%PDF-1.4 % 1 0 obj <>stream JFIF``ExifII*C    $.' ",#(7),01444'9=82<.342C  2!!22222222222222222222222222222222222222222222222222S" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?gBGBkQQ(((((((((((((((((((((((((((((((XRA5,˛rSGQGiy >d-\EXeN(!g!T OJl2𤱜 \޷4hQ6? lz0Bv,(((((((((|?x:(tEZu[J{U*(((((((((((((((((((((((((((((((((U'Oα R$b;8((((((((((?gUN|J((((((((((((((((((((((((((((((((((((((((((((|?x:(tEOw?ZJUh((((((((((((((((((((((((((((((((((((((((((((?6!ΫUFQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEGtQΊB?տQ@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@tEP endstream endobj 3 0 obj <>stream JFIFC     C   rc" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?㟈3[/a}5>UHA q%}0WG#J'sZL58QSVI /4j]UFI51.χOq myr=鶖캕QW%x-0x"K[v^khQܓls^Fђ#4&)VY^(QEQEQEQEQEQEQV,4V+[+io.`v'rM{|j\Y=cڟRin*ץCQi-Ezd {S~i-B>Q|s^K,oe( 9&tRJJKmQL((((RW{g u魥@ʖlU8m-ٕJ[I/Wcme̓Hrx3R~,uv7y͂j2Xm ֧M9%~(o-+m! X\*f ((Kg{F7~Z RbYgPa|Џ~o Mᮽqi6w/cKd`9U͏UR=ҿmO|>mL^lQH t0=WcjF<1wgN^Oz/CWzh-߇|C.|KnۜNSt5_쉢/ iXKv?W-1~铵aqͼ7F [_/[8#JV2\i6z B|w~gӕKtע~ϟdgDݭۗb?u R+QVhH]j.oo%vE\c1ဩ1GGT›_ i?>ҡ$,5],'2w)S8_Q_G¿ ;axzmՊȉ>WGR\TĬ."'5>º/$x oHJGHﭒeC 085Ϗgo!L4l[xóJ0psu9]^%ծdM(ciYLn]+aocFgl!BѶ既ɑJ?q*'9M.ѤsC ,V&ߖ£)vdsR~<tt{S\:NmObm$wwION kLk ~ HndLlˏlQ{Z*Ρjnmu-:n!ou$˭ϱRRW[nx/i^ѠN\-t'I:? e }o㦯\(siN>첺xjdSg?<5JW>e~>_K_Q>m9v<וH6v6麗Z)%Xmf5-yt:fWqA*P+2ygLshoMG_(ot~XGnSz*ʧA'h?|9}z /ǖљa/ϕ(W 9Րe9vOZ;O[\,Bf;2~J<4g? f M+ٯtilebF pAC^rx:~3@w1ߢѬ3džx_Zdm.7gm2żvu,:k]TWmOº0})ƿR|-5 :y1JRqU)reG.mR+(s amY%[k8V$\T־c_AJ4OkZ KK>C0İrL96ʉYu\~T k\gxOm!i4p@*0v>>~ҞL٩ډ5*"M˕pan=EO}Q>"}@>i襯/xz xUk2[9qrHT{|$ KJC: w!i^'19']Ww_)/¯96ea%Դ8LQ2.%_&%daG8گ_ <gƗm"^9aFFCd'UxXVrz~^.4Ix=F 9dO$g ~C|#\t(@Y;էOZ|?}z孮C/ud]z9x?Gi΍kX68ʸt ȹÕ jj\{ZߦwVJ0})FHWOs8g?߆[^-gRRmB9]<ߙ, S`ǮkIKLΞYITݒ?(U|qx㇊5Oa6V@Db>b ʪQN3jQE3S%ѭ^m?ګ¢%\)?h`H%ѭT#}C^'ҵ&smi)uo'>W ~捾~~~_#RZ11#9q+nt~ c;u+#[V%`'\-+G.kz}֍3VvxꬮYIn|6ARˣS|;5}αZw2ăRkҾ"~o/RC^|zcʏ_Ꮝ,|_RUӜOai})%O!qW~_Mڎit۽0 L6;tScuիa1SOw?߈>(<9a6^ =II$5)״{E!mLFXp29ž*w5Vћ^gR<6{}(g߉hx^[ZHڦg1Y.lldo wq3汖iWX`S_z~_?  v߁?T<_` `"y0$JiXib(vU/ -^gM/X_?ɸn?B-4:XmllT"\$vS?9ZHu 붦8t*{k  ߀x|-#KAvѴhX|fxia+잉_πy 2lzj_ sNuwskQܖg5O Z\uY(-ڿf}po? ti/s?xPg5=sUϩjOws# nwb3__Ii?Yv) >dqai.#Ro& efOk7D(?|g?' ?ǷfM"K.+ )5O.!O '_A}ZoXOJň0sNrRI# 6#Qm=5ϱ/z脫߳7UK֍,5G45F%}P{fFq c<߳Y:WE-x^xIi  C?@6ҽc3*~YTRz[8|4/>!GF'a|6;c-3ᮅii0z|Jҫ c3u~Ox.⿈o+󵫫kyrŹ{c ~ݫ}4ORWðtW]|>ѯ|K`啌tSXx?~iQ>/U<e>/!HAڛ>WH<-Yg5)N:G9+X($C?kW9]ď(~'j*c:_};⟅zׄPQȝv}"cf>5T [}pg|K]xŐtO jڼd= |Ë>& ?S>%/m/>ԑM|>;׮ujw:tۦ7O@:T } oz)!~+a0xL2 _3_ž,| sCLլe[[3Gb }*׏--o 蚽 җ $g_QCb\e+I|L+|It둨[~w:vHuX2ǵl|H|B]gz|*fnmnE # #ex%jK/ٮꚷ,۝F[JO" +E"hſ^'Ӵ{f\2ǻۻv?qqw7x,;. u |k_\pdïW E=R*jgGVHt+ېiXC]ז|k&en4VZHVWO,G\H)+QV{EPy㏍ jΒCMOʷNdgW~x"ռ-'hL徣yWT71o4~yk7E= ۥǸ~? j?x"|%X(} ׭K k7p$7B(nX{T8Bݎ ]:~٨m^~eFDڄ^f#F{.{jn=CA$sTgWRIPta2rchgh_NJ5m)_Ӯ>C:כ$%$].KbwM<&\ F8q_7G$WCeAӍ%gju}zRHђ w=^GCkMaEsd䈤R 9xuj:`hp[.>G6IkZ7qX9۟5|,T[_+i%k׾{z9;ܡT~\2{q_1K+:j1Y>5A񆭧inzϏKT(|3g+I|Q4+M* o[#=F:_#YiZMSc; B @D}ݤE@O"QٛU+F5b=7SKխZkyuK)5?িYWB*s4!HX7g_"MFX|SAIo!Gm:iZƓxF"W `o ᏾=5-ŊaQAI#i/i6Ƒzl%Vrl1A 9g?.K+n)is!zڹ Rm[#.#GG֋)_4si98?Z{GW-8 ?2we굽?ƾ0o [z6Msq'Usǀ=H-xψ72rLǦbH8wE__O<+ ne+SP8WTSg/u04VӲAEVQ@ď(~'jp>G?NFz?m(>$~^ /!Y\FqipGpJ'h'rJhaYmG߱xo>/&YkWzy18Fk>&~mCYYQɧoʤw9.Ϟ2/j-$_0R5k,l4m&KJueAG4KmGok|m< cRQ>00lS{%?+hK/߲Lj5?Fll<wr*ۋ}kj&Ɨi_xZ\Awl,VeQۿbs؃Qu<GQRA>ipj|5_B&-煲7J&Y>'~ G}KL𷅬UsӷA; |^Eдlu SקnGB5xKh;ZU9ؿ</:+kZK'r+Bk/x\𶩷MHXF58~e#޳+ZKkP]|QS[4.!xjrs8-y?0>-~" WN\iͼ$fS#ruC?TLFp|~梑bL>]J=ےVKv~PQ_z&xTB-CcTz}xoE>OZdmww^XF]-F T.. *^m̴?8MWS,3H|ۗH"PZIz;_op|%k{;]6rXDu?f{p}SN}j5~mG8ҒrKV~D_~Oi^5~ijW _־Nb[Z|2lyV]Vzs8焪&sas55HJJ<Ꮔmi)aqxh‚J I5sF|h5N]HX-Bt:ƾ~sm :TZƒ}ĦfeRӕ P/:. zV 1hWb:¥}Sb?7~ k~ Yx[yA\Vo@r@_ E:F ֯ .}n>?Uj'glT? h]3NtFH$cva`_~؟o.5os ƞXn a݀A#9ITMٜL N.{)u>?7FE`x"{YXm  yFi RIuJ I7+1uל`O8|xЬ?#h dXo"z\ y}+LsVQ>=k>҇|G[vfTRNW=}DRm[~WAN( (:?POa;NmJO4_…?W|H ֣ǎ/BFWivz6Ӓ،k;^(]nַ,n# ¿+'+vn5'r&.qƿ3>.7(/7)]=<_oum:$꽄?}:Vp[xXHO $y5u2Em$2X¶|U_x~!е 81j `3_pO/?|W"I.=&U;~ʨ _R4jڬOc]Dn]ݟ]M}ׯ8apU/Ozo OI'&-LΑevq_RN% )hE̖ghh 2dtJ;Oϊv h:MVeY4gs>|jE?mOIpnTa)mrG<;;Y,%eATYr;t^o,>%𾿬xfo!_L+mozu?eϏ._:9n&PVx\w98ӟO5t$gZ+p ZQ-o_G}{h4mGoدOk_|)񗈵kg AnK#jf=L2gZhN/VZqcųytQWȟ? Hiv&/庄̭M{MҺ y}&K]OJ;T}}h]i6s$!<{Rp˱beZY7/N~w_W_U7\WʿL9O!_UV߼=c$?MqToNw ;;o~1INu(=2fvJ*Z^xDKe|,7þ@ֺO%/[ )|S Ʉr`p&=7Cd|^42SU d3Hی▊z)=eo?6 M[4wYjz|4Rq<_cSᔶk {J4N3.-%[ƶZ׆5 hI(kCT ~`ܳz+#3:[}md)$QߞO*ǵoAqJXE xfRtg $MoC/yi%? 5},[#iӟįkK:FZ)V2Z]<24sG ut8`A_.t4䓎:}X>Im]\\-Ckj:j: Q@ď(~'j+ҿh߇Z/+Y-|HɄr"ךF%ҌG|q>R_xSS#:uﵸA|1ik$O .}:Yzt}2k~N ~/)ceZ}~x Ӻ6]jיD>'^+yujW6Ƥm:G ?SqTPV+`_5Y" *Dlqԭj:/n@zm)nubpt1$~j-57j{a?|E~~:mrb<08tlMGvfyA#d $*~kxG][Z>>+v68_|Gs_ ¸:Ο5'B}nsJ-YىعƥxmZg ?+#qH|ݻ M?J-cV"-p*x-wkh'x7į_Qoorwgp+}k 5 i?i{_;w;7!M?=kbՙ#-#ZPWݟQۙ} t>|6߅Óce/ؠns>54/EC~M>5%05f7n-8q m=,g ioob1ZSV'TkF].އ}c_gGb+ljbg_T#­g º:=Z}k^Wcvϳ>58g_-iBX^1]en^lO| \q Ɵtk]Ś\~3"k|{ެk*(qOB6.ZKo/鬟Vo 7E=U1Z Wߴ__χllnx=vIp>_e=+*T"80 5R=VmfExO\4{ٴNQ= B } zlV6ZN}ݣ*TJjEKsq,D/oGviVtj78R"LUW?gs_BuL-|=DAoryv>l.MRww7ogo˵i>|scLW~՟?4?8-58O;*m&?g9ӚNU{U25\DqS{]bV/&+IVX.0A*=>+/boб9tOE|#E"~x ե7rޑXPW?h~^ ]G: ud{$^y"0e8< BϾ=ŏQeleO؄O"ݞ{+[wAg1JuSqMݛR7vw}5aYO}V 'KH|ݻM?+T ^_(Domkht;?6*@(iyc~״ I.|eR3t8=z+?i $[5~~|O uNե$֑r>`v{lȵ_MW/Sr/5}oZ/&)B-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏5_x6H鰰ϯ+Eb?/C[DT*xQEHn[ endstream endobj 4 0 obj <>stream 0 J q 546 0 0 62.25 28.35 0 cm /img0 Do Q 0.75294 0.75294 0.75294 RG 94.4 w 22.95 722.15 m 561.53 722.15 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 759.3 Tm ()Tj ET q 170.25 0 0 54.75 28.35 697.6 cm /img1 Do Q /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.77 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 595.03 Tm (Random )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 595.03 Tm (inspection report)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 17 w 22.95 549.81 m 580.6 549.81 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 514.69 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 96.15 w 32.32 449.87 m 579.13 449.87 l S 0.001 w 1 1 1 RG 20.58 w 166.71 488.78 m 580.25 488.78 l S 0.001 w 73.32 w 166.71 439.58 m 580.25 439.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 477.36 m 582.46 477.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.19 m 582.46 500.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 477.36 m 582.46 477.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.79 m 582.46 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.27 m 30.07 400.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 501.27 m 165.58 400.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 501.27 m 581.38 400.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 484.01 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.01 Tm (Camelot Care Homes Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 461.18 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 461.18 Tm (1 Countess Road)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 443.6 Tm (Amesbury)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 426.02 Tm (Wiltshire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 408.44 Tm (SP4 7DW)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 391.5 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 370 m 391.05 370 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370 m 580.25 370 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 347.17 m 391.05 347.17 l S 0.001 w 1 1 1 RG 20.58 w 393.3 347.17 m 580.25 347.17 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 358.59 m 582.46 358.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.42 m 582.46 381.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.59 m 582.46 358.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 335.76 m 582.46 335.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 382.49 m 30.07 334.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 382.49 m 392.17 334.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 382.49 m 581.38 334.68 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 365.23 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 365.23 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 342.4 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 304.45 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 287.45 Tm (the needs of the people who use it. We give a quality rating following a full review of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 270.45 Tm (service. We call this review a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 236.45 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 236.45 Tm (random)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 1 200.47 236.45 Tm (inspection)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 236.45 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 236.45 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 219.45 Tm (focussed review of the service. Details of how to get other inspection reports for this care )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 202.45 Tm (home, including the last key inspection report, can be found on the last page of this report.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 167.97 m 315.25 167.97 l S 0.001 w 20.58 w 317.5 167.97 m 565.9 167.97 l S 0.001 w 1 1 1 RG 20.58 w 317.5 145.14 m 346.55 145.14 l S 0.001 w 20.58 w 348.8 145.14 m 377.9 145.14 l S 0.001 w 20.58 w 380.15 145.14 m 409.2 145.14 l S 0.001 w 20.58 w 411.45 145.14 m 440.55 145.14 l S 0.001 w 20.58 w 442.8 145.14 m 471.9 145.14 l S 0.001 w 20.58 w 474.15 145.14 m 503.2 145.14 l S 0.001 w 20.58 w 505.45 145.14 m 534.55 145.14 l S 0.001 w 20.58 w 536.8 145.14 m 565.9 145.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 156.55 m 568.1 156.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.38 m 568.1 179.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.55 m 568.1 156.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 133.72 m 568.1 133.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 180.46 m 30.07 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 180.46 m 316.37 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 157.63 m 347.67 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 157.63 m 379.02 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 157.63 m 410.32 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 157.63 m 441.67 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 157.63 m 473.02 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 157.63 m 504.32 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 157.63 m 535.67 132.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 180.46 m 567.02 132.65 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 163.2 Tm (Lead inspector:)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 1 320.35 163.2 Tm (Date:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 140.37 Tm (Susie Stratton)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (2)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 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 28.99 758.22 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 (Camelot Care Homes Ltd)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 (1 Countess Road)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Amesbury)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 (SP4 7DW)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 (01980625498/549)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 (01980624698)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 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 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 568.1 485.46 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 568.1 508.29 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 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 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 (Xcel Care Homes Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (57)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 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 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 351.68 m 297.25 351.68 l S 0.001 w 35.16 w 299.5 351.68 m 429.25 351.68 l S 0.001 w 35.16 w 431.5 351.68 m 565.9 351.68 l S 0.001 w 20.58 w 31.2 321.57 m 297.25 321.57 l S 0.001 w 20.58 w 299.5 321.57 m 429.25 321.57 l S 0.001 w 20.58 w 431.5 321.57 m 565.9 321.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.15 m 568.1 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 309.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (57)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 316.8 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 316.8 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 232.54 m 564.77 232.54 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 266.95 m 567.8 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 568.1 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.77 m 567.8 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 568.1 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 568.1 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.54 m 568.1 177.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 290.85 m 30.07 176.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 290.85 m 566.72 176.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 273.59 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 250.76 Tm (The maximum number of service users who can be accommodated is 57.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (with nursing - Code N to service users of either gender whose primary needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.77 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 34.05 184.19 Tm (any other category \(Code OP\) Physical disability \(Code PD\) - maximum of 5 places)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 162.76 m 315.25 162.76 l S 0.001 w 1 1 1 RG 20.58 w 317.5 162.76 m 346.55 162.76 l S 0.001 w 20.58 w 348.8 162.76 m 377.9 162.76 l S 0.001 w 20.58 w 380.15 162.76 m 409.2 162.76 l S 0.001 w 20.58 w 411.45 162.76 m 440.55 162.76 l S 0.001 w 20.58 w 442.8 162.76 m 471.9 162.76 l S 0.001 w 20.58 w 474.15 162.76 m 503.2 162.76 l S 0.001 w 20.58 w 505.45 162.76 m 534.55 162.76 l S 0.001 w 20.58 w 536.8 162.76 m 565.9 162.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 174.17 m 568.1 174.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 151.34 m 568.1 151.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 175.25 m 30.07 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 175.25 m 316.37 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 175.25 m 347.67 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 175.25 m 379.02 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 175.25 m 410.32 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 175.25 m 441.67 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 175.25 m 473.02 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 175.25 m 504.32 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 175.25 m 535.67 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 175.25 m 567.02 150.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 157.99 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 139.46 m 565.9 139.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 129.84 m 568.1 129.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 130.92 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 130.92 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.09 m 568.1 149.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 129.84 m 568.1 129.84 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 30.07 150.17 m 30.07 128.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 150.17 m 567.02 128.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 135.9 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 135.9 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 116.65 Tm (Camelot is a 57 bedded care home with nursing. The home consists of two wings, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 99.65 Tm (Comilla Wing parts of which are listed, and Countess Wing a new-build home. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 82.65 Tm (oldest part of Comilla Wing is on the main road into Amesbury, with a wing off this )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 65.65 Tm (older building, leading to a linked area into the unit called the Lodge. Countess Wing is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 48.65 Tm (a purpose-built care home. Accommodation is provided over two floors with passenger )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 (24)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 33.25 756.16 Tm (lifts in-between. The two wings are separated by a court-yard garden, which they )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (share. The home is owned by Xcel Care Limited, a company which owns a range of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (care homes, mainly in the south of England. Xcel Care Homes purchased the home in )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (February 2009. The manager's post is currently vacant. A person is acting into the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (role. This person leads a team of nursing, care and ancillary staff. The home is situated )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (near the centre of the small market town of Amesbury, in the middle of Salisbury Plain. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (Amesbury is on the A303, which links to the M3. There is a bus station in Amesbury. