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Tm (7)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 (1)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 (1)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (0)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (12)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 (Highlands Care Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (56 St. Leonard`s Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Exeter)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Devon)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (EX2 4LS)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 (01392499201)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 1 279.71 620.8 Tm (01392499201)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 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 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 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 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 (Highlands Care Home Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (26)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 397.67 m 30.07 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 374.84 m 298.32 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 352.01 m 432.52 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 397.67 m 566.72 327.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.58 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 357.58 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 334.75 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 313.32 m 297.25 313.32 l S 0.001 w 20.58 w 299.5 313.32 m 429.25 313.32 l S 0.001 w 20.58 w 431.5 313.32 m 565.9 313.32 l S 0.001 w 35.16 w 31.2 283.2 m 297.25 283.2 l S 0.001 w 35.16 w 299.5 283.2 m 429.25 283.2 l S 0.001 w 35.16 w 431.5 283.2 m 565.9 283.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 263.41 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.55 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.55 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.55 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.71 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.14 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 285.71 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 285.71 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 186.88 m 564.77 186.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 221.29 m 567.8 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 198.46 m 568.1 198.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 567.8 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 198.46 m 568.1 198.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 131.88 m 568.1 131.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 245.19 m 30.07 130.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 245.19 m 566.72 130.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 205.1 Tm (The maximum number of service users who can be accommodated is 26.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.27 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 167.69 Tm (only - Code PC to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.11 Tm (admission to the home are within the following categories: Dementia \(Code DE\) Mental )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.53 Tm (disorder, excluding learning disability \(Code MD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 117.1 m 315.25 117.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 117.1 m 346.55 117.1 l S 0.001 w 20.58 w 348.8 117.1 m 377.9 117.1 l S 0.001 w 20.58 w 380.15 117.1 m 409.2 117.1 l S 0.001 w 20.58 w 411.45 117.1 m 440.55 117.1 l S 0.001 w 20.58 w 442.8 117.1 m 471.9 117.1 l S 0.001 w 20.58 w 474.15 117.1 m 503.2 117.1 l S 0.001 w 20.58 w 505.45 117.1 m 534.55 117.1 l S 0.001 w 20.58 w 536.8 117.1 m 565.9 117.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 128.51 m 568.1 128.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 105.68 m 568.1 105.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 129.59 m 30.07 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 129.59 m 316.37 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 129.59 m 347.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 129.59 m 379.02 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 129.59 m 410.32 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 129.59 m 441.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 129.59 m 473.02 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 129.59 m 504.32 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 129.59 m 535.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 129.59 m 567.02 104.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 112.32 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 93.81 m 565.9 93.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 84.18 m 568.1 84.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 85.26 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 85.26 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.43 m 568.1 103.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 84.18 m 568.1 84.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 104.51 m 30.07 83.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 104.51 m 567.02 83.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 90.25 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 90.25 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 71 Tm (The home is located in the centre of Exeter and has a small car park at the front of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 53.99 Tm (building. To the rear is a mature garden which is secluded and quiet. This can be )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 (12)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 30.07 678.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 678.77 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 28.99 679.85 m 568.1 679.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (accessed from the ground floor by a passenger lift. The home has two lounges on the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (ground floor, one with a television and the other combines with a dining area. The )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (majority of the bedrooms are single occupancy and do not have an en-suite facility. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (Bedrooms are situated on three of the four floors of the home and vary in size and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (outlook. )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 (12)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 487.14 w 31.2 490.51 m 580.26 490.51 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 28.99 245.82 m 582.46 245.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 736.28 m 30.07 244.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 736.28 m 581.38 244.74 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 719.02 Tm (The quality rating for this service is 1 star. This means the people using this service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 704.44 Tm (experience adequate quality outcomes. The inspection was unannounced and took place )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.86 Tm (over five and a half hours. We spent time in the communal areas of the home, visited )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 675.28 Tm (some of the bedrooms and spent time looking at written records and talking to people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 660.7 Tm (working at the home. The atmosphere in the home was open, welcoming and organised. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.12 Tm (On our arrival, people were being entertained by a visiting performer. There has been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.54 Tm (considerable improvement in the way the home is run and staff benefit from an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.96 Tm (experienced manager who has created a safer place for people to live.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.8 Tm (The home was registered with the Care Quality Commission \(CQC\) as a new service in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 573.22 Tm (April 2009. At that time there was a registered manager working at the home but they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 558.64 Tm (are no longer in post. As a result of concerns raised by visitors to the home regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.06 Tm (quality of the care, a safeguarding referral was made by CQC following a random )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 529.48 Tm (inspection on 5th August 2009. Subsequent safeguarding meetings have taken place, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.9 Tm (which included health and social care professionals. People living at the home have had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.32 Tm (their care needs reviewed. The provider has been invited to these meetings and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.74 Tm (demonstrated a commitment to improving the service, both through their discussions and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 471.16 Tm (their actions.