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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 453.92 m 164.46 453.92 l S 0.001 w 1 1 1 RG 90.9 w 166.71 453.92 m 580.25 453.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.34 m 582.46 407.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 406.27 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Camelot House, Wellington)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Camelot House, Wellington )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Chelston)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Wellington)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (Somerset)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 413.99 Tm (TA21 9HY)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 397.05 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 375.55 m 391.05 375.55 l S 0.001 w 1 1 1 RG 20.58 w 393.3 375.55 m 580.25 375.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 352.72 m 391.05 352.72 l S 0.001 w 1 1 1 RG 20.58 w 393.3 352.72 m 580.25 352.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.97 m 582.46 386.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.31 m 582.46 341.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 388.05 m 30.07 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 388.05 m 392.17 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 388.05 m 581.38 340.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 370.78 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 370.78 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.95 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 276 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 242 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 242 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 242 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 242 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 208 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 173.52 m 315.25 173.52 l S 0.001 w 20.58 w 317.5 173.52 m 565.9 173.52 l S 0.001 w 1 1 1 RG 20.58 w 317.5 150.69 m 346.55 150.69 l S 0.001 w 20.58 w 348.8 150.69 m 377.9 150.69 l S 0.001 w 20.58 w 380.15 150.69 m 409.2 150.69 l S 0.001 w 20.58 w 411.45 150.69 m 440.55 150.69 l S 0.001 w 20.58 w 442.8 150.69 m 471.9 150.69 l S 0.001 w 20.58 w 474.15 150.69 m 503.2 150.69 l S 0.001 w 20.58 w 505.45 150.69 m 534.55 150.69 l S 0.001 w 20.58 w 536.8 150.69 m 565.9 150.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.93 m 568.1 184.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.27 m 568.1 139.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 186.01 m 30.07 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 186.01 m 316.37 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 163.18 m 347.67 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 163.18 m 379.02 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 163.18 m 410.32 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 163.18 m 441.67 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 163.18 m 473.02 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 163.18 m 504.32 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 163.18 m 535.67 138.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 186.01 m 567.02 138.2 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 168.75 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 168.75 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 145.92 Tm (kathy McCluskey)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 145.92 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 145.92 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 145.92 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.11 m 267.21 716.11 l S 0.001 w 1 1 1 RG 90.9 w 269.46 716.11 m 563.65 716.11 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.12 m 267.21 658.12 l S 0.001 w 1 1 1 RG 20.58 w 269.46 658.12 m 563.65 658.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.29 m 267.21 635.29 l S 0.001 w 1 1 1 RG 20.58 w 269.46 635.29 m 563.65 635.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.46 m 267.21 612.46 l S 0.001 w 1 1 1 RG 20.58 w 269.46 612.46 m 563.65 612.46 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.63 m 267.21 589.63 l S 0.001 w 1 1 1 RG 20.58 w 269.46 589.63 m 563.65 589.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.22 m 565.85 578.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 577.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Camelot House, Wellington)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Camelot House, Wellington )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Chelston)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Wellington)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (Somerset)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 676.18 Tm (TA21 9HY)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.35 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 653.35 Tm (01823666766)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.52 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 630.52 Tm (01823667568)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 607.69 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 607.69 Tm (info@camelothousenursing.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.86 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 548.92 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 529.43 m 353.25 529.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 529.43 m 565.9 529.43 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 506.6 m 353.25 506.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 506.6 m 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home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 479 Tm (66)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 460.05 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 440.56 m 565.6 440.56 l S 0.001 w 41.16 w 31.2 407.44 m 297.2 407.44 l S 0.001 w 20.58 w 299.45 417.73 m 565.6 417.73 l S 0.001 w 20.58 w 299.45 397.15 m 432.52 397.15 l S 0.001 w 20.58 w 432.52 397.15 m 565.6 397.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 451.98 m 567.8 451.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.74 m 567.8 385.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 453.06 m 30.07 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 430.23 m 298.32 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 453.06 m 566.72 384.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 435.79 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.96 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 412.96 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 392.38 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 392.38 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 370.95 m 297.25 370.95 l S 0.001 w 20.58 w 299.5 370.95 m 429.25 370.95 l S 0.001 w 20.58 w 431.5 370.95 m 565.9 370.95 l S 0.001 w 35.16 w 31.2 340.83 m 297.25 340.83 l S 0.001 w 35.16 w 299.5 340.83 m 429.25 340.83 l S 0.001 w 35.16 w 431.5 340.83 m 565.9 340.83 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 359.53 m 568.1 359.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.36 m 568.1 382.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.53 m 568.1 359.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.12 m 568.1 322.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.44 m 30.07 321.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 383.44 m 298.37 321.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 383.44 m 430.37 321.