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (The closest railway station is in Salisbury, about 20 minutes drive away. There is )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (parking on site. A copy of the service users' guide is given to all new admissions. Fees )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (range from 600 pounds to 750 pounds per week. Additional charges are made for )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (chiropody, hairdressing, newspapers, optical requirements and toiletries.)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.26 w 31.2 389.58 m 580.26 389.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.82 m 582.46 42.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.74 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (This random inspection was performed on 21st December 2009, between 9:00am and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (4:00pm. It was unannounced. It was performed by two inspectors, these people are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (referred to as "we" throughout the report, as the report is made on behalf of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (Quality Commission \(CQC\). The deputy manager was on duty during the inspection and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (the providers also made themselves available for feedback at the end of the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (At the last inspection, in all areas apart from environment, outcomes for residents were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (judged to be poor. Outcomes for residents for the environment were judged to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (adequate. Since that inspection, the provider has submitted an improvement plan to us. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (This was followed by an up-dated plan a month later. We have also held a formal meeting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (with the provider to discuss the situation in the home. We are aware that the providers )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (have been supported by the local Social Service department developing services at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (At this random inspection, we concentrated on reviewing pre-admission assessments and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (standards of nursing and care, assessing how residents' privacy and dignity was up-held, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (the management of mealtimes, adherence to principals for health and safety and staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (recruitment. Other areas will be reviewed at the next key inspection, which is due by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (20th February 2010.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (During the inspection, we met with a range of residents in all parts of the building and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (observed nursing and care at different times of day. Very few new residents had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (admitted since the previous inspection. Some of the residents were able to converse with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (us, but others were too frail and we relied on observations of their care, to assess how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (the home were meeting their needs. We met with some visitors and discussed their views )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (about nursing and care provision. We also met with a range of different staff, including )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (registered nurses, care staff, catering staff, the activities person and the maintenance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (person. We observed a mealtime in both parts of the home, including how people who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (choose to eat their meals in their room were supported. We reviewed equipment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (provision for people with complex needs. We also considered staff compliance with health )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (and safety, including adherence to the principals of infection control, management of bed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (rails and manual handling practice. We looked at records relating to three recently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (employed members of staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (We found that some areas, such as pre-admission assessments showed improvement. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (Other areas such as assessment of residents' needs, care planning, meeting the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (people and ensuring residents' privacy and dignity have not improved. We also noted new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (areas where the home needs to take action, including ensuring that advice from external )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (professionals is followed in a prompt manner, that odour is prevented and ensuring that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (records of all bruising and skin damage to residents is documented.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (We are concerned that the home continues to have so many un-met requirements from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (the previous inspection, as residents may not be safeguarded by the home's systems. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (discussed this with the providers at the end of the inspection, and advised that a key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (inspection will take place shortly and if improvements are not made in service provision )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (by then, that we may consider taking enforcement action, to ensure that residents' )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (health, safety and welfare is met.)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 (24)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 (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 1 175.95 768.28 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 714.54 w 31.2 400.95 m 580.26 400.95 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 759.34 m 582.46 759.34 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 30.07 760.42 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 760.42 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 743.16 Tm (Camelot is situated close to the centre of the small town of Amesbury. As such it can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 728.58 Tm (part of the local community and visitors are able to come and go, as they wish. following )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 713.99 Tm (comments made by visitors, the provider has improved systems for entry to the home by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 699.41 Tm (regular visitors. Visitors commented on how more personal the home was for their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 684.84 Tm (relative than being in hospital. One visitor commented on how their relative had "changed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.26 Tm (dramatically for the better" after their admission to the home, a while ago.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 655.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 641.09 Tm (A person who had been recently admitted commented on how they lived locally, so knew )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.52 Tm (about the home, that was why they had decided to be admitted to Camelot. They )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 611.93 Tm (reported on how they appreciated staff helping them to get washed and dressed and that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.35 Tm (they enjoyed their "nice" bath. The reported that they were comfortable in their room and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 582.78 Tm (could go out to activities if they wanted to, but generally preferred to remain in their own )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 568.2 Tm (room. This person understood about their nursing and care needs, including medical )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.61 Tm (conditions that they experienced. The providers reported in their improvement plan that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.03 Tm (their pre-admission documentation had been reviewed to include more in-depth )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 524.46 Tm (information. The new resident's pre-admission assessment was dated and signed and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 509.88 Tm (generally documented their nursing and care needs, including their medical conditions, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 495.3 Tm (aids to mobility and risks presented by their condition, including how to avoid them. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 480.71 Tm (documentation also noted their preferences for time of going to bed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 466.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.55 Tm (The home have been supported in developing assessments for resident needs, from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.98 Tm (which they plan to develop care plans which will direct staff on how individuals' needs are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 422.39 Tm (to be met. The deputy manager reported that the new systems had not yet been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.82 Tm (introduced for all residents. They did have plans as to how these were to be progressed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.23 Tm (New monitoring charts, which are meant to be kept in residents' rooms, had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 378.65 Tm (introduced. These enabled documentation of when peoples' positions had been changed, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 364.08 Tm (fluids taken in and meals eaten, all on one chart, to support staff in ensuring that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 349.49 Tm (documentation was completed. All personal records relating to residents were now kept )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.92 Tm (confidentially. A care assistant we met with understood certain aspects of meeting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.33 Tm (residents' needs, including the importance of not tucking in sheets when a resident was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.76 Tm (cared for on an air mattress, knowing that tucked in sheets reduced the effectiveness of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.17 Tm (air mattresses. This care assistant also reported that people at risk of pressure ulcers )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 276.6 Tm (needed turning four hourly and that it was important to look at areas at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 262.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.43 Tm (There was evidence that residents were referred for external health care advice. One )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.85 Tm (resident had clear instructions from a speech and language therapist relating to their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.27 Tm (swallowing difficulties and how these were to be met, displayed in their room. Another )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.7 Tm (person had been referred to the community physiotherapist promptly after their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 189.12 Tm (admission. Since the last inspection three residents' seating needs have been assessed by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.54 Tm (an occupational therapist and advice given. The deputy manager reported that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.96 Tm (occupational therapist service have plans to make assessments for all residents who need )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.38 Tm (support in this area.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.21 Tm (All residents who were assessed as being at high risk of pressure ulceration were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.64 Tm (provided with equipment to manage the risk. Residents' weights were being monitored, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 87.06 Tm (including residents who needed their weights monitoring weekly, due to concerns about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.47 Tm (their weight loss.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.9 Tm ()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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 498.72 w 31.2 535.86 m 580.26 535.86 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 28.99 285.38 m 582.46 285.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 284.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 284.3 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Some staff fully understood residents' needs to be treated as an individual. We observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (one carer gently waking a resident up before lunch-time, giving the person time to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (understand why they were being woken up. This same carer very politely supported a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (confused person in going to the toilet before lunch-time, trying to do this in a discrete )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (manner. One carer was observed to consistently always call residents by their own )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (preferred name. This person appeared to know them well as individuals, discussing topics )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (with them from the residents' past and own interests. A visitor commented that the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (kept closely in touch with them. They reported that their relative was prone to falling and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (that the home always contacted them when this happened.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (People commented on the meals. One person reported that the food was "very good" and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (that there was "too much food", pointing to their stomach. Another person reported that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the food was "alright" and that they "didn't mind if there wasn't a choice". We observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (that residents were offered a choice of what they would like to drink with their meal.)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 (People commented on the staff. One visitor described the laundress as "wonderful". )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Another person reported "I'm quite happy with the staff that do for [my relative]". )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Another visitor described staff as "nice people" and another as "very helpful". One person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (reported that if they rang their bell that staff "always come". A registered nurse reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (that the home had a "full compliment" of staff. We observed staff supporting each other, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (for example, one carer was observed to support another member of staff in performing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (correct manual handling, after previous manual handling had not been performed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (correctly. We observed that staff who were moving residents in wheelchairs into the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (dining room were very aware of the need to ensure the safety of residents' feet when in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (wheelchairs. The maintenance person reported that staff now correctly handled clinical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (waste and we observed that this was the case in the external clinical waste store.)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 (It was reported that since the last inspection, meetings had been held with residents and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (visitors to outline plans for the future. The deputy manager reported that morale had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (improved in the home since the last inspection. We observed that staff files inspected had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (evidence of required police checks. The providers are ensuring that the deputy manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (receives support from an experienced manager from a sister home twice a week. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (provider has kept in regular contact with us to report on progress towards addressing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (requirements from the last inspection and works well with us.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 267.31 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 213.57 w 31.2 150.46 m 580.26 150.