.9 50.53 l S 0.001 w 20.58 w 380.15 50.53 m 409.2 50.53 l S 0.001 w 20.58 w 411.45 50.53 m 440.55 50.53 l S 0.001 w 20.58 w 442.8 50.53 m 471.9 50.53 l S 0.001 w 20.58 w 474.15 50.53 m 503.2 50.53 l S 0.001 w 20.58 w 505.45 50.53 m 534.55 50.53 l S 0.001 w 20.58 w 536.8 50.53 m 565.9 50.53 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 61.94 m 568.1 61.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 39.11 m 568.1 39.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 63.02 m 30.07 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 63.02 m 316.37 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 63.02 m 347.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 63.02 m 379.02 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 63.02 m 410.32 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 63.02 m 441.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 63.02 m 473.02 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 63.02 m 504.32 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 63.02 m 535.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 63.02 m 567.02 38.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 45.76 Tm (Date of last inspection)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 (21)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 30.07 576.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 576.77 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 28.99 577.85 m 568.1 577.85 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 35.5 753.91 Tm (The Winterbourne Care Centre is registered to provide nursing and personal care for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (up to 80 people. It was purpose-built and first registered on 5th February 2009. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (Accommodation is provided over three floors. The home is divided into six units. At the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (time of this inspection, three units were opened. One unit on the ground floor to the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (right of the entrance area provided nursing care to people who were medically frail. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (The two units to the left of the entrance area on the ground and first floor provided )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (dementia care for people who needed personal care only. The home is owned by )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (Caring Homes Healthcare, a national provider of care. The registered manager for the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (home is Gillian Brinkley. The home is on the London Road, leading into the city of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (Salisbury. There is ample car parking on site, a bus stop close by and a train station )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (about 10 minutes away by bus or car. )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 (21)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 312.18 w 31.2 577.99 m 580.26 577.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.21 m 582.46 735.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.77 m 582.46 420.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 736.28 m 30.07 419.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 736.28 m 581.38 419.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 719.02 Tm (This random inspection of the Winterbourne Care Centre was performed on Tuesday 5th )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 704.44 Tm (May 2009, between 9:05am and 2:45pm. The inspection was performed by a regulation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.86 Tm (inspector and a pharmacist inspector. Throughout the inspection, they are referred to as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 675.28 Tm ("we" because the inspection is being performed on behalf of the Care Quality )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 660.7 Tm (Commission. This random inspection was carried out following a complaint made to us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.12 Tm (about standards of care, provision of meals and availability of equipment, particularly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.54 Tm (disposable gloves.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.38 Tm (At this inspection, as the Winterbourne had only been recently registered, only three )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.8 Tm (sections of the home had been opened. We met with eleven residents and reviewed five )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 573.22 Tm (people's records. These people were cared for in all opened parts of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 558.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.06 Tm (We toured all parts of the home which were open, including the kitchen, laundry and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 529.48 Tm (support facilities such as sluice rooms and store rooms, as well as facilities for residents. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.9 Tm (We observed care provision during the morning and at lunchtime.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.74 Tm (We met with a range of staff, including the agency registered nurse in charge of the shift, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 471.16 Tm (the two senior carers in charge of each of the two dementia care units, care assistants )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 456.58 Tm (across the home, the temporary chef and the receptionist, who was also performing a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 442 Tm (laundress role. At the end of the inspection, we gave the manager and a senior manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 427.42 Tm (from the provider a feedback on our findings. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 400.45 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 1 175.95 400.45 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 347.84 w 31.2 216.47 m 580.26 216.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 391.52 m 582.46 391.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 392.59 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 392.59 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 375.33 Tm (The Winterbourne is a new, purpose-built care home. Facilities have been provided with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.75 Tm (the client-group in mind. For example the entrance is via automatic doors, so a person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.17 Tm (who is wheelchair dependant, or a person supporting someone who is frail, will be able to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.59 Tm (enter the lobby with ease and be able to wait in a dry area until the main entrance door, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.01 Tm (which is also automatic, is unlocked. The entrance hall is welcoming and provides )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.43 Tm (comfortable seating. The standards of finishes across the home are high and provides )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 287.85 Tm (standards equivalent to a good class hotel. There are a wide range of communal facilities )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.27 Tm (which residents and their visitors can use if they wish. The windows are large and so )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 258.69 Tm (people are able to benefit from natural light. Support facilities such as the laundry and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.11 Tm (kitchen have been designed with the home's purpose in mind and allow for the separation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.53 Tm (of clean and dirty functions, to support good hygiene practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 214.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 200.37 Tm (We met with a range of staff, many of whom were highly motivated. A care assistant on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 185.79 Tm (the first floor had worked in the home since it opened. They showed a very kindly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 171.21 Tm (attitude towards the residents under their care. They were consistently respectful towards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 156.63 Tm (them and did not rush any resident who had difficulties in recall, due to dementia. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 142.05 Tm (observed that before lunch-time this care assistant supported a social atmosphere by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 127.47 Tm (offering drinks such as sherry. They also encouraged the people on the unit to use an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.89 Tm (attractive dining room at lunch-time. A care assistant on the ground floor had worked in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.31 Tm (the home for only two weeks but already clearly had familiarised themselves with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.73 Tm (residents on their unit. They were observed to be very supportive towards residents, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 69.15 Tm (including at mealtimes, where they ensured that residents were offered choice, including )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.57 Tm (choice of drinks. An agency registered nurse had only worked in the home for three shifts )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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 192.54 w 31.2 688.96 m 580.26 688.96 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 28.99 591.56 m 582.46 591.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 590.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 590.48 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (but had already reviewed a range of appliances and ensured that the home had full )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (stocks where necessary. This registered nurse had also identified that many of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (residents had not had a recent medical review and had requested that their GPs visit to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (do this. During the inspection we observed that several GPs came to the home to review )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (residents and the registered nurse reported that they were awaiting a visit from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (tissue viability nurse during the afternoon.)