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582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Shire House)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 (Sidmouth Road)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Lyme Regis)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Dorset)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (DT7 3ES)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 (01297442483)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 (01297442483)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Sentry Care Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (22)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 397.67 m 30.07 327.03 l S 0.001 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[] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 286.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.55 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 293.96 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.55 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.55 Tm (22)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 209.71 m 564.77 209.71 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 244.12 m 567.8 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 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 28.99 221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.71 m 568.1 154.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 268.02 m 30.07 153.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 268.02 m 566.72 153.64 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 250.76 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (The maximum number of service users who can be accommodated is 22)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 205.1 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (only - Code PC to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (admission to the home are within the following category: Old age, not falling within )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.36 Tm (any other category \(Code OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 139.93 m 315.25 139.93 l S 0.001 w 1 1 1 RG 20.58 w 317.5 139.93 m 346.55 139.93 l S 0.001 w 20.58 w 348.8 139.93 m 377.9 139.93 l S 0.001 w 20.58 w 380.15 139.93 m 409.2 139.93 l S 0.001 w 20.58 w 411.45 139.93 m 440.55 139.93 l S 0.001 w 20.58 w 442.8 139.93 m 471.9 139.93 l S 0.001 w 20.58 w 474.15 139.93 m 503.2 139.93 l S 0.001 w 20.58 w 505.45 139.93 m 534.55 139.93 l S 0.001 w 20.58 w 536.8 139.93 m 565.9 139.93 l S 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0.001 w [] 0 d [] 0 d 2.25 w 30.07 108.09 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 108.09 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 126.26 m 568.1 126.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 107.01 m 568.1 107.01 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 30.07 127.34 m 30.07 105.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 127.34 m 567.02 105.93 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 113.07 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 113.07 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 93.82 Tm (Shire House is established in a large detached house set in its own grounds on the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 76.82 Tm (western outskirts of Lyme Regis. The home is accessed by a driveway and is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 59.83 Tm (surrounded by mature grounds and gardens there is level access to most parts of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 42.83 Tm (gardens. There are large parking areas at the side of the house for visitors )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 610.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 610.77 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 28.99 611.85 m 568.1 611.85 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 (convenience. The original Edwardian house has been extended to provide additional )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (bedrooms. There are two communal lounges and a separate dining room on the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (ground floor. People who live at the home are accommodated on the ground, first and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (second floors of the home and a passenger lift is available to the first floor for less )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (ambulant residents. There are eighteen single and two double bedroomsuites, all of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (which are decorated to a good standard. Of the twenty bedrooms, eighteen have )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (ensuite facilities. There are sufficient communal bathrooms and WC s to meet the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (needs of residents, including an assisted bath. Shire House provides 24-hour personal )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (care, all meals, laundry and domestic services. )Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (The visit by two inspectors took place on the 18th January 2010. The purpose was to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (check if the home had complied with the statutory requirement notice issued by the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (Quality Commission on the 23rd December 2009 in relation to breaches in the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (Homes Regulations 2001 relating to poor care planning practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (We found that both residents who did not have a care plan at the last visit now had one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (in place and they have both been signed by the residents concerned.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (The first care plan contained a photograph of the person, a very brief life history, a partial )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (nutritional and pressure sore risk assessment and care plans covering topics including, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (maintaining health and personal care, cognition, maintain quality of life safely, falls and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (monitoring review forms, pressure areas and socialising.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (On the first care plan although it was noted that the person had two significant food )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (allergies there was no care plan or risk assessment in relation to this and no information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (and guidance on file for staff to follow should the person have an allergic reaction.The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (cook was aware of one but not the other food allergy. The information about the food )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (allergy was not included on the care plan on how to maintain quality of life safely.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (The care plan relating to falls was dated 17th December 2009 but had not been updated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (to reflect a fall that had occurred on 15th January 2010. The moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (assessment was dated 5th January 2010 which recorded that the person was at low risk. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (This had not been reviewed and updated after the fall that had occurred on 15th January )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (2010. The falls risk assessment had been wrongly calculated as it didn't include the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (recent fall or that the person used walking aids. The risk assessment relating to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ('unsteadiness on feet' made no reference to the fall on 15th January 2010.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (Fluid charts were in place but the amount taken each day had not been totalled and there )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (was no evaluation made to see if the person was receiving enough fluids. Daily records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (were in place but the majority were very brief and a record of tasks undertaken by staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (On the care plan it clearly stated the need to encourage the person to participate in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (activities \( in the cognition and socialising care plans\) . However the only activities )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (recorded in January were 'chat' and there were no entries on the activity record for nine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (days in January 2010.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (The key worker input and dependency record were both blank.