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 383.44 m 567.02 321.05 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 366.18 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 366.18 Tm (66)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 366.18 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.35 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.77 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 343.35 Tm (66)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 343.35 Tm (0)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 290.33 m 565.6 290.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 278.92 m 567.8 278.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.09 m 568.1 256.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.26 m 568.1 233.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.75 m 567.8 301.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.92 m 568.1 278.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.09 m 568.1 256.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.26 m 568.1 233.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 166.69 m 568.1 166.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 302.83 m 30.07 165.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 302.83 m 566.72 165.61 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 285.56 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 262.73 Tm (Rooms 1, 2, 3 and 5 can only be used by people who are fully mobile.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.9 Tm (The maximum number of service users who can be accommodated is 66.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.07 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 202.49 Tm (with Nursing - Code N to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.91 Tm (admission to the home are within the following categories: Dementia \(Code DE\) Mental )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 173.33 Tm (disorder, not including learning disability or dementia \(Code MD\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 151.9 m 315.25 151.9 l S 0.001 w 1 1 1 RG 20.58 w 317.5 151.9 m 346.55 151.9 l S 0.001 w 20.58 w 348.8 151.9 m 377.9 151.9 l S 0.001 w 20.58 w 380.15 151.9 m 409.2 151.9 l S 0.001 w 20.58 w 411.45 151.9 m 440.55 151.9 l S 0.001 w 20.58 w 442.8 151.9 m 471.9 151.9 l S 0.001 w 20.58 w 474.15 151.9 m 503.2 151.9 l S 0.001 w 20.58 w 505.45 151.9 m 534.55 151.9 l S 0.001 w 20.58 w 536.8 151.9 m 565.9 151.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 163.31 m 568.1 163.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.48 m 568.1 140.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 164.39 m 30.07 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 164.39 m 316.37 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 164.39 m 347.67 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 164.39 m 379.02 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 164.39 m 410.32 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 164.39 m 441.67 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 164.39 m 473.02 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 164.39 m 504.32 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 164.39 m 535.67 139.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 164.39 m 567.02 139.41 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 147.13 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 147.13 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 147.13 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 147.13 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 147.13 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 147.13 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 147.13 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 147.13 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 147.13 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 128.61 m 565.9 128.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 118.98 m 568.1 118.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 120.06 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 120.06 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.23 m 568.1 138.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 118.98 m 568.1 118.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 139.31 m 30.07 117.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 139.31 m 567.02 117.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 125.05 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 125.05 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 105.8 Tm (Camelot House is registered with the Commission for Social Care Inspection to provide )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 88.8 Tm (nursing care for up to 66 older people who have a dementia or mental disorder. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 71.8 Tm (home is not registered to provide care to people who have a primary diagnoses of a )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 332.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 332.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.15 m 568.1 333.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm (learning disability or to those who require general nursing care.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (The home is owned by Camelot Care \(Somerset\) Ltd. The responsible individual is Mr )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (J.Teasdale. The registered manager is Mr Ty Taylor.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm (Camelot Care \(Somerset\) Ltd was first registered by the Commission in February 2008 )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 681.47 Tm (although the directors, Mr and Mrs Teasdale have owned the home since 2003.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 647.47 Tm (The home have been awarded a 4 star excellent rating from Environmental Health. It )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 630.47 Tm (has also achieved the Investor in People Award for its commitment to staff training.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 613.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 596.47 Tm (Camelot House is a detached property situated on the main road between Taunton and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 579.47 Tm (Wellington and is on the bus route to both towns. Local amenities, which are close by, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 562.47 Tm (include a garage with a small convenience store and two garden centres.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 545.47 Tm (The home has recently benefited from major building and refurbishment works which )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 528.47 Tm (have included a new extension which has been designed to meet environmental )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 511.47 Tm (recommendations for people with dementia. This unit was registered by the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 494.47 Tm (Commission in June 2008.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 477.47 Tm (Several improvements have also been made to the existing environment and garden )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 460.47 Tm (areas.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 443.47 Tm (The home has a large car park.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 426.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 409.47 Tm (We were advised that current fee levels are between 390 pounds & 750 pounds per )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 392.47 Tm (week.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 375.47 Tm (Additional costs met by people using the service include; Hairdressing, personal )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 358.47 Tm (items/toiletries and chiropody. Some activities incur some costs such as entrance fees, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 341.47 Tm (outside entertainers etc.