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 456.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 442 Tm (CQC carried out two further random inspections on 27th August 2009 and 4th September )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 427.42 Tm (2009. These visits resulted in enforcement action being taken by CQC, with two statutory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.84 Tm (requirement notices being served on the home relating to care planning and health and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 398.26 Tm (welfare. We also undertook a key inspection on 8th October 2009 when the overall rating )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 383.68 Tm (for the service was changed from 'new' to 'adequate'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 369.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 354.52 Tm (The provider has now appointed an experienced manager to work at the home and they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.94 Tm (officially started working at the home in November 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 325.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.78 Tm (The purpose of this inspection was to check on the home's compliance in respect of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 296.2 Tm (statutory requirement notices and to make a judgment about whether the standard of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 281.62 Tm (care has improved. As a result of this inspection, we have made the judgement that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 267.04 Tm (statutory requirement notices have been met. We also checked to see if the home had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 252.46 Tm (met the requirements made on our last inspection.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 225.49 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 1 175.95 225.49 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 172.88 w 31.2 128.99 m 580.26 128.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 216.55 m 582.46 216.55 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 30.07 217.63 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 217.63 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 200.37 Tm (Choice of home - Last time we inspected, we recommended that people's assessments )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 185.79 Tm (should be holistic i.e. not just focusing on their physical needs but also their mental )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 171.21 Tm (health needs and their spiritual and social needs. Assessments for two people who have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 156.63 Tm (moved to the home since our last inspection showed that they have improved in detail. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 142.05 Tm (The manager was also able to tell us about their approach to gathering information about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 127.47 Tm (people, which demonstrated good practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.31 Tm (Health and Personal Care - We looked at the care plans for two people who had moved to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.73 Tm (the home since the new manager has been post and a care plan for someone with high )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 69.15 Tm (care needs. The manager told us that she is currently working with the care planning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.57 Tm (structure that she has inherited. However, she plans to adapt this to reflect previous )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 (12)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 (successful care planning systems, which worked in previous homes that she has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (managed. The care plans are moving towards a more person centred approach.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Both care plans held sufficient details for each individual's care. For example, there is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (recognition of pain control, moving and handling needs and wound care. We saw that risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (assessments are in place, and include falls and skin care. We saw records for mouth care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (and regular checks for the setting on a pressure relief mattress. Staff also told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (they had received recent training in skin care and how to support people with swallowing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (difficulties. We saw that records were up to date, including the toilet charts, and observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (that people were regularly supported with their toileting needs. The home had no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (unpleasant odours, which included the toilet area, and people looked comfortable.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (We talked about the systems in place to ensure that people's care is consistent, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (included handovers, a communication book and sharing information with staff prior to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (people moving in. The manager has recently implemented a new system to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (the people providing the care are the same people who write up the care records. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (talked with the manager and a senior carer about the support for someone with end of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (life care needs, although they were clear in discussion about when they would request )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (help if someone had only drunk a little, this was not clear on the fluid charts. However, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (the fluid charts were up to date and showed that the person was receiving regular )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (support with their drinks. We looked at the notes relating to health intervention for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (another person with complex health needs, and saw that these were of a high standard.)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 (We also saw recognition of how people can be made to feel safe and how they respond to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (the people around them, including the staff. We saw guidance about people's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (communication needs. We saw staff recognising people's changing needs, both during our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (visit, and through the home's care records, which showed that the home contacted GPs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (and district nurses appropriately to discuss concerns. Daily records are detailed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (recognise change and record the action taken. Records and discussion show that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (manager has been an effective advocate for people to receive the care they are entitled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (to. For example, ensuring a review of people's needs when they moved in and for one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (person arranging an audiology appointment and a community psychiatric nurse to assess )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (the person as part of their admission assessment. However, staff told us that accessing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (mental health services has proved problematic despite repeated requests for a review of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (one particular person's needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (Since our last inspection, the home has had made improvements to the way that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (medication is administered and managed. The provider has carried out a detailed audit on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (medication practice and we read the subsequent report and discussed the changes that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (have been implemented as a result. We were told there would continue to be a monthly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (audit and that the signing of cream charts was an area for improvement. We saw in one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (person's daily notes how steps have been taken to ensure that medication did not run )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (out. The home confirmed that there is appropriate controlled drug storage in place, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (that there is an appropriate register in place. Further improvements to medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (practice include a comprehensive medication policy and people's medication is reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (by a GP at suitable intervals.