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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 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 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 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 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 (Chestnut Court Care Home)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 (Frizlands Lane )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Dagenham)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Essex)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (RM10 7YD)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 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 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 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 28.35 310.58 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 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 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 1 150.58 259.58 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 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 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 28.35 225.58 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 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 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 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Tony Brennan)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 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 (10)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 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 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 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 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 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 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 (Chestnut Court Care Home)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 (Frizlands Lane )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Dagenham)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Essex)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (RM10 7YD)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (02085969249)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (02089849643)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (Debbie.Sutton@carebase.org.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 547.01 m 353.25 547.01 l S 0.001 w 1 1 1 RG 20.58 w 355.5 547.01 m 565.9 547.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 524.18 m 353.25 524.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 524.18 m 565.9 524.18 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 501.35 m 353.25 501.35 l S 0.001 w 1 1 1 RG 20.58 w 355.5 501.35 m 565.9 501.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.93 m 568.1 489.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 488.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Carebase \(Dagenham\) Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.41 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 519.41 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 496.58 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 496.58 Tm (62)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.53 m 297.25 388.53 l S 0.001 w 20.58 w 299.5 388.53 m 429.25 388.53 l S 0.001 w 20.58 w 431.5 388.53 m 565.9 388.53 l S 0.001 w 35.16 w 31.2 358.41 m 297.25 358.41 l S 0.001 w 35.16 w 299.5 358.41 m 429.25 358.41 l S 0.001 w 35.16 w 431.5 358.41 m 565.9 358.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 338.63 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (48)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.93 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 360.93 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 360.93 Tm (14)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 307.91 m 565.6 307.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 296.5 m 567.8 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.67 m 568.1 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.33 m 567.8 319.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.5 m 568.1 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.67 m 568.1 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.52 m 568.1 192.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 320.41 m 30.07 191.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 320.41 m 566.72 191.44 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 303.14 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.31 Tm (The maximum number of service users who can be accommodated is: 62)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.48 Tm (The Registered Person may provide the following categories of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.9 Tm (with Nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.32 Tm (care needs on admission to the home are within the following categories: Old Age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.74 Tm (falling within any other category - Code OP \(maximum number of places: 14\) Dementia )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 199.16 Tm (- Code DE \(maximum number of places: 48\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 177.73 m 315.25 177.73 l S 0.001 w 1 1 1 RG 20.58 w 317.5 177.73 m 346.55 177.73 l S 0.001 w 20.58 w 348.8 177.73 m 377.9 177.73 l S 0.001 w 20.58 w 380.15 177.73 m 409.2 177.73 l S 0.001 w 20.58 w 411.45 177.73 m 440.55 177.73 l S 0.001 w 20.58 w 442.8 177.73 m 471.9 177.73 l S 0.001 w 20.58 w 474.15 177.73 m 503.2 177.73 l S 0.001 w 20.58 w 505.45 177.73 m 534.55 177.73 l S 0.001 w 20.58 w 536.8 177.73 m 565.9 177.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 189.14 m 568.1 189.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 166.31 m 568.1 166.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 190.22 m 30.07 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 190.22 m 316.37 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 190.22 m 347.67 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 190.22 m 379.02 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 190.22 m 410.32 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 190.22 m 441.67 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 190.22 m 473.02 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 190.22 m 504.32 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 190.22 m 535.67 165.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 190.22 m 567.02 165.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 172.96 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 154.44 m 565.9 154.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 144.81 m 568.1 144.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 145.89 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 145.89 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.06 m 568.1 164.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.81 m 568.1 144.81 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 30.07 165.14 m 30.07 143.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 165.14 m 567.02 143.74 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 150.88 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 150.88 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 131.63 Tm (Chestnut Court is a purpose built care home providing nursing and personal care for 62 )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 114.63 Tm (adults. The home is registered to care for people who are physically frail or who have a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 97.63 Tm (diagnosis of dementia. The home is operated by Carebase \(Dagenham\) Limited who )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 80.63 Tm (operate a number of similar homes. The home is situated in the London Borough of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 63.63 Tm (Dagenham and has good access to local facilities and transport links. The home )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 (10)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 30.07 621.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 621.08 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 28.99 622.15 m 568.1 622.15 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 (operates over three floors and each floor has a lounge and dining room. All bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (are single with en suite facilities and colour televisions. There is a pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 489.81 766.47 Tm (well-)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (maintained)Tj ET /F1 12 Tf BT 1 0 0 1 100.47 749.47 Tm ( garden with seating areas for residents and their visitors; and car parking )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (facilities.)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 (On the day of the inspection the range of fees for the home was between #525.00 and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 681.47 Tm (#850.00 per week. A copy of the Statement of Purpose and Service User Guide is )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 664.47 Tm (made available to both the resident and their family. A copy of both these documents )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 647.47 Tm (are available at the main reception and can also be obtained on request.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 630.47 Tm ()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 (10)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 414.24 w 31.2 554.26 m 563.65 554.