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (This random inspection was conducted over one day \(7.5hrs\) by CSCI Regulation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (Inspectors Kathy McCluskey and Gail Richardson. The Commission's regional lead )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (pharmacist Brian Brown was also present to examine the home's procedures for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (management and administration of peoples' medication.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (The home's last key inspection was conducted on 12th and 14th January 2009. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (has not been identified on the front of this report under the heading of 'date of last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (inspection' as the report is currently in draft format and has not yet been made public. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (This being the case, this inspection report does not identify any outstanding )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (requirements which may have been identified.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (The purpose of this inspection was to follow up on some of the requirements raised at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (the home's last key inspection which was conducted in January 2009. We focused on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (care planning procedures, staff recruitment and the management and administration of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (medication.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (We toured the premises and were able to see evidence that the four immediate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (requirements raised at the last inspection relating to the heath and safety of persons )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (at the home had been addressed. Identified windows above ground floor level had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (been restricted and substances hazardous to peoples' health were noted to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (appropriately stored.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (Two relatives approached us during this inspection and stated that they were 'very )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (happy' with the care their relative received at the home. One relative made the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (comment that 'communications had improved'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (During this inspection we examined six care plans and 'tracked' the care of four people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (who had recently moved to the home. We found evidence that people had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (assessed by the home prior to admission. One pre-admission assessment had not been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (signed or dated. The clinical nurse told us that she had carried out the assessment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (whilst the individual was in hospital.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (Care Plan 1. - A pre-admission assessment was in place as were assessments from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (other health care professionals. We were able to see that a 'temporary care plan' had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (been raised and this appeared to identify all needs as detailed in the pre-admission )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (assessments and the individual's preferences had been recorded. We examined the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (wound care plan as we had been informed that the individual had sores to both legs. A )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (wound care plan had been raised. This included photographs of the wounds on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (admission. The wound care plan contained information about the size/status of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (wounds and the dressings to be applied. Information about the frequency of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (treatment/dressings and review date had not been completed. The wound care plan )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (was dated 19th March 2009 and we noted that there had been no entries to indicate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (that the wounds had been dressed in the eight days that the plan has been in place. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (We met with the person in their bedroom and noted that the bandage to the right leg )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (was hanging off and was not actually covering the sore area. There was evidence of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (fluid seepage through the bandage on the right leg. The individual could not recollect )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (when the dressings were changed. This person did not have access to a drink in their )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (bedroom. They stated that there was a tap in the en-suite that they could use. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (pre-admission assessments and the care plan in place identified that this person did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (not drink tap water and preferred bottled water. When we discussed this with you we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (were informed by Mrs Teasdale that the jug of water had been removed as it had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (spilt by the individual's husband who also resides at the home. The clinical nurse )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (stated that bottled water was kept in the kitchen fridge for this person. We discussed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (the need to ensure that there is access to their preferred drink in their bedroom at all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (times. This person was positive about the care they received and commented on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (kindness of staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (Care Plan 2. - This contained evidence of a pre-admission assessment and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (assessments from other health care professionals. This individual is an insulin )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (controlled diabetic. A care plan was in place which stated that blood sugar levels )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (should be taken twice daily. The care plan also contained information for staff as to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (action to be taken should blood sugar levels fall below 4mmols. Information about the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (signs and symptoms of hypo and hyperglycemia had been recorded. It has been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (recommended that the care plan details the normal upper and lower blood sugar )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (readings for the individual. We examined the blood glucose monitoring form which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (commenced on 19th February 2009 and found that out of 35 days, staff had only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (recorded BM readings twice daily on 21 occasions. When we brought this to your )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (attention we were informed by the clinical nurse that readings were often recorded on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (the 'handover sheet' by the night staff and we were shown evidence of this at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (time. We discussed the need to ensure that a consistent approach is taken to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (recording of the individual's blood sugar levels as this would assist with the monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (and review process. A recommendation has been raised.