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Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Sycamore Rise Residential Care Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Hill Lane )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Colne)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Lancashire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (BB8 7EF)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01282864209)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01282870897)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Crystal Care Homes Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (23)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 397.67 m 30.07 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 374.84 m 298.32 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 352.01 m 432.52 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 397.67 m 566.72 327.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.58 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 357.58 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 334.75 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 313.32 m 297.25 313.32 l S 0.001 w 20.58 w 299.5 313.32 m 429.25 313.32 l S 0.001 w 20.58 w 431.5 313.32 m 565.9 313.32 l S 0.001 w 35.16 w 31.2 283.2 m 297.25 283.2 l S 0.001 w 35.16 w 299.5 283.2 m 429.25 283.2 l S 0.001 w 35.16 w 431.5 283.2 m 565.9 283.2 l S 0.001 w 35.16 w 31.2 245.79 m 297.25 245.79 l S 0.001 w 35.16 w 299.5 245.79 m 429.25 245.79 l S 0.001 w 35.16 w 431.5 245.79 m 565.9 245.79 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.08 m 568.1 227.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 226 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 226 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 226 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 226 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.55 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.55 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.55 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.71 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.14 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 285.71 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 285.71 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 248.3 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 233.73 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 248.3 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 248.3 Tm (23)Tj ET 0.95294 0.95294 0.95294 RG 116.31 w 32.32 146.3 m 564.77 146.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 183.88 m 567.8 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 567.8 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.88 m 568.1 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 88.14 m 568.1 88.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 207.78 m 30.07 87.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 207.78 m 566.72 87.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 167.69 Tm (The registered person may provide the following categories of service only. Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.11 Tm (only - code PC, to people of the following gender:- Either. Whose primary care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.53 Tm (on admission to the home are within the following categories: - Old age not falling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 123.95 Tm (within any other category - Code OP. Dementia - Code DE Mental disorder, excluding )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.37 Tm (learning disability or dementia - Code MD The maximum number of people who can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 94.79 Tm (accommodated is: 23)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 73.36 m 315.25 73.36 l S 0.001 w 1 1 1 RG 20.58 w 317.5 73.36 m 346.55 73.36 l S 0.001 w 20.58 w 348.8 73.36 m 377.9 73.36 l S 0.001 w 20.58 w 380.15 73.36 m 409.2 73.36 l S 0.001 w 20.58 w 411.45 73.36 m 440.55 73.36 l S 0.001 w 20.58 w 442.8 73.36 m 471.9 73.36 l S 0.001 w 20.58 w 474.15 73.36 m 503.2 73.36 l S 0.001 w 20.58 w 505.45 73.36 m 534.55 73.36 l S 0.001 w 20.58 w 536.8 73.36 m 565.9 73.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 84.77 m 568.1 84.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.94 m 568.1 61.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 85.85 m 30.07 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 85.85 m 316.37 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 85.85 m 347.67 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 85.85 m 379.02 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 85.85 m 410.32 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 85.85 m 441.67 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 85.85 m 473.02 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 85.85 m 504.32 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 85.85 m 535.67 60.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 85.85 m 567.02 60.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 68.58 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 68.58 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 68.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 68.58 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 68.58 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 68.58 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 68.58 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 68.58 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 68.58 Tm (9)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 457.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 457.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 458.85 m 568.1 458.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 753.91 Tm (Sycamore Rise is a care home that accommodates 23 residents including people who )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (have dementia. The bedrooms are mainly single rooms and most of them have )Tj ET /F1 12 Tf BT 1 0 0 1 518.26 736.91 Tm (en-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (suite)Tj ET /F1 12 Tf BT 1 0 0 1 64.51 719.91 Tm ( facilities. There are two shared double rooms. There are two lounges, one that )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (doubles up as a dining area. There is a lift available that serves all floors. The home )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (is situated in a rural setting on the outskirts of Colne, Lancashire. There are good )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (views of the surrounding countryside and some of the rooms overlook the hills around )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (the home. There are no services in the immediate vicinity of the home. There are, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (however, shops and other services in the local town. Bus services into the town are )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (limited and the home does not have it's own transport at present. Information )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (relating to the home's Service User Guide and Statement of Purpose is included in the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (welcome pack, which is given to all prospective residents. This information explains the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 566.91 Tm (care service that is offered, who the owner and staff are, and what the resident can )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 549.91 Tm (expect if he or she decides to live at the home. At the time of this visit the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 532.91 Tm (information given to the Commission showed that the fees for care at the home are )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 515.91 Tm (from GBP 366.00 to GBP 413.00 per week, with added expenses for hairdressing and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 498.92 Tm (chiropody.)Tj ET /F1 12 Tf BT 1 0 0 1 98.75 498.92 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 481.