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (The second care file looked at contained the persons next of kin details, list of medical )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (conditions and an initial assessment that had been completed in December 2009. All )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (topics had been reviewed on 14 January 2010. A care plan in relation to catheter care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (was detailed and reflected the persons current needs. Fluid charts were in place with a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (recommended daily intake of 1500 ml. However, the fluid charts were not totalled each )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (day, the amount of fluid in the jug was not recorded, and the fluid charts were not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (evaluated to see if the person was receiving enough fluid.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (The personal cleansing record showed that the bedlinen had been changed on 3rd )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 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 (January 2010 and 16th January 2010 meaning that it had been used for thirteen days.)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 social activity plan which started on 1st January 2010 recorded ' chats' on four days )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (with no entries made on eight days. this is despite a cognition and socialising care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (which states' encourage to participate in activities every day'. There was no evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (any activities had been offered to the person concerned.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (The care plan clearly records that the person needed a high fibre and high protein diet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (due to medical conditions. There was no evidence on the care plan or daily records that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (this was provided and the cook was unaware of any resident in the home needing these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (special diets.)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 (In common with all care plans the dependency assessment and the key worker )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (assessment was blank and the pressure sore and nutritional risk assessments were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (incomplete.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (On the third care plan looked at there was clear evidence that the person had fallen on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (the daily record but this had not been recorded in the accident book and had not led to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (the care plans and risk assessments being reviewed or updated. The physical assessment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (and care plans were dated November 2009. However, the deputy manager told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (the person was now \( January 2010\) at the end stages of their life and had signed a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (declaration to make clear their wishes to remain at the home and not be admitted to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (hospital if they became ill. However, the care plans and risk assessments had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (updated to reflect the deterioration in physical health and increased frailty of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (resident.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (The personal cleansing record showed that the last time the bedlinen had been changed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (was 8th January 2010 meaning that the linen had been used for 10 days.)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 (The daily record showed that the person had fallen on the 6th January 2010 but this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (not recorded in the accident book.The falls risk assessment and care plan relating to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (mobility had not been updated to take the fall into account.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (In common with all other plans looked at, on the fourth care plan the dependency )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (assessment and key worker input was blank and pressure sore and nutritional risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (assessments were incomplete. The mobility care plan detailed that the person had a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (history of falls and continued to be at high risk of further falls. However, it went on to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (state that the person' knows their own limitations' although the psychological profile )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (makes it clear that the person has short-term memory loss and was confused. It is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (therefore difficult to see how they would be able to be aware of their own limitations. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (moving and handling risk assessment did not give clear directions to staff on the level of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (assistance the person needed or what should be done to reduce the risk of falls.)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 (The care plan stated clearly that the person should be encouraged to take fluids up to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (1500 ml a day but there was no system set up to monitor this.There were no food or fluid )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (intake charts on the file although the deputy manager told us that they should have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (in place.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (It was clear from looking at daily records that the person due to confusion, did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (understand why staff were offering assistance with personal care and this led to them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (being described as ' aggressive and angry'. There was no evidence that the person had )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (been referred to an appropriate mental health professional although the deputy manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (told us that people were referred to a specialist assessment when they were confused or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (aggressive they agreed that this had not been done for this resident.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The fifth care plan looked at contained a long-term assessment dated 30 August 2009 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (that stated that the person would need to see the chiropodist every six weeks. However, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (there was no care plan related to foot care and the persons toenails were seen to be very )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (long and appeared to need cutting. The deputy manager told us that the chiropodist had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (seen the resident on 7th December 2009 although this could not be verified in the visitor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (record signing in book.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (The daily record on 31st December stated that the person was 'very aggressive'. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (However, there was no risk assessment in place in relation to this to give advice and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (guidance to staff . There was also no evidence that the person had been referred to an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (appropriate mental health professional to obtain professional guidance in relation to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (meeting their mental health needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Daily records were in place on all care files looked at but the quality of the reporting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (varied. Some entries were very brief i.e.' no problems' in most entries and did not reflect )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (the persons well or ill being but were lists of tasks undertaken by staff. Some entries )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (were inappropriate including describing a person as being ' difficult' and also one entry in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (a care plan that advised staff to make sure that the person ' was not wet in the bum'. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (This does not afford residents dignity or respect in the way they are cared for.