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 258.37 m 582.46 258.37 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 30.07 259.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 259.45 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (While the home has made improvements in pre-admission documentation, as this has )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm (only recently been introduced, more work is needed to ensure that all areas relating to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (residents' needs are fully considered prior to their admission. A person who had recently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (been admitted had "sees poorly" documented in their records, with no detail of how this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (affected them in their daily lives. Under their religious needs it stated "none )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm (documented". The person was fully able to converse, so the person's own perception of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (their religious needs should have been documented. This person's admission assessment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (documented their assessed risk of pressure ulceration before admission but an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (assessment of their risk had not been performed within six hours of their admission to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (Camelot, which is advised by the National Institute for health Care and Excellence \(NICE\) )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (in all clinical settings to ensure that prompt action is taken if people are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (pressure ulceration.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (We met with different residents, discussed their needs with staff and reviewed their )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 (24)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 (records. When we looked at assessments of nursing and care, we found limited change or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (improvement from the last inspection. Two peoples' assessments for risk of pressure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (ulceration had been completed without including all factors, so their assessments of risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (were lower than they should have been. Another person did not have a pressure ulcer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (risk assessment on file, although when we met with them it was clear that their condition )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (indicated that they would be at risk. One person had an assessment for manual handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (which differed from what was documented in their mobility assessment. A person was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (assessed as being at risk of falls, but there was no assessment of their footwear, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (was observed to be ill-fitting. A person was observed to be restless and mobile in bed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (however no assessment had been made of whether they could be at risk of coming out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (the end of the bed or coming over their safety rails in their bed rail assessment.)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 also found no improvements in care planning or records relating to clinical issues. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (Where people had a need, care plans were not always being put in place to direct staff on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (how the need was to be met. A person who was at risk of falls did not have all factors )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (they told us about included in their care plan. When their condition changed, the plan was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (not up-dated. A person's continence care plan did not reflect what the resident told us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (about use of toileting facilities. A resident had a complex flexion contracture to their limb. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (which would make maintaining personal hygiene complex and could have put them at risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (of pressure ulceration in the area. This flexion contracture was not documented anywhere )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (in their records and there was no care plan about how the area was to be cleansed and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (pressure ulceration prevented. A resident was observed to have very dry skin and there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (were topical applications in their room, but there was no mention of this skin condition or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (of the topical applications observed. A person was observed to have very contracted legs, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (with their knees pressed tightly together. No intervention was observed to be given to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (them to reduce risk of pressure ulceration between their knees.)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 (Where care plans were in place, they needed development. Many of the care plans were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (standard care plans, stating actions to be taken for certain care needs or medical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (conditions. There were not individualised to the person and therefore did not take into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (account what the person wanted or needed. Some of the wording of care plans was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (unclear and did not explain actions to be taken to meet residents' needs. For example )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (one person's care plan stated that they were for "regular checks" at night and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ("bowels require management", without any description of how often the person was to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (checked or what the person's bowel management needs were. Where residents needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (continence aids such as pads there were references to their use, such as "incontinence )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (pads to be worn" but there was no detail as to the type of pads to be used. Where people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (experience continence management issues, different types of pads are used, according to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (their individual circumstances, so the type of pad used should be documented in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (records.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (Many records did not agree with each other. For example, one person had a care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (relating to their bowel care needs, which did not agree with their personal care plan, daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (handover record, bowel record or daily record. Staff reported different matters verbally to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (us about this person's bowel care. Another person had visible scratches on their lower )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (limbs. These skin care needs had not been included in any assessment or care plan and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (reports as to how this condition was to be managed using certain topical applications did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (not reflect the applications we observed in their room. Two people who were assessed as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (being at dietary risk had nothing in their care plans about what they liked to eat.)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 (Even where residents had care plans in place, there was limited evidence that staff were )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 (24)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 (following these care plans. The provider reported to us in their improvement plan that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (handover reports had been introduced. We discussed these handover reports with carers, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (one of whom reported that they were not told about residents' needs but found out what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (to do during the morning while they were working, another that they did have a report )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (but that this was limited to standard phrases and did not inform them of how they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (to meet specific people's individual needs. We observed a carer at lunch-time using a full )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (dessert spoon to feed a person whose care plan stated that they needed to be fed with a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (teaspoon, due to their swallowing difficulties and risk of choking. We observed that two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (people who needed thickening agent in their drinks to enable them to swallow safely, did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (not have any of the agent in their drinks. A resident's visitor showed us a plan from a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Speech and Language therapist, which stated that they were not to be given peas, due to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (their risk of choking. This visitor reported that the resident had been given sweetcorn, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (which they considered presented a similar risk to peas. We observed that one person who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (was stated to need protectors on their safety rails as they were at risk of bruising if they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (were in contact with their safety rails, did not have any protectors on their safety rails )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (and another person.who was stated to need two safety rails, only had one in place. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (resident had a care plan which outlined a specific diet that they needed for a medical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (condition. We discussed diets with the cook, but the cook was only aware of people who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (needed diabetic diets for medical conditions but not this person's specific diet.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (We observed that people's needs were not being met. We observed the care of a range of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (people who were at risk of pressure ulceration, malnutrition and/or dehydration who had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (monitoring charts in place to ensure their needs were met. The deputy manager reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (that these charts were to be kept in individuals' rooms, however when we came to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (home at 9:00am, we observed that this was not the case. Staff reported that night staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (sometimes took them out to keep in the office, this was not the home's policy. If charts )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (are not readily available, there is a risk that they will not be completed accurately. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (found evidence that this was the case during the inspection. We observed poor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (completion of such records. For example one person's chart documented for 3:00am that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (they were in bed on their left side and the same for 7:00am. When we visited them at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (11:00am, they were observed to be on their back, but there were no records relating to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (this. At 12:35 the person's turn chart documented that they were on their left side, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (although the person was on their back. At 3:05pm when we visited them, the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (remained on their back. No further records had been made on the person's records. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (was not an isolated occurrence. Another resident, when we visited them at 9:15am, was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (on their right side, a monitoring chart was not available in their room. At 11:00am they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (were still on their right side, a monitoring chart was in their room, the last record on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (chart was for 3:00am, which stated the person was on their back. When we visited the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (person at 12:40, no further records had been documented on their monitoring chart; the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (resident remained on their right side. When we visited the person at 3:05pm they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (observed to be on their right side, now the last record on their monitoring chart was for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (9:00am; it stated that the person was placed on their back.)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 (Records relating to turns were not the only inaccurate records. We observed a carer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (assisting a resident to eat their meal, however when we visited the person later in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (afternoon, their food intake had not been documented. Another residents' fluid intake )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (indicated that they had taken in very little fluids, however when we discussed this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (resident with carers, they reported that the person drank well. Another person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (documentation stated that they needed to be given milky drinks to help them increase )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (weight. Their fluid chart did not show any evidence that they had been given milky )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (drinks. Fluid charts were not generally totalled every 24 hours, so it was not possible to )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 (24)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 (assess if people were being given sufficient fluids to maintain their hydration.)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 (The home continues not to up-hold residents' privacy and dignity. When we visited )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (people, we observed that many of them had long, broken fingernails, which showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (debris underneath the nails, this was despite one person having a care plan which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (directed their nails were to be kept short and clean. Three of the people we visited were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (odorous. If people have difficulties in maintaining continence, personal care needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (scrupulously performed, to prevent skin damage. Such odours also do not up-hold a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (person's dignity. A relative informed us that a resident had had incorrect continence aids )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (used at times, so that the person became wet and needed to have their bed-linen and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (clothing changed more often than they would otherwise have needed. We observed two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (residents had full overnight drainage bags, which were visible from the doors of their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (rooms. Two people had unclean bed linen at the start of the inspection and the condition )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (of their bed linen had not changed by the end of the inspection. As at the last inspection, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (with a few exceptions, we heard staff using general terms of endearment such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ("darling" or "love" when addressing them, not the person's real names. When talking )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (between themselves staff tended to refer to residents by their room number such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ("Room 10" or "Room 22". Residents, particularly people with memory loss need to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (addressed by their own names and use of room numbers between staff indicates an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (institutional approach by staff when thinking about residents and their needs.)