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 (One person had an infection. They had a full supply of disposable gloves and aprons )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (outside their room and safe systems for disposal of potentially infective items in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (room. All staff we spoke with on the unit were aware of this person's infection and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (precautions to take to reduce risk of spread of infection. Where a resident needed an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (appliance, such as a urinary catheter, we observed that there were good supplies of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (catheter bags, including over-night bags.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 573.49 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 519.75 w 31.2 303.55 m 580.26 303.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 564.55 m 582.46 564.55 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 30.07 565.63 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 565.63 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 548.36 Tm (We met with one newly admitted resident and reviewed their documentation. This person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 533.78 Tm (had had a very detailed pre-admission assessment performed. As part of this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.21 Tm (assessment, a range of actions were identified as needed to be performed as soon as the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 504.63 Tm (person was admitted. This included that the person must be weighed, due to a history of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 490.05 Tm (weight loss, that they must have a food chart commenced and a nutritional assessment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 475.46 Tm (performed. It also directed that the person must have a falls risk assessment, as they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 460.89 Tm (had a history of falls and a manual handling assessment completed. By the time of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.3 Tm (inspection, five days after the person had been admitted, none of these directives had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.73 Tm (been complied with. This person clearly had needs relating to dementia but they had no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 417.14 Tm (care plan in place relating to this need. Their pre-admission assessment stated that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.57 Tm (were prescribed a food supplement but there was no written evidence that they had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.98 Tm (given this supplement, although a carer did know about this prescription and reported )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 373.4 Tm (that they had given it when they were on duty. The person also had some old dressings )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.83 Tm (on their legs, which they reported had been put on prior to admission to the home. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 344.24 Tm (dressings gave the appearance of needing attention but there was no evidence that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 329.67 Tm (district nurse had been asked to attend to look at the dressed areas.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.51 Tm (We met with other residents and noted that the home need to improve their assessment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.92 Tm (systems for people who are resident in the home. Several residents had a history of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm (falling but had not had any risk assessment completed in relation to this. Some people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (clearly had nutritional needs but no assessment had been completed of this need. Where )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (residents had assessments completed, attention was still needed. For example one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm (resident had an assessment for risk of pressure damage but it did not consider certain )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (medical factors which could increase risk, as documented elsewhere in their records, so )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (their risk was assessed as being lower than it actually was. Several residents had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (assessments for use of bed safety rails which had not been fully completed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (Where residents did have a need or a risk, care plans were not generally put in place to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (direct staff on how risk was to be reduced. Accident records for one resident indicated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (that they experienced falls on a frequent basis but they did not have a care plan to direct )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (staff on how this risk was to be reduced. Several residents had risks in relation to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (pressure damage but did not have care plans to direct staff on how risk was to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (reduced for them. On dementia care units, people did not have care plans about how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (their dementia care needs were to be met. On occasion information is assessments and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (care plans did not agree, for example for two people with manual handling care needs.)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 (21)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 (Where people had changing needs, care plans were not being re-assessed. One person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (had recently been admitted to hospital and observations of the resident, discussions with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (staff their and their records indicated that their nursing and care needs had changed but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (their care plan had not been up-dated to reflect this. One person had a manual handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (assessment dated 20/2/09. Their records indicated that their condition had changed since )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (this plan was drawn up but it had not been reviewed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Where people were frail, charts were in place to document food and fluids offered and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (when their position was last changed. These also needed attention. One person's chart )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (provided limited evidence that their position had been changed regularly as would be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (anticipated by their condition. On one occasion, their records indicated that they had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (had their position changed for twelve hours and on another occasion for 29 hours. As this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (person had already sustained pressure damage, this is of concern. Fluid charts were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (totaled at the end of 24 hours, to assess how much a person had been able to drink.)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 (One person had wounds had a care plan relating to their wounds. Directives in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (documentation for 30/4/09, stated that their wounds needed to be re-dressed by 2/5/09, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (but this directive still had not been complied with by 5/5/09. Another resident's records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (showed that they were not given their necessary medication but the reasons for this were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (not documented and this had to be followed up by the registered nurse on a later shift. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (This could have put the resident at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (As the home is using high levels of agency staff, this is of much concern as agency staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (will not know residents well and will therefore be very reliant on up-to-date records, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (ensure that they are fully advised on how to meet residents' needs, particularly were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (residents are unable to discuss their needs with staff due to dementia or frailty.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (During the inspection, we visited the kitchen and spoke to the chef. It was reported that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (agency chefs had been preparing the meals. At the time of the inspection, a chef from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (the provider was temporarily providing meals until after the bank holiday period when the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (agency would continue to provide the meals service. The manager reported that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (home was actively recruiting a chef. Kitchen store contained tins of vegetables and fruit, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (juice and dry items such as soup mix, rice and cereals. The manager had purchased )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (broccoli and fruit that morning. The freezer had a small range of items such as sausages, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (chips, frozen sprouts, cauliflower and ice cream. There were no other supplies of fresh )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (vegetables and fruit. A delivery of bread and milk had taken place. The fridge had a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (quiche, some chicken and some 20 eggs. The fridge labeled "raw food" was empty.