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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Wilsmere House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Wilsmere Drive )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Harrow Weald)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Middx)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (HA3 6BJ)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Ram Sooriah)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Wilsmere House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Wilsmere Drive )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Harrow Weald)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Middx)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (HA3 6BJ)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (02084207337)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (02084207496)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (diana.parry@barchester.com)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 547.01 m 353.25 547.01 l S 0.001 w 1 1 1 RG 20.58 w 355.5 547.01 m 565.9 547.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 524.18 m 353.25 524.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 524.18 m 565.9 524.18 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 501.35 m 353.25 501.35 l S 0.001 w 1 1 1 RG 20.58 w 355.5 501.35 m 565.9 501.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.93 m 568.1 489.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 488.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Barchester Healthcare Homes Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.41 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 519.41 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 496.58 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 496.58 Tm (94)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 381.24 m 297.25 381.24 l S 0.001 w 35.16 w 299.5 381.24 m 429.25 381.24 l S 0.001 w 35.16 w 431.5 381.24 m 565.9 381.24 l S 0.001 w 20.58 w 31.2 351.12 m 297.25 351.12 l S 0.001 w 20.58 w 299.5 351.12 m 429.25 351.12 l S 0.001 w 20.58 w 431.5 351.12 m 565.9 351.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 338.63 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 369.18 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (94)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 346.35 Tm (94)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 346.35 Tm (0)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 307.91 m 565.6 307.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 296.5 m 567.8 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.93 m 568.1 229.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.33 m 567.8 319.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.5 m 568.1 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.93 m 568.1 229.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.1 m 568.1 207.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 320.41 m 30.07 206.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 320.41 m 566.72 206.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 303.14 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.31 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 265.73 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.15 Tm (care needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 236.57 Tm (falling within any other category - Code OP Physical disability - Code PD)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.74 Tm (The maximum number of service users who can be accommodated is: 94 )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 192.31 m 315.25 192.31 l S 0.001 w 1 1 1 RG 20.58 w 317.5 192.31 m 346.55 192.31 l S 0.001 w 20.58 w 348.8 192.31 m 377.9 192.31 l S 0.001 w 20.58 w 380.15 192.31 m 409.2 192.31 l S 0.001 w 20.58 w 411.45 192.31 m 440.55 192.31 l S 0.001 w 20.58 w 442.8 192.31 m 471.9 192.31 l S 0.001 w 20.58 w 474.15 192.31 m 503.2 192.31 l S 0.001 w 20.58 w 505.45 192.31 m 534.55 192.31 l S 0.001 w 20.58 w 536.8 192.31 m 565.9 192.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 203.72 m 568.1 203.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 180.89 m 568.1 180.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 204.8 m 30.07 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 204.8 m 316.37 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 204.8 m 347.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 204.8 m 379.02 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 204.8 m 410.32 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 204.8 m 441.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 204.8 m 473.02 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 204.8 m 504.32 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 204.8 m 535.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 204.8 m 567.02 179.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 187.54 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 169.02 m 565.9 169.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 159.39 m 568.1 159.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 160.47 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 160.47 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 178.64 m 568.1 178.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 159.39 m 568.1 159.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 179.72 m 30.07 158.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 179.72 m 567.02 158.32 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 165.46 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 165.46 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 146.21 Tm (Wilsmere House is owned and operated by Barchester Healthcare, a national provider )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 129.21 Tm (of care homes across the country. It is situated in a quiet cul-de-sac in a residential )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 112.21 Tm (area of Harrow Weald. It is accessible by car and there is a large car park for in excess )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 95.21 Tm (of twenty cars in the grounds of the home. Buses served the Uxbridge Road which is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 78.21 Tm (about ten minutes' walk away. Underground and railway links are an approximate )Tj ET /F1 12 Tf BT 1 0 0 1 536.17 78.21 Tm (ten-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 61.21 Tm (minute)Tj ET /F1 12 Tf BT 1 0 0 1 77.53 61.21 Tm ( bus ride away. The home is located in pleasant grounds with lawns on the side )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 502.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 502.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.15 m 568.1 503.