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 (We observed that one person who had a urinary catheter in place, did not have the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (clinical indicator for use of the catheter documented, this was despite other records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (indicating that the person experienced frequent urine infections. As urinary catheters can )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (increase risks of urine infections, they should only be used if they are in the best interests )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (of the person. This matter was recommended at the last inspection. This person's records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (did not show that their urine drainage bag had been changed recently and their care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (relating to their overnight drainage bag was unclear.)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 (Where people had skin damage, records were not clear. One person had a body map )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (which was dated in April 2009, which did not include any of the markings which were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (visible when we met with the person. Another person was observed to have marking to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (their hand which a registered nurse told us the reason for, however there were no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (records made relating to this in the person's records. Another person showed a bruise on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (their arm, which staff spoken to were not sure of how it had occurred or how long it had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (been there. No records had been made of any of these three observations of skin damage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (in the residents' daily records. Similar matters were identified at the previous inspection.)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 observed a lunch-time meal, including in the dining room and supports given to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (residents who did not want to or were not able to leave their rooms. As that the last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (inspection, we observed that blue plastic aprons were being given out for residents to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (protect their clothes, rather than clothes protectors. We asked why this was and were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (given three different reasons staff. Just before lunch-time the laundress delivered enough )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (clean clothes protectors for staff to use. As at the last inspection, we observed that tables )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (were not served sequentially, so one resident had completely finished their meal before )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (another resident had been given their meal. Staff again appeared to be busy and we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (observed one resident who needed verbal support to eat, loosing concentration while )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (their meal became cold and less appetising in front of them. Another resident was asleep )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (with their meal in front of them, so the meal was also gradually becoming cold. Staff did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (not appear to have time to support such residents when they needed it.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()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 (24)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 (Meals taken on trays to residents in their rooms continued to have both first course and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (dessert, so their dessert could become cold. One visitor commented to us that meals )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (were often cold by the time they were served to their relative. We observed that carer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (was giving a resident their liquidised meal, the meal was all stirred together, so the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (different foods could not be identified. The carer appeared to be unaware that this might )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (be an issue for the resident. Another resident's tray had been left by their bed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (presumably until a carer could come and assist the person. This person's meal was also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (mixed together. It was also growing colder. Liquidised meals loose food-stuff's texture, if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (meals are mixed together, flavour will also be lost and the meal will also not look )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (appetising.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (When we toured the home, we observed that there was an unpleasant odour on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (ground floor and parts of the first floor of one of the buildings. A visitor confirmed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (this part of the home often smelt unpleasant, reporting that you "notice it when you open )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (the front door". We have also received informal reports from other professionals, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (including Social Services about such odours. Unpleasant odours, as well as not up-holding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (residents' dignity also indicate that cleaning practice is not being performed correctly, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (equipment or chemicals are not available. Such odours can also indicate the growth of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (micro-organisms which will lead to risks of cross-infection. The carpet in one of the sitting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (rooms of the home remained stained, as at the last inspection.)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 (As at the last inspection, there was a lack of assessment of how people could summon )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (assistance or be supported in their individual needs. One person we met with had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (been left with access to their call bell; it was plugged in. The person's condition indicated )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (that they would be unlikely to be able to use a call bell, but an assessment relating to this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (was not documented and there was no care plan relating to this in their records, apart )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (from a night care plan which stated that their needed "regular checks", with no written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (evidence that checks were made on this person at night. Two of the people we met with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (did not have their call bells connected. We discussed this with the deputy manager, who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (did not know why this was and took action to ensure that the call bells were connected, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (so that assistance could be summoned from these peoples' rooms. We later observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (another person who did not have a call bell connected to their call bell system in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (room. Call bells are needed not just for the individual, but also by staff or visitors, so that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (people can be summoned quickly if needed. At one time we observed a resident in one of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (the sitting rooms trying to get up from their chair, they looked frail and gave the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (appearance of not being able to do this independently. As a call bell was not visible in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (sitting room, we had to leave the resident to go out of the room and find a member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (staff, which could have put the resident at risk.)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 (Part of the entrance to the home is via a conservatory-type sitting area. The random )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (inspection took place on a cold winters day. The room was not warm; it was not being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (used by residents. A thermometer was not visible in the seated area. A visitor informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (us that the home could be cold at times. They were particularly concerned that if a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (window was opened in a residents' room for any reason, that it was not always promptly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (closed. We observed that an unoccupied bedroom window was open and asked that it )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (could be closed, the member of staff was unaware that it was open or how long it had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (been so. The en-suite in one residents' room was cold. The resident informed us that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (were not able to use it because of that, remarking "I call it the 'fridge". A toilet close to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (the sitting room was also very cold. We asked the maintenance person about this, they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (reported that they had not been able to find a successful means of heating the room. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (Carers informed us that they used a toilet in the bathroom next to the cold toilet. This )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 25 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 (24)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 (meant that there was only one usable toilet close to the sitting room.)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 (The deputy manager reported that since the previous inspection, three residents had now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (been assessed by an occupational therapist for their seating needs and more such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (assessments were planned. The occupational therapist had made recommendations about )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (furniture and equipment for two of these residents. This would involve moving different )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (pieces of furniture and equipment from other areas of the home. The maintenance person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (reported that because some equipment would not go in the lift, the furniture would need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (to be bodily lifted up the stairs. The deputy manager reported that they were waiting to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (find an available member of staff to assist the maintenance person in moving the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (equipment. They reported that the providers were aware of the need to do this. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (effect of this was that the two residents remained using furniture and equipment which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (did not meet their needs. The home needs to ensure that prompt action is taken, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (ensuring safe manual handling practice, to ensure that residents' needs are met. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (advised that in similar situations, homes have used a removal firm for a short period to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (move such equipment and furniture, as they have been trained to perform such actions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (As at the last inspection, practice to prevent risk of cross infection continues to need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (improving. We observed a member of staff who did not have a uniform performing some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (personal care not using a disposable apron. We also observed another carer using a blue )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (plastic apron, which is generally used for serving meals, to perform personal care. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (observed red alginate bags which are used for infected laundry left in a pile on the floor, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (this was despite policies which stated that they must be placed in a red linen skip. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (also observed laundry bags which were full to overflowing, despite a notice placed above )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (the bags which stated that they must only be filed to half full. We observed that one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (carer had placed used bed linen on the floor of a person's room, and had not placed it in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (a linen skip. We also observed a carer who was presumably looking for something, take )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (out a range of different items of clean bed linen from a laundry cupboard and put them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (on the floor. This was in an corridor of the home where odour was detectable. Unsafe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (practice in use of disposable equipment and laundry can lead to a risk of cross infection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Observations of care and of mealtimes documented above, indicate that the home may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (continue to be short of staff. We also observed that during the morning, staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (generally not with residents in sitting rooms, although they were during the afternoon. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (One visitor advised us that observing a member of staff in the sitting room during the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (afternoon was an unusual observation and that generally during the afternoons they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (observed that staff were not available and they had had experience of having to go and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (find a member of staff to support a resident in getting assistance. Where staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (available, they had other roles. For example during the afternoon a registered nurse was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (in the sitting room, completing records. On one occasion, a resident needed assistance to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (get from a wheelchair to their easy chair. The resident had to wait until the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (nurse was free to assist the care assistant in using the hoist. The deputy manager is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (currently managing the clinical services in the home, as well as doing this, they are also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (one of the registered nurses in charge at times when on duty and are trying to introduce )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (change management in the care planning process. This means that they may be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (performing three roles. We discussed this with the provider, who felt that because the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (home was not up to their full compliment of residents, that the staffing levels were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (adequate. We advised that residents' needs for staff related also to an assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (their individual nursing and care needs, including their dependency and staffing levels did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (not only relate to numbers of residents in the home. We also advised that if the home is )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 28 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 (24)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 (trying to change practice, that this is something which means that the person doing this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (needs to be able to concentrate on this area, without performing different roles.