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (We saw three residents whose feet appeared in poor condition and whose toe nails )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (needed attention. Although the deputy manager told us that the chiropodist had been, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (they could not provide any evidence of which residents had been see and none of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (residents had a care plan relating to foot care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (We spoke to one resident who told us that staff were 'caring' and that the food had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (improved since the new cook had started work. However, they also told us that 'staff are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (forgetful and get distracted' and that when breakfast and other meals are delivered to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (rooms sometimes things were missing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (The hot water temperature in sinks and bathrooms remains very high \( between 58 and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (60 degrees Centigrade\) and presents a significant risk of serious scalding and burns to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (residents and staff. The deputy manager told us that a contractor had been approached )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (to undertake the work of fitting regulating valves but was unsure when this work would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (begin.)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 (The deputy manager showed us risk assessments that had been set up for all residents in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (relation to the hot water temperature. The assessment said that all residents must be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (accompanied to use the communal toilets and bathrooms to reduce their risk of them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (scalding themselves. However, it also stated that it 'is individuals choice if service users )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (choose to be left alone when bathing'. The risk assessment is inadequate, contradictory )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (and does not include clear guidance to staff on how to keep people safe from the risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (presented by the hot water. The deputy manager told us that they had not been given )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (any training in how to do risk assessments.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (We looked around the home and found that there were still no foot operated bins in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (communal bathrooms to reduce the risk of cross infection. One area of the home on the )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 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 (first floor smelt very unpleasant.)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 (One private room and bathroom looked at was very dirty. The bathroom floor and metal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (toilet frame were dirty with bodily fluids clearly evident. The sink was dirty and the hand )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (towel filthy. Wound dressing were stored in the bathroom and there was a clear risk of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (cross infection due to very poor hygiene standards. In the bedroom food was stored and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (there was an open commode pot half full of urine under the bed .)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (The bed in one private room had been made but the sheets were clearly stained and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (should have been changed. The frequency of bed changes was not what we expected to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (see. On one file checked the bed linen had not been changed for thirteen days.)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 (The shower room did not have any signage on it to tell residents where it was and a light )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (bulb was missing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (We observed that a number of windows throughout the home are not restricted but risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (assessments in relation to this were not in place. During this visit the temperature )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (throughout the home was very hot. All the radiators had been covered but the cover )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (included the control setting and the temperature of the radiator could not be controlled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (by staff or residents in their private room. We went into one residents room and noted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (that it was very hot.The resident told us that the room was 'too warm' and that a window )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (had been opened by a member of staff at their request. The majority of windows in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (room were locked and could not be opened.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (We noted cobwebs in some window recesses and the back of doors were dirty in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (lounge, dining room and some private rooms. We noted that one residents door to their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (private room did not close, although it was a fire door. This was brought to the attention )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (of the deputy manager. We also noted in this room that out of date medications including )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (creams, ointments and dressings were kept in the bathroom, alongside dental tablets for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (which there was no risk assessment in place.)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 (We saw that information about all residents and who was their key worker was on a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (noticeboard for all visitors to the home to see. This breaches confidentiality and this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (information should not be on public view. )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 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 1 175.95 267.31 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 151.8 w 31.2 180.22 m 580.26 180.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 257.24 m 582.46 257.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.19 m 582.46 103.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 258.32 m 30.07 102.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 258.32 m 581.38 102.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (It was clear that the deputy manager had worked hard to develop care plans for the two )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (people who at the time of the last visit on the 15th December 2009 did not have any care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.9 Tm (plans or risk assessments in place. Both care plans have been signed by the residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.32 Tm (concerned to indicate their agreement with the care being provided.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.16 Tm (The registered provider is now spending more time at the home supporting the deputy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.58 Tm (manager in the day to day running of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 139 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 124.42 Tm (Residents spoken to were generally pleased with the service they received at Shire )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.84 Tm (House. One commented that 'staff do everything we need'.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 82.88 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 30.26 w 31.2 57.68 m 580.26 57.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 73.93 m 582.46 73.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 75.01 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 75.01 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (All care planning documentation should be fully completed dated and signed. 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The storage of dental tablets in the rooms of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (residents who have dementia or may be confused should be risk assessed to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (people are safe from the risk of ingestion.