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm (and the back. The home itself is a large detached building spread over three floors: the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (basement, ground and first floors. Residents are accommodated in four units. There )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (are two units on the ground floor and two units on the first floor. Each unit is run )Tj ET /F1 12 Tf BT 1 0 0 1 528.99 749.47 Tm (semi-)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (independently)Tj ET /F1 12 Tf BT 1 0 0 1 118.33 732.47 Tm ( with its own team of staff, a kitchenette and communal areas. There is a )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (physiotherapy room on the ground floor in one of the units, and a computer training )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm (room in another unit. The kitchen, laundry, hotel manager's office and psychologist's )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 681.47 Tm (office are located in the basement. Access to each floor is via lifts and stairs. Bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 664.47 Tm (are mostly single and en-suite. They are of varying sizes. There are a few double )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 647.47 Tm (bedrooms but these are currently used mostly as single rooms. Showers and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 630.47 Tm (bathrooms are for communal use. The home accommodates a majority of younger )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 613.47 Tm (adults with some older people. The younger adults are admitted with a variety of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 596.47 Tm (needs as a result of neurological conditions and brain and spinal injuries. To meet their )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 579.47 Tm (needs the home benefits from a multi-disciplinary team, which consists of a )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 562.47 Tm (physiotherapist, occupational therapist, dietician and a psychologist. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 545.47 Tm (manager is Diana Parry. The fees range from 1100 to 3200 pounds weekly depending )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 528.47 Tm (on the complexity and level of residents' needs. There were 81 residents in the home )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 511.47 Tm (during the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 491.09 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (This report contains the findings of a random inspection that took place on the 24th )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (February 2009 from about 10:15 to about 16:45. The inspection was carried out by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (Claire Henderson Roe and Ram Sooriah, both regulation inspectors.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (We last inspected the home on the 31st January 2008 when the home was rated good. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (We carried out this random inspection to look at issues around care planning, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (management of medicines, staffing levels and to check for compliance with an action )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (plan that has been drawn up by the home, to address some shortfalls that had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (identified following a safeguarding adult investigation by Harrow Social Services.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (As part of the inspection we looked at the care records of a sample of residents, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (inspected the management of medication in wings 1 and 2, talked to at least six )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (residents and eight members of staff. We were also able to speak with the registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (manager of the home and the operations manager.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (We would like to thank all residents who talked to us to tell us about their experiences )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (of living in the home and the manager and all her staff for their support and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (cooperation during the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (PERSONAL AND HEALTHCARE. Toward the end of last year concerns were raised by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (social care practitioners about care planning. The concerns were whether care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (reflected the needs of residents, were detailed enough and updated when required, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (and written/reviewed with the involvement of residents or of their representatives.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (We found that care plans were in place for all identified needs of residents. Risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (assessments had been carried out for falls and for all other identified areas of risk, for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (example, when residents are unable to use call bell and when residents are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (choking and aspiration. There was evidence of care documentation being reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (monthly and that on the whole this was kept updated with the changing needs of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (residents. However, for one resident who had returned from hospital, the majority of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (the documentation had still not been updated 12 days after their return to the home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (For another resident who had returned from hospital, the documentation had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (updated within 24 hours.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (Evidence of input from residents or their representatives was seen in the majority of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (care plans that were inspected. Among the care records that were sampled, one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (resident's risk assessment documentation had not been signed by the resident or their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (representative. We were informed that this would be addressed as soon as possible. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (On another occasion a resident was identified with a need with regards to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (communication. Their care plan did not fully address this need. The deputy manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (said that she would explore what could be done to address this.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (We noted that pre-use checklists were completed prior to the use of bed rails and that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (monthly inspections were carried out and documented to make sure that the use of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (bed rails remain safe for the individual resident.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (We viewed wound care documentation. This was thorough and clearly identified each )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (wound and the dressing regime to be followed as well as the progress of each wound. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Pressure sore risk assessments had been carried out and the type of pressure relieving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (mattress in use for each resident is recorded in their care plan. There was evidence of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (input from the Tissue Viability Nurse Specialist.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (Continence assessments had been carried out and records were maintained when any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (relevant procedures were carried out for example, the changing of a catheter. Moving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (and handling assessments clearly identified the specific equipment to use for each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (resident. Nutritional assessments were carried out and clear documentation was in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (place for each residents nutritional needs, to include specialist needs such as for those )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (who receive their nutrition via a percutaneous endoscopic gastrostomy \(PEG\) tube. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (There is a record kept of when the PEG tube was changed. If medications are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (administered via the PEG tube, then a risk assessment for this is in place, which clearly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (identifies that the medication and method of administration have been fully discussed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (and agreed. The assessment is signed by both the GP and the dispensing pharmacist. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (In one instance there appeared to be a marked change in a residents weight within a 2 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (day period. This was reviewed at the time of inspection and an up to date weight )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (recording made. Appropriate equipment for checking each resident's weight is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (available.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (The home has contracted input from the dieticians, physiotherapists and GP services. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (Healthcare professionals spoken with during the inspection, expressed their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (satisfaction with the way that the staff manage the residents' often complex healthcare )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (needs. We also noted that members of the multi-disciplinary team were involved in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (care planning process to ensure continuity and consistency of care. We were pleased )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (to note progress in this area.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (Residents' cultural care needs were clearly recorded in their care records. For example, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (gender issues about care and dietary needs were addressed. There had been a concern )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (recently as to whether a resident's cultural needs with regards to their diet were being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (met. We found that this concern had been addressed and that the resident was on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (whole pleased with the meals that they were receiving in the home at the time of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (Part of the action plan of the home includes the auditing of care plans to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (that these were comprehensive and up to date. We found that a thorough audit had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (recently been carried out on the care records of several residents and prompt action )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (had been taken to update the documentation and address the shortfalls, where these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (were identified.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (MANAGEMENT OF MEDICINES. We carried a brief inspection of the management of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (medicines on wing 1 and 2 by sampling the medicines administration records \(MAR\) )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (charts and checking some medicines at random. We found that the amount of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (medicines were appropriately recorded when received in the home and that on most )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (occasions there were no empty spaces to suggest that staff had not sign the medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (charts or recorded a code if a medicine had not been given.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (One resident however, who was on a liquid medicine had empty spaces in their MAR )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (chart and the amount of medicine left in the bottle and the date of opening of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (bottle suggested that the resident had not always been getting that medicine.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm ()Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (Controlled medicines in the home were appropriately managed with all records kept as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (required. Those residents who were on rectal diazepam because they have epilepsy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (had protocols in place to manage epileptic seizures. The protocols had been agreed by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (the GP.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (We found that items of equipment to be used in an emergency were not always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (prepared and ready to be used. For example suction equipment did not have tubing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (and catheters attached and the batteries were not charged. Staff were not also quite )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (sure where to get the equipment if that was required in an emergency and what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (equipment to use for the ventilation of someone who was not breathing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (STAFFING. There has been concerns about staffing levels in the home a few months )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (prior to the inspection. The situation had been complicated by the number of vacant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (care staff posts and the number of nursing staff that were on leave. There were 19 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (care assistants vacancies in November. Since then there has been significant progress )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (in this area as there were only 5 care assistants vacancies at the time of the inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (and we were informed that interviews have been arranged to recruit staff in these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (positions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (We were told during the inspection that there were four nurses who were on leave and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (that the shifts were mostly covered with in-house staff. The manager stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (agency staff were used when required and that staff that were on leave were starting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (to return back to work.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (On the day of the the inspection the home was fully staffed according to the usual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (staffing levels. We spoke to some members of staff and we noted that some of them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (have been working in Wilsmere house for a relatively long time. One member of staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (has been in post since the home first opened about 12 years ago. A few have been in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (post for 7-8 years. We therefore think that some members of staff are satisfied with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (the terms and conditions of employment and do get a job satisfaction with caring and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (supporting the residents that are accommodated in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (Three residents were worried about the consistency of staff and said that new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (members of staff do not know how to care for them. Residents were however, on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (whole satisfied with the attitudes of staff and with the way that they were cared for. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (We think that the staffing issues were getting back to normal after a period when there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (was a difficulty with regards to maintaining consistency and quality of care because of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (the shortage of staff who knew the home and who were familiar with the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (During our feedback to management, we discussed the current staffing levels on wing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (2 of the home, with regards to nursing staff. This unit tends to accommodate the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (residents with high dependencies, and complex nursing and care needs. Whilst the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (number of care staff seems to be very good during the day and at night, there is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (currently one trained nurse on each shift. Feedback from staff and some residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (suggests that the nurses are very busy with providing nursing care and maintaining )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (good records and that the unit would benefit from more nursing input. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (and the operations manager stated that they were in the process of reviewing the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (number of nursing hours that are required for that unit in line with the dependencies )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (and needs of residents that are accommodated on that unit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 571.62 w 31.2 526.72 m 563.65 526.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.78 m 565.85 239.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 238.71 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (OTHER ISSUES. There was a relatives and residents' meeting in the home on the day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (of the inspection that was attended by the operations manager and the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (manager of the home. There had not been a residents' and relatives' meeting since )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (August 2008.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (The home was on the whole clean and there were no odours. It has been recently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (refurbished as per its redecoration and refurbishment plan. The main dining area that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (used to be in the basement, is now a gym with a number of other facilities. There are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (now dining areas and kitchenettes on each unit. A conservatory has also been added )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (to the basement of the home that now provides a quality communal space for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (residents and their visitors to enjoy.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (The home has a new call bell system and there were times when this had not worked, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (as it should have done. A few residents told us that they were concerned that staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (would not know when they required help and support. There was evidence that when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (the call bell system did not work, there were systems in place to check on residents. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (The manager said that she had also contacted the contractors for them to look at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (call bell system when that was required.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (Lunch on the day of the inspection consisted of tomato soup, bacon and potato )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (wedges, lamb curry, haddock, stuffed peppers, rice and potatoes. There was rhubarb )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (and madeira crumble with custard, and ice cream for desert. Most residents were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (pleased with the meals but a minority thought that the variety was good and that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (food did not taste very good.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (The complaints register showed that there had been 17 complaints in 2008 and two for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (2009. Complaints were generally appropriately dealt with in terms of acknowledgment, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (investigation and response. There had been at least one complaint that had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (fully investigated at the time. However, this issue has now been addressed and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (manager is aware of the need to conduct thorough investigations of complaints.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (We looked at the accidents/incidents records for the period from January 2009 to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (date of the inspection. There were about 30 entries. Examination of these suggests )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (that in most cases the home has made attempts to find a cause for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (accidents/incidents in view of preventing similar accidents/incidents from happening )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (and to rule out any suspicions of abuse. In four cases the cause of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (accidents/incidents were not clearly documented on the accident/incident forms. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (However, the manager was able to provide information that explained the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (accidents/incidents, when we asked for more information about these.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 221.71 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 221.71 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 147.62 w 31.2 137.84 m 563.65 137.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 212.77 m 565.85 212.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 213.85 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 213.85 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 196.59 Tm (The home accommodates a number of residents with complex care needs and the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.01 Tm (home has been able to demonstrate that the residents are on the whole cared for and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 167.43 Tm (supported appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 152.