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (We looked at records relating to three members of staff who had recently been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (employed. One person had three references on file, but none of them were from their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (previous employer, two were from colleagues and one from a former employer. This had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (not been probed at interview. Another new member of staff had one reference on file. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (They also had three references entitled "to whom it may concern", none of which related )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (to the role for which the person was applying. Such reference are not acceptable, as the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (employer does not know where they have been sourced from. The person also showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (evidence of having two employers within a short space of time. None of these matters )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (had been probed at interview. A third person had only one reference on file, this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (from a personal E-mail, not a company E-mail. Two other references were documented )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (on the person's application form, but there was no evidence on the persons' file of what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (capacity these people had known the person in or that that they had been applied for. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (One newly employed registered nurse did not have evidence on their file that their pin )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (number had been verified with the Nursing and Midwifery Council, to ensure that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (were able to practice as a registered nurse.)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 (Practice in relation to bed rails continues to be unsafe. The maintenance person reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (that they had accessed training for themselves and understood how they were to be used )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (safely. They were not sure if other staff had been trained and they considered that many )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (of them may not know how to use them safely, for example they did not understand that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (bending over rails, rather than lowering them to provide care, loosened them in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (fixings, making the rails mobile. They also did not understand that they must not be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (moved from where they had been set, to prevent a gap between the head of the bed and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (the rail, where a resident may entrap themselves. During the inspection, we observed at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (least four occasions where there were gaps between the rail and the head of the bed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (where a person's limb or head might be entrapped. Many of the bed rails we examined )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (were loose in their fixings.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (After lunch, we observed that more than one resident needed assistance to transfer from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (their wheelchair to an easy chair in the sitting room. A carer advised another member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (staff that these residents would need handling belts to assist in doing this. No lifting belts )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (were observed in or near the sitting room. The care assistant went away for an extended )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (period of time to find the equipment, while residents waited for assistance. The home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (needs to ensure that it has enough manual handling aids, which are readily available, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (meet residents' needs, so that residents do not have to wait to receive the care that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (need.)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 (We observed manual handling practice. As at the last inspection, we observed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (improvements in manual handling practice were needed. We observed two members of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (staff moved a resident from their wheelchair to their easy chair, using a hoist. Once the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (person was in their chair. They both placed their arms under the person's arms and lifted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (them up bodily to place their back against the chair. This is unsafe practice as it can )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (injure the person's arms or the member of staff's back.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 94.36 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 94.36 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 78.36 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 29 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 (24)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 300.6 w 31.2 425.92 m 91.05 425.92 l S 0.001 w 300.6 w 93.3 425.92 m 197.4 425.92 l S 0.001 w 300.6 w 199.65 425.92 m 289.45 425.92 l S 0.001 w 300.6 w 291.7 425.92 m 473.8 425.92 l S 0.001 w 300.6 w 476.05 425.92 m 566.1 425.92 l S 0.001 w 230.82 w 31.2 157.96 m 91.05 157.96 l S 0.001 w 230.82 w 93.3 157.96 m 197.4 157.96 l S 0.001 w 230.82 w 199.65 157.96 m 289.45 157.96 l S 0.001 w 230.82 w 291.7 157.96 m 473.8 157.96 l S 0.001 w 230.82 w 476.05 157.96 m 566.1 157.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 274.49 m 568.3 274.49 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 28.99 274.49 m 568.3 274.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (12\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Where a resident is not able )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (to perform activities of daily )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (living such as changing their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (position or giving themselves )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (a drink or a meal, monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (charts must be accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (provide evidence that care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (plans are being followed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.94 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (Frail people who are unable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.2 Tm (to support themselves in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.62 Tm (activities of daily living need )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.04 Tm (to have them met by staff. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.46 Tm (Records are needed to show )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.88 Tm (how and when staff have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.3 Tm (met these needs and to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.72 Tm (ensure that care plans can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 281.14 Tm (be accurately reviewed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 258.31 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 258.31 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 258.31 Tm (12\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.31 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.73 Tm (staff are fully aware of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.15 Tm (residents' individual and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.57 Tm (health care needs, as set out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.99 Tm (in their plans of care and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.41 Tm (that they comply with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.83 Tm (directions in plans of care.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.25 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.67 Tm (Requirement not addressed)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.51 Tm (If nursing and care staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.93 Tm (not aware of residents' plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.35 Tm (of care and individual needs, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.77 Tm (they will not be able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 51.19 Tm (properly support the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 258.31 Tm (30/09/2009)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 (24)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 31.2 672.46 m 91.05 672.46 l S 0.001 w 17.58 w 93.3 672.46 m 197.4 672.46 l S 0.001 w 17.58 w 199.65 672.46 m 289.45 672.46 l S 0.001 w 17.58 w 291.7 672.46 m 473.8 672.46 l S 0.001 w 17.58 w 476.05 672.46 m 566.1 672.46 l S 0.001 w 344.34 w 31.2 489.24 m 91.05 489.24 l S 0.001 w 344.34 w 93.3 489.24 m 197.4 489.24 l S 0.001 w 344.34 w 199.65 489.24 m 289.45 489.24 l S 0.001 w 344.34 w 291.7 489.24 m 473.8 489.24 l S 0.001 w 344.34 w 476.05 489.24 m 566.1 489.24 l S 0.001 w 140.22 w 31.2 244.71 m 91.05 244.71 l S 0.001 w 140.22 w 93.3 244.71 m 197.4 244.71 l S 0.001 w 140.22 w 199.65 244.71 m 289.45 244.71 l S 0.001 w 140.22 w 291.7 244.71 m 473.8 244.71 l S 0.001 w 140.22 w 476.05 244.71 m 566.1 244.71 l S 0.001 w 128.68 w 31.2 108.01 m 91.05 108.01 l S 0.001 w 128.68 w 93.3 108.01 m 197.4 108.01 l S 0.001 w 128.68 w 199.65 108.01 m 289.45 108.01 l S 0.001 w 128.68 w 291.7 108.01 m 473.8 108.01 l S 0.001 w 128.68 w 476.05 108.01 m 566.1 108.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 315.95 m 568.3 315.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.48 m 568.3 173.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 315.95 m 568.3 315.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.48 m 568.3 173.48 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 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (resident.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.35 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 646.35 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 646.35 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 646.35 Tm (Where a person is assessed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.78 Tm (as having a risk or a need, a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (care plan must always be put )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (in place. The care plan must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (include all relevant matters )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (for the individual, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (recreational activities, as well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (as personal and health care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (needs. Care plans must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (reviewed and up-dated when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (a person's condition changes.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (Care plans direct staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (how a person's individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (needs are to be met, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm (therefore they need to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (completed in full. Care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm (need to be up-dated, to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (ensure that staff are directed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (on how to meet a person's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (changed needs.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 646.35 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.77 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 299.77 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 299.77 Tm (13\(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.77 Tm (Controlled drugs must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (stored in a cupboard that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (complies with the current )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (Misuse of Drugs legislation.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (Requirement not addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.71 Tm (This is to ensure the safety )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 299.77 Tm (15/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.29 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 157.29 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 157.29 Tm (13\(3\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.29 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.71 Tm (all potentially infected )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.13 Tm (laundry and general laundry )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.56 Tm (is correctly managed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.39 Tm (Requirement met in part. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.24 Tm (This is to prevent risk of )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 157.29 Tm (30/09/2009)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 (24)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 134.22 w 31.2 614.14 m 91.05 614.14 l S 0.001 w 134.22 w 93.3 614.14 m 197.4 614.14 l S 0.001 w 134.22 w 199.65 614.14 m 289.45 614.14 l S 0.001 w 134.22 w 291.7 614.14 m 473.8 614.14 l S 0.001 w 134.22 w 476.05 614.14 m 566.1 614.14 l S 0.001 w 242.28 w 31.2 423.64 m 91.05 423.64 l S 0.001 w 242.28 w 93.3 423.64 m 197.4 423.64 l S 0.001 w 242.28 w 199.65 423.64 m 289.45 423.64 l S 0.001 w 242.28 w 291.7 423.64 m 473.8 423.64 l S 0.001 w 242.28 w 476.05 423.64 m 566.1 423.64 l S 0.001 w 256.57 w 31.2 171.96 m 91.05 171.96 l S 0.001 w 256.57 w 93.3 171.96 m 197.4 171.96 l S 0.001 w 256.57 w 199.65 171.96 m 289.45 171.96 l S 0.001 w 256.57 w 291.7 171.96 m 473.8 171.96 l S 0.001 w 256.57 w 476.05 171.96 m 566.1 171.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 545.9 m 568.3 545.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.37 m 568.3 301.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 545.9 m 568.3 545.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.37 m 568.3 301.37 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 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (infection and cross-infection. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (Clinical waste is now being )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (correctly managed but )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (potentially infected and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (general laundry are not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (being handled in accordance )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (with the home's own policies )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (and infection control )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (guidelines.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 529.72 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 529.72 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 529.72 Tm (18\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (there are enough staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (duty at all times to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (resident's nursing and care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (needs and that residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (supervised when in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (communal rooms, so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (they are fully supported and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.08 Tm (not put at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.92 Tm (Requirement not addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (Enough staff need to be on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (duty to meet resident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (nursing and care needs and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm (to ensure their safety.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 529.72 Tm (31/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.18 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 285.18 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 285.18 Tm (19\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (it follows standards and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (regulations on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (employment of staff in full at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (all times, including the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.29 Tm (employment of registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.71 Tm (nurses.