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (The chef came on duty at 9:45am. This person stated that they had taken over the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (kitchen on Monday and had not been able to contact the home before this. The provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (used a standard menu system but this would have to be changed. The ched reported that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (they relied on care staff to give them information about people's particular needs. They )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (had asked for the broccoli the day before and would use what was available in the kitchen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (for the meals. Residents would be given chicken or sausages with potato croquettes, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (frozen cauliflower and fresh broccoli for lunch with a lemon sponge to follow. In the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (evening the chef would use the quiche and jelly.)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 (This situation is clearly not satisfactory. It indicates a reactive approach to provision of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (meals, not a planned approach, which takes into account residents needs, likes and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (preferences. There was no evidence that the home were keeping to the providers' polices )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 (21)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 (on menus. There was a limited supply of food in the home to meet the needs of 22 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (residents, particularly fresh vegetables. One resident was identified as needing a high )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (protein diet, which the day's lunch was not providing. As many of the staff were agency )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (staff, and records were inadequate, they would not be able to inform the chef of special )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (diets, where indicated. We discussed this matter with the two managers at feedback and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (we were minded to issue immediate requirements. The two managers undertook to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (rectify the situation by the end of that day and to confirm in writing that they had done )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (this, which they did.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We reviewed the availability of disposable gloves during the inspection. We observed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (on each corridor, their was a trolley with clean sheets, a plastic aprons and a box of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (disposable gloves. The trolleys were of the type where a bag for used laundry could be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (placed at one end. We observed that on some occasions, these did have a container for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (used laundry placed in the area. This is regarded as a risk to cross-infection as clean )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (laundry must not be placed next to used laundry.)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 (As part of the complaint, the complainants commented on the lack of availability of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (disposable gloves. We observed that on one unit, all the gloves were small size and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (another unit all the gloves were large, although staff on duty had a range of hand sizes. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (On one corridor, the box was nearly empty and when we asked where there were further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (supplies of gloves, we were directed to a store room, however this room did not have any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (boxes of gloves in it. We checked in store rooms on the other units, none had boxes of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (gloves. We asked about the locked store rooms but the registered nurse informed us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (they had checked these and they were currently all empty. In order to ensure effective )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (practice in prevention of spread of infection, there must be full supplies of disposable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (gloves of all sizes readily available to staff.)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 observed that there were generally no supplies of disposable gloves in bathrooms, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (toilets or sluice rooms. We also observed that in some toilets, disposable wipes had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (left in a box on top of the toilet cistern. If disposable gloves or boxes of wipes are placed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (on flat surfaces such as a toilet cistern, there is risk that they will become contaminated. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Dispensers for such equipment had not been provided in toilets, bathrooms, sluice rooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (or the laundry, as would normally be anticipated. We also noticed that, unusually for a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (new build home providing personal care, disposable glove dispensers had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (provided in residents' en-suite facilities. Several of the toilets did not have a container for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (rubbish in them. We found that we had to leave the room to dispose of a used paper )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (towel. This is not good practice.)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 discussed sterile gloves with the registered nurse, who reported that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (available and used for all aseptic procedure. We observed that only one size of glove was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (available in the clinical room and as staff were observed with a range of hand sizes, in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (order to ensure correct sterile procedure, a range of sterile gloves are needed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Several of the residents needed to use a hoist for all transfers. Staff reported to us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (hoist slings were used communally. They reported that if the slings were observed to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (contaminated, they would be sent to the laundry, but there was no system as such for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (ensuring regular laundering of slings. Hoist slings can present a risk to cross infection, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (due to where they are placed on an individual. Unless disposable slings are used, if a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (person needs a hoist for all transfers, they need to be allocated their own sling, which will )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (be named and used only for them. This communal use of slings is of particular concern as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (there were at least two residents who needed to use a hoist who also presented an )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 (21)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 (infection risk, due to their current needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (Practice in the laundry presents major risks to cross-infection. We visited the laundry )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (several times during the inspection. When we commenced this inspection, we did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (observe any staff in the laundry. The room was untidy and we observed red bags for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (infected and potentially infected laundry overflowing from a laundry container. The home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (has equipment to enable laundry to be sorted at source. This is to prevent risks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (associated with the re-sorting of laundry. However it was observed that staff were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (complying with this system and different categories of laundry were placed in all the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (laundry skips. This means that items would need to be re-sorted in the laundry. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (included items in red bags. This is regarded as a risk to cross-infection, particularly if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (infected or potentially infected items need to be re-sorted. This was of additional concern )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (as there were no gloves or aprons provided in the laundry. By 11:30am there were still )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (no staff in the laundry and we observed that the red bags had overflowed onto the floor. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Used laundry was also observed to have overflowed on to the floor, in another part of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (room. At 12:50 we observed that the receptionist was performing the laundry. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (receptionist reported that they had been trained in this role. They reported that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (appearance of the laundry was not an isolated occurrence and that there had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (instances when she had had to open red bags, and re-sort them as they had woollies in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (them.