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.27 Tm (The care and nursing staff team are familiar with looking after the residents that are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 123.69 Tm (accommodated in the home and they are supported by a number of healthcare )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.11 Tm (professionals whose input has in some cases been contracted into the home, to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 94.53 Tm (that this support is available, as and when needed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 79.95 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 90.48 w 31.2 767.29 m 563.65 767.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 720.92 m 565.85 720.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 719.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 719.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (Residents and their representatives tend to be involved in drawing up and reviewing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (care plans and risk assessments. Their cultural and spiritual care needs are also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (addressed appropriately in the care records.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (The management of pressure ulcers in the home seems to be of a good standard and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (records that are kept about wound care are also of a good standard.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 702.85 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 180.96 w 31.2 601.18 m 563.65 601.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 692.79 m 565.85 692.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.58 m 565.85 509.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 693.87 m 30.07 508.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 693.87 m 564.78 508.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 676.6 Tm (When a resident's needs change, care plans must be amended/re-written to reflect the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 662.02 Tm (changing needs of the resident to ensure that these needs will be met as far as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.44 Tm (possible. This can happen for example after an acute illness or when the resident has )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (returned from a stay in hospital.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (Care and attention must be given when administering medicines to ensure that all )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (medicines are administered as prescribed. If a medicine is not administered then a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (code must be used to describe the reason for not giving the medicine.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (The accidents/incidents records should be completed as comprehensively as possible )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (and should include the likely cause of the accidents/incidents in view of preventing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.22 Tm (similar accidents/incidents from happening again.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 491.27 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 491.27 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 475.27 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 81.9 w 31.2 699.43 m 566.2 699.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 741.5 m 568.4 741.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 742.58 m 30.07 658.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.48 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 725.32 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 707.74 Tm (These requirements were set at the last inspection. They may not have been looked at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.16 Tm (during this inspection, as a )Tj ET /F1 12 Tf BT 1 0 0 1 201.54 693.16 Tm (random inspection is short and focussed. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.58 Tm (person must take the necessary action to comply with these requirements within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 664 Tm (timescales set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 641.08 m 91 641.08 l S 0.001 w 30.3 w 93.25 641.08 m 197.4 641.08 l S 0.001 w 30.3 w 199.65 641.08 m 289.5 641.08 l S 0.001 w 30.3 w 291.75 641.08 m 473.9 641.08 l S 0.001 w 30.3 w 476.15 641.08 m 566.2 641.08 l S 0.001 w 1 1 1 RG 169.38 w 31.2 538.99 m 91.05 538.99 l S 0.001 w 169.38 w 93.3 538.99 m 197.4 538.99 l S 0.001 w 169.38 w 199.65 538.99 m 289.45 538.99 l S 0.001 w 169.38 w 291.7 538.99 m 473.8 538.99 l S 0.001 w 169.38 w 476.05 538.99 m 566.1 538.99 l S 0.001 w 183.96 w 31.2 360.07 m 91.05 360.07 l S 0.001 w 183.96 w 93.3 360.07 m 197.4 360.07 l S 0.001 w 183.96 w 199.65 360.07 m 289.45 360.07 l S 0.001 w 183.96 w 291.7 360.07 m 473.8 360.07 l S 0.001 w 183.96 w 476.05 360.07 m 566.1 360.07 l S 0.001 w 125.64 w 31.2 203.02 m 91.05 203.02 l S 0.001 w 125.64 w 93.3 203.02 m 197.4 203.02 l S 0.001 w 125.64 w 199.65 203.02 m 289.45 203.02 l S 0.001 w 125.64 w 291.7 203.02 m 473.8 203.02 l S 0.001 w 125.64 w 476.05 203.02 m 566.1 203.02 l S 0.001 w 76.17 w 31.2 99.86 m 91.05 99.86 l S 0.001 w 76.17 w 93.3 99.86 m 197.4 99.86 l S 0.001 w 76.17 w 199.65 99.86 m 289.45 99.86 l S 0.001 w 76.17 w 291.7 99.86 m 473.8 99.86 l S 0.001 w 76.17 w 476.05 99.86 m 566.1 99.86 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 624.8 m 568.4 624.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 658.43 m 92.12 452.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 658.43 m 290.62 452.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 658.43 m 475.02 452.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.17 m 568.3 453.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.96 m 568.3 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.07 m 568.3 139.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 657.35 m 568.4 657.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 624.8 m 568.3 624.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.17 m 568.3 453.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.96 m 568.3 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.07 m 568.3 139.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 658.43 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 625.88 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 658.43 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 625.88 m 290.57 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 625.88 m 474.92 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 658.43 m 567.32 59.57 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 643.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 643.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 643.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 643.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 643.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 631.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 608.