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 464.92 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (This was a random inspection which took place on the 7th September 2009. The purpose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (of this inspection was to monitor the service after a key inspection in April found that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (outcomes for residents were poor \( 0* quality rating\). We asked the owner of the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (to complete an improvement plan, and this was submitted to us in May 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (We undertook a further random inspection of this service on the 15th of June 2009 and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (found that there were still areas of the service that needed to improve. A Statutory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (Requirement Notice was issued to the owner of the home in July 2009. This notice )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (required the company operating the home to improve the control of medicines at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (Sycamore Rise.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (We looked at how the acting manager of the service and the owner had addressed the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (requirements made of the service by the Commission. We looked at care documentation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (within the home and the medication systems that were in place. We spoke to three of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (care staff, and a senior carer. We also spoke to five people who used the service about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (their experiences and care whilst living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (We also spoke to the visiting District Nurse about how she found the arrangements for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (delivering care within the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (Serious concerns about the safe handling of medicines were identified at our previous )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (visits. This visit was made to look at any action taken to improve the handling of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (medicines at the home in order to meet with current requirements. Overall, we found )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (that the arrangements for handling people's medicines had improved and that action had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (been taken to address the requirements of Statutory Requirement Notice served in July )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (2009. All staff handling medicines had completed refresher certificated medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (training, and where people were new to medicines administration at the home the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (manager planned to carry out observations \(checks\) before they were allowed to handle )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (peoples' medicines. This helps to ensure that staff know what to do and that the homes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (procedures are followed. We saw that the medicines administration records were now )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (referred to and completed at the time medicines were administered to each person. And )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (that records were kept where district nurses administer peoples injections, showing when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (the next dose was due. Clear and accurate record keeping helps to support the safe )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (administration of medication, reducing the risk of mistakes. A review had been carried )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (out with someone who managed their own medicines and more support put in place to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (help ensure their medicines were managed safely.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (We found that GP and other health care professional advice was mostly clearly recorded )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (helping to ensure that changes to peoples' medicines were properly and promptly made. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (Concerns about the handling of medicines on admission to the home continued )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (throughout July but we found that where people had more recently come to live at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (home checks were made with their doctor's to help ensure they had all the medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (that were needed. But, it is recommended that where possible more information is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (gathered about peoples medication needs before they come to the home, for example )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (discussing whether the person normally self-administers medicines. Where medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (were prescribed 'when required' there was usually \(but not always\) some written )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (guidance for care staff about when these medicines may be needed. This should be )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (extended where appropriate to ensure 'when required' medicines guidance is always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (included in relevant care plans, helping to ensure medicines are consistently used when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (needed. We saw examples where clear records were made in peoples daily notes when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (these medicines were used, helping to ensure all staff were aware of any support that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (person may need.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (The manager was working with the doctor's surgery and pharmacy to help improve the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (ordering of medicines and to reduce the risk that medicines will 'run out'. We checked a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (sample of current medicines records and stocks and found sufficient medicines were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (available to allow continuity of treatment. It was of concern that we saw two examples )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (where creams prescribed 'when required' were not included on peoples current medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (records. These creams were available in the home but were not currently needed. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (manager was aware of this concern and was working with the pharmacy to look at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (procedures for ensuring all current medicines were listed. It is recommended that )Tj ET /F1 12 Tf BT 1 0 0 1 530.97 585.88 Tm (month-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (end)Tj ET /F1 12 Tf BT 1 0 0 1 54.02 571.29 Tm ( procedures are reviewed to help ensure that when the new monthly delivery of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (medicines is checked in any 'when required' medicines that have not been 'stopped' are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (included on the new record.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (We also looked at the general care records for the people who lived in this home. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (found when we last visited the home that care planning was a concern because )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (information wasn't being entered properly and the information within each plan wasn't )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (being regularly reviewed. Reviews are important because current care needs can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (assessed and information within the plan can be altered if there is any change. The care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (that the service offers can then be altered and information updated so that it is current )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (and consistent.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We found on this occasion that a new care planning document was being used. Reviews )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (were built into the plan and the manager helped to ensure that everyones care was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (properly reviewed and changes noted. We looked at a number of care plans and each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (area of care was properly reviewed. We saw that notes within the plan had been updated )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (and, on talking to the care staff, they had a better knowledge of people's current care. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Any dangers that were evident, particularly when people were at risk of falling, were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (properly risk assessed to minimise any instances, and to ensure that care staff were more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (aware of areas of risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (We also saw that pressure area care was being properly recorded and there were good )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (notes within the plans. A District Nurse was visiting the service whilst we were there. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (told us that the care staff were involved in pressure area care and had a better )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (knowledge of tissue breakdown. Peoples care had improved because of this: regular )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (notes were found within the care plans about pressure area care and the District Nurses )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (notes complemented these.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (On our last visit to the home we saw that continence care was not being addressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (properly. There was a bad smell in the main lounge and people were not being taken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (use the toilet regularly enough. The current acting manger has rectified this by having )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (each person assessed by the continence nurse. Better pads have been purchased and we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (saw that the people who used the service were being given continence care, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (changed, regularly. A new carpet had been fitted to the main lounge and there were new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (chairs. There were no offensive smells. The acting manager also told us that the domestic )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (staff were proactive in cleaning things up as soon as possible. Consequently those who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (lived at Sycamore Rise were having their dignity protected properly and were able to live )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 702.84 w 31.2 433.8 m 580.26 433.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.26 m 582.46 81.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 80.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 80.18 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (in much nicer surroundings. The care staff that we spoke to had a better knowledge of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (individual care issues and the manager promoted this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (The owner of the home had arranged for a small room to be converted to an office on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (ground floor. The manager told us that this helped her to be alert to the care needs of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (the residents and be available for advice and support for the care staff. Previously the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (main office was in the basement of the building. An area had been created in the hallway )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (of the home where the care staff could contribute to care plans and update records. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (helped to ensure that the dining area wasn't being used by staff to do this. This area was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (quieter and afforded more privacy.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (The acting manager of the service had applied to become registered with the Care Quality )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Commission and has shown during this random inspection that she had the organisational )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (skills and managerial knowledge to oversee the service properly. There were enough care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (staff on duty to help ensure that the people who used the service were having their needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (addressed adequately. Staff breaks were properly organised to ensure that enough carers )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (were available at all times. One of the residents told us "There seems to be a lot more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (girls around now, its much better.")Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (No new care staff had joined the staff team since our last inspection. We found, however, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (that a good induction programme had been planned to ensure that everyone had a good )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (basic knowledge of how the service ran, before starting work.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (New bedroom furniture and beds had been bought for every room and areas of the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (had been re-carpeted and redecorated. Overall, the home was a much nicer place to live. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (We spoke to five of the people who lived at this home. There were some complimentary )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (comments, such as, "Its much nicer now". One person also told us that "my rooms much )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (better, a new comfortable bed, and plenty of room for clothes". The manager of the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (told us that she was pro-active in communicating what was needed to the owner of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (There was still work that needed to be done, however, and the acting manage had a list )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (of things that needed to be replaced and renewed. The exterior of the building still )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (needed attention and some of the double glazing units had failed, making the glass hard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (to see though due to condensation.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (There were some records within the care plans that showed that important information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (was being gathered about the history and interests of the residents. Interests and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (hobbies were being recorded along with information about family support and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (employment history. care staff would be able to use this information to formulate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (appropriate activities that people would enjoy, and to initiate conversation whilst )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (stimulating memories. This is essential, particularly when caring for people who have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (dementia. It would have been nice to see a list of planned activities for the day so that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (the people who used the service could see what was being planned and make a decision )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (about whether or not they would like to be involved. There wasn't a designated activities )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (co-ordinator, although the acting manager would like to introduce this post so that daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (activities could be better planned to suit the needs of those who live a the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 63.19 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 63.19 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 137.22 w 31.2 716.61 m 580.26 716.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.88 m 582.46 646.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 645.