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (During the inspection we met with several frail people who spent most of their time in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (bed, who needed assistance from staff for all their personal care needs. Two people who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (were able to converse and use a call bell had not been left with their call bell to hand. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (They were unable to report on how they would summon assistance when they needed it.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Most of the staff we met with had been newly employed and a proportion of staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (agency staff. We discussed this with staff, who reported that there had been a turnover in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (staff since the home opened and that the home were trying to recruit more staff. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (was confirmed by the manager. People commented on the agency staff, some were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (reported to come to the home regularly and be highly motivated, however other staff, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (including the manager also reported that they had sometimes had to send some agency )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (staff away, due to poor performance.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (We were concerned about staffing levels in the home. During the inspection, we observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (on the first floor dementia unit, that there was one care assistant, who had to care for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (seven residents, who had complex dementia care needs. We observed a range of matters )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (on this floor which related to lack of staff, not the performance of the carer themselves. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (We observed one resident who was confused, wandering the corridor in a state of nearly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (full undress. We talked with another resident who was trying to sit down in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (sitting/dining room in a place where there was no chair. They would have fallen if we had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (not been available to assist them. On another occasion, a resident was observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (wandering the corridors with see-through nightwear. At 11:00am, we observed a resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (had wandered into another resident's room and the resident in the room was asking them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (to leave their room, but the first resident was not able to comprehend this. Another )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (resident was wandering along the corridor, unsure of their surroundings. During all these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (observations, the carer was not neglecting their duties, they were busy with other )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (residents. Residents with such complex behaviours will be at risk if they are not fully )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (supported by staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (We observed that staff were performing catering duties as well as caring duties. On all )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 688.26 w 31.2 441.1 m 580.26 441.1 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 95.84 m 582.46 95.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 94.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 94.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (floors, care assistants were preparing breakfast, as well as providing care, including the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (first floor dementia care unit. We observed that washing up from breakfast was still in all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (three kitchenettes by lunchtime, as staff were concentrating on providing care. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Additionally, we also observed that a member of the care staff was at lunchtime )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (supporting the chef in the main kitchen and therefore was not available to provide care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (We reviewed the duty rosters and observed that there were between two and three staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (rostered on night duty. This would mean that if a member of staff needed assistance on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (one unit, they would have to leave residents on their unit unsupervised, while they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (assisted on the other unit. This would particularly be the case the dementia units as on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (the ground floor nursing unit, nearly all the residents needed moving using a hoist, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (is an activity which needs two staff, to enable safe practice. Additionally it was reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (that night staff were performing laundry. This is clearly not satisfactory as they would not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (be able to support residents.)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 (The off duty record showed that there was always one registered nurse on duty. Many of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (the residents on the nursing unit had complex nursing care needs, including terminal care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (needs. As noted above, dressings were not being changed at the frequency directed in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (care plans. The registered nurse was also observed to have a range of duties, including )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (management of the home and supervision of more junior staff in support of the manager. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Registered nursing staffing levels needs review, to ensure that all residents can have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (their nursing needs met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (One of the matters reported by the complainant related to a resident who had a fall. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (reviewed the accident book but there was no report of this fall in the book. However )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (when we reviewed the persons' daily record, a fall had been documented. Accidents need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (to be always fully documented in the accident book as well as the persons' record, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (ensure follow-up and review.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (We reviewed the accident book and it showed numerous reference to residents being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ("found on floor". There was no evidence to show how long people had been on the floor. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We observed that two of the residents on the first floor dementia unit showed signs of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (recent falls. One of the resident's records and the accident book showed that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (at risk of falling and had fallen several times, including an admission to Salisbury District )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Hospital's Accident and Emergency unit. Many of the records of falls related to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (dementia care units and/or night times, so adequate numbers of staff are needed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (ensure resident safety.)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 (As noted above, many residents did not have care plans to direct staff on how their needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (were to be met. Many residents had complex nursing and care needs and will not be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (protected without sufficient staff on duty, who are aware of all of their needs and be able )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (to meet these needs. Staff are also clearly performing non-nursing duties, so the actual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (numbers of staff on duty will in effect be less than that detailed on the off duty. These )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (concerns were discussed at the end of the inspection with the manager and a senior )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (manager from the provider. The senior manager reported that they were concerned )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (about the situation and would cease admissions to the home until sufficient permanent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (staff were on duty to meet residents' needs.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 79.78 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 79.78 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 63.78 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr endstream endobj 24 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 (21)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 ()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 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 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 34.05 644.58 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 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 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 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 227.7 w 31.2 385.65 m 91.05 385.65 l S 0.001 w 227.7 w 93.3 385.65 m 197.4 385.65 l S 0.001 w 227.7 w 199.65 385.65 m 289.45 385.65 l S 0.001 w 227.7 w 291.7 385.65 m 473.8 385.65 l S 0.001 w 227.7 w 476.05 385.65 m 566.1 385.65 l S 0.001 w 227 w 31.2 156.05 m 91.05 156.05 l S 0.001 w 227 w 93.3 156.05 m 197.4 156.05 l S 0.001 w 227 w 199.65 156.05 m 289.45 156.05 l S 0.001 w 227 w 291.7 156.05 m 473.8 156.05 l S 0.001 w 227 w 476.05 156.05 m 566.1 156.