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (All accidents that occur to residents must be recorded and the accident book should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (checked by the deputy manager and an evaluation of accidents undertaken at least )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (monthly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (This report should be read in conjunction with the key inspection report which gives more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (detail of the findings of the visit that took place on 15th of December 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 50.62 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 50.62 Tm (is taking )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 770.29 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 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met\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 224.2 Tm (17/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.56 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 52.56 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 52.56 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.56 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 52.56 Tm (01/08/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 140.22 w 31.2 611.14 m 91.05 611.14 l S 0.001 w 140.22 w 93.3 611.14 m 197.4 611.14 l S 0.001 w 140.22 w 199.65 611.14 m 289.45 611.14 l S 0.001 w 140.22 w 291.7 611.14 m 473.8 611.14 l S 0.001 w 140.22 w 476.05 611.14 m 566.1 611.14 l S 0.001 w 198.54 w 31.2 439.51 m 91.05 439.51 l S 0.001 w 198.54 w 93.3 439.51 m 197.4 439.51 l S 0.001 w 198.54 w 199.65 439.51 m 289.45 439.51 l S 0.001 w 198.54 w 291.7 439.51 m 473.8 439.51 l S 0.001 w 198.54 w 476.05 439.51 m 566.1 439.51 l S 0.001 w 154.8 w 31.2 260.58 m 91.05 260.58 l S 0.001 w 154.8 w 93.3 260.58 m 197.4 260.58 l S 0.001 w 154.8 w 199.65 260.58 m 289.45 260.58 l S 0.001 w 154.8 w 291.7 260.58 m 473.8 260.58 l S 0.001 w 154.8 w 476.05 260.58 m 566.1 260.58 l S 0.001 w 137.26 w 31.2 112.31 m 91.05 112.31 l S 0.001 w 137.26 w 93.3 112.31 m 197.4 112.31 l S 0.001 w 137.26 w 199.65 112.31 m 289.45 112.31 l S 0.001 w 137.26 w 291.7 112.31 m 473.8 112.31 l S 0.001 w 137.26 w 476.05 112.31 m 566.1 112.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 539.9 m 568.3 539.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.11 m 568.3 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 182.06 m 568.3 182.06 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 28.99 539.9 m 568.3 539.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.11 m 568.3 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 182.06 m 568.3 182.06 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 (must ensure that all staff )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (have the necessary statutory )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (training to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (peoples needs can be met in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (a safe manner.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (\( Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (01/08/2009 not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.72 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 523.72 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 523.72 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (must ensure that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (accidents are recorded and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (evaluated to maintain the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (safety of those who live at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (the home.)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 (\(Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (07/07/2009 not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm (Not looked at during this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (inspection. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 523.72 Tm (07/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 322.92 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 322.92 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 322.92 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (must ensure that the hot )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (water temperature does not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (poise a significant risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (injury.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (\( Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.87 Tm (18/06/2009 and 15/12/2009 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.29 Tm (not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 322.92 Tm (18/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 165.88 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 165.88 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 165.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.88 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.29 Tm (must ensure that all risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (assessments demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.14 Tm (how the safety of the people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.56 Tm (who use the service or work )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.97 Tm (at the home is being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.39 Tm (maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 49.24 Tm (\( Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 165.88 Tm (17/07/2009)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 183.63 w 32.32 692.28 m 564.97 692.28 l S 0.001 w 1 1 1 RG 81.9 w 31.2 640.29 m 91.05 640.29 l S 0.001 w 81.9 w 93.3 640.29 m 197.4 640.29 l S 0.001 w 81.9 w 199.65 640.29 m 289.45 640.29 l S 0.001 w 81.9 w 291.7 640.29 m 473.8 640.29 l S 0.001 w 81.9 w 476.05 640.29 m 566.1 640.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 597.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 597.14 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 92.17 597.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 597.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 597.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 597.14 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 28.99 598.22 m 568.3 598.22 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 (17/07/2009 not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (Not looked at during this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 227.7 w 31.2 385.65 m 91.05 385.65 l S 0.001 w 227.7 w 93.3 385.65 m 197.4 385.65 l S 0.001 w 227.7 w 199.65 385.65 m 289.45 385.65 l S 0.001 w 227.7 w 291.7 385.65 m 473.8 385.65 l S 0.001 w 227.7 w 476.05 385.65 m 566.1 385.65 l S 0.001 w 227 w 31.2 156.05 m 91.05 156.05 l S 0.001 w 227 w 93.3 156.05 m 197.4 156.05 l S 0.001 w 227 w 199.65 156.05 m 289.45 156.05 l S 0.001 w 227 w 291.7 156.05 m 473.8 156.05 l S 0.001 w 227 w 476.05 156.05 m 566.1 156.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 270.67 m 568.3 270.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 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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. 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396.96 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 382.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 367.8 Tm (Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 353.22 Tm (15/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.06 Tm (To ensure that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.48 Tm (needs are fully assessed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.9 Tm (the home is confident that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.32 Tm (they can be met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (02/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 254.49 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 254.49 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 254.49 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254.49 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 239.91 Tm (ensure that staff carrying out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 225.33 Tm (pre-admission assessment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.75 Tm (has had the necessary )Tj 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Tf BT 1 0 0 1 294.55 203.48 Tm (ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.9 Tm (opportunities for all residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.32 Tm (to be involved in meaningful )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.74 Tm (activities based on people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.15 Tm (assessed needs and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.57 Tm (aspirations.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 116 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.42 Tm (\(Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.83 Tm (12/02/2010 not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.25 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.67 Tm (To ensure the well-being of )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 218.05 Tm (30/03/2010)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 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eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.32 Tm (This refers to staff, inclduign )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.73 Tm (catering staff having )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.16 Tm (sufficient knowledge about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.58 Tm (food allergies and how to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (keep people safe.