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Tm (5)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 (6)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 (17)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 (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 68.58 Tm (2)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 (4)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 (17)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 GBP366.00 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 (17)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 15th June 2009. The purpose of this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (inspection was to monitor the service after a key inspection in April found that outcomes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (for residents were poor \( 0* quality rating\). We asked the owner of the home to complete )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (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 looked at how the manager of the service and the owner had addressed the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (requirements made of the service by the Commission. We looked at care documentation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (within the home and the medication systems that were in place. We spoke to four of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (care staff, and a senior carer. We also spoke to three people who used the service about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (their experiences and care whilst living at the home.)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 also spoke to the visiting District Nurse about how she found the arrangements for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (delivering care within the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (We looked at most of the care plans during this random inspection. Work had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (completed on most of these and there was evidence that the review process had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (improved, as many of them had reviews completed with outcome statements. There )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (were, however, Care pans that had not been reviewed or updated and work must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (continued to help ensure that everyone had a care plan that was current, up-to-date and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (instructive for the carers of the home. care staff told us that they were happier with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (format of the updated plans as they were more instructive and informative.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (We spoke to the district nurse during our visit. She told us that the care staff had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (more aware of what work was being done to treat pressure sores and pressure area care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (was being taken more seriously. Clear information was available in the care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (regarding this important area of care. A nationally recognised assessment tool was being )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (used to assess tissue viability. and body maps were available to show where tissue )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (breakdown was occurring. The notes from the District Nurse were now within the care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (plans and current care regimes were clearly visible.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (We were told by one of the carers that the continence advisory nurse had been contacted )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (and that assessments had been carried out, and some of the care plans, but not all, had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (more information about incontinence issues and how these should be addressed. There )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (was clearly some work to do to ensure that all of the care plans were fully updated and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (held current information about how to ensure that people's dignity was upheld. The risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (assessment of those people who were prone to falling had been improved and updated. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (Again, this needed to be carried out on all of the residents to help ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (lived in a safer home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (We looked at the arrangements for managing peoples medicines and were concerned to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (find that many of the weaknesses identified at the previous inspection remain. This needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (to be addressed to reduce the risk of mistakes. We again found that the homes policies )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (and current good practice guidance were not followed in practice. On arrival at the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (we again saw that most people had taken their breakfast medicines but the medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (records were not completed at the time of administration. Instead, the medicine records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (were completed all together at the end of the medicines round. This unnecessary reliance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (on memory increases the risk of making mistakes. We saw two examples where people )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 (17)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 (had missed doses of prescribed medication because there was none left to give, 'run out'. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (As previously discussed, care needs to be taken to ensure sufficient stocks of medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (are kept at the home, without overstocking. It was of concern that as previously seen, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (there was a lack of information about how people were supported to safely )Tj ET /F1 12 Tf BT 1 0 0 1 489.49 731.67 Tm (self-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (administer)Tj ET /F1 12 Tf BT 1 0 0 1 95.59 717.09 Tm ( medication. Risk assessments and care plans need to be kept up-to-date to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (help ensure people always receive any support they need to manage their medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (We looked at medicines record keeping and found some areas that need to be addressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (to help improve the clarity of these records: Where doses were not administered, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (reason was not always clearly recorded. Again, we found it difficult to track changes to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (peoples medicines because clear records of verbal advice from doctors were not always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (made. In one case this meant staff were unsure whether or not, for one person, some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (prescribed medicines had been stopped. As previously seen there was sometimes a lack )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (of information about the administration of medicines prescribed 'when required'. One )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (person was prescribed three painkillers, two of which were to be given 'when required'; )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (the person had no pain management care plan. Similarly, there was a lack of information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (about the use of prescribed creams.)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 (We found that peoples medicines needs were not adequately checked when they first )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (came to the home. A hospital discharge list for one person included a supplement drink, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (but none was available at the home, staff had not made enquiries with the Presciber to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (see whether it was still needed. A prescribed laxative for a second person was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (included on their medication administration record until nine days after they arrived.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (We looked at medicines storage and found that all medicines including controlled drugs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (were now safely locked away.