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.54 Tm (Requirement nearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.96 Tm (addressed in full.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.81 Tm (By following standards and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.22 Tm (regulations, the home will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.64 Tm (able to ensure that it will not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.07 Tm (recruit people who are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.49 Tm (unsafe to work with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.9 Tm (client-group.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 285.18 Tm (30/09/2009)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 (24)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 213.12 w 31.2 574.4 m 91.05 574.4 l S 0.001 w 213.12 w 93.3 574.4 m 197.4 574.4 l S 0.001 w 213.12 w 199.65 574.4 m 289.45 574.4 l S 0.001 w 213.12 w 291.7 574.4 m 473.8 574.4 l S 0.001 w 213.12 w 476.05 574.4 m 566.1 574.4 l S 0.001 w 198.54 w 31.2 366.32 m 91.05 366.32 l S 0.001 w 198.54 w 93.3 366.32 m 197.4 366.32 l S 0.001 w 198.54 w 199.65 366.32 m 289.45 366.32 l S 0.001 w 198.54 w 291.7 366.32 m 473.8 366.32 l S 0.001 w 198.54 w 476.05 366.32 m 566.1 366.32 l S 0.001 w 169.38 w 31.2 180.1 m 91.05 180.1 l S 0.001 w 169.38 w 93.3 180.1 m 197.4 180.1 l S 0.001 w 169.38 w 199.65 180.1 m 289.45 180.1 l S 0.001 w 169.38 w 291.7 180.1 m 473.8 180.1 l S 0.001 w 169.38 w 476.05 180.1 m 566.1 180.1 l S 0.001 w 49.49 w 31.2 68.42 m 91.05 68.42 l S 0.001 w 49.49 w 93.3 68.42 m 197.4 68.42 l S 0.001 w 49.49 w 199.65 68.42 m 289.45 68.42 l S 0.001 w 49.49 w 291.7 68.42 m 473.8 68.42 l S 0.001 w 49.49 w 476.05 68.42 m 566.1 68.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 682.08 m 568.3 682.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.71 m 568.3 466.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.92 m 568.3 265.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 94.29 m 568.3 94.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.08 m 568.3 682.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.71 m 568.3 466.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.92 m 568.3 265.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 94.29 m 568.3 94.29 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 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 665.9 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 665.9 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.9 Tm (18\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 665.9 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.32 Tm (it can demonstrate that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 636.73 Tm (staff have been trained in all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.16 Tm (relevant areas relating to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.58 Tm (meeting the range of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 592.99 Tm (different resident's nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 578.41 Tm (and care needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 563.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 549.26 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 531.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.09 Tm (Residents' nursing and care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.52 Tm (needs will not be met if staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 487.93 Tm (have not been trained into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.36 Tm (how to meet their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 665.9 Tm (30/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.52 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 450.52 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 450.52 Tm (18\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.52 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 435.95 Tm (it can provide evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.36 Tm (all newly employed staff, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.79 Tm (including agency staff, have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.2 Tm (been fully inducted into their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.63 Tm (role.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.46 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 330.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.3 Tm (This is to ensure that all staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 301.73 Tm (are supported in taking up )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.14 Tm (their roles and responsibilties )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.57 Tm (after employment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 450.52 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 249.74 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 249.74 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 249.74 Tm (8\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 249.74 Tm (The provider must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.15 Tm (that they apply to us for a fit )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.57 Tm (person to be the registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 205.99 Tm (home manager.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 176.84 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.68 Tm (A suitable person needs to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.1 Tm (manage the home to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.51 Tm (that the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.93 Tm (residents are met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 249.74 Tm (31/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.11 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 78.11 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 78.11 Tm (24\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.11 Tm (As Camelot is a care home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.53 Tm (with nursing, systems for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.94 Tm (audit of quality of clinical )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 78.11 Tm (30/11/2009)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 (24)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 169.38 w 31.2 596.55 m 91.05 596.55 l S 0.001 w 169.38 w 93.3 596.55 m 197.4 596.55 l S 0.001 w 169.38 w 199.65 596.55 m 289.45 596.55 l S 0.001 w 169.38 w 291.7 596.55 m 473.8 596.55 l S 0.001 w 169.38 w 476.05 596.55 m 566.1 596.55 l S 0.001 w 300.6 w 31.2 359.32 m 91.05 359.32 l S 0.001 w 300.6 w 93.3 359.32 m 197.4 359.32 l S 0.001 w 300.6 w 199.65 359.32 m 289.45 359.32 l S 0.001 w 300.6 w 291.7 359.32 m 473.8 359.32 l S 0.001 w 300.6 w 476.05 359.32 m 566.1 359.32 l S 0.001 w 163.09 w 31.2 125.22 m 91.05 125.22 l S 0.001 w 163.09 w 93.3 125.22 m 197.4 125.22 l S 0.001 w 163.09 w 199.65 125.22 m 289.45 125.22 l S 0.001 w 163.09 w 291.7 125.22 m 473.8 125.22 l S 0.001 w 163.09 w 476.05 125.22 m 566.1 125.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 510.74 m 568.3 510.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.89 m 568.3 207.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 510.74 m 568.3 510.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.89 m 568.3 207.89 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 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (outcomes for residents must )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (be developed.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (In a nursing home clinical )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (outcomes for residents are a )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (key area, therefore these )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (need to be audited, to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (ensure that residents' clinical )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 519.64 Tm (needs are being met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.55 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 494.55 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 494.55 Tm (17\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (records required by us are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (always available in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (home. Records relating to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (nursing and care must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (dated and signed by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (person completing the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (record.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (Requirement addressed in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (part)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.6 Tm (Records are required by us )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.02 Tm (so that we can ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.43 Tm (the home is being managed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.86 Tm (in a safe and effective )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.27 Tm (manner. As such records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.7 Tm (may be considered legal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.12 Tm (documents, they need to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.54 Tm (dated and signed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 494.55 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 191.71 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 191.71 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 191.71 Tm (13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.71 Tm (Where bed rails are used, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (there must be a full written )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.54 Tm (assessment of the need for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (their use, which is regularly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (reviewed. All bed rails must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm (be safe and not present a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (risk to the resident.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm (Requirement in progress, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.49 Tm (assessments are now in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 45.9 Tm (place but rails are not safe.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 191.71 Tm (30/09/2009)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 (24)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 122.64 w 31.2 619.92 m 91.05 619.92 l S 0.001 w 122.64 w 93.3 619.92 m 197.4 619.92 l S 0.001 w 122.64 w 199.65 619.92 m 289.45 619.92 l S 0.001 w 122.64 w 291.7 619.92 m 473.8 619.92 l S 0.001 w 122.64 w 476.05 619.92 m 566.1 619.92 l S 0.001 w 169.38 w 31.2 471.67 m 91.05 471.67 l S 0.001 w 169.38 w 93.3 471.67 m 197.4 471.67 l S 0.001 w 169.38 w 199.65 471.67 m 289.45 471.67 l S 0.001 w 169.38 w 291.7 471.67 m 473.8 471.67 l S 0.001 w 169.38 w 476.05 471.67 m 566.1 471.67 l S 0.001 w 213.12 w 31.2 278.17 m 91.05 278.17 l S 0.001 w 213.12 w 93.3 278.17 m 197.4 278.17 l S 0.001 w 213.12 w 199.65 278.17 m 289.45 278.17 l S 0.001 w 213.12 w 291.7 278.17 m 473.8 278.17 l S 0.001 w 213.12 w 476.05 278.17 m 566.1 278.17 l S 0.001 w 125.68 w 31.2 106.51 m 91.05 106.51 l S 0.001 w 125.68 w 93.3 106.51 m 197.4 106.51 l S 0.001 w 125.68 w 199.65 106.51 m 289.45 106.51 l S 0.001 w 125.68 w 291.7 106.51 m 473.8 106.51 l S 0.001 w 125.68 w 476.05 106.51 m 566.1 106.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 557.48 m 568.3 557.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.85 m 568.3 385.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.48 m 568.3 170.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.48 m 568.3 557.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.85 m 568.3 385.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.48 m 568.3 170.48 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 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (The use of bed rails presents )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (a risk of injury to residents, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (therefore they must only be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 610.11 Tm (used if they are assessed as )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 595.53 Tm (being in the resident's best )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 580.96 Tm (interests and if they are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 566.38 Tm (correctly used.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 541.29 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 541.29 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 541.29 Tm (13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (All staff must perform safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (manual handling practice at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (Requirement not addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (If staff do not perform safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (manual handling, residents, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (themselves and other )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (members of staff may be put )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (at risk of injury.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 541.29 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 369.67 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 369.67 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 369.67 Tm (17\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.67 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.08 Tm (all accidents are fully )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.51 Tm (documented in accident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.92 Tm (records.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 296.77 Tm (Not reviewed at this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.18 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (Records of accidents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (needed to be maintained so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.87 Tm (that the home can identy any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.29 Tm (trends and use information )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.71 Tm (to further reduce risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (accidents to residents.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 369.67 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.29 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 154.29 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 154.29 Tm (13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.29 Tm (The home must develop full )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.71 Tm (environmental risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.14 Tm (assessments for practice and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.56 Tm (management of the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.97 Tm (Where risks are identified, a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.39 Tm (plan must be put in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.82 Tm (demonstrate how risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.24 Tm (presented by the home )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 154.29 Tm (30/11/2009)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 471.9 w 32.32 548.15 m 564.97 548.15 l S 0.001 w 1 1 1 RG 169.38 w 31.2 596.55 m 91.05 596.55 l S 0.001 w 169.38 w 93.3 596.55 m 197.4 596.55 l S 0.001 w 169.38 w 199.65 596.55 m 289.45 596.55 l S 0.001 w 169.38 w 291.7 596.55 m 473.8 596.55 l S 0.001 w 169.38 w 476.05 596.55 m 566.1 596.55 l S 0.001 w 198.54 w 31.2 410.35 m 91.05 410.35 l S 0.001 w 198.54 w 93.3 410.35 m 197.4 410.35 l S 0.001 w 198.54 w 199.65 410.35 m 289.45 410.35 l S 0.001 w 198.54 w 291.7 410.35 m 473.8 410.35 l S 0.001 w 198.54 w 476.05 410.35 m 566.1 410.35 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 510.74 m 568.3 510.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 308.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 510.74 m 568.3 510.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.95 m 568.3 309.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (environment have been )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (reduced to a minimum.