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 270.67 m 568.3 270.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.67 m 568.3 270.67 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 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 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 34.05 568.98 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 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (Where directives are made in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (a person's pre-admission )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (assessment of need, the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (home must ensure that there )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (is evidence that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.54 Tm (directives in the )Tj ET /F1 12 Tf BT 1 0 0 1 395.39 411.54 Tm (pre-)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.96 Tm (admission)Tj ET /F1 12 Tf BT 1 0 0 1 354.87 396.96 Tm ( assessment have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 382.38 Tm (been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.22 Tm (Pre-admission assessments )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.64 Tm (of need are the baseline from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.06 Tm (which care is provided in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.48 Tm (home, particuarly during the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.9 Tm (initial stages of a person's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.32 Tm (admission. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 254.49 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 254.49 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 254.49 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254.49 Tm (Where there is evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 239.91 Tm (a person's nursing and care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 225.33 Tm (needs have changed, there )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.75 Tm (must always be evidence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.17 Tm (that their care plans have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.59 Tm (been up-dated, to reflect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.01 Tm (their changed needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.85 Tm (Care plans are needed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.27 Tm (ensure that people have their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 105.69 Tm (needs met in a consistent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 91.11 Tm (manner from staff. Therfore )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 76.53 Tm (if a person's needs change, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 61.95 Tm (their care plan must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 47.37 Tm (promptly evaluated and )Tj ET /F1 12 Tf BT 1 0 0 1 442.58 47.37 Tm (up-)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 254.49 Tm (08/06/2009)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 (21)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 17.58 w 31.2 674.9 m 91.05 674.9 l S 0.001 w 17.58 w 93.3 674.9 m 197.4 674.9 l S 0.001 w 17.58 w 199.65 674.9 m 289.45 674.9 l S 0.001 w 17.58 w 291.7 674.9 m 473.8 674.9 l S 0.001 w 17.58 w 476.05 674.9 m 566.1 674.9 l S 0.001 w 329.76 w 31.2 498.98 m 91.05 498.98 l S 0.001 w 329.76 w 93.3 498.98 m 197.4 498.98 l S 0.001 w 329.76 w 199.65 498.98 m 289.45 498.98 l S 0.001 w 329.76 w 291.7 498.98 m 473.8 498.98 l S 0.001 w 329.76 w 476.05 498.98 m 566.1 498.98 l S 0.001 w 288.17 w 31.2 187.76 m 91.05 187.76 l S 0.001 w 288.17 w 93.3 187.76 m 197.4 187.76 l S 0.001 w 288.17 w 199.65 187.76 m 289.45 187.76 l S 0.001 w 288.17 w 291.7 187.76 m 473.8 187.76 l S 0.001 w 288.17 w 476.05 187.76 m 566.1 187.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.97 m 568.3 332.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.97 m 568.3 332.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (dated.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.79 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 648.79 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 648.79 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 648.79 Tm (Where a person has or is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.22 Tm (assessed as having a nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.64 Tm (or care need, or if a risk to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 605.05 Tm (the person is identified, there )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.47 Tm (must always be a care plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.9 Tm (drawn up to direct staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.32 Tm (how the nursing or care need )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.73 Tm (is to be met and risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.16 Tm (reduced.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (Care plans direct staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.42 Tm (how each individual's nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.83 Tm (and care needs are to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.26 Tm (met. If a person does not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.67 Tm (have a plan to direct staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.1 Tm (how the person's needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.52 Tm (to be met or risk reduced, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.93 Tm (the home is not in a position )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.36 Tm (to ensure that care is being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.77 Tm (provided in the best interests )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.2 Tm (of the person and that their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.61 Tm (safety is up-held.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.79 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 316.79 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 316.79 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.79 Tm (Where a person has a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.2 Tm (nursing or care need or they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.63 Tm (have risks associated with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 273.05 Tm (their condition, an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.46 Tm (assessment must always be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.88 Tm (completed. Assessments )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.3 Tm (must be completed in full, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.73 Tm (include all relevant matters )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.15 Tm (and agree with other )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.57 Tm (assessments.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.4 Tm (Frail elderly people, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.82 Tm (people with dementia care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.25 Tm (needs may have needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.67 Tm (relating to their nursing and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.08 Tm (care needs or risks assocated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.5 Tm (with their condition. In order )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.93 Tm (to ensure that people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 51.35 Tm (fully protected and their )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 316.79 Tm (08/06/2009)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 75.9 w 31.2 645.73 m 91.05 645.73 l S 0.001 w 75.9 w 93.3 645.73 m 197.4 645.73 l S 0.001 w 75.9 w 199.65 645.73 m 289.45 645.73 l S 0.001 w 75.9 w 291.7 645.73 m 473.8 645.73 l S 0.001 w 75.9 w 476.05 645.73 m 566.1 645.73 l S 0.001 w 490.14 w 31.2 360.46 m 91.05 360.46 l S 0.001 w 490.14 w 93.3 360.46 m 197.4 360.46 l S 0.001 w 490.14 w 199.65 360.46 m 289.45 360.46 l S 0.001 w 490.14 w 291.7 360.46 m 473.8 360.46 l S 0.001 w 490.14 w 476.05 360.46 m 566.1 360.46 l S 0.001 w 69.47 w 31.2 78.41 m 91.05 78.41 l S 0.001 w 69.47 w 93.3 78.41 m 197.4 78.41 l S 0.001 w 69.47 w 199.65 78.41 m 289.45 78.41 l S 0.001 w 69.47 w 291.7 78.41 m 473.8 78.41 l S 0.001 w 69.47 w 476.05 78.41 m 566.1 78.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 606.66 m 568.3 606.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 114.27 m 568.3 114.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.66 m 568.3 606.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 114.27 m 568.3 114.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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If )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222.98 Tm (people are not able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 208.4 Tm (reliably drink or take their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.82 Tm (meals, a monitoring chart is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 179.24 Tm (needed so that staff on all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.65 Tm (shifts can be aware of how )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.07 Tm (much fluid and food the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 135.49 Tm (person had been able to take )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.92 Tm (in.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 590.47 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.08 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 98.08 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 98.08 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.08 Tm (Where a person needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.5 Tm (referring to the district nurse )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.93 Tm (to meet a nursing need, this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.35 Tm (should take place promptly .)