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (As previously recommended, consideration should be given to completing regular )Tj ET /F1 12 Tf BT 1 0 0 1 529.02 367.17 Tm ('in-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (house')Tj ET /F1 12 Tf BT 1 0 0 1 70.9 352.6 Tm ( audits of medicines to help ensure that any shortfalls are quickly identified and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (One of the carers showed us that the resident's weight was being recorded properly to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (help ensure that health issues were being picked up and diet monitored properly. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (found care plans, however, where this was not the case, and no weight chart was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (evident. One of the residents had recently been refusing food and had been referred to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (her doctor. The care plan didn't really contain much information about this, although the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (care staff could tell us more. This information had not been recorded and information still )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (wasn't being passed on to all of the carers via the care plan. One care plan stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (weight should be recorded periodically, but this hadn't happened.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (Overall we found that some improvement had been made since our last key inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (but there were still areas of concern, particularly when it came to the recording of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (information and passing this on via the care plans so that all the people who worked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (this home had the same information, and that people were being cared for consistently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (and thoroughly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Activities were taking place at this home, and there was evidence in the activities diary to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (show that some of the care staff were ensuring that activities were available. These, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (however, were by no means regular and there were still no specific activities available for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (those people who had dementia. It is important that all of the residents are able to join in )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 (17)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 (planned activities, and those who have dementia are not excluded. This is to help ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (that people who live within this service are stimulated mentally and physically and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (their interests and hobbies are addressed. Activities must be enjoyable and suitable for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (all. We spoke to the senior carer about activities and she agreed with us that these were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (still not a regular occurrence, and appropriate for all.)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 (After a serious incident at this home in March 2009 the owner of the home had taken into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (consideration the management of the service and the impact that this had on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (outcome of this incident. Criticisms were made by the Commission regarding the actions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (of the manager and assistant manager following a full investigation regarding how the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (incident was handled by senior staff at the home. These criticisms were passed to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (owner during a recent safeguarding meeting held with the local authority. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (investigation is still progressing and will be fed back formally to the owner of the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (It is important for the owner of the home to ensure that the people who are using this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (service are safeguarded properly and that the lessons from this incident are taken into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (account. The manager is not now in post: the actions of the assistant manager must be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (addressed.)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 (We have been informed by the owner of the home that care staff now take individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (breaks because of criticisms that the people who use the were not being supervised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (properly. It was alleged that groups of carers would go for breaks together, leaving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (insufficient numbers available to safeguard the interests of the residents and be available )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (to communicate sufficiently with care professionals and visitors to the service. break )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (times were being taken whilst we were there and sufficient care staff were available to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (ensure that the interests of the residents were being safeguarded and that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (being cared for consistently and properly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (We looked a the environment of the service. The owner of the home told us that a lot of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (furniture had been ordered and a new carpet had been purchased for the lounge area. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (There was still a smell of urine in the main lounge and it was hoped that the delivery and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (fitting of the carpet would ensure that this would disappear once the old carpet had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (removed and the floor cleaned. it was the owners intention to purchase a new carpet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (cleaner and appropriate cleaning products to help ensure that the carpets within the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (home remained clean and hygienic. We were also told by the owner that a new cleaning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (policy and regimes were being introduced encouraging 'clean as you go' routines. As )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (progress towards removing offensive odours was still ongoing we will be able to assess )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (what action has been taken, and whether this has been successful, at the next key )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (We saw some large, flat -screened televisions that were waiting to be fitted in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (lounges. New pictures had already been put on the walls; these were quite well chosen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (and depicted people from the mid 20th century, such as Winston Churchill and Marilyn )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Monroe. It was hoped that these would help to stimulate conversation and bring back )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (memories.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (A new carpet had been fitted in the rear hallway to replace one that was worn and dirty. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (There was still a need for the owner of the home to ensure that parts of the home were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (decorated to a good standard. He had received quotations for this work to be done. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (were also informed that new beds had been purchased and were to be delivered shortly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)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 (It was clear that the owner of the home was working towards improving the environment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (of the home. More evidence of this will hopefully be available when we visit the home for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (the forthcoming key inspection of the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (There were adequate numbers of care staff available at the home whilst we were there, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (and enough to ensure that the needs of the residents were properly addressed, and their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (care provided consistently. The owner of the home had assured us that breaks were now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (being taken on an individual basis to help ensure that people were being safeguarded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (during allotted break times. Two people who used the service were spoken to during this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (inspection. Both told us that they felt that they were being cared for properly and there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (were sufficient staff around at all times to address their needs. One resident told us: " )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (The girls are still a bit rushed now and again but they have time to talk. I think I'm being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (well looked after.")Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Care staff rota's showed that enough staff were employed within this service to meet the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (needs of the residents. The senior carer told us that there were occasionally times when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (care staff rang in sick at short notice, and a replacement could not be found.)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 (No new carers had joined the care team since our last inspection. The senior carer that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (we spoke to was aware of the responsibility the service had to ensure that all new carers )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (were properly inducted into the working environment, and their progress recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (The registered manager of this service had recently resigned and the home currently did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (not have a manager. The owner of the home had decided to manage the service until a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (new manager started work on 29th June 2009. The owner wasn't available when we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (visited and there was some confusion as to who was in charge during this random )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (inspection. We fed back our findings to the senior carer.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (There is an expectation that the owner and the new manager both take into account our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (findings from this random inspection, and act on them accordingly. There were things )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (that had not been addressed since the last key inspection. However, environmentally )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (orders had been taken and tradesmen booked to rectify matters such as fitting carpets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (and decorating the home. New beds and furnishings had been ordered. There were plans )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (to move the managers office to a room on the ground floor, where the care staff can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (observed and monitored regarding their performance and the manager can have more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (control regarding how the residents are cared for.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (Some changes had been made with regards to care planning and recording information. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (There is still a need to ensure that all of the care plans are updated and improved. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (Similarly the owner and the new manager need to take into account our findings )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (regarding how medication is being administered. We found that there were still serious )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (issues regarding this and, until these are addressed the people who use the service are at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (risk because of poor handling of medication. Overall, key areas had not been addressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (sufficiently since our key inspection in April 2009, and timescales had not been met )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (regarding the requirements and recommendations that were detailed on our last report. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (We must, however, take into consideration the changes that have occurred regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (management of this service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (We will undertake a key inspection of this service at a later date to monitor how the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (changes in this service are progressing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 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 (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 761.85 m 580.26 761.85 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 28.99 737.36 m 582.46 737.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 736.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 736.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.29 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 1 175.95 719.29 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 268.44 w 31.2 573.88 m 580.26 573.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 709.22 m 582.46 709.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 438.54 m 582.46 438.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.3 m 30.07 437.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 710.3 m 581.38 437.46 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 693.04 Tm (Care records were better in some of the care plans, but not all. Most of the care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.46 Tm (had been reviewed, and outcome statements entered as to how people's health and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 663.88 Tm (social care were progressing. There was more information in the plans regarding pressure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.3 Tm (area care, continence care and the management of falls. This means that the carers have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm (better information that is current and more consistent so that a beter level of care can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm (offered.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (We found that staff numbers were sufficient to meet the needs of the people who used )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (the service. Care staff took individual breaks to help ensure that the people who used the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm (service were supervised properly and cared for sufficiently.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (Some changes had been made to the home. We were told that new beds, furniture and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (carpets had been ordered and were due to be delivered soon. Estimates had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (received from tradesmen to decorate some of the communal areas. A carpet had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (replaced in one of the hallways and new pictures had been put on the walls. There were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm (two large flat-screen televisions waiting to be fitted. This was good to see, as a better )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (environment makes the home a nicer place to live.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 418.21 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 365.6 w 31.2 225.35 m 580.26 225.35 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 409.27 m 582.46 409.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 410.35 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 410.35 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 393.09 Tm (The handling of medication was still poor and there were clear issues regarding )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 378.51 Tm (administering this. This means that the people who live within this service are being put )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 363.93 Tm (at unecessary risk by poor practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 349.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.77 Tm (There were weight charts on most of the care pans but not all of them. This was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.19 Tm (particularly evident on one persons care plan who had problems eating and no weight )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.61 Tm (chart could be found, even though regular monitoring was specified in the care plan. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.03 Tm (meant that this persons health was being compromised by poor practice. Similarly, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 276.45 Tm (although most of the care plans had been updated and reviewed there were those that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 261.87 Tm (had information missing. We were informed that some of the care staff had not updated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.29 Tm (these in their role as 'key workers'. Insufficient information means that the care of some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.71 Tm (residents is being compromised and poor practice cpoud occur because of a lack of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.13 Tm (current and consistent information.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 188.97 Tm (The main lounge still had a bad smell, although the deputy manager told us that this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm (should improve when the carpet is removed, the floor cleaned thoroughly, and a new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (carpet fitted. Similarly new furniture and beds had been purchased and, when delivered, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (the look of the home should improve. A home that is well furnished and decorated will )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm (help improve the well being of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm (No registered manager was in place when we visited this service. The previous manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (had been replaced and a new manager was to begin work on 29th June 2009. There was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (confusion at the time of the inspection regarding who was in charge of the service. This is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (unacceptable, and a clear and sufficient management structure should be in place at all )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 61.32 w 31.2 754.57 m 580.26 754.57 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 28.99 722.78 m 582.46 722.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 721.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 721.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (times. The owner of the home explained to us that he was to manage the service unrtil )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (the new manager commenced her role.)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 ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 706.72 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 706.72 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 690.72 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)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 (5)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 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 154.8 w 31.2 498.82 m 91.05 498.82 l S 0.001 w 154.8 w 93.3 498.82 m 197.4 498.82 l S 0.001 w 154.8 w 199.65 498.82 m 289.45 498.82 l S 0.001 w 154.8 w 291.7 498.82 m 473.8 498.82 l S 0.001 w 154.8 w 476.05 498.82 m 566.1 498.82 l S 0.001 w 169.38 w 31.2 334.48 m 91.05 334.48 l S 0.001 w 169.38 w 93.3 334.48 m 197.4 334.48 l S 0.001 w 169.38 w 199.65 334.48 m 289.45 334.48 l S 0.001 w 169.38 w 291.7 334.48 m 473.8 334.48 l S 0.001 w 169.38 w 476.05 334.48 m 566.1 334.48 l S 0.001 w 169.38 w 31.2 162.85 m 91.05 162.85 l S 0.001 w 169.38 w 93.3 162.85 m 197.4 162.85 l S 0.001 w 169.38 w 199.65 162.85 m 289.45 162.85 l S 0.001 w 169.38 w 291.7 162.85 m 473.8 162.85 l S 0.001 w 169.38 w 476.05 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l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.3 m 568.3 420.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 248.66 m 568.3 248.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 77.04 m 568.3 77.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 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 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have 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(care plan. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 650.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 636.28 Tm (This is to help ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm (peoples skin condition is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (being assessed and any )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (breakdown is recorded and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (dealt with accordingly.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (Proper advice, support and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (equipment must be available )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (for those people who use the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (service who have continence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (issues and needs. Action that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (is being taken must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (recorded properly and fully in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (each persons care plan.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (This is to ensure that peoples )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (dignity is being adressed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (that assocoated health issues )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (are being dealt with.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 352.08 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 352.08 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 352.08 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (Staff handling medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (must follow the home's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (policies and procedures, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (adhere to current good )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (practice guidance. And, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (adequate stocks of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (prescribed medicines must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (be maintained without )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (overstocking )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.29 Tm (to help ensure medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.71 Tm (safely administered as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.13 Tm (prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 352.08 Tm (01/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.29 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 151.29 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 151.29 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.29 Tm (Complete, clear and accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (lists of currently prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.14 Tm (medicaiton, the dosage )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.56 Tm (instructions and time and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.97 Tm (date of administration must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.39 Tm (be maintained for each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.81 Tm (person)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 46.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 151.29 Tm (01/06/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 736.26 w 32.32 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0.001 w [] 0 d [] 0 d 2.25 w 28.99 217.22 m 568.3 217.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 45.59 m 568.3 45.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (to support the safe )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (administration of medication )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 617.2 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 617.2 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 617.2 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (Regular, planned and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (appropriate activities must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (be provided for all residents. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (particular consideration must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (be given to those residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (who have dementia, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (suitable activities provided )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (accordingly. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (This is to help ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm (people who live within this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (service are stimulated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (mentally and physically and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (that their interests and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (hobbies are addressed. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm (Activities must be enjoyable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (and suitable.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 617.2 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.08 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 358.08 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 358.08 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.08 Tm (The owner of the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.51 Tm (continue with the renewal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.92 Tm (and refurbishment of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.35 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 296.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.18 Tm (This is to help ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.61 Tm (peole live in a pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.02 Tm (environment with good )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.45 Tm (quality fixtures and fittings )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.87 Tm (around them. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 358.08 Tm (30/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 201.04 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 201.04 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 201.04 Tm (39 \(h\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.04 Tm (The owner of the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.46 Tm (continue with the renewal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.88 Tm (and refurbishment of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.29 Tm (home to improve the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.71 Tm (environment for the people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.13 Tm (who live there.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.97 Tm (The residents should live in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.39 Tm (nice surroundings with nice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.82 Tm (things around them. This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.24 Tm (adds to their well-being.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 201.04 Tm (31/12/2008)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 125.64 w 31.2 618.42 m 91.05 618.42 l S 0.001 w 125.64 w 93.3 618.42 m 197.4 618.42 l S 0.001 w 125.64 w 199.65 618.42 m 289.45 618.42 l S 0.001 w 125.64 w 291.7 618.42 m 473.8 618.42 l S 0.001 w 125.64 w 476.05 618.42 m 566.1 618.42 l S 0.001 w 198.54 w 31.2 454.08 m 91.05 454.08 l S 0.001 w 198.54 w 93.3 454.08 m 197.4 454.08 l S 0.001 w 198.54 w 199.65 454.08 m 289.45 454.08 l S 0.001 w 198.54 w 291.7 454.08 m 473.8 454.08 l S 0.001 w 198.54 w 476.05 454.08 m 566.1 454.08 l S 0.001 w 198.54 w 31.2 253.29 m 91.05 253.29 l S 0.001 w 198.54 w 93.3 253.29 m 197.4 253.29 l S 0.001 w 198.54 w 199.65 253.29 m 289.45 253.29 l S 0.001 w 198.54 w 291.7 253.29 m 473.8 253.29 l S 0.001 w 198.54 w 476.05 253.29 m 566.1 253.29 l S 0.001 w 108.1 w 31.2 97.72 m 91.05 97.72 l S 0.001 w 108.1 w 93.3 97.72 m 197.4 97.72 l S 0.001 w 108.1 w 199.65 97.72 m 289.45 97.72 l S 0.001 w 108.1 w 291.7 97.72 m 473.8 97.72 l S 0.001 w 108.1 w 476.05 97.72 m 566.1 97.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 554.48 m 568.3 554.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.69 m 568.3 353.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.9 m 568.3 152.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 554.48 m 568.3 554.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.69 m 568.3 353.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.9 m 568.3 152.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 666.18 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 666.18 Tm (12 \(1\) \(a\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.18 Tm (The manager must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (that the home smells fresh )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (and that unpleasant odours )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.45 Tm (are eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 604.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.28 Tm (This is to help ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.71 Tm (people live in pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.13 Tm (surroundings.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (30/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.29 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 538.29 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.29 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (The owner of the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (ensure that unpleasant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (odours are eliminated and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (contributory factors )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (regarding this are addressed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (properly and completely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (This is to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (incontinence and cleaning )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (issues are addressed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (that the residents live in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (pleasant, odour free )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (environment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 538.29 Tm (30/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 337.51 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 337.51 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 337.51 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (Care staff must have a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (period of time where they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (are inducted to the workforce )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (and shown how care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (practices operate. This must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (be recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.45 Tm (This is to help ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm (the care staff have the basic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.29 Tm (skills to complete tasks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.71 Tm (properly and that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.13 Tm (work as a team to provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.54 Tm (good care.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 337.51 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.71 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 136.71 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 136.71 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (The manager must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.14 Tm (that the care of the residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.56 Tm (is properly planned, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.97 Tm (delivered and reviewed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.81 Tm (All aspects of health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 46.24 Tm (social care must be )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 136.71 Tm (29/05/2009)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 389.67 w 32.32 589.27 m 564.97 589.27 l S 0.001 w 1 1 1 RG 46.74 w 31.2 657.88 m 91.05 657.88 l S 0.001 w 46.74 w 93.3 657.88 m 197.4 657.88 l S 0.001 w 46.74 w 199.65 657.88 m 289.45 657.88 l S 0.001 w 46.74 w 291.7 657.88 m 473.8 657.88 l S 0.001 w 46.74 w 476.05 657.88 m 566.1 657.88 l S 0.001 w 140.22 w 31.2 562.15 m 91.05 562.15 l S 0.001 w 140.22 w 93.3 562.15 m 197.4 562.15 l S 0.001 w 140.22 w 199.65 562.15 m 289.45 562.15 l S 0.001 w 140.22 w 291.7 562.15 m 473.8 562.15 l S 0.001 w 140.22 w 476.05 562.15 m 566.1 562.15 l S 0.001 w 96.48 w 31.2 441.55 m 91.05 441.55 l S 0.001 w 96.48 w 93.3 441.55 m 197.4 441.55 l S 0.001 w 96.48 w 199.65 441.55 m 289.45 441.55 l S 0.001 w 96.48 w 291.7 441.55 m 473.8 441.55 l S 0.001 w 96.48 w 476.05 441.55 m 566.1 441.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.91 m 568.3 490.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 391.