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.51 m 565.85 762.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 346.02 m 565.85 346.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 763.59 m 30.07 344.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 763.59 m 564.78 344.94 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 746.32 Tm (As part of the annual service review we found that there had been a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 731.74 Tm (safeguarding strategy meetings that raised concerns about the care provided at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 717.16 Tm (Chestnut Court. There had also been a suspension of placements by one local authority )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 702.58 Tm (as a result of these allegations. This random inspection was carried out to confirm that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 688 Tm (the home was continuing to provide good outcomes for residents. This random )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.42 Tm (inspection will be used to inform our annual service review of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 658.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 644.26 Tm (Prior to the inspection the home had completed its Annual Quality Assurance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.68 Tm (Assessment. The Annual Quality Assurance Assessment provided us with information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.1 Tm (about the home and how it was seeking to provide the best outcomes for people. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 600.52 Tm (also looked at any other information we had received about the home since the last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 585.94 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 571.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 556.78 Tm (The inspection took place over one day. We were assisted by Colum O'Sullivan, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 542.2 Tm (acting manager, with the inspection. We spoke with five residents, three members of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 527.62 Tm (staff and four relatives. We observed care practice and interaction between staff and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 513.04 Tm (residents. We toured the building and examined a number of records relating to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 498.46 Tm (care, health and safety and management of the home. At the end of the inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.88 Tm (feedback was given to the acting manager, and areas for improvement were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.3 Tm (discussed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 440.14 Tm (We found that there are a number of areas that need to be improved to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 425.56 Tm (that the home continues to provide good outcomes for residents. These included care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 410.98 Tm (planning, activities for people with dementia and the provision of training for staff. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 396.4 Tm (Currently, there is no registered manager for Chestnut Court. A new manager will be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.82 Tm (starting work at the home shortly. This should improve the outcomes of care for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 367.24 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 352.66 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 325.7 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 325.7 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 239.28 w 31.2 194.87 m 563.65 194.87 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 315.63 m 565.85 315.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 74.1 m 565.85 74.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 316.71 m 30.07 73.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 316.71 m 564.78 73.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 299.45 Tm (Residents and relatives with whom we spoke were generally please with the home. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.87 Tm (observed that staff were attentive and available to meet residents needs. A resident )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.29 Tm (told us, "People are very nice here, and the staff are brilliant." The rota showed that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.71 Tm (two nursing staff are on duty throughout the day. Staff spoken to told us that they felt )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.13 Tm (there was enough staff available to care for residents. We saw that staff was available )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.55 Tm (in sufficient numbers to assist residents at meal times. Residents were given )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.97 Tm (assistance to eat and drink if they needed it. The acting manager explained that two )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.39 Tm (new full-time nurses had recently been appointed. He agreed that the staffing level )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.81 Tm (would be reviewed regularly. Sufficient numbers of staff are available to meet the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.23 Tm (needs of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 139.07 Tm (A relative said, "You can go to staff and they will help you out." Records showed that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 124.49 Tm (people were receiving medical attention that they needed. Medication records have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.91 Tm (been updated when there had been changes in residents medicines. We could see that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 95.33 Tm (people were getting the medications that they had been prescribed. A relative said, "I )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 80.75 Tm (feel well-informed as they explain any changes in care needs.")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 (10)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 they could do better:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 721.49 w 31.2 424.77 m 563.65 424.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 786.64 m 565.85 786.64 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 30.07 787.72 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 787.72 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 770.46 Tm (There are a number of areas where Chestnut Court needs to improve the care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 755.88 Tm (provided to residents. We case tracked residents, a number of whom had dementia. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 741.3 Tm (We found that the care plans regarding residents dementia needs were not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 726.72 Tm (individualised. This meant that the care plans for these residents did not tell staff how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.14 Tm (dementia affects them as individuals. Staff spoken to could describe dementia care in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 697.56 Tm (general terms, but did not relate this to the individual needs of residents. Two of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 682.98 Tm (care plans seen consisted of a general description of dementia. The acting manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 668.4 Tm (told us that this was a quote from a book. The care plans did not relate to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.82 Tm (individual residents dementia care needs. The acting manager confirmed that care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 639.24 Tm (plans for dementia were generally not specific to the individual resident's. Residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 624.66 Tm (who have dementia need to be supported in ways that promote their individual well )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 610.08 Tm (being.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 595.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.92 Tm (We looked at the incident reports, and found that these highlighted a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 566.34 Tm (occasions where residents behaviour had resulted in concerns about how residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 551.76 Tm (safety is promoted. We case tracked residents and found that care plans were not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 537.18 Tm (clear or specific about how to address residents behaviour that might challenge the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 522.6 Tm (service. There was no guidance on how staff are to support residents in this area. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.02 Tm (spoken to could generally describe how they responded to residents behaviour that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 493.44 Tm (might challenge the service. They did not show that they understood how to respond )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 478.86 Tm (to individual residents needs in this area. Residents need to be supported to maintain )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 464.28 Tm (their well being.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 449.