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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 (Sunrise Operations Eastbourne 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 (\(Reminiscence Neighbourhood\))Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (6 Uppers King )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Eastbourne)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (BN20 9AN)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 (01323525000)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 482.3 m 353.25 482.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 482.3 m 565.9 482.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 459.46 m 353.25 459.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 459.46 m 565.9 459.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 446.97 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 (Sunrise Operations Eastbourne )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 477.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 454.7 Tm (26)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 435.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 392.3 m 564.47 392.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 427.67 m 567.8 427.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 428.75 m 30.07 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 405.92 m 298.32 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 383.09 m 432.52 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 428.75 m 566.72 358.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 411.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 388.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 388.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 365.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 365.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 344.39 m 297.25 344.39 l S 0.001 w 20.58 w 299.5 344.39 m 429.25 344.39 l S 0.001 w 20.58 w 431.5 344.39 m 565.9 344.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 355.81 m 568.1 355.81 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 30.07 356.89 m 30.07 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 356.89 m 298.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 356.89 m 430.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 356.89 m 567.02 331.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 339.63 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 339.63 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 95.4 w 32.32 262.65 m 564.77 262.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 289.77 m 567.8 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 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0.95294 RG 20.58 w 31.2 200.16 m 315.25 200.16 l S 0.001 w 1 1 1 RG 20.58 w 317.5 200.16 m 346.55 200.16 l S 0.001 w 20.58 w 348.8 200.16 m 377.9 200.16 l S 0.001 w 20.58 w 380.15 200.16 m 409.2 200.16 l S 0.001 w 20.58 w 411.45 200.16 m 440.55 200.16 l S 0.001 w 20.58 w 442.8 200.16 m 471.9 200.16 l S 0.001 w 20.58 w 474.15 200.16 m 503.2 200.16 l S 0.001 w 20.58 w 505.45 200.16 m 534.55 200.16 l S 0.001 w 20.58 w 536.8 200.16 m 565.9 200.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 211.58 m 568.1 211.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.75 m 568.1 188.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 212.66 m 30.07 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 212.66 m 316.37 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 212.66 m 347.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 212.66 m 379.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 212.66 m 410.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 212.66 m 441.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 212.66 m 473.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 212.66 m 504.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 212.66 m 535.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 212.66 m 567.02 187.67 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 195.4 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 195.4 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 195.4 Tm (8)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 176.88 m 565.9 176.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 167.25 m 568.1 167.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 168.33 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 168.33 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.5 m 568.1 186.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.25 m 568.1 167.25 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 30.07 187.58 m 30.07 166.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 187.58 m 567.02 166.17 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 173.32 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 173.32 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 154.07 Tm (Sunrise is a purpose built building situated close to the A22 on the outskirts of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 137.07 Tm (Eastbourne and is part of a retirement complex. This building is comprised of three )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 120.07 Tm (floors with the upper floor is a registered as a service providing care and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 103.07 Tm (accommodation for people with a dementia type illness and the first and second floors )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 86.07 Tm (are registered as a care home with nursing.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 69.07 Tm (Accommodation mainly comprises single occupancy bedrooms with larger suites for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 52.06 Tm (couples also available. All bedrooms and suites have full en-suite facilities and a )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 525.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 525.77 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 28.99 526.85 m 568.1 526.85 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 (kitchen area that includes a refrigerator and sink unit. Passenger lifts provide access to )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (all floors. The top floor is exclusively for those people who have a dementia type )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (illnesses and is known as the Reminiscence Neighbourhood. There is a central kichten )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (and laundry which services both the nursing home and the Reminiscence )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (Neighbourhood. Communal bathing facilities, including assisted baths and spar baths )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (are available. In addition, there is a kitchen area, dining room and lounge within the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (Reminiscence Neighbourhood. There is also a number of areas on which inlcudes items )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (designed to be used for reminiscence. There is a large enclosed veranda which includes )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (a seating area and raised beds in which herbs and edible flowers are grown.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (The fees for accommodation are separate to those for care. Discussion with the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (executive director found that Sunrise is in the process of reviewing the fee structure )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm (although charges will still include a set number of care hours, laundry services, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm (continence management and personal care. Additional charges are made for chiropody, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm (hairdressing, guest meals and dry cleaning.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (This was an unannounced inspection carried out to assess compliance with statutory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (notices that were served following the last key inspection on 6 July 2009. The inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (started at 8:30am and ended at 14:35pm. A second visit was made on 11 September )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (starting at 09:05 and ending at 10:20am.)