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (Managers have a duty to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (identify any risks associated )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (with the home environment )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (to document how risk to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (residents, visitors and staff is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 519.64 Tm (to be reduced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.55 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 494.55 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 494.55 Tm (23\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (The home must be able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (evidence that it is complying )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (with regulations from the fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (brigade.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (Requirement in progress.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (The home needs to protect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (all residents, visitors and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (staff from risk of fire and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.76 Tm (ensure that it had robust )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.17 Tm (plans to identify actions to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.6 Tm (taken in the event of a fire.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 494.55 Tm (31/10/2009)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 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (20)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 (24)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 111.06 w 31.2 443.97 m 91.05 443.97 l S 0.001 w 111.06 w 93.3 443.97 m 197.4 443.97 l S 0.001 w 111.06 w 199.65 443.97 m 289.45 443.97 l S 0.001 w 111.06 w 291.7 443.97 m 473.8 443.97 l S 0.001 w 111.06 w 476.05 443.97 m 566.1 443.97 l S 0.001 w 111.06 w 31.2 330.66 m 91.05 330.66 l S 0.001 w 111.06 w 93.3 330.66 m 197.4 330.66 l S 0.001 w 111.06 w 199.65 330.66 m 289.45 330.66 l S 0.001 w 111.06 w 291.7 330.66 m 473.8 330.66 l S 0.001 w 111.06 w 476.05 330.66 m 566.1 330.66 l S 0.001 w 183.96 w 31.2 180.9 m 91.05 180.9 l S 0.001 w 183.96 w 93.3 180.9 m 197.4 180.9 l S 0.001 w 183.96 w 199.65 180.9 m 289.45 180.9 l S 0.001 w 183.96 w 291.7 180.9 m 473.8 180.9 l S 0.001 w 183.96 w 476.05 180.9 m 566.1 180.9 l S 0.001 w 44.12 w 31.2 64.61 m 91.05 64.61 l S 0.001 w 44.12 w 93.3 64.61 m 197.4 64.61 l S 0.001 w 44.12 w 199.65 64.61 m 289.45 64.61 l S 0.001 w 44.12 w 291.7 64.61 m 473.8 64.61 l S 0.001 w 44.12 w 476.05 64.61 m 566.1 64.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.32 m 568.3 387.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.01 m 568.3 274.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 87.79 m 568.3 87.79 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 28.99 387.32 m 568.3 387.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.01 m 568.3 274.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 87.79 m 568.3 87.79 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 (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (Call bells must always be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (available for residents, their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (supporters or staff to use.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 437.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 423.12 Tm (People need to be able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 408.54 Tm (summon prompt assistance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.96 Tm (when they need it. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (27/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.13 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 371.13 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 371.13 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.13 Tm (Management must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.55 Tm (that all parts of the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.97 Tm (used by residents are warm )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (enough for them to use.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.23 Tm (This is to prevent risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.65 Tm (discomfort or hypothermia.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 371.13 Tm (26/02/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.82 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 257.82 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 257.82 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.82 Tm (Management must identify )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.24 Tm (reasons for odour in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.66 Tm (home, and ensure that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.08 Tm (parts of the home are clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.5 Tm (and smell fresh.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.34 Tm (If a home is odorous, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.76 Tm (residents dignity will not be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.18 Tm (up-held. Odour can indicate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.6 Tm (a lack of cleanliness, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.02 Tm (including micro-organism )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.44 Tm (growth.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 257.82 Tm (10/02/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 71.61 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 71.61 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 71.61 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.61 Tm (Records relating to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.03 Tm (provision of nursing and care )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 71.61 Tm (27/01/2010)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 411.14 w 32.32 578.53 m 564.97 578.53 l S 0.001 w 1 1 1 RG 198.54 w 31.2 584.41 m 91.05 584.41 l S 0.001 w 198.54 w 93.3 584.41 m 197.4 584.41 l S 0.001 w 198.54 w 199.65 584.41 m 289.45 584.41 l S 0.001 w 198.54 w 291.7 584.41 m 473.8 584.41 l S 0.001 w 198.54 w 476.05 584.41 m 566.1 584.41 l S 0.001 w 111.06 w 31.2 427.36 m 91.05 427.36 l S 0.001 w 111.06 w 93.3 427.36 m 197.4 427.36 l S 0.001 w 111.06 w 199.65 427.36 m 289.45 427.36 l S 0.001 w 111.06 w 291.7 427.36 m 473.8 427.36 l S 0.001 w 111.06 w 476.05 427.36 m 566.1 427.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 484.02 m 568.3 484.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 369.63 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 92.17 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 369.63 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 28.99 484.02 m 568.3 484.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.71 m 568.3 370.71 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 (must be accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (completed at the time )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 644.72 Tm (nursing and care is given. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 630.14 Tm (Full records of all bruising )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 615.55 Tm (and other injuries to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 600.97 Tm (residents must always be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 586.4 Tm (documented.)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 (This is to ensure that staff at )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 536.66 Tm (all levels have accurate )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 522.08 Tm (information and that correct )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 507.49 Tm (actions can be performed to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 492.92 Tm (meet residents' needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 467.83 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 467.83 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 467.83 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 467.83 Tm (Management must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.26 Tm (that staff use correct )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 438.67 Tm (personal protective )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.1 Tm (equipment at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 391.93 Tm (This is to prevent risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.36 Tm (infection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 467.83 Tm (27/01/2010)Tj ET 0.95294 0.95294 0.95294 RG 293.43 w 32.32 204.74 m 564.97 204.74 l S 0.001 w 1 1 1 RG 35.16 w 31.2 245.04 m 91.05 245.04 l S 0.001 w 35.16 w 93.3 245.04 m 197.4 245.04 l S 0.001 w 35.16 w 199.65 245.04 m 566.1 245.04 l S 0.001 w 49.74 w 31.2 200.34 m 91.05 200.34 l S 0.001 w 49.74 w 93.3 200.34 m 197.4 200.34 l S 0.001 w 49.74 w 199.65 200.34 m 566.1 200.34 l S 0.001 w 64.32 w 31.2 141.05 m 91.05 141.05 l S 0.001 w 64.32 w 93.3 141.05 m 197.4 141.05 l S 0.001 w 64.32 w 199.65 141.05 m 566.1 141.05 l S 0.001 w 49.74 w 31.2 81.78 m 91.05 81.78 l S 0.001 w 49.74 w 93.3 81.78 m 197.4 81.78 l S 0.001 w 49.74 w 199.65 81.78 m 566.1 81.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 226.33 m 568.3 226.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.34 m 568.3 174.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 107.77 m 568.3 107.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 264.82 m 30.07 54.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 264.82 m 567.22 54.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.14 m 568.4 284.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.74 m 568.3 263.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 264.82 m 92.17 54.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 264.82 m 198.52 54.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.71 m 568.4 353.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.14 m 568.4 284.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.74 m 568.4 263.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 226.33 m 568.3 226.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.34 m 568.3 174.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 107.77 m 568.3 107.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 55.78 m 568.3 55.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 354.79 m 30.07 262.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 285.22 m 92.17 262.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 285.22 m 198.47 262.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 354.79 m 567.32 262.66 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 337.52 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 319.95 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.36 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 34.05 290.79 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 269.96 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 269.96 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 269.96 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.55 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 247.55 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 247.55 Tm (Admissions assessments should detail how a disability will )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 232.98 Tm (affect a person's ability to perform activities of daily living.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 210.15 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 210.15 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 210.15 Tm (The home should follow relevant NICE guidelines when )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 195.57 Tm (making assessments of clinical need after the person's )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 180.99 Tm (admission.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 158.15 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 158.15 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 158.15 Tm (Assessments and care plans should use clear and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 143.57 Tm (measurable language.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 128.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 114.42 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.58 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 91.58 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 91.58 Tm (Records relating to changes of position, giving of meals and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 77 Tm (fluids should always be kept in the residents' room as per )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 62.42 Tm (the home's policy)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 50 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 (22)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 738.51 w 32.32 414.85 m 564.97 414.85 l S 0.001 w 1 1 1 RG 35.16 w 31.2 677.67 m 91.05 677.67 l S 0.001 w 35.16 w 93.3 677.67 m 197.4 677.67 l S 0.001 w 35.16 w 199.65 677.67 m 566.1 677.67 l S 0.001 w 35.16 w 31.2 640.27 m 91.05 640.27 l S 0.001 w 35.16 w 93.3 640.27 m 197.4 640.27 l S 0.001 w 35.16 w 199.65 640.27 m 566.1 640.27 l S 0.001 w 35.16 w 31.2 602.85 m 91.05 602.85 l S 0.001 w 35.16 w 93.3 602.85 m 197.4 602.85 l S 0.001 w 35.16 w 199.65 602.85 m 566.1 602.85 l S 0.001 w 64.32 w 31.2 550.86 m 91.05 550.86 l S 0.001 w 64.32 w 93.3 550.86 m 197.4 550.86 l S 0.001 w 64.32 w 199.65 550.86 m 566.1 550.86 l S 0.001 w 49.74 w 31.2 491.58 m 91.05 491.58 l S 0.001 w 49.74 w 93.3 491.58 m 197.4 491.58 l S 0.001 w 49.74 w 199.65 491.58 m 566.1 491.58 l S 0.001 w 78.9 w 31.2 425.02 m 91.05 425.02 l S 0.001 w 78.9 w 93.3 425.02 m 197.4 425.02 l S 0.001 w 78.9 w 199.65 425.02 m 566.1 425.02 l S 0.001 w 35.16 w 31.2 365.73 m 91.05 365.73 l S 0.001 w 35.16 w 93.3 365.73 m 197.4 365.73 l S 0.001 w 35.16 w 199.65 365.73 m 566.1 365.73 l S 0.001 w 35.16 w 31.2 328.33 m 91.05 328.33 l S 0.001 w 35.16 w 93.3 328.33 m 197.4 328.33 l S 0.001 w 35.16 w 199.65 328.33 m 566.1 328.33 l S 0.001 w 49.74 w 31.2 283.63 m 91.05 283.63 l S 0.001 w 49.74 w 93.3 283.63 m 197.4 283.63 l S 0.001 w 49.74 w 199.65 283.63 m 566.1 283.63 l S 0.001 w 93.48 w 31.2 209.76 m 91.05 209.76 l S 0.001 w 93.48 w 93.3 209.76 m 197.4 209.76 l S 0.001 w 93.48 w 199.65 209.76 m 566.1 209.76 l S 0.001 w 64.32 w 31.2 128.62 m 91.05 128.62 l S 0.001 w 64.32 w 93.3 128.62 m 197.4 128.62 l S 0.001 w 64.32 w 199.65 128.62 m 566.1 128.62 l S 0.001 w 49.74 w 31.2 69.33 m 91.05 69.33 l S 0.001 w 49.74 w 93.3 69.33 m 197.4 69.33 l S 0.001 w 49.74 w 199.65 69.33 m 566.1 69.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 658.97 m 568.3 658.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 621.56 m 568.3 621.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 584.15 m 568.3 584.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.58 m 568.3 517.58 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 28.99 384.44 m 568.3 384.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.03 m 568.3 347.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.62 m 568.3 309.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.63 m 568.3 257.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.9 m 568.3 161.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 95.33 m 568.3 95.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 697.46 m 30.07 42.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 697.46 m 567.22 42.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.3 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 697.46 m 92.17 42.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 697.46 m 198.52 42.26 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 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.4 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 658.97 m 568.3 658.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 621.56 m 568.3 621.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 584.15 m 568.3 584.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.58 m 568.3 517.58 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 28.99 384.44 m 568.3 384.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.03 m 568.3 347.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.62 m 568.3 309.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.63 m 568.3 257.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.9 m 568.3 161.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 95.33 m 568.3 95.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 43.34 m 568.3 43.34 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 (5)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 (Standard care plans should be avoided as much as )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.61 Tm (possible. Care plans should relate to the individual. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.78 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 642.78 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.78 Tm (The specific type of continence aid for the resident should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 628.21 Tm (always be documented.