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (A 'MUST' nutritional assessment was in place which identified weight as 41.5kg on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (18/02/09 with a score of '1 medium risk'. This had been reviewed on 02/03/09 where )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (weight had dropped by 4kg to 38.2kg. The 'MUST' score had changed to '2 high risk'. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (care plan was in place and this had last been reviewed on 02/03/09. We found that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (care plan had not been updated to reflect significant weight loss. The care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (contained the weight and 'MUST' score of the 18/02/09. The care plan did not identify )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (any action to address the significant weight loss such as increasing the calorific content )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (of meals, offering snacks between meals or that the use of supplements had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (discussed with the GP. We examined the diet and fluid intake chart for the individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (and, as discussed with you, we have recommended that a more detailed description of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (all meals taken is recorded. The records examined did not evidence that additional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (snacks or supplements were being offered in addition to the main meals. The care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (stated that the individual should be weighed weekly but records did not support that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (this was taking place. Entries showed that the person was weighed on 18/02/09, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (28/02/09 and 15/03/09. It has been required that the care plan is fully reflective of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (the individual's assessed needs and that care is delivered in accordance with their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (assessed needs. We examined a fluid balance chart which was in the bedroom of JC )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (and this indicated that regular fluids had been offered up to 10:00hrs. There were no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (entries made on the chart from 10:00hrs to 14:00hrs. When we discussed this with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (the clinical nurse we were informed that staff had recorded further fluid intake on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (dietary monitoring sheet. Documented evidence was available to support this. It has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (been recommended that staff follow a consistent approach with regard to where )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (information is recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (A wound care plan was in place dated 02/03/09. This again contained appropriate )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (information regarding the size and status of the wound and treatment prescribed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Information about the frequency of treatment/dressings and a review date should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (recorded. Entries made by staff ranged between 1 and 5 days demonstrating that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (consistent approach was not being taken. Information recorded by staff was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (insufficient and did not identify information about the status of the wound. Staff had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (recorded only that the wound had been 'cleaned and redressed'.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (Care plan 3. - A pre-admission assessment was in place but this had not been signed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (or dated. A risk assessment was in place which identified that the individual was at risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (of 'throwing' themselves from their chair. As identified in the care plan, there was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (documented evidence that a carer was allocated to sit with the individual for nine )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (hours during the night. Records did not however confirm that the individual was being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (checked 'every 5 minutes during the day' as stated in the plan of care. During this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (inspection we observed periods when the identified person was in the lounge without )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (staff presence. A member of the activity staff informed us that she spent some one to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (one time with the individual. Care staff appeared unclear as to who was responsible for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (regularly checking the individual. One carer informed us that it was the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (nurse on duty and another that it was the activity co-coordinator. Daily records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (identified that the individual had been 'found on the floor' on four occasions during the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (evening and at night. To ensure the safety of the individual and to ensure care is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (delivered in line with assessed needs, it has been required that records clearly identify )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (how the assessed needs will be met. Systems must also be in place which identify how )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (the 5 minute checks will be monitored and by whom.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (A wound care plan was in place for this individual dated 05/03/09. Information about )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (the size and status of the wound, photographs and details of the dressings prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (had been documented. The frequency of treatment/dressings had not been recorded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (and there were no entries to demonstrate that the wound had been attended to since )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (the plan was implemented on 05/03/09.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (Care Plan 4. - We checked the wound care plan for one individual that was noted to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (have a dressing to their ear. The wound care plan was dated 10/03/09 and whilst )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (there was information about the status of the wound and prescribed dressings, there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (was again no information about the frequency of treatment/dressings. There were only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (two entries made by staff on 10/03/09 and 13/03/09 which stated 'dressing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (changed/wound cleaned'. Records therefore indicated that the wound had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (cleaned and dressed for 13 days.