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 (The pre admission assessment for one person admitted since the last inspection was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (viewed and it was disappointing to find that not all parts had been completed and nor did )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (it include any evidence to demonstrate how the home would meet their needs. The )Tj ET /F1 12 Tf BT 1 0 0 1 541.39 618.09 Tm (pre-)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (admission)Tj ET /F1 12 Tf BT 1 0 0 1 94.37 603.51 Tm ( document had not been signed or dated by the assessor. This person had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (admitted on 6 August 2009 and since then had suffered 12 falls with the falls only )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (reducing when one-to-one supervision was provided. This person had also spent time in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (hospital as a result of two falls. The home has not notified the Commission of these )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (incidents as they are required to do. There was a note in the plan to say that the falls )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (advisor will need to be consulted but no other information was available to demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (what action the home will take to reduce the falls. Discussion with the Acting )Tj ET /F1 12 Tf BT 1 0 0 1 504.59 516.03 Tm (Co-)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (ordinator)Tj ET /F1 12 Tf BT 1 0 0 1 89.16 501.45 Tm ( found that a request has been made for a pressure mat and for a discussion )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (with the family with a view to moving the service user to a nursing home. These )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (discussions had not been documented. Given that the service user has been in the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (for a very short time it indicates that the pre admission assessment process did not fully )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (assess their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (At the second visit on 11 September another pre admission assessment was viewed and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (again the assessment did not clearly outline what action the home will take to meet )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (assessed needs. There was little space on the document for comments, with a pre set )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (format consisting mostly of tick boxes with a scoring system to determine levels of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (dependency, however the scoring system seems to be more relevant to the charging )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (process than meeting care needs. Part of the assessment states that the person 'tends to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (be happy in her own world'. This is a statement rather than a detailed assessment of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (persons mental state. The assessment also states that the person 'moves from present )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (back to past in a second'. Given that the person has a diagnosis of dementia this is an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (unnecessary statement. The assessment would be improved if the assessor was able to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (describe the action staff need to take to help the person focus on a subject that holds her )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (attention.)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 (Two care plans were viewed in detail and an additional two viewed briefly. The risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (assessment in one states that the person can stand from sitting independently but later )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (parts of the assessment say they need help for on/off chair and on/off bed. In addition )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (there was no information on the use of hoists or wheelchairs even though this person was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (wheeled from their room to the kitchen and remained in the wheelchair to eat breakfast. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (Discussion with a carer found that this person remains in their wheelchair to eat as they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (push their feet on the floor and push the chair from the table but there is no mention of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (this in their care plan. The action plan part of assessments in this persons care plan were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (left blank therefore there was no direction to staff in how to meet their needs. The part of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (the plan relating to tissue viability only had information on lacerations to the persons face )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (and did not have detailed information on how to preserve skin integrity. This persons )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (profile says they like to have a lie in each morning and a later part of the plan said he )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (likes to stay in bed until late morning. However, on the day this person was dressed, )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (washed and eating their breakfast by 9.30am which suggests that personal preferences )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (are not respected by staff. It was good to note that this person was given a full English )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (breakfast as stipulated in the care plan. The cooked breakfast is sent up from the kitchen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (and kept warm in the oven until its ready to be served. The breakfast did not include an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (egg and the carer said he didn't know why there was no egg as they usually send one. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Although the lack of an egg was discussed separately with both the carer dealing with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (resident and the Responsible Individual there remained no clear explanation as to why an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (egg was not provided on the day.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (The continuous assessment sheet for the newly admitted person had not been signed or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (dated nor was the risk assessment for pressure sores. Despite being at very high risk of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (falls the assessment did not include crucial information such as ensuring shoes fit well, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (glasses and/or hearing aids are in place. Each service user has a 24 hour report but in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (each of the plans viewed there were a number of blank spaces covering an entire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (afternoon or morning therefore there was no evidence of how the person spent their day. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (In addition these reports stated that people were washed and dressed but did not include )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (information as to what time they got up or went to bed therefore it is not possible to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (check if staff are following preferred routines. One plan include past hobbies such as cars )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (and mechanics but did not include information as to how the home would meet these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (needs, not even a mention of reading a book with them on their preferred subjects.)