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (02/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.17 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 477.17 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 477.17 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.17 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.58 Tm (ensure that the catering staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.01 Tm (receive training appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.42 Tm (to their role to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.85 Tm (they are able to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.27 Tm (residents assessed needs. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 386.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.11 Tm (To ensure peoples nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 357.52 Tm (needs are met and cooks are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 342.95 Tm (aware of how to provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.36 Tm (specialist diets.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 477.17 Tm (30/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.54 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 305.54 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 305.54 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.54 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.95 Tm (consult with environmental )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.38 Tm (health officers and take )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.8 Tm (action if required shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.21 Tm (ensure that it meets the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.63 Tm (current regulations governing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.05 Tm (the use of passenger lifts.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.9 Tm (Not looked at during this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.32 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.15 Tm (Previous timescale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.57 Tm (05/02/2010)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.42 Tm (To ensure that those who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.83 Tm (lived at the home are safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.25 Tm (from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 305.54 Tm (02/03/2010)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 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requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 668.63 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 668.63 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 668.63 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 668.63 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 654.04 Tm (ensure that all windows that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 639.47 Tm (are unrestricted in their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 624.89 Tm (opening do not pose a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 610.3 Tm (significant risk of harm to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 595.72 Tm (service users and 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12 Tf BT 1 0 0 1 294.55 394.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.36 Tm (\(Previous time scale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 365.77 Tm (01/02/2010 not met\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 333.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.04 Tm (To ensure that people who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.45 Tm (live and work in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.88 Tm (are not at risk of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 511.58 Tm (02/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 267.05 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 267.05 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 267.05 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.05 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 252.46 Tm (keep the home free from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 237.88 Tm (offensive odours.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 205.73 Tm (To ensure that residents live )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.15 Tm (in a pleasant environment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 267.05 Tm (02/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.32 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 168.32 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 168.32 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.32 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.74 Tm (ensure that recruitment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.15 Tm (systems demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.57 Tm (staff have been appropriately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110 Tm (and safely recruited.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.83 Tm (Not looked at during this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.25 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 51.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 168.32 Tm (18/02/2010)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 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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 (Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (26/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 638.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.14 Tm (To ensure the safety of those )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 609.55 Tm (who live in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.47 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 584.47 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 584.47 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 584.47 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 569.9 Tm (undergo training to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.32 Tm (that they have the necessary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 540.73 Tm (skills to continue to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.16 Tm (responsible for the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.58 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 496.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.42 Tm (Not looked out during this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 467.83 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 435.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.1 Tm (In order to support and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.52 Tm (promote good practice at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 391.93 Tm (home. 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The light bulb should be replaced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 593.79 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 593.79 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 593.79 Tm (Beds should not be made with stained sheets.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 579.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 564.64 Tm (Bed linen should be changed at least weekly.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 541.8 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 541.8 Tm (25)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 541.8 Tm (All radiator temperatures should be able to be adjusted )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 527.22 Tm (individually and covers fitted should accommodate this.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 504.39 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 504.39 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 504.39 Tm (The registered person needs to consider if there are )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 489.82 Tm (sufficient numbers of staff available at lunchtime to meet )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 475.23 Tm (the needs of those who live in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 460.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 446.08 Tm (Not look at doing this inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.24 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 423.24 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 423.24 Tm (The accident book should be checked and signed by the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 408.67 Tm (deputy manager and evaluated to identify any trends to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 394.08 Tm (enable measures to be put in place to reduce accidents.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader 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. 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The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 50 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 51 0 obj<> endobj 52 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 53 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 23 0 obj<> endobj 54 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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