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Daily Life and Social Activities - the requirement linked to this section will be checked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (the next inspection.)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 (Complaints and Protection - During our last inspection, we made a requirement that )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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 673.68 w 31.2 448.39 m 580.26 448.39 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 28.99 110.42 m 582.46 110.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 109.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 109.34 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (complaints must be recorded accurately and in detail, including the action taken. The new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (complaints log shows that the high standard of records comply with this requirement )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (demonstrating good practice, a thorough approach with detailed records and action )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (points. We were told that staff training in safeguarding awareness is work in progress, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (and the manager and the provider were able to tell us about steps they had taken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (arrange suitable training. This requirement will be carried over and inspected at the next )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (inspection.)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 (Environment - We saw that the home has responded to our recommendation to audit the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (rooms by producing a checklist, which has been completed to show that lights are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (suitable, call bells are working etc and the action taken. The provider accompanied us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (when we visited the bedrooms on the lower floor. They showed us the improvements that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (have been made, what steps have been taken to ensure room temperatures are more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (suitable and we heard them making arrangements for a further visit by a heating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (professional. The rooms that we visited in the basement felt warm and one no longer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (smelt musty. The manager also told us that staff had been reminded about ensuring that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (blankets kept in the lounge are kept clean. We saw a blanket being used during our visit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (in the lounge, which looked clean.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (There were no unpleasant odours in the home, which included the corridor and bathroom )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (that we raised concerns about on our last visit. Since our last visit, this bathroom has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (been re-decorated to make it a more pleasant place to visit. The requirement relating to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (the Health Protection Agency will be carried over and inspected at the next inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Staffing - We were told that staff training is work in progress, and the manager and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (provider were able to tell us about steps they had taken to arrange suitable training. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (also told us about recent training and the benefits they had gained from this. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (requirement will be carried over and inspected at the next inspection. No new staff have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (been recruited since the last inspection so the requirement will carry over.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Management and Administration - The home has been without a registered manager for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (approximately five and a half months, which is not best practice. We have advised the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (home that they must submit an application to register the current manager of the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (to help to provide security to the home and confirm the suitability of the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (We saw good evidence that quality assurance systems are being put in place and looked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (at the records relating to an audit of meals, rooms and medication, which had clear )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (outcomes. The home recognise this is an area for development but are making good links )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (with relatives and friends of people living at the home through social events.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (On our last inspection, we made a requirement that the person who provides the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (maintenance for the home must have appropriate training. We were told that a three day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (course in Health and Safety is being planned. We were also told that the arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (for the laundry would be changing, which may address the concerns raised at the last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (inspection. However, the requirement linked to this section will be looked at in more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (detail at the next inspection.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 92.35 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 38.61 w 31.2 62.98 m 580.26 62.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 83.41 m 582.46 83.41 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 84.49 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 84.49 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (There are outstanding requirements and recommendations which will be checked when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (the home is next inspected. No new requirements or recommendations were made on )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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 31.2 776.43 m 580.26 776.43 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 28.99 766.52 m 582.46 766.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 765.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 765.44 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (this visit.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 750.46 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 750.46 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 734.46 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 140.22 w 31.2 506.11 m 91.05 506.11 l S 0.001 w 140.22 w 93.3 506.11 m 197.4 506.11 l S 0.001 w 140.22 w 199.65 506.11 m 289.45 506.11 l S 0.001 w 140.22 w 291.7 506.11 m 473.8 506.11 l S 0.001 w 140.22 w 476.05 506.11 m 566.1 506.11 l S 0.001 w 242.28 w 31.2 312.61 m 91.05 312.61 l S 0.001 w 242.28 w 93.3 312.61 m 197.4 312.61 l S 0.001 w 242.28 w 199.65 312.61 m 289.45 312.61 l S 0.001 w 242.28 w 291.7 312.61 m 473.8 312.61 l S 0.001 w 242.28 w 476.05 312.61 m 566.1 312.61 l S 0.001 w 146.67 w 31.2 115.89 m 91.05 115.89 l S 0.001 w 146.67 w 93.3 115.89 m 197.4 115.89 l S 0.001 w 146.67 w 199.65 115.89 m 289.45 115.89 l S 0.001 w 146.67 w 291.7 115.89 m 473.8 115.89 l S 0.001 w 146.67 w 476.05 115.89 m 566.1 115.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 434.88 m 568.3 434.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.35 m 568.3 190.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 434.88 m 568.3 434.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.35 m 568.3 190.