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 (Daily notes remain variable with some giving good information on how people sent their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (day but others were limited with statements such as 'slept well'; ' in a good mood'. Food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (and fluid charts were viewed and again they lack sufficient detail to demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (nutritional needs are being met. The parts of the charts for mid morning and mid )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (afternoon were mostly blank and where food was recorded it was 'tea and a cake' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (therefore there was no evidence that foods are fortified with cream, butter nor if food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (outside usual times is given such as cheese sandwiches, cheese sticks etc. For each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (person who was at risk of malnutrition there was a list of how foods are to be fortified in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (their plans which included adding sugar and cream to cereals. However, the carer spoken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (with said they had used full cream milk on someones cornflakes but had not added sugar )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (or cream as they had been told that as long as full cream milk was used that is sufficient. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Therefore although a need has been identified and information included in the care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (in respect of meeting that need, it is not followed in practice by staff or senior staff are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (giving carers incorrect information and guidance.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (One person has been prescribed food supplements and the Acting Co-ordinator said that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (this is recorded on medication charts, however there is no record of how much this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (person takes of the supplement ie all of each or part of it.)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 (Weight charts appeared to be inaccurate with some people appearing to gain 6Kgs in a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (four week period and another who lost 3Kg one month and then gained 6Kg the following )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (months. Given the poor food and fluid records it is not possible to check whether such a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (wide range of weight loss/gain is accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (One person has been assessed as being incontinent but other parts of the plan says she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (is fully continent. This was discussed with the Acting Co-ordinator who said this person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (has had two accidents at night since he has been in post but there were no records to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (demonstrate there had been accidents. It is important to ensure any changes are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (recorded promptly to assist with the review process.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 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 (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (During the early hours of the day of the site visit, night notes showed that a service user )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (had entered another users bedroom at 2.30am but there was no information as to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (name of the person or if there is a history of them entering others rooms. The person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (whose room was entered was very upset by the intrusion and staff noted it took some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (time to calm them. It is important to ensure all incidents are recorded in full and action )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (taken to prevent further incidents.)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 (Risk assessments remain poor with a lack of direction to staff in reducing risk even for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (those people whose assessment scores place them at high risk. It was of concern to find )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (that risk assessments still do not relate to the needs of the individual but make reference )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (to the effect on Sunrise. For example, one risk assessment stated that the risk was to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (reputation of Sunrise and another which stated that if someone was a victim of financial )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (abuse the risk was of financial loss and being able to remain living in Sunrise. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (assessment also states that service users must not have more than 10 in cash in their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (rooms or on their person. This was discussed with the Responsible Individual who agreed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (the home has no power to enforce this rule but could change the wording to show that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Sunrise will only insure sums of money up to 10 if it is not placed in the Sunrise safe. As )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (at the last inspection risk assessments still says that use of the minibus must include a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (check that the driver is appropriately trained and that the vehicle is insured and has a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (current MOT. It is crucial that risk assessment take into consideration the capabilities and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (disabilities of the individual rather than a generic form that relates to the organisation. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (Other indications that risk assessments are generic is that one for a female has a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (statement to say that 'Geoffrey could suffer a fracture or head injury' and all risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (assessments for lack of self care include the statement 'All residents in reminiscence have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (been assessed as being at risk of not being able to care for themselves and are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (neglect'. Such statements not only indicate that assessments are generic, they show a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (complete disregard for individual capabilities and preferences. Although the risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (assessments have been signed by the assessor and dated in August 2009 it is clear that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (they have not been carried out taking into consideration the individual to whom they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (relate. Again, there was a lack of information in ISP's and daily records to show that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (residents had been bathed although one person had a shower their preference was to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (have a bath.)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 (Although the home now provides a daily activity programme one persons plan indicates )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (that they do not participate but mostly sit and watch television. There were no records to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (show they had been encouraged to join in activities or if they had been offered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (alternative activities. One person on the day asked for someone to play a word game with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (her and a carer did play for a short time but the service user asked for someone to play )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (on several occasions during the site visit and staff did not have time to play.)