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.38 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 605.38 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 605.38 Tm (Fluid balance charts should always be totaled every 25 )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 590.79 Tm (hours)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 567.97 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 567.97 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 567.97 Tm (The clinical reason for use of a urinary catheter should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 553.39 Tm (always be documented.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 524.22 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.39 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 501.39 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 501.39 Tm (Registered nurses should not be responsible for answering )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 486.82 Tm (phone-calls when performing a medicines administration )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 472.23 Tm (round.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 449.4 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 449.4 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 449.4 Tm (Staff should always call residents by their proper or )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 434.83 Tm (preferred name, when addressing residents, generic terms )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 420.24 Tm (of endearment should be avoided.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 405.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 391.08 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.26 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 368.26 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 368.26 Tm (Admission assessments should detail the person's own )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 353.67 Tm (perception of any religious needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 330.85 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 330.85 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 330.85 Tm (Residents who eat in their rooms shoud not be given cold )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 316.27 Tm (meals)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 293.43 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 293.43 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 293.43 Tm (Liquidised meals should not all be mixed up together, to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 278.86 Tm (ensure that residents are able to distinguish flavours and to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 264.27 Tm (ensure attractive presentation of meals.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.45 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 241.45 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 241.45 Tm (When residents are served meals on a tray, their desserts )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 226.87 Tm (should not be served with their main meal, to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 212.29 Tm (their dessert reamins warm or cold, depending on the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 197.71 Tm (dessert provided.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 183.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 168.54 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.71 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 145.71 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 145.71 Tm (When serving meals in the dining room\(s\), meals should be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 131.13 Tm (served table by table by table.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 116.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 101.97 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 79.14 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 79.14 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 79.14 Tm (Thermometers should be provided in colder areas of the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 64.57 Tm (home and regular written observations of the temperature )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 49.99 Tm (documented.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 52 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 (23)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 (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 256.02 w 32.32 656.09 m 564.97 656.09 l S 0.001 w 1 1 1 RG 64.32 w 31.2 663.09 m 91.05 663.09 l S 0.001 w 64.32 w 93.3 663.09 m 197.4 663.09 l S 0.001 w 64.32 w 199.65 663.09 m 566.1 663.09 l S 0.001 w 35.16 w 31.2 611.1 m 91.05 611.1 l S 0.001 w 35.16 w 93.3 611.1 m 197.4 611.1 l S 0.001 w 35.16 w 199.65 611.1 m 566.1 611.1 l S 0.001 w 64.32 w 31.2 559.11 m 91.05 559.11 l S 0.001 w 64.32 w 93.3 559.11 m 197.4 559.11 l S 0.001 w 64.32 w 199.65 559.11 m 566.1 559.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 629.81 m 568.3 629.81 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 30.07 697.46 m 30.07 524.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 697.46 m 567.22 524.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.3 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 697.46 m 92.17 524.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 697.46 m 198.52 524.75 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 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.4 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.81 m 568.3 629.81 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 28.99 525.83 m 568.3 525.83 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 (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 680.2 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 680.2 Tm (All staining should be removed from carpets in residents' )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.61 Tm (rooms and communal areas.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 651.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 636.46 Tm (Recommendation un-met from the previous inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 613.63 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 613.63 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 613.63 Tm (The home should ensure that it has enough lifting belts to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.04 Tm (meet residents' needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.22 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 576.22 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 576.22 Tm (All people who use, fit and check safety rails should be fully )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.64 Tm (trained in their use.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 547.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.47 Tm (Recommendation not reviewed at this inspection.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 54 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 (24)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 (24)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 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 56 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 57 0 obj<> endobj 58 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 59 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 30 0 obj<> endobj 60 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. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e y_~IF}dUBfHQԙNM{&%S)XL`Gļ jPo_`p5NMbNzwst/ KC7JdTi@,$^-GFIkYJ.G926VFAq21Ƃ٣/ יtZa)9Og % XRgø+q`h~S 5R_CqD׹9ՅZ]yEK#sk* YbQ ɬXM]S~+x dXn7Y>y_u2b%_sU,;byga6 ;߷@# 3[WQOӗH\ަբHπ/nWUXFٓ%u_`Fo7e"ƢF G] l T`ca]Qߝ|Y+5DmA˗oRsl_x-!Е3X0S%l4 iݭq9ę>)h%3 #=W6Y'P=yxRX)vh,KGD{4|l^kw%4 8=sMDF~;`Q*lpQ&7A^q-9B1GvRM9~'QZ]_ȏ% G;W8m׍9C`Wnb˻mR,ͤ29-a+ᒶᑝ豤n*9Ckxf'qB[t@@˛/QȒ ԻѢkleCD1o2]'9y3Sř+V0r ЯU 7=Ѕ݉r/}g(U d`QxGOveߺa?! ބdA70nylFZ({Dƪؠ kM >d\l>B͹"GI Td u~bJ|hJ>]Vn?Q55߯JG@Jmd'2u:{El8FD(W7)v8`|d`vci={ah,,ݘH{DW3C<ź|Y/ϼAc4<@Gsfp0ڃ8Gw di+Hu'^-bZh҉bꏱ<+ϋM#A{OJ5`8蜌8?""TF '>֐f z׫ÚZ@BG!MC,>b {Xyk',XNx 'ދ!Y-2+W+/7xCkҮ[T<(|+AiBㆼ,X׶|t˯hzVxMF[~sHQ# S4֦5!p%Ra#wfM@wB:H֜KF<SZ%H'6zU)(.t!zr6لY4*0G˒hTvYKa@$ioahىϚ1fn=lOn..):Z`(Ǽl}yZmDP;${%RK a$e+WD:(_yNw/Ya kF?4"dKg?7PV O#=GDGބEOBDCƲ(<;̘Fl@V}O.{3X6V<-^7z|Indc.<67ͼBk\~ctg. Mmºhh/ ٠KWAS!Xȹ*`veOoH_w fD=B'z$_,ȧeammOyX$֓@rA eQVއW@U!2OSۊV7sZI 4ځod _ 8m\ߣpRv왍>1 J8dEϜ4 *bQ|ܧ׸{)f3}ad2 LcB@GCK[i$Ψ7}ԓT$O߈Fx 5N>w-*#?.鼹+DjH'TNVBOc).禼W ڒgw۳vyc mO4$P؂}b=< JT0\ZƗi,s/Q,D+TףM+jcl+`±t eۈ~_6c ۡQ!key4,FT.!E0t//n)!M0adnMnrҸ]On lŪ|k'T1z+yt?;@FVY5WAuGMDC"ec%b,2lCbQ聾";LE=3! 9`kW ymW!O;SLui8_:ӐNCbvč|۷%)ǻN^9I87 tCj2HІ0~^uhƧ6(s@ː+q‰d,puD1(~%9YLǿL 0=odՄH]#)ľ&\fz6x,ʨ\ IGwY~t]"@Q`< $ej+7 9ߧ dUe Pmxq^4Ѓ=)z7v)0 |G—m?O;+^JإįrRNd¹x $Pd7{_T(UR=|$:N;G niΠ:w={}&o, Bh;~ +?al0c ?hlG;;Dsά\8}Tb]W=ݬ\4aEmNGwA=˪yƢ[ >FO"EF'P\sA` cGB=fu 7EWYSY]H]AWIm|#[4o*֓֫h)X%%'.7GDF<p}n(o>wMm]j}{ƀ|!G.bƩ #ۄnA\prO59y%.i4/h"G _lL]H˹ 6bzF!ڪ}gZEf,r˽Ù$oK6wz;u͞O+h_i߈h"UwziBqۊA( a( PUXGV+:~>3ZXK$7_T}%Du?*1lUAWg>4'C'\?q6wb "w}IDWzp+D{AK44$͡ Um3JKw|{hJnIj)LJ?qlk^iaWk69TZ%= Z;|T|1GŽY[0 C63#xೇ>=x_Vj&WKx0Ō(3w|? gEJ"ṚX=xS՞seL|BK? Q.X8+)PO Q݃\RZ鋞ON& [ jo&QbY`roJnH,im,֏^&\)q9ݟ6P"'Rb/bcazn5K$j6~fS(z}j_Q/8[Hs dK_imev]r*txj(-o>\tK$A,G2ey=ZhɑoxR^N`N:vQ}'RS3|is"5g`ѓϸYoU@¡UnwUהL?!w&mLۉE9R1Kϟ#Lt1]v*{B^,W4@y`T+V9Vm{cp&_ـgT,(NKM5`A9ف.Tld7Y:DRԞT9j cv{5l=5v1윏{4"(a. =R '(^,92njno?hCl aǺK9@P\ ",:pH)᰺]L ة;EDUf/(cү{WQuHa292|I9z:[} $~CZ%t|%!jJ#fWJ/Zv0?5 8"j,!`A-ӫRyNP}4_Ce)xZDo:/S}$$f2\Sʋ6bo^C⌦mYc2VѼ=;\2+y#?6RMks4e#1rJQJ $J^`֯\!z@4h#ŗGJ &pf22B ^캇!bie"G6纤Q55Ql̎AJ2e{2 8m0͵ į%DO pt/.xfv$ h̑qQ S>ZQme\=Z>OZ=ɨ~hO/Xx-sn؏O۶3B3Ŏp-XLę޼g*De\Ex%[r)"6;do5/˥7 RnZ]OŇ?su$L mx/{&kٮR5x>; 6RMÛniZ8I\J K]$"n#aJB4^ ur@](K֐mm"`6""@R̃ӵ{VÈD3CCD)q2tyJEL]l]Xi!CU#JNP+UMB1I_ WÍ>kb }$n9!u;ڽ֦2c՝zlJO{uʃ6+\OK YU!&zjTPą-wD#+:,w@ {JV -2}ÇXo@{C[]\~ќ+C2T1.yaa겮fnd 4,c52b]%C~JrP~ߴ_Q|,u`% ڗnhZyP{cr9/j/58E$zUmv ^PE΁سS sCl=|" ~CzQ[)u6ZLw[u$@~n&E\CoyZs J?$>mY qƱ媭)[#I{eR`Vw}|.bvqlr2D\YBx-kStϢ;9D]c!?7uFtAׯ$;}!+fTKSaf!+T Wj)~/8`ǒ2H9V f>FG<W(}i^#s $;WG=$e}_ֿ.qElSw)1gԟbv^om(mp4Bk 9մ.\jPJOzR+ܢڃIz a,{/Z2͉Miωlϒs&Ao9rq T"gh}q@T7$;e9Hrl⁔2(9'4qB`h}S1XI`((G-%Δ-.ݪu68&U$¶8HӬ2M&w6x]/$!g_9pB9IUn[e_7O \;c )Y]2J¯/;'llmXJiQ +RF*h"X(=݊6`Jeܪ>HI({?o2f{b3Zzohe0G>so: BQiWAր.&hq;N_Ю$ a#s iծPxHhK I 2}2uowRfR'`A֌m!fzSEU}B(otO+YWH)(z|p=}%fsd2j+lڵ&7 = /gGR$IĹI &u+ViD/1)?0sue P=C'hZrҢ ZͶJĉj`폃QF=Ժ0’||Xϛ7C޶ 6-h+E_:xVf<ꪰhn )ͅPAZF$3Lͯzh&1r4*xW7gm׆`QgOZU$P8o r[zmotA}QY;@oH{}̞`!1:DwSDkCL><.z<{8Luo m zA{m6YQ?@RW}%u/NCd;1`sUbP?ɸ#mtjzq"kk>D?'H; vu]l@xF7J| v, (+Tv [ ADK @?t)2~5".bppVxD?o|xzh+Ɂ1Fz]0V̞w•ޭ(c!b~…WXŀvSpNgREDl@SB 4#hvlGqkI{0 vrizl=2 c}A j0OcSTGlVoQs%wy} LM:kI>~ЦU̙ck</J'V}7]-j/\E]w9!ȇ ,(VJeφBIm!-\P nt}L|2MChA܅{W1V c'XXiUKJ<-0m?戞Y^@fD~g![L/(G 2|٤޵&~:NoMMv# $G4y"ɰ M.@&/t.9Aۉ{ 2-c&gU|;p*fNTS֛AfrHg;'hMປp۱xI fzTw3YVB\aC2% m^de|~urgG\UT#jVTmk{pc(EJPun 2kIqM\ 30 IcOW5C}Ydm.g$5%}a–Z'Ltq{T>Fy"ъWT}]+*5'~p4nd=afʥVD nGѫS.F uS`)-&C$\/:К/[ 0]Td\ұ$"AN km]Tb`SFZjyJ2+H4%*l1.ߏۢƊ^%Rdv @GsL̅ﴣ̟<'@E.j=P$$" F-HDѵ9dVͭPܖ$iO=ȋ`ԠH#LoO9D?~V\jC5|)ۿ#$iNČ@(oVBQ}<0na.:k{Nx1L+K$Ov%[4F/FU$Æh G$8ͫ9NVW6FZΖpB1O6X%ŲX"qFT+bFT}7a jO W^_Cizс)vJ0@8v3:7};lA1 ]LL_O N0Bv_n)]+[fEzIbq`"-]kPФ۷v=B9:EŮ ݡ`"k\ooolZ)?~iK~Ȅ=Ė2da#w&&v|fV»nݚJ|zes ?"a] ԲB=:+E --N67@Z^\298@51ny~$L|Jt]׎u4YGv\^ܳԹ6^=[E<:{!6+edѐٱܚsrAE|ځR3!~;˲.4[?(%5-SE܎J:ShB M e j0u3tȧRK 8A:JB#ޒ.; _rc+V}Vl3>OL5yj߷\Qۯ-; =HMUʡpJnE;YK7+%~|MH$ڪGQÂ/'%V.(42zV|tf]},dfx̩2>'ZhOUQ%1_MO kqb2GBy|CX͗.ZɝBK1Wc5k2=J}D8锑ň4r:}0oB۬֏k Z[cg*Wd(S\8_n#x8AG!lu|n2e PU$acJaj\fBf٧`vIwBKT*@@=a 9MUZ4r /ALEoɢK Ft??zk.3fP!&}hnSs^tn; ̬ z#5 h}N0[;G{S襓5U2.4h+16_t,knSx np-w|.Hh- m "5MOHkvRU~&m@A$jq)bܐFPPuh+փv+pd_Igw)Z(uQdGS@-zU<Ԟ*|QîPDVWn7 ,0;/]y0[?o@ v ą6|ٱ^6a+(b>6 x? ,ZߴlrN\4@ 'HUS·Y; 3!~z  vlU;7*E^͵C^w ?]J}86Us4:]-I#ʠWW(ON J32D{o+cR7 mw3T.:Lj/al*ƝQk wipLd?]_G.nR2(GN+HX4z6Յ|s$ͦ,q+A@^۰{T.!CHE:KWܔNzf*0ʸax5"P̨)J._~.$&=S,(BAFIgFԏ ѽӊ ьbR">5Lt{.QOfZxJ.`~wG}u,G2%2$D֧2]snҽOXdzXo(N9ȶd_%Di +5̂WUY֪h" G&:}WۣzA̭` 77ZS G <&s9 Q x{9od[6reLM*ãD/?适\WS"5ZЈ#SXR'>ghzs>!YQ8/+7DF'g]z C$sn L!2i!6}x.k4}20Ը{Ƃ+2tf;J\>9;(f:SF Μ&P@st ^įr4f|9'G7DRegNC^SOf #"3ֱ\> E#f靶jߣ{!)m.jid2s jȥbd܋TZ506Fߴw|avdp`Ky_?=S{gٌH6"9@<9xS+ڢ3@@unc~hGJ2&緕8YNBF֠Nwˣ4G.xپxncD{'t`A֛tb+h-S"e qۂb*T|fwbocP:VveBQ(eHp<JBuTk7Q`Omn;&Z/'v\Xs|U⯧X v>W@%uG3驌z=?'hRIU-mD>VfAƒ)S8`qM>nغSH}fRD;G([LА2TϦY6 U u~Aj]G4VWd=d<ߓ<7,/vj cVJ0(Q-O56_OJ()80Plu` Dfl)Z SqRgz+HKmZ/ uFEK1ئ-lr4܋"&ol|>R"9aZ`Q^|A-=AW5ne;N yu*h^j<GYyU}K+0"rR,mf1i"zT#`2 cTƞ PSAp΍tEGBcedƕ4DT#)LwJF۹ j;oDrxSt8U1&P=U̹xK\,IƵ^|Y7p27?r:}`>,x\@"z񝸵*U2ILk_شÆB5m܊#יGmrXQ4ϔ#- 'TE+h:I^g^?D`$LRKbjfzUЪ_Ù5~NYvei{:\fA9zkh#-6w0}%‚1%a[M7+lksVSaw|$\O,lm܅+Ibd!QXB[c2Bɑ35+u0oPճcO#[ \a;Ǭ~&mZ"{' pظN.࢓wҌ?0 4`w}; (tLEu;n'XsdS3>1H0 Ď}U4(S)hڰW?cTehc=zWaO.|mwB@`2D/SN௛;VuHUWwSřeȺuB-FZD]lbX3K=vbylͥ Ȧ碒 zY5Ibn~pw&JO o42|oy38haI7 (n _u*y/{DYo+0k>J- YcU%F+EWn:_NUN ݘ JhPo%2!r%2׳YLOs27_]&Ma&Sg~m |T5w7dױO5GD d!E3XVqT_9UY&P@\ɠ"O:ǿ sBqZ1Ӯru^/$7n~~ Ax)G+񋙍}; yL޳ OToLhO%2LOڕ:}󶟕@?>zs]Ǎ!#B~y' ~\? ʙK<`PXb idZoeՋT[VdwV9X7ReiO^MUj( 3BnUCK ⢒60H]];q RAˑ,"n- -x\//8f:;P#[HLCnʥ9,պlv4;`@U]Y\$B {FN)Uđ^i>۲=Sef(19 Λ߮8_<s·Ӛ3 qxZ;887dX^\m(ZrsTAI8TTZKee3m03q8c~&}w|j(!YUK(+NHjǥo NĤNI=&= mޛ$ԁ(,JmVkr_|+%"9/99*^|"q4OǨ3~pW͔T)$Wt|L[U^p;7Z G~.{ 1i5hm6E+XD +1#J$W u< y q ~m?;[#<&Nj{ Pv򧦕F?K.us Z#gh*fK_vSe܆ǟs8LI^Ӓ.<;FDlINѺy_tB KoϦ[iIn\9~PUӇZq)) ~Io[%1?`Eyiuƪ̜,%g-y9 1 XYGĻzp~[ p13]H⭘{:;;1#=?d55ڑ,zgfMٰJL})5D. T? 6}Uf:Aڇ`oauյ+)Lz nQUx%yֶ~Ols5*px*:i$4)Wh\>^UyEyxdRK5dbJefߡՐR6rZL;aguop- W38 M*Cx ![|AtVKl:7a10S=fl򣮿,SVވ30psY3չbX#/9~*PJpO6Yc>oz:]Xz7K _!%qD3ӀԜs/^Hwo1jIyD ^pc梵hl|V܂O~N u*S}\sFSCnm- h]%138<O3Xf[#fȅsKw1P'=e_| eB6p6)N;RL&+'WG,] z[\Mh`m`nJKbTt:[}SDbcc!@5Ā$f#O( */df24%>$K[ M _~?^g&߾Td9Cnm:P>|ဉs:|=1J 2}:ni@R:E!Y'%^_B]pG?lތB"C=)?NkQ ߁F[D'k5:t8kh۴&oB)׌u<QE];|b#Iw*nN_23 ECSF _jd^*I鄈mli8'(!PVF:dΎO)9_U69F./ |΁PGJX[} gx<,/=~t4IF lS_AR,3~ zfS<>V,*0!DTi?cJn)1tЉfE>y0iݤØ/J$&0rcfB9ne]^QcbQVK2klJWpZB)σdױ||@=ebcۊLa(uwbD4ӓ#fiZQ"$k]vC[{4dP~jG1hyZւYVz@+Z?'-5PXwW:捇6Bz"qP(-8Pkr_$:ew8ܹ*K T뛩.& hz#zҖAF5)#Ze@lOp-ϵ%FRʿ$ט$쐜hG"88_ybTE]R38WGOMUSzlc2\3ԯ^:MrER) qr3p@YR$ vj\\~0C;0rGx_7r)i ¼|'nъQī_2[s5%Ќr`ģ<:- u)k"(}k 96t~3t%.,1-pgUGQ/5+ #]jYgeBy7IwT dZڏѯ0m\@%7׻ȣ*cZ^.жAW>wLWb4U\/x7etuD)axqҥ\>MG+*#,=whx{L  ی?M5t}P%8C̒ GF?Ki_}ް_VeBrBA,c@Wjwt'@[Bs(6rFtƮ?B>N}*WR`Е\(Pz!:B0hq'T6Fd'2$MDMԏ҇B*rJSwьDp[NpxE#J2,CElt&|Sq[V4";.p_]!t a7UYDI= jB>@Rw˦D۬Ý9_07ы2'B+[e䶗 o fB*3|ߚ̨T<1U Nk@nB6!@:"7 %v( i'Bǫϊ, ]Un˜> F,:nqӧM^N|+l?c3|cIR3[{6 bQ9'VUʹ]sfƔ0A8֚I*x&FP]{d! wEyhB-֖%z-:䷅}̻A#OqGawu^ktf9Ay6ADGQޞW $ lbCLLzJG '%)qk"h/&_I׋BApb4%[F5:5_⿪y㓤C|lt{sET(/(wɮ1'q!ڒʝF&MLJ@-Wù ,]>{Z~u F࿝mN^"ɁpF=uu`π l 2e̾<=Y7mt6>dḾGh ZPZaC8hwMVqB ۔d҅Ñ 8o~nw3\ßj8 )ļW12LW/e88$=`^&zqx_U j&Dݥ٭Twk򁬱pP7y$eoS^ f>H[XBK@/)mOH{h ׯ9sVͣ 0F=WFA-tUjb +ϣtf065d½wåJ_WU?Zɤ1"2_ eƭ>gI}CXNeC$ezL0S0w,*/pV- {8h]bfHÀϒx^qnЍv (#VɎu;d6tWL[]?mָ>mw9ueWXgp@N{~"Kv9H0X׈kz!10齿g&5SQL쭜#)ɞU|FgnuJ"5JQzC+^ 2RȎ-ޤ.M@B^!]9Ւ ~H̨ڨQZњZ̯״F 4N.!0'Pu~! :oK 90ery/Qj|F\]qcUhE oᗊAXz%j}v4M +-""Hl˜ l@Է;Z"'P%]I$"8V*bz{2+_᪻d8+fV`<{Y<~=Ma L#1_\y\?SġvuXm"[wݮm""U9{MW}g62 *A۲Zқ񶶃w*YՂd' h܈'uZ 9a^K54vP^[\eշyyjX8Lfsk(lmo@WR_/7~TXMF 7Ty켌Y@ơ"4=7,{a ٻEyuy,%Mg W"J^K sk 9_7?]H$> $zC;1eo0[PK6ʕ7qMeܱڥؓ\BM ()B4V|,G /XI;AdPfͽZ~:{6xJ)@AQu `sd$yԧIaC=B>2r5[#lѹyk 2 TM^VaJn/|Lp_M"N~'q pTgfoL{@7'v^6*:j4 ^vlc;-LC궿#9O v=7=DBʅS |œ~%3cGX6v_8O?[E1yV>QNV[)]}P|2|p:@Ն.1nGddд bP q >&n+JQ4a͡&Co^Z[Qvs4%:S/,҈ O-\СvC`_LlP<9_d['.r]&%v=p*7Jqh;|Y8W fbxJ aVKǑ7Kb<MtM4O>43ζ*BsF.Q:-;krh̛1|vorhcagoY*iwg ,AfYk=8,%8Nl{b^oױ~q3+(gAS2'ЇF%ΐ!SͶqd #2wBKRjDQACMR૝<^Z Ì$01q-y߀7AZGnfNݔ ֍5Uݦ]9ul"s>\ջpVP9dq8ˢ*繪apH ="O3Z+)@߈.6q|;:yLFflm/72#Z{%9 S/Ovp#jO};~d03RR'sIҜ, =ΨVyX?qth x&wY;0ӹĮ5V 76,D `ڸ9vO{* n`BdbH~!5:un|>I堾>Kxm^Oʂ&νͩYDBl{1UёSZI^{:4S8b GĸDi%fCe)H\Oނg&{+ڕkO<թrPT1V5J!؟.E,'Q?G;N^dbUxLNKh"#; CV_/8' D4䤟)l(9>Oy8r#M6rKIY *\TF @a+;~"D5Qyn9\v pUBkȝu|T@1]+})N>7ʠ5x}lvߑXD'>HHGd.=roy7 54!θ?Y@JɣԯR<;A<йky(T ʭ1'3 Ev;[PQJmӂX+ǓrIXې^݅[Fk"%J:9BFtH@9Cֻ38.ҹfjȰLA'aͧ+dQzXRFmUMaf+/+a&&ڎP9=}v dQY^nx,jDX 6+փ$Y} lXk qq :xpйfqvTmA<ttŤ MS[ ҙ 3]ǃĞ5rA;1ABy^xCgF͚z wdbAm X+30 h\n(g`3(tJl׉`\lKd/ơJ YpX'!yɆ)[:#ґӀVnei9'Qp׬L<u ~rSH5,߷7D'^Ȯ>YrO_Qѷ iWx+<N.J^4RINɓ>Tˈ' #5Z.KM'ek!TDXLH<4ǵng }x"&k;߁zGe{DJ:n43MTMc(T sJ@ 0fh},տG@Ϙ[͕lrősss@}iļIZ@ c7 C^Y{h l9b!&a`u}k=uuT2LE@ 97d +Β]j{,)3Ksm!`tNچEAXu ߝ+b4wP*kBN'q䖇9ĸHj2?lzM AkI̹T6TZr+E}|-3X V"MR$~f!&TIۇ.NRT7]_J{kpw<짃uy('&[)xe^@E*efE&%$ I~پ.V:au2o o\}0kV wЁ߰gLUO)/E6~e_cDuKj +s_b2}ڋ1KĺuSPq1酞vѧ.*$t4tE)-v0"3 &]秾 DY]ҏ6`I}zhZn& n lPfDsF,ub{7|yMR x9MjjfY*1)Uگk Q3AKG:@)"QGQ̽jFh lȊC˴q#1ƭO<2L99&MVtcHnF--=!37x7+@SJOv KeRPGA$4QÑ!!Ř[K& Mchy'h+|\@p|riJbȱO Zß}a_-E?-7Uӏ SO*F-^kΜc^o~n'(Z&bƿdp̗TֱZ+SDe> endobj 2 0 obj<> endobj 5 0 obj<> endobj 26 0 obj<> endobj 48 0 obj<> endobj 62 0 obj<> endobj 63 0 obj<> endobj 64 0 obj<> endobj xref 0 65 0000000000 65535 f 0000000015 00000 n 0000231737 00000 n 0000002248 00000 n 0000018182 00000 n 0000232291 00000 n 0000024209 00000 n 0000024399 00000 n 0000035264 00000 n 0000035420 00000 n 0000038112 00000 n 0000038269 00000 n 0000044741 00000 n 0000044899 00000 n 0000051714 00000 n 0000051872 00000 n 0000059039 00000 n 0000059197 00000 n 0000066333 00000 n 0000066491 00000 n 0000073861 00000 n 0000074019 00000 n 0000081070 00000 n 0000081228 00000 n 0000088433 00000 n 0000088591 00000 n 0000232418 00000 n 0000095796 00000 n 0000095955 00000 n 0000102601 00000 n 0000196603 00000 n 0000102760 00000 n 0000109969 00000 n 0000110138 00000 n 0000117602 00000 n 0000117761 00000 n 0000124712 00000 n 0000124871 00000 n 0000132609 00000 n 0000132768 00000 n 0000139699 00000 n 0000139858 00000 n 0000147306 00000 n 0000147465 00000 n 0000152629 00000 n 0000152788 00000 n 0000161815 00000 n 0000161974 00000 n 0000232548 00000 n 0000170685 00000 n 0000170844 00000 n 0000180368 00000 n 0000180527 00000 n 0000184440 00000 n 0000184599 00000 n 0000190459 00000 n 0000190618 00000 n 0000195797 00000 n 0000195976 00000 n 0000196191 00000 n 0000196735 00000 n 0000231565 00000 n 0000232635 00000 n 0000232701 00000 n 0000232747 00000 n trailer <<1fd829e2ffe52f9f42866931b33e7e16>]/Root 63 0 R/Size 65>> startxref 232965 %%EOF