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (People living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (need to be supported to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (maintain their faith/spiritual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (beliefs and existing interests, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (including external interests.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.68 Tm (This is to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.1 Tm (people's well being and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.52 Tm (individuality is maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (02/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 418.69 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 418.69 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 418.69 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.69 Tm (The responsible individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.11 Tm (and staff must familiarise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.53 Tm (themselves with, and follow, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.95 Tm (the local authority's multi )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.37 Tm (agency guidance on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (safeguarding people to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (ensure that people living at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.63 Tm (the home are protected from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (abuse and harm. This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.47 Tm (includes updating the home's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.89 Tm (policy.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.73 Tm (\(This requirement has been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.15 Tm (repeated. The original )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.57 Tm (compliance date was )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.99 Tm (22/09/09\).)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 418.69 Tm (01/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.16 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 174.16 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 174.16 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.16 Tm (Staff must receive training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.58 Tm (that is appropriate to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145 Tm (work they perform, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.42 Tm (training on supporting people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.84 Tm (with dementia, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.26 Tm (understanding behaviour that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.68 Tm (challenges the service, plus )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.1 Tm (moving and handling and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.52 Tm (infection control. )Tj ET /F1 12 Tf BT 1 0 0 1 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The original )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 580.96 Tm (compliance date was )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 566.38 Tm (22/09/09\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 541.29 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 541.29 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 541.29 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (Staff must receive training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (that is appropriate to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (work they perform, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm (training on supporting people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (with dementia, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm (understanding behaviour that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (challenges the service, plus )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (moving and handling and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (infection control.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (To ensure that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm (diverse needs are met safely )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (and appropriately. \(This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (requirement has been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.17 Tm (repeated. The original )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.6 Tm (compliance date was )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.02 Tm (22/09/09\).)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 541.29 Tm (01/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.18 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 282.18 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 282.18 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.18 Tm (Recruitment must be more )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.61 Tm (robust in the home, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.02 Tm (include suitable written )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.45 Tm (references and detailed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.87 Tm (employment histories to help )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm (safeguard people living at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.71 Tm (the home and ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (staff are suitable to work at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.54 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 282.18 Tm (02/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.56 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 110.56 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 110.56 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.56 Tm (You must carry on and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.97 Tm (manage the care home with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.39 Tm (sufficient care, competence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.82 Tm (and skill to ensure that care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.24 Tm (staff receive the leadership )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 110.56 Tm (11/11/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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(Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (and direction they need so )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (that people's needs can be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (\(This requirement has been )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (repeated. The original )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (compliance date was )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (22/09/09\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.29 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 538.29 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.29 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (Unnecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (heath and safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (users must be identified and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (so far as possible eliminated, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (with records kept of action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (taken.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (live and work in a safe and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (well maintained )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (environment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 538.29 Tm (01/12/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 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Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 398.77 m 564.97 398.77 l S 0.001 w 1 1 1 RG 20.58 w 31.2 354.91 m 91.05 354.91 l S 0.001 w 20.58 w 93.3 354.91 m 197.4 354.91 l S 0.001 w 20.58 w 199.65 354.91 m 566.1 354.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 367.4 m 30.07 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 367.4 m 567.22 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.3 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 367.4 m 92.17 342.42 l S 0.001 w [] 0 d 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Tf BT 1 0 0 1 34.05 372.55 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 372.55 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 372.55 Tm (Good Practice Recommendations)Tj ET endstream endobj 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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 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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