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (Care Plan 5. - Daily records identified that this person had made several recent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (attempts, some successful, to leave the home. A risk assessment was seen to be in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (place dated 19/07/07. This had last been reviewed on 15/11/08. No changes had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (made to reflect the recent attempts to leave the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (Care Plan 6. - After examining accident records, we noted that there had been two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (recent incidents of physical aggression by a person using the service towards another. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (Whilst a care plan was in place relating to 'challenging/aggressive behaviour' and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (this had been reviewed on the day of the most recent incident, 25/03/09, we could not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (see any evidence that the care plan had been changed and there was no reference )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (made to the recent incident. Daily records for this individual made reference to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (incident and stated that '15 minute observations commenced'. Records relating to any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (observations had not been completed and no further reference to the incident or )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 732 w 31.2 446.53 m 563.65 446.53 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 79.4 m 565.85 79.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 78.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 78.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (observations had been made. In summary, there was no effective care plan in place to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (address the increased aggression towards an individual using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (We found that the home has available sufficient secure storage for all medicines and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (they were kept in these cupboards. However the cupboard for storing the Controlled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (Drugs whilst being constructed to comply with the current regulations was not fitted to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (the wall in accordance with the regulations and could lead to an increased risk of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (diversion. We also checked the stocks of the Controlled Drugs cupboard and found two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (discrepancies. These were discussed with the manager and clinical lead during the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (inspection and they have subsequently carried out an investigation into these and have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (had a discussion with all members of staff involved in the receipt and administration of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (these medicines. We observed that the medicines trolley was locked between )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (administrations and that the person administering only prepared and gave medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (to one person at a time. We did however observe that the administration record was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (not filled in at the time of administration but that all records were completed at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (end of the round. We found that when people were prescribed medicine with a variable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (dose that it was not always possible from the records made to determine what dose )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (had actually been administered. This could lead to a person not receiving an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (appropriate dose at the next administration time and will also hamper the prescriber in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (reviewing the effectiveness of a persons medicines. For some people prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (antibiotic liquids we found that the records indicated that they had received more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (doses than were actually contained within the bottle. This means that we cannot be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (confident how these people received their medicines as the records cannot indicate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (what has happened. Also one person had been prescribed antibiotics for a seven day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (course but the chart had "course completed" written on it after only four and a half )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (days. We saw that this person had a covert administration agreement in place and we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (were told that his medicine is disguised in their drink but would not drink this if it had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (gone cold, so doses would have been discarded. There was no record of discard of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (these doses and also no record of a request for further supply from the prescriber. Not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (giving antibiotics for the prescribed time may lead to the infection developing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (resistance and to them subsequently not working for the person. When we asked the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (Clinical Lead and the Manager how frequently the medication administration record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (charts were audited they told us that at present this did not happen so meaning these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (discrepancies would not have been picked up within the home. This may lead to people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (not receiving medicines as they need them. We found that for one person who is an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (insulin dependent diabetic that there were good records of contact with the specialist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (nurse and prescriber to monitor this person's condition. However we also found that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (the home were not using the recommended lancets for obtaining blood samples from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (diabetics to monitor their blood sugar levels. This has been the subject of four national )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (alerts in the past five years and may leave people at risk of cross infection. We also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (found that for people prescribed creams that a record is made of their application, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (however it was not easy to find information relating to where the creams were to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (applied.