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.12 Tm (The safeguarding meetings had raised the issue of how well Chestnut Court is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 420.54 Tm (the terminal care needs of residents. We found that one of residents we case tracked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 405.96 Tm (had a diagnosis of a terminal illness. However, there was no end of life plan in place. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.38 Tm (The other residents case tracked did not have information regarding how they wished )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 376.8 Tm (their end of life care needs to be met. Staff spoken to could not demonstrate skills and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.22 Tm (knowledge necessary to identify individuals end of life care needs. We found that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.64 Tm (assessments relating to the pain management, care of pressure areas and nutrition did )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.06 Tm (not highlight the specific support needed at the end of life in these areas. Residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.48 Tm (need to receive the care and support they need at the end of their lives.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.32 Tm (The diary notes for the residents case tracked did not reflect their support as outlined )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.74 Tm (in their care plans. These diary notes consisted of brief and general descriptions of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.16 Tm (their daily activities. They did not provide information on how the person's needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 245.58 Tm (might have changed. Diary notes need to provide detailed information about how the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 231 Tm (care needs of residents are addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 216.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 201.84 Tm (The information available on the needs of those residents case tracked was not well )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.26 Tm (organised. Folders contained old information and it was not clear how care plans were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.68 Tm (related to each other. This made it hard to see how the needs of residents were met in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 158.1 Tm (a consistent manner. Information on the needs of residents should be accessible.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 143.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 128.94 Tm (A safeguarding investigation had highlighted that the home used bath books to record )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.36 Tm (when residents were assisted with the bath. This was discussed with the acting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.78 Tm (manager who said that he had told staff not to use a bath book. He told us that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.2 Tm (staff continue to do this. Records should be maintained for each resident and not held )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 70.62 Tm (together. Records should be maintained in ways that enhance the care of residents.)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 (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 659.1 w 31.2 482.98 m 563.65 482.98 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 28.99 152.3 m 565.85 152.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 151.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 151.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (We saw that activities were taking place on all three floors. However, residents and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (relatives commented that this was not how things were usually. A resident living on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (the dementia unit commented that it was usual to, " Spend the afternoon watching )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (television. With nothing else to do." A relative also told us. "I visit most afternoons and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (residents are just left watching the television." We looked at the activities programme. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (It was general and did not provide specific activities for those residents who have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (dementia. We discussed this with the acting manager who confirmed that there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (not enough activities for residents who have dementia. Residents who have dementia )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (need to be provided with activities that meet their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (We walked round the home and found that on the dementia unit there was still a need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (for more signage to enable residents to find their way about the home. The acting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (manager told us that this issue still had not been addressed. We observed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (residents sometimes could not find their way about the home. Appropriate signage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (needs to be in place to support residents to move about the home independently.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (We looked at the training records and they show that there had only been limited )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (training on dementia. We asked the acting manager if there was an ongoing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (programme of training in dementia care. He explained that there was not one currently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (in place. Staff spoken to could explain how they support of people with dementia, but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (only in very general terms. Staff need to have a range of skills to meet the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (residents with dementia.)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 (We looked at the homes training records and found that not all staff has had training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (in care planning. Not all staff with whom we spoke had been trained in care planning. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (Given the issues already discuss in this report regarding planning of support for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (residents with dementia and behavioural issues, training on care planning needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (provided for staff.)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 (The safeguarding meetings highlighted a number of issues regarding the management )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (and treatment of tissue viability needs. When we looked at the training records. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (found that staff had not received training in tissue viability. After this inspection the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (area manager for the home told us that the tissue viability nurses had been contacted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (to arrange the training. Staff need to have the skills to meet the tissue viability needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (of residents to promote their health and well being.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (Since the last key inspection the registered manager has resigned. This has created a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (gap in the leadership needed to make sure that residents receive good care. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (issues discussed in this section of the report and those highlighting by safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (investigations show that there is a need for consistent management of the home. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (acting manager said that staff do not always work in ways he had told them too. For )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (example, he pointed out that staff had not attended training when this had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (arranged. The home needs to have consistent management to make sure that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (needs of residents are met.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 136.24 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 136.24 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 120.24 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 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 (10)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 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 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 (10)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 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Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 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 31.2 554.25 Tm ()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 28.35 536.67 Tm ()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 28.35 522.09 Tm ()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 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. 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