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 (It was good to note that care plans now included the triggers for PRN \(as required\) )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (medication and that it was made clear as to whether or not the individual could ask for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (pain relief.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Medication charts were viewed and a number of errors were evident with signatures )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (being overwritten with code letters or scribbled out. This indicates that at times )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (medication is signed for prior to administration. Once again there was evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (medications were out of stock and therefore systems must be developed to ensure this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (matter is promptly addressed. One person who, according to the medication records is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (prescribed a sedative type drug on an 'as required' basis. However, a note in the diary )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (says to give it to them every day if possible unless he is really sleepy. There was no )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 207.12 w 31.2 681.66 m 580.26 681.66 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 28.99 576.98 m 582.46 576.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 575.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 575.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (evidence to show a GP had carried out a review of this persons medication nor if they had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (agreed to change frequency of the dose. One person is prescribed pain relief as PRN and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (their plan shows that they are often aggressive if in pain. Daily records showed that there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (had been episodes where they had been aggressive but examination of the medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (records did not show they had been offered pain relief. The service must ensure that staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (are aware of the contents of the care plans and follow it in practice as there is a risk that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (service users will be left in pain.)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 (On the day the 8.00am medication was not administered until just after 9am and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (Acting Co-ordinator explained that he was the only person with sufficient training to do )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (medication so it was late. There was no information to show that service users were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (offered pain relief prior to being washed and dressed even though these activities may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (have caused them some pain. This clearly indicates that the routines on the day were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (related to staff routines rather than following a person centred approach.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 558.91 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 1 175.95 558.91 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 530.14 m 580.26 530.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 548.84 m 582.46 548.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 511.43 m 582.46 511.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 549.92 m 30.07 510.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 549.92 m 581.38 510.36 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (Partial compliance was achieved in respect of medication as care plans now include )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (information on the triggers for PRN \(as required\) medication.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 491.11 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 455.05 m 580.26 455.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 481.05 m 582.46 481.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.06 m 582.46 429.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 482.13 m 30.07 427.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 482.13 m 581.38 427.98 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 464.86 Tm (The service remains in breach of the regulations in respect of pre-admission )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.29 Tm (assessments, care planning systems and meeting care needs, risk assessments and the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.7 Tm (recording of medication that has been administered.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 410.75 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 410.75 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 394.75 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 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living in Sunrise.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (20/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 418.69 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 418.69 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 418.69 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.69 Tm (That care plans are fully )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.11 Tm (completed and include )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.53 Tm (direction to staff on meeting )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.95 Tm (care needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 357.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 342.79 Tm (To ensure all needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.21 Tm (identified and met by care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.63 Tm (staff.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 418.69 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 290.8 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 290.8 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 290.8 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.8 Tm (That care plans be regularly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.22 Tm (reviewed and that service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.64 Tm (users or their representatives )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.06 Tm (are involved in the reviews.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.9 Tm (To ensure service users and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.32 Tm (their representatives are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.74 Tm (aware of the contents of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.16 Tm (care plans.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 290.8 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 148.33 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 148.33 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 148.33 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.33 Tm (That detailed risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.75 Tm (assessments for manual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.17 Tm (handling, falls and tissue )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.59 Tm (breakdown be carried out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 90.01 Tm (and include information on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.43 Tm (the management and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.85 Tm (reduction of risk.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 148.33 Tm (30/09/2008)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 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624.7 Tm (risk of harm to service users.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 599.61 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 599.61 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.61 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.61 Tm (That care plans are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.03 Tm (consistent with other )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.46 Tm (information such as that in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm (the 24 hour care summary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (and personal profiles.