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 645.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 770.16 Tm (A lot of work had been done to help ensure that the environment was nicer for the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 755.59 Tm (who used the service. The service was homely and pleasant and people told us that it )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 741.01 Tm (was a nicer place to live.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 726.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 711.84 Tm (Training had taken place for the care staff to help improve their knowledge and skills, and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 697.27 Tm (enhance their safety awareness.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 682.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 668.1 Tm (Peoples' care was being planned, delivered and reviewed in an appropriate manner.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.53 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 625.43 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 195.54 w 31.2 516.47 m 580.26 516.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 615.37 m 582.46 615.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.58 m 582.46 417.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 616.45 m 30.07 416.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 616.45 m 581.38 416.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 599.18 Tm (Where possible more information about peoples medicines needs and choices should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.6 Tm (sought before they come to stay at the home to help ensure appropriate arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 570.03 Tm (can be promptly made.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 555.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 540.86 Tm (Medicines 'month-end' procedures should be reviewed to reduce the risk of 'when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 526.28 Tm (required' medicines being missed off the new months medicines record.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 511.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 497.13 Tm (There was still work that needed to be done to the building and the acting manager had a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 482.55 Tm (list of things that needed to be replaced and renewed. The exterior of the building still )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 467.96 Tm (needed attention and some of the double glazing units had failed, making the glass hard )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 453.39 Tm (to see though due to condensation. One of the bedrooms that we looked at did not have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 438.8 Tm (any double-glazing. This should be addressed because of the exposed position of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.23 Tm (home. This would reduce drafts in the winter months and make the home warmer.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 399.27 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 399.27 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 383.27 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 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 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 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 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 122.12 w 32.32 537.73 m 564.97 537.73 l S 0.001 w 1 1 1 RG 20.58 w 31.2 488.08 m 91.05 488.08 l S 0.001 w 20.58 w 93.3 488.08 m 197.4 488.08 l S 0.001 w 20.58 w 199.65 488.08 m 289.45 488.08 l S 0.001 w 20.58 w 291.7 488.08 m 473.8 488.08 l S 0.001 w 20.58 w 476.05 488.08 m 566.1 488.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.67 m 568.3 476.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 567.85 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 389.49 w 32.32 259.3 m 564.97 259.3 l S 0.001 w 1 1 1 RG 108.06 w 31.2 311.17 m 91.05 311.17 l S 0.001 w 108.06 w 93.3 311.17 m 197.4 311.17 l S 0.001 w 108.06 w 199.65 311.17 m 566.1 311.17 l S 0.001 w 93.48 w 31.2 208.15 m 91.05 208.15 l S 0.001 w 93.48 w 93.3 208.15 m 197.4 208.15 l S 0.001 w 93.48 w 199.65 208.15 m 566.1 208.15 l S 0.001 w 93.48 w 31.2 112.42 m 91.05 112.42 l S 0.001 w 93.48 w 93.3 112.42 m 197.4 112.42 l S 0.001 w 93.48 w 199.65 112.42 m 566.1 112.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 256.02 m 568.3 256.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 160.29 m 568.3 160.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 367.4 m 30.07 63.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 367.4 m 567.22 63.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.3 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 367.4 m 92.17 63.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 367.4 m 198.52 63.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 456.3 m 568.4 456.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.4 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.02 m 568.3 256.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 160.29 m 568.3 160.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 64.56 m 568.3 64.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 457.37 m 30.07 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 387.8 m 92.17 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 387.8 m 198.47 365.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 457.37 m 567.32 365.25 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 440.11 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 422.53 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.95 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.37 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 372.55 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 372.55 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 372.55 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 350.14 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 350.14 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 350.14 Tm (The 'month-end' medicines procedures should be reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 335.56 Tm (to reduce the risk of 'when required' medicines being )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 320.98 Tm (missed off the new medicines record.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 306.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 291.82 Tm (Where possible more information should be sought about )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 277.24 Tm (peoples medicines needs and choices before they come to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 262.66 Tm (stay at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.83 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 239.83 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 239.83 Tm (The owner of the home should continue to with the renewal )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 225.25 Tm (and refurbishment of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 210.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 196.09 Tm (This is to help ensure that people live in a pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 181.51 Tm (environment with good quality fixtures and fittings around )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 166.93 Tm (them. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 144.1 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 144.1 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 144.1 Tm (The owner of the home should consider replacing the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 129.52 Tm (double-glazed window units within the home that have )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 114.94 Tm (failed, and replacing the single-glazed units.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 100.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 85.78 Tm (This is to help ensure that the home is warmer in the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 71.2 Tm (winter months and is draught free. )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm 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BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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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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