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (To follow up on the requirements raised at the last inspection, we requested and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (examined files relating to two staff who had been recruited since the last inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (Recruitment files for the two staff recruited since the last inspection were found to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (contain all required documentation. We were able to see evidence that staff had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (commenced employment until receipt of a satisfactory CRB, POVA check and two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (satisfactory references.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (What the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 795.58 Tm (does well:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 151.8 w 31.2 708.49 m 563.65 708.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 631.47 m 565.85 631.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 630.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 630.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (During this inspection we noted staff interactions to be kind and respectful. People )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 754.75 Tm (spoken with during the inspection told us that the staff were kind and that they were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 740.17 Tm (happy with the care they received. We met with two visitors who told us that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 725.59 Tm (were satisfied with the care their relative received. One commented that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 711.01 Tm ('communications had improved'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 696.43 Tm (The home have in place a good system to record the interactions with the Diabetes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 681.85 Tm (specialist nurses to ensure that those people with this disease receive appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 667.27 Tm (treatment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 652.69 Tm (The home's staff recruitment procedures have improved since the last inspection and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 638.11 Tm (these now offer better protection for people using the service.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 611.15 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 355.92 w 31.2 422 m 563.65 422 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 601.08 m 565.85 601.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 242.91 m 565.85 242.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.16 m 30.07 241.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 602.16 m 564.78 241.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 584.9 Tm (Care Planning procedures and the arrangements for ensuring peoples' health care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 570.32 Tm (needs are fully met require improvements. Care plans examined did not always )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 555.74 Tm (evidence that people were receiving care in line with their assessed needs. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 541.16 Tm (included nutritional care plans. We found that care plans had not always been updated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 526.58 Tm (to reflect any changes even though care plans had been signed confirming that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 512 Tm (had been reviewed. A care plan had not been reviewed to address an identified risk of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 497.42 Tm (one person using the service displaying physical aggression towards another.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 482.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 468.26 Tm (Wound care plans need to be improved to ensure that any treatment is delivered in a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 453.68 Tm (consistent manner and that the effectiveness of any treatment is regularly reviewed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 439.1 Tm (Entries made by staff need to contain more information regarding the status of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.52 Tm (wound when treatment is delivered.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 409.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 395.36 Tm (Nutritional care plans need improvements to ensure that they are fully reflective of an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 380.78 Tm (individuals assessed needs and that they include action taken to address concerns )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 366.2 Tm (regarding weight loss. Staff need to take a consistent approach to where information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 351.62 Tm (about dietary and fluid intake is recorded and more detail about the amount and type )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 337.04 Tm (of food taken should be recorded. A consistent approach needs to be taken for blood )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 322.46 Tm (sugar monitoring procedures for people with diabetes.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 307.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 293.3 Tm (The home need to develop an audit system for the administration of medicines to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 278.72 Tm (ensure that people receive their medicines as prescribed and to pick up any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 264.14 Tm (administrative errors at an early stage. They also need to ensure that the Controlled )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 249.56 Tm (Drugs cupboard is fitted in accordance with the current regulations.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 224.6 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 224.6 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 208.6 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 769.89 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 671.79 m 566.2 671.79 l S 0.001 w 30.3 w 31.2 619.8 m 91 619.8 l S 0.001 w 30.3 w 93.25 619.8 m 197.4 619.8 l S 0.001 w 30.3 w 199.65 619.8 m 289.5 619.8 l S 0.001 w 30.3 w 291.75 619.8 m 473.9 619.8 l S 0.001 w 30.3 w 476.15 619.8 m 566.2 619.8 l S 0.001 w 1 1 1 RG 20.58 w 31.2 592.11 m 91.05 592.11 l S 0.001 w 20.58 w 93.3 592.11 m 197.4 592.11 l S 0.001 w 20.58 w 199.65 592.11 m 289.45 592.11 l S 0.001 w 20.58 w 291.7 592.11 m 473.8 592.11 l S 0.001 w 20.58 w 476.05 592.11 m 566.1 592.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 604.6 m 30.07 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 604.6 m 567.22 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.3 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 604.6 m 92.17 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 604.6 m 198.52 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 604.6 m 290.57 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 604.6 m 474.92 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 707.5 m 568.4 707.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.4 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 580.69 m 568.3 580.