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (To ensure staff are able to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (deliver consistent care in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (manner chosen by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (service user.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 599.61 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 442.57 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 442.57 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 442.57 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.57 Tm (That care plans inlcude )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.98 Tm (detailed information on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.4 Tm (healthcare needs, such as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.83 Tm (opticians, dentists and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 384.24 Tm (chirpody and how they will )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.67 Tm (be met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (To ensure service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (healthcare needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (identified and met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 442.57 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.52 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 285.52 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 285.52 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.52 Tm (That medication records are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.93 Tm (clear, accurate and up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.36 Tm (date.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.2 Tm (To ensure it is clear whether )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.62 Tm (or not medication has been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.04 Tm (administered.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 285.52 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.21 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 172.21 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 172.21 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.21 Tm (Service users must not be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.63 Tm (left without access to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.04 Tm (medication prescribed for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.46 Tm (them therefore systems must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.89 Tm (be put in place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.31 Tm (medication is ordered and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.72 Tm (received at appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.14 Tm (times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 172.21 Tm (15/09/2008)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 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 46.74 w 31.2 657.88 m 91.05 657.88 l S 0.001 w 46.74 w 93.3 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[] 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 (reflects the current situation )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 636.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm (To ensure that the self )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (assessment is robust.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 582.03 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 582.03 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 582.03 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.03 Tm (That the appointed manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm (makes an application to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (register with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (Commission.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 520.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.14 Tm (To ensure there is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.55 Tm (accountability in line with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm (Care Standards Act.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 582.03 Tm (27/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.14 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 454.14 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 454.14 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.14 Tm (That the quality monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.57 Tm (systems are more robust and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.98 Tm (shortfalls in the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.4 Tm (addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.24 Tm (To ensure service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (receive a good quality )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.08 Tm (service at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 454.14 Tm (06/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.26 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 326.26 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 326.26 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.26 Tm (That all staff receive regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.67 Tm (supervision.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.52 Tm (To ensure staff are support )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.93 Tm (in the work they do.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 326.26 Tm (06/08/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 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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 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386.19 m 568.3 386.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 302.04 m 568.3 302.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 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 34.05 567.85 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 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (That staff follow the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (nutritional requirements in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (practice.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.99 Tm (To ensure service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm (maintain good nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm (intake.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (03/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.01 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 370.01 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 370.01 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.01 Tm (That all service users leisure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.42 Tm (interests are catered for.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.27 Tm (To ensure all service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.68 Tm (have a good quality life.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 370.01 Tm (03/10/2009)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 224.14 m 564.97 224.14 l S 0.001 w 1 1 1 RG 20.58 w 31.2 180.28 m 91.05 180.28 l S 0.001 w 20.58 w 93.3 180.28 m 197.4 180.28 l S 0.001 w 20.58 w 199.65 180.28 m 566.1 180.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 192.77 m 30.07 167.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 192.77 m 567.22 167.79 l S 0.001 w [] 0 d [] 0 d 2.25 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(Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.74 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 197.92 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 197.92 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 197.92 Tm (Good Practice Recommendations)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 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2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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