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 98.08 Tm (08/06/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 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 (15)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 (21)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 166.38 w 31.2 600.49 m 91.05 600.49 l S 0.001 w 166.38 w 93.3 600.49 m 197.4 600.49 l S 0.001 w 166.38 w 199.65 600.49 m 289.45 600.49 l S 0.001 w 166.38 w 291.7 600.49 m 473.8 600.49 l S 0.001 w 166.38 w 476.05 600.49 m 566.1 600.49 l S 0.001 w 213.12 w 31.2 408.49 m 91.05 408.49 l S 0.001 w 213.12 w 93.3 408.49 m 197.4 408.49 l S 0.001 w 213.12 w 199.65 408.49 m 289.45 408.49 l S 0.001 w 213.12 w 291.7 408.49 m 473.8 408.49 l S 0.001 w 213.12 w 476.05 408.49 m 566.1 408.49 l S 0.001 w 256.01 w 31.2 171.68 m 91.05 171.68 l S 0.001 w 256.01 w 93.3 171.68 m 197.4 171.68 l S 0.001 w 256.01 w 199.65 171.68 m 289.45 171.68 l S 0.001 w 256.01 w 291.7 171.68 m 473.8 171.68 l S 0.001 w 256.01 w 476.05 171.68 m 566.1 171.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 516.18 m 568.3 516.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 300.81 m 568.3 300.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 516.18 m 568.3 516.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 300.81 m 568.3 300.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 670.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.29 Tm (If a person is cared for in a )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 641.72 Tm (part of the home which )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.14 Tm (provides personal care only, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 612.55 Tm (if they are identified as )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 597.97 Tm (having a nursing need, a )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.4 Tm (referral to the distrcit nurse )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 568.82 Tm (must take place in a prompt )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.23 Tm (manner to ensure that their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 539.66 Tm (needs are met and they are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.08 Tm (not put at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.99 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 499.99 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 499.99 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (If a registered nurse omits a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.42 Tm (drug for any reason, this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.83 Tm (must always be based on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.26 Tm (clear clinical evidence. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.67 Tm (reasons for omission must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.1 Tm (always be clearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.52 Tm (documented.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 394.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.36 Tm (Drugs are prescribed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 365.77 Tm (ensure that a person's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.2 Tm (medical needs are met, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 336.61 Tm (therefore they must only )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.04 Tm (ever be omitted if it is in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 307.45 Tm (best interests of the person.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 499.99 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.63 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 284.63 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 284.63 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.63 Tm (The home must set us a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.05 Tm (system to ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.46 Tm (chef and other relevant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.88 Tm (persons are informed about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.3 Tm (different residents' dietary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.73 Tm (needs)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 179.57 Tm (Residents may need certain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.99 Tm (diets to meet their medical )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.4 Tm (needs, other people may )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 135.82 Tm (have specific preferences )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.25 Tm (about food. Unless the chef )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 106.67 Tm (and other people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.08 Tm (informed about such needs, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 77.5 Tm (there is a risk that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 62.92 Tm (will not have their needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.35 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 284.63 Tm (08/06/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 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 (16)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 (21)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 242.28 w 31.2 561.7 m 91.05 561.7 l S 0.001 w 242.28 w 93.3 561.7 m 197.4 561.7 l S 0.001 w 242.28 w 199.65 561.7 m 289.45 561.7 l S 0.001 w 242.28 w 291.7 561.7 m 473.8 561.7 l S 0.001 w 242.28 w 476.05 561.7 m 566.1 561.7 l S 0.001 w 169.38 w 31.2 353.61 m 91.05 353.61 l S 0.001 w 169.38 w 93.3 353.61 m 197.4 353.61 l S 0.001 w 169.38 w 199.65 353.61 m 289.45 353.61 l S 0.001 w 169.38 w 291.7 353.61 m 473.8 353.61 l S 0.001 w 169.38 w 476.05 353.61 m 566.1 353.61 l S 0.001 w 223 w 31.2 155.18 m 91.05 155.18 l S 0.001 w 223 w 93.3 155.18 m 197.4 155.18 l S 0.001 w 223 w 199.65 155.18 m 289.45 155.18 l S 0.001 w 223 w 291.7 155.18 m 473.8 155.18 l S 0.001 w 223 w 476.05 155.18 m 566.1 155.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 683.96 m 568.3 683.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.43 m 568.3 439.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.8 m 568.3 267.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 683.96 m 568.3 683.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.43 m 568.3 439.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.8 m 568.3 267.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 667.78 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 667.78 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 667.78 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 667.78 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 653.2 Tm (it consistently has sufficient )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 638.61 Tm (stocks of food stuffs to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 624.03 Tm (ensure that residents' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 609.46 Tm (nutritional needs can be met )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.88 Tm (and their ability to choose be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 580.29 Tm (up-held.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 562.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 548.14 Tm (Maintenance of nutrition is a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 533.55 Tm (key area in care provision. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.97 Tm (Therefore the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 504.39 Tm (have full stocks of nutritious )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 489.82 Tm (food-stuffs, including fresh )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 475.23 Tm (food, to meet peoples' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.65 Tm (diverse needs and enable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 446.08 Tm (them to exercise choice.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 667.78 Tm (05/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.24 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 423.24 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 423.24 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 423.24 Tm (All residents must always be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 408.67 Tm (left with access to their call )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 394.08 Tm (bell)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 376.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 361.92 Tm (Frail residents with complex )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 347.35 Tm (needs, need to be able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 332.77 Tm (summon assistance as and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 318.18 Tm (when they require it. Such )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 303.61 Tm (people need to be always left )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.02 Tm (with their call bell so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 274.45 Tm (they can do this.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 423.24 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.62 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 251.62 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 251.62 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 251.62 Tm (Where a resident needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 237.04 Tm (moved using a lifting sling, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222.46 Tm (they must always be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.88 Tm (provided with their own )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.29 Tm (sling, which is used only for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.71 Tm (them. There must be clear )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.13 Tm (systems in place to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.55 Tm (that lifting slings are reguarly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.98 Tm (laundered.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 117.