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 708.58 m 30.07 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 637.15 m 92.12 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 637.15 m 198.52 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 637.15 m 290.62 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 637.15 m 475.02 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 708.58 m 567.32 602.45 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 690.3 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 671.88 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 34.05 657.3 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 657.3 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 657.3 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 34.05 642.72 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 642.72 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 624.9 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 621.9 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 621.9 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 621.9 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 621.9 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 609.75 Tm (action)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 742.32 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 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 594.97 m 566.2 594.97 l S 0.001 w 30.3 w 31.2 544.2 m 91 544.2 l S 0.001 w 30.3 w 93.25 544.2 m 197.4 544.2 l S 0.001 w 30.3 w 199.65 544.2 m 289.5 544.2 l S 0.001 w 30.3 w 291.75 544.2 m 473.9 544.2 l S 0.001 w 30.3 w 476.15 544.2 m 566.2 544.2 l S 0.001 w 1 1 1 RG 183.96 w 31.2 434.82 m 91.05 434.82 l S 0.001 w 183.96 w 93.3 434.82 m 197.4 434.82 l S 0.001 w 183.96 w 199.65 434.82 m 289.45 434.82 l S 0.001 w 183.96 w 291.7 434.82 m 473.8 434.82 l S 0.001 w 183.96 w 476.05 434.82 m 566.1 434.82 l S 0.001 w 154.8 w 31.2 263.19 m 91.05 263.19 l S 0.001 w 154.8 w 93.3 263.19 m 197.4 263.19 l S 0.001 w 154.8 w 199.65 263.19 m 289.45 263.19 l S 0.001 w 154.8 w 291.7 263.19 m 473.8 263.19 l S 0.001 w 154.8 w 476.05 263.19 m 566.1 263.19 l S 0.001 w 120.64 w 31.2 123.22 m 91.05 123.22 l S 0.001 w 120.64 w 93.3 123.22 m 197.4 123.22 l S 0.001 w 120.64 w 199.65 123.22 m 289.45 123.22 l S 0.001 w 120.64 w 291.7 123.22 m 473.8 123.22 l S 0.001 w 120.64 w 476.05 123.22 m 566.1 123.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 341.72 m 568.3 341.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.67 m 568.3 184.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.72 m 568.3 341.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.67 m 568.3 184.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 596.28 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 34.05 581.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 581.7 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 567.12 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 511.74 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 511.74 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 511.74 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.74 Tm (\(1\) The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.16 Tm (must ensure that care is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.58 Tm (delivered in line with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468 Tm (individuals assessed needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.42 Tm (and plan of care. This relates )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 438.84 Tm (to people who require a close )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.26 Tm (level of supervision to keep )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 409.68 Tm (them safe.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.52 Tm (This is to ensure the health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 362.94 Tm (and welfare of people using )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.36 Tm (the service.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 511.74 Tm (20/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 325.53 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 325.53 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 325.53 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.53 Tm (\(1\) The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.95 Tm (must ensure that nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 296.37 Tm (care plans are up to date and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 281.79 Tm (reflective of individuals' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.21 Tm (assessed needs. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 249.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.05 Tm (This is to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.47 Tm (peoples' nutritional needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 205.89 Tm (met where concerns have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.31 Tm (been identified.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 325.53 Tm (20/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.48 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 168.48 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 168.48 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.48 Tm (\(1\) The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.9 Tm (must take steps to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.32 Tm (that effective and up to date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 124.74 Tm (care plans are in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.16 Tm (address concerns for those )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.58 Tm (exhibiting challenging )Tj ET /F1 12 Tf BT 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This relates to the recording of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 373.59 Tm (blood sugar levels and the recording of peoples' fluid )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 359.01 Tm (intake.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 336.18 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 336.18 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 336.18 Tm (The registered person should ensure that dietary )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 321.6 Tm (monitoring sheets contain more detail regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 307.02 Tm (amount and type of food that an individual has eaten.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.19 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 284.19 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 284.19 Tm (Diabetic care plans should contain information about the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 269.61 Tm ('normal' acceptable blood sugar readings for an individual.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 246.78 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 246.78 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 246.78 Tm (It is recommended that the home review how they make )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 232.2 Tm (available the directions of where on the body prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.62 Tm (creams are to be applied.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 194.79 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 194.79 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 194.79 Tm (It is recommended that the home review the lancets they )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 180.21 Tm (are using to obtain blood samples and that future requests )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 165.63 Tm (are onlymade for those complying with the MHRA alerts.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 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copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 665.31 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 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 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 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 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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/W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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