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.91 m 568.3 490.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 392.18 m 568.3 392.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (addressed properly and the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (care plans must hold )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (reference to this.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 617.2 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 617.2 Tm (32)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 617.2 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (The manager must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (that she is fully in charge of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (the home at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm (She must delegate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (responsibility, liaise with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (other agencies and ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (that all of the residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm (safeguarded from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 617.2 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.73 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 474.73 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 474.73 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.73 Tm (The welfare and safety of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.14 Tm (residents and staff must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.57 Tm (paramount at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.4 Tm (Fire safety drills must take )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.83 Tm (place on a regular basis. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 474.73 Tm (29/05/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)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 256.34 w 32.32 470.62 m 564.97 470.62 l S 0.001 w 1 1 1 RG 154.8 w 31.2 420.98 m 91.05 420.98 l S 0.001 w 154.8 w 93.3 420.98 m 197.4 420.98 l S 0.001 w 154.8 w 199.65 420.98 m 289.45 420.98 l S 0.001 w 154.8 w 291.7 420.98 m 473.8 420.98 l S 0.001 w 154.8 w 476.05 420.98 m 566.1 420.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 341.37 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 92.17 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 341.37 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 28.99 342.45 m 568.3 342.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 567.85 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (Where people self-administer )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (medication written )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (assessments and care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.58 Tm (need to be completed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.99 Tm (kept under review)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm (to help ensure people receive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.26 Tm (any support they need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (safely self-administer their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.1 Tm (medicines)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (27/07/2009)Tj ET 0.95294 0.95294 0.95294 RG 278.4 w 32.32 181.75 m 564.97 181.75 l S 0.001 w 1 1 1 RG 64.32 w 31.2 199.95 m 91.05 199.95 l S 0.001 w 64.32 w 93.3 199.95 m 197.4 199.95 l S 0.001 w 64.32 w 199.65 199.95 m 566.1 199.95 l S 0.001 w 93.48 w 31.2 118.79 m 91.05 118.79 l S 0.001 w 93.48 w 93.3 118.79 m 197.4 118.79 l S 0.001 w 93.48 w 199.65 118.79 m 566.1 118.79 l S 0.001 w 28.38 w 31.2 55.62 m 91.05 55.62 l S 0.001 w 28.38 w 93.3 55.62 m 197.4 55.62 l S 0.001 w 28.38 w 199.65 55.62 m 566.1 55.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 166.66 m 568.3 166.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 70.93 m 568.3 70.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 234.31 m 30.07 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 234.31 m 567.22 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.63 m 568.4 253.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.23 m 568.3 233.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 234.31 m 92.17 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 234.31 m 198.52 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 323.2 m 568.4 323.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.63 m 568.4 253.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.23 m 568.4 233.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 166.66 m 568.3 166.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 70.93 m 568.3 70.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.3 m 568.3 40.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 324.28 m 30.07 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 254.71 m 92.17 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 254.71 m 198.47 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 324.28 m 567.32 232.15 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 307.02 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 289.43 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.86 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 34.05 260.27 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 239.46 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 239.46 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 239.46 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.04 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 217.04 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.04 Tm (All equipment associated with the care of people who have)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 202.46 Tm (pressure sores should be appropriately assessed, by a)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 187.88 Tm (person who is trained to do so, in order that it is deemed fit)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 173.3 Tm (for purpose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 150.48 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 150.48 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 150.48 Tm (A 'missing person' procedure should be implemented)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 135.9 Tm (should a person leave the building without the knowledge)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 121.32 Tm (of the care staff to ensure that appropriate bodies are)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 106.74 Tm (aware of this. Relatives must be informed of this as soon as)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 92.15 Tm (possible. The current regulatory body must also be notified)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 77.57 Tm (of such incidents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.74 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 54.74 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 54.74 Tm (All aspects of mandatory safety training must be addressed)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 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 (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 134.46 w 32.32 716.87 m 564.97 716.87 l S 0.001 w 1 1 1 RG 46.74 w 31.2 671.89 m 91.05 671.89 l S 0.001 w 46.74 w 93.3 671.89 m 197.4 671.89 l S 0.001 w 46.74 w 199.65 671.89 m 566.1 671.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 697.46 m 30.07 646.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 697.46 m 567.22 646.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.3 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 697.46 m 92.17 646.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 697.46 m 198.52 646.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 716.78 m 568.4 716.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 696.38 m 568.4 696.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 647.39 m 568.3 647.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 717.86 m 92.17 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 717.86 m 198.47 695.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 695.3 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 770.16 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 752.59 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.01 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 34.05 723.42 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 200.25 685.45 Tm (to help ensure that people live in a safe home. 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Tel: 0870 600 5522. 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If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 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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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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