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 102.82 Tm (Due to their function, lifting )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 88.24 Tm (slings can present a risk to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.65 Tm (cross infection if used )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 59.08 Tm (communally. They need )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 251.62 Tm (30/06/2009)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 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 (17)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 (21)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 32.16 w 31.2 667.6 m 91.05 667.6 l S 0.001 w 32.16 w 93.3 667.6 m 197.4 667.6 l S 0.001 w 32.16 w 199.65 667.6 m 289.45 667.6 l S 0.001 w 32.16 w 291.7 667.6 m 473.8 667.6 l S 0.001 w 32.16 w 476.05 667.6 m 566.1 667.6 l S 0.001 w 344.34 w 31.2 477.11 m 91.05 477.11 l S 0.001 w 344.34 w 93.3 477.11 m 197.4 477.11 l S 0.001 w 344.34 w 199.65 477.11 m 289.45 477.11 l S 0.001 w 344.34 w 291.7 477.11 m 473.8 477.11 l S 0.001 w 344.34 w 476.05 477.11 m 566.1 477.11 l S 0.001 w 259.01 w 31.2 173.18 m 91.05 173.18 l S 0.001 w 259.01 w 93.3 173.18 m 197.4 173.18 l S 0.001 w 259.01 w 199.65 173.18 m 289.45 173.18 l S 0.001 w 259.01 w 291.7 173.18 m 473.8 173.18 l S 0.001 w 259.01 w 476.05 173.18 m 566.1 173.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 650.4 m 568.3 650.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 303.81 m 568.3 303.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 650.4 m 568.3 650.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 303.81 m 568.3 303.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (regular laundering to reduce )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (risk of infection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.22 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 634.22 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 634.22 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.22 Tm (There must be safe systems )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.64 Tm (for the mangement of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 605.05 Tm (laundry. Clean and used )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.47 Tm (laundry must not be placed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.9 Tm (next to each other. Items for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.32 Tm (laundering must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.73 Tm (separated at source, in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.16 Tm (accordance with the home's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.58 Tm (policies. Laundry must not be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.99 Tm (allowed to spill over onto the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.42 Tm (laundry floor.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.26 Tm (Safe management of laundry )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.67 Tm (is a key area in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.1 Tm (prevention of spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.52 Tm (infection. If clean and used )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.93 Tm (items are placed next to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.36 Tm (each other, there is a risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.77 Tm (cross infection. If laundry )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.2 Tm (needs to be re-sorted in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.61 Tm (laundry, or if it spills out on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.04 Tm (to the floor, contamination of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.45 Tm (the laundry area can occur)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 634.22 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 287.63 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 287.63 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 287.63 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.63 Tm (Adeqaute supplies of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 273.05 Tm (disposable gloves must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.46 Tm (provided in all relevant areas )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.88 Tm (of the home, including, sluice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.3 Tm (rooms, communal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.73 Tm (bathrooms, toilets and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.15 Tm (laundry. A range of sizes of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.57 Tm (gloves must be provided, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.99 Tm (including sterile gloves for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.4 Tm (asceptic procedure.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.25 Tm (Disposable gloves are a key )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.67 Tm (area in the prevention of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.08 Tm (spread of infection, therefore )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.5 Tm (they must be readily )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.93 Tm (available, in a range of sizes, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 51.35 Tm (in all relevant areas of the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 287.63 Tm (08/06/2009)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 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 (18)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 (21)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 17.58 w 31.2 674.9 m 91.05 674.9 l S 0.001 w 17.58 w 93.3 674.9 m 197.4 674.9 l S 0.001 w 17.58 w 199.65 674.9 m 289.45 674.9 l S 0.001 w 17.58 w 291.7 674.9 m 473.8 674.9 l S 0.001 w 17.58 w 476.05 674.9 m 566.1 674.9 l S 0.001 w 140.22 w 31.2 593.74 m 91.05 593.74 l S 0.001 w 140.22 w 93.3 593.74 m 197.4 593.74 l S 0.001 w 140.22 w 199.65 593.74 m 289.45 593.74 l S 0.001 w 140.22 w 291.7 593.74 m 473.8 593.74 l S 0.001 w 140.22 w 476.05 593.74 m 566.1 593.74 l S 0.001 w 431.82 w 31.2 305.48 m 91.05 305.48 l S 0.001 w 431.82 w 93.3 305.48 m 197.4 305.48 l S 0.001 w 431.82 w 199.65 305.48 m 289.45 305.48 l S 0.001 w 431.82 w 291.7 305.48 m 473.8 305.48 l S 0.001 w 431.82 w 476.05 305.48 m 566.1 305.48 l S 0.001 w 43.64 w 31.2 65.5 m 91.05 65.5 l S 0.001 w 43.64 w 93.3 65.5 m 197.4 65.5 l S 0.001 w 43.64 w 199.65 65.5 m 289.45 65.5 l S 0.001 w 43.64 w 291.7 65.5 m 473.8 65.5 l S 0.001 w 43.64 w 476.05 65.5 m 566.1 65.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 522.51 m 568.3 522.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 88.44 m 568.3 88.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 522.51 m 568.3 522.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 88.44 m 568.3 88.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.79 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 648.79 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 648.79 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 648.79 Tm (Rubbish bins must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.22 Tm (provided in all communal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.64 Tm (toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 587.47 Tm (In order to prevent risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.9 Tm (cross-infection people must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.32 Tm (be able to safely dispose of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.73 Tm (items such as hand towels )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.16 Tm (and disposable gloves.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (08/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 506.33 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 506.33 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 506.33 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.33 Tm (There must at all times be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.74 Tm (sufficient staff on duty, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.17 Tm (including registered nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.58 Tm (staff, to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.01 Tm (residents' needs can be met, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.42 Tm (their dignity maintained and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.85 Tm (their safety ensured. Nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.27 Tm (and care staff must not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.68 Tm (routinely perform )Tj ET /F1 12 Tf BT 1 0 0 1 404.21 389.68 Tm (non-)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 375.11 Tm (nursing)Tj ET /F1 12 Tf BT 1 0 0 1 339.47 375.11 Tm ( and care roles while )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.52 Tm (they are placed on the roster )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.95 Tm (to provide nursing and care.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.79 Tm (Residents with complex )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.2 Tm (nursing and care needs, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.63 Tm (including demenita care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.05 Tm (needs, need to have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.46 Tm (sufficient staff available to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.88 Tm (ensure that their safety is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.3 Tm (maintained, their nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.73 Tm (and care needs met and their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.15 Tm (dignity up-held. Sufficient )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 182.57 Tm (staff need to be provided to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.99 Tm (perform ancilliary roles to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.4 Tm (ensure that staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.82 Tm (available to residents. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.25 Tm (staff roster needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.67 Tm (accurate and complied with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.08 Tm (in full. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 506.33 Tm (12/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.25 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 72.25 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 72.25 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.25 Tm (All accidents must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.67 Tm (documented in the accident )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 72.25 Tm (08/06/2009)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 43 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 (19)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 556.94 w 32.32 505.63 m 564.97 505.63 l S 0.001 w 1 1 1 RG 242.28 w 31.2 562.54 m 91.05 562.54 l S 0.001 w 242.28 w 93.3 562.54 m 197.4 562.54 l S 0.001 w 242.28 w 199.65 562.54 m 289.45 562.54 l S 0.001 w 242.28 w 291.7 562.54 m 473.8 562.54 l S 0.001 w 242.28 w 476.05 562.54 m 566.1 562.54 l S 0.001 w 213.12 w 31.2 332.6 m 91.05 332.6 l S 0.001 w 213.12 w 93.3 332.6 m 197.4 332.6 l S 0.001 w 213.12 w 199.65 332.6 m 289.45 332.6 l S 0.001 w 213.12 w 291.7 332.6 m 473.8 332.6 l S 0.001 w 213.12 w 476.05 332.6 m 566.1 332.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 440.28 m 568.3 440.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 223.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 223.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 223.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 223.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 223.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 223.83 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 440.28 m 568.3 440.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.91 m 568.3 224.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (book as well as the person's )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (records. Accident records )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 644.72 Tm (must be regularly reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 630.14 Tm (and an assessment made of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 615.55 Tm (how long it took for a )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 600.97 Tm (resident to be found, after )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 586.4 Tm (they have fallen.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 565.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 551.23 Tm (Residents can be put at risk )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 536.66 Tm (if they have an accident such )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 522.08 Tm (as a fall, therefore managers )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 507.49 Tm (need to be able to assess the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 492.92 Tm (extent of risk to residents )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 478.33 Tm (and take action to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 463.76 Tm (that risk to residents is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 449.17 Tm (reduced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.1 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 424.1 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 424.1 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.1 Tm (Where a person is assessed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 409.52 Tm (as needing bed safety rails, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 394.93 Tm (assessments must always be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.36 Tm (completed in full and records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 365.77 Tm (be regularly evaluated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 333.61 Tm (There is a large body of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.04 Tm (evidence to indicate that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.45 Tm (use of safety rails can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.88 Tm (present risk to a person, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.3 Tm (therefore they must only be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 260.71 Tm (used if they have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.13 Tm (assessed as being in the best )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 231.55 Tm (interests of the person.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 424.1 Tm (15/06/2009)Tj ET 0.95294 0.95294 0.95294 RG 145.71 w 32.32 132.8 m 564.97 132.8 l S 0.001 w 1 1 1 RG 35.16 w 31.2 99.24 m 91.05 99.24 l S 0.001 w 35.16 w 93.3 99.24 m 197.4 99.24 l S 0.001 w 35.16 w 199.65 99.24 m 566.1 99.24 l S 0.001 w 20.58 w 31.2 69.11 m 91.05 69.11 l S 0.001 w 20.58 w 93.3 69.11 m 197.4 69.11 l S 0.001 w 20.58 w 199.65 69.11 m 566.1 69.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 80.53 m 568.3 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 119.02 m 30.07 56.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 119.02 m 567.22 56.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.34 m 568.4 138.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 117.94 m 568.3 117.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 119.02 m 92.17 56.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 119.02 m 198.52 56.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.91 m 568.4 207.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.34 m 568.4 138.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 117.94 m 568.4 117.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 80.53 m 568.3 80.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 57.7 m 568.3 57.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 208.99 m 30.07 116.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 139.42 m 92.17 116.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 139.42 m 198.47 116.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 208.99 m 567.32 116.86 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 191.73 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 174.15 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.57 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 34.05 144.99 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 124.17 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 124.17 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 124.17 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.75 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 101.75 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 101.75 Tm (The duplication of care plans about the same matter should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 87.18 Tm (be avoided.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.35 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 64.35 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 64.35 Tm (Fluid balance charts should be totaled every 24 hours.)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 45 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 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696.38 m 568.4 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 644.39 m 568.3 644.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.4 m 568.3 592.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 554.99 m 568.3 554.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503 m 568.3 503 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.59 m 568.3 465.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 428.18 m 568.3 428.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 717.86 m 92.17 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 717.86 m 198.47 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 695.3 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 770.16 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 752.59 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.01 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 34.05 723.42 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 680.2 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 680.2 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 680.2 Tm (Care plans should include precise, measurable terminology. )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.61 Tm (The use of imprecise words such as "normal limits" or )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 651.03 Tm ("assistance" should be avoided.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 628.21 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 628.21 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 628.21 Tm (Where a person is prescribed a food supplement, there )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 613.63 Tm (should be clear written evidence that they have been given )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.04 Tm (this supplement.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.22 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 576.22 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 576.22 Tm (Where a person has a continence care need, the type of aid )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.64 Tm (to be used should always be documented.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.8 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 538.8 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.8 Tm (Items such as boxes of wipes or disposable gloves should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 524.22 Tm (not be placed on toilet cisterns or flat surfaces in toilets or )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 509.64 Tm (bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.82 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 486.82 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 486.82 Tm (Disposable glove dispencers should be placed in all )Tj ET /F1 12 Tf BT 1 0 0 1 515.19 486.82 Tm (en-)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 472.23 Tm (suites,)Tj ET /F1 12 Tf BT 1 0 0 1 242.13 472.23 Tm ( bathrooms, toilets, sluice rooms and the laundry.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 449.4 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 449.4 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 449.4 Tm (Imprecise terminology such a "found on floor" should be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 434.83 Tm (avoided in accident records.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 47 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 (21)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 (21)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 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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. 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 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 50 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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