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 608.62 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 608.62 Tm (5\(1\)\(b\)\(c\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 608.62 Tm (The responsible individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.04 Tm (must ensure that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 579.46 Tm (residents receive a copy of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 564.88 Tm (the contract/terms and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 550.3 Tm (conditions of the home to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 535.72 Tm (ensure that the residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.14 Tm (aware of their obligations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.56 Tm (and of their rights while )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.98 Tm (living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 608.62 Tm (31/05/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.99 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 436.99 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 436.99 Tm (15\(1,2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.99 Tm (Care plans must be drawn up )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 422.41 Tm (to reflect all the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.83 Tm (residents and must be kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.25 Tm (updated as and when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.67 Tm (changes occur. That )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.09 Tm (residents or their relatives be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.51 Tm (involved not only when the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.93 Tm (care plans are reviewed but )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 320.35 Tm (also when they are drawn )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.77 Tm (up.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.19 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 273.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 436.99 Tm (31/03/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 250.78 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 250.78 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 250.78 Tm (13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.78 Tm (To make sure that residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 236.2 Tm (are safe when they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.62 Tm (seated in wheelchairs with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.04 Tm (the seatbelts on, risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.46 Tm (assessments must be drawn )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.88 Tm (up to address this issue.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 163.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 250.78 Tm (31/03/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.89 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 122.89 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 122.89 Tm (13\(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.89 Tm (That medicines are recorded )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.31 Tm (accurately throughout the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.73 Tm (home when administered. If )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.15 Tm (not administered the correct )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 64.57 Tm (endorsement must be used. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 122.89 Tm (21/05/2008)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 67.32 w 31.2 778.87 m 91.05 778.87 l S 0.001 w 67.32 w 93.3 778.87 m 197.4 778.87 l S 0.001 w 67.32 w 199.65 778.87 m 289.45 778.87 l S 0.001 w 67.32 w 291.7 778.87 m 473.8 778.87 l S 0.001 w 67.32 w 476.05 778.87 m 566.1 778.87 l S 0.001 w 96.48 w 31.2 694.72 m 91.05 694.72 l S 0.001 w 96.48 w 93.3 694.72 m 197.4 694.72 l S 0.001 w 96.48 w 199.65 694.72 m 289.45 694.72 l S 0.001 w 96.48 w 291.7 694.72 m 473.8 694.72 l S 0.001 w 96.48 w 476.05 694.72 m 566.1 694.72 l S 0.001 w 125.64 w 31.2 581.41 m 91.05 581.41 l S 0.001 w 125.64 w 93.3 581.41 m 197.4 581.41 l S 0.001 w 125.64 w 199.65 581.41 m 289.45 581.41 l S 0.001 w 125.64 w 291.7 581.41 m 473.8 581.41 l S 0.001 w 125.64 w 476.05 581.41 m 566.1 581.41 l S 0.001 w 358.92 w 31.2 336.88 m 91.05 336.88 l S 0.001 w 358.92 w 93.3 336.88 m 197.4 336.88 l S 0.001 w 358.92 w 199.65 336.88 m 289.45 336.88 l S 0.001 w 358.92 w 291.7 336.88 m 473.8 336.88 l S 0.001 w 358.92 w 476.05 336.88 m 566.1 336.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 744.08 m 568.3 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.35 m 568.3 645.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.46 m 568.3 517.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.3 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.35 m 568.3 645.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.46 m 568.3 517.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.29 m 568.3 156.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 155.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 155.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 155.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 155.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 155.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 155.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 292.3 802.72 Tm (Changes in dosages must be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 788.14 Tm (clearly re-written.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 773.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 752.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 727.9 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 727.9 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 727.9 Tm (13\(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 727.9 Tm (That the homes reviews and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 713.32 Tm (tightens up on its procedures )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 698.74 Tm (for the safe handling of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 684.16 Tm (warfarin)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 669.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 652 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 727.9 Tm (01/07/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.17 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 629.17 Tm (35)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 629.17 Tm (18\(1\)\(c\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.17 Tm (The home must have 50% of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.59 Tm (its care staff trained to NVQ )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.01 Tm (level 2 as soon as possible, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.43 Tm (to make sure that they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.85 Tm (fully competent to care for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 556.27 Tm (the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 629.17 Tm (31/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.28 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 501.28 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 501.28 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 501.28 Tm (There must be monthly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.7 Tm (emergency lights test to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 472.12 Tm (make sure that the system is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.54 Tm (working properly and at least )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.96 Tm (quarterly fire drills, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.38 Tm (one at night to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.8 Tm (that all staff are aware of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.22 Tm (action to take if there is a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 384.64 Tm (fire. That the devices to keep )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.06 Tm (bedrooms doors open )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.48 Tm (\(particularly wooden wedges\) )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.9 Tm (be subject to a risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.32 Tm (assessment to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.74 Tm (residents safety is being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.16 Tm (maintained at all times. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.58 Tm (Consideration must be given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 268 Tm (to the use of automatic self )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.42 Tm (closing devices, such as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.84 Tm (electro-magnetic door )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.26 Tm (holders and door guards, to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.68 Tm (close the doors should the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.1 Tm (fire alarm be activated)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 501.28 Tm (31/03/2008)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 793.57 Tm (Requirements and recommendations from this inspection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 733.59 m 566.2 733.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.09 m 568.4 761.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.17 m 30.07 707.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 762.17 m 567.32 707.22 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 744.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 727.32 Tm (These are immediate requirements that were set on the day we visited this )Tj ET /F1 12 Tf BT 1 0 0 1 493.86 727.32 Tm (care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.74 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.7 m 91 688.7 l S 0.001 w 30.3 w 93.25 688.7 m 197.4 688.7 l S 0.001 w 30.3 w 199.65 688.7 m 289.5 688.7 l S 0.001 w 30.3 w 291.75 688.7 m 473.9 688.7 l S 0.001 w 30.3 w 476.15 688.7 m 566.2 688.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.97 m 568.4 704.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.42 m 568.4 672.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.05 m 30.07 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.05 m 92.12 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.05 m 198.52 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.05 m 290.62 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.05 m 475.02 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.05 m 567.32 671.35 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 690.8 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 690.8 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 690.8 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 690.8 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 690.8 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 678.65 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 617.26 m 566.2 617.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.05 m 568.4 652.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.13 m 30.07 583.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.13 m 567.32 583.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 635.86 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 162.09 603.7 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 314.21 603.7 Tm (2001 and the National Minimum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 565.08 m 91 565.08 l S 0.001 w 30.3 w 93.25 565.08 m 197.4 565.08 l S 0.001 w 30.3 w 199.65 565.08 m 289.5 565.08 l S 0.001 w 30.3 w 291.75 565.08 m 473.9 565.08 l S 0.001 w 30.3 w 476.15 565.08 m 566.2 565.08 l S 0.001 w 1 1 1 RG 111.06 w 31.2 492.15 m 91.05 492.15 l S 0.001 w 111.06 w 93.3 492.15 m 197.4 492.15 l S 0.001 w 111.06 w 199.65 492.15 m 289.45 492.15 l S 0.001 w 111.06 w 291.7 492.15 m 473.8 492.15 l S 0.001 w 111.06 w 476.05 492.15 m 566.1 492.15 l S 0.001 w 154.8 w 31.2 356.97 m 91.05 356.97 l S 0.001 w 154.8 w 93.3 356.97 m 197.4 356.97 l S 0.001 w 154.8 w 199.65 356.97 m 289.45 356.97 l S 0.001 w 154.8 w 291.7 356.97 m 473.8 356.97 l S 0.001 w 154.8 w 476.05 356.97 m 566.1 356.97 l S 0.001 w 154.8 w 31.2 199.92 m 91.05 199.92 l S 0.001 w 154.8 w 93.3 199.92 m 197.4 199.92 l S 0.001 w 154.8 w 199.65 199.92 m 289.45 199.92 l S 0.001 w 154.8 w 291.7 199.92 m 473.8 199.92 l S 0.001 w 154.8 w 476.05 199.92 m 566.1 199.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 548.8 m 568.4 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 582.43 m 92.12 434.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 582.43 m 290.62 434.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 582.43 m 475.02 434.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.49 m 568.3 435.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.44 m 568.3 278.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 581.35 m 568.4 581.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 548.8 m 568.3 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.49 m 568.3 435.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.44 m 568.3 278.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 121.39 m 568.3 121.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 582.43 m 30.07 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 549.88 m 92.17 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 582.43 m 198.52 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 549.88 m 290.57 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 549.88 m 474.92 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 582.43 m 567.32 120.32 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 567.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 567.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 567.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 567.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 567.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 555.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 532.62 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.62 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.62 Tm (Care plans must be kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.04 Tm (updated when the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 503.46 Tm (residents change.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.3 Tm (To make sure that the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.72 Tm (plans fully reflects the needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.14 Tm (of the residents)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 532.62 Tm (25/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 419.31 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 419.31 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 419.31 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 419.31 Tm (There must be a review of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.73 Tm (the availability of equipment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 390.15 Tm (to use in an emergency, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 375.57 Tm (including equipment to use )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.99 Tm (for resuscitation, to make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.41 Tm (sure that these are easily )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.83 Tm (available and ready)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.25 Tm (to use in an emergency.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.09 Tm (To provide effective first aid.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 419.31 Tm (25/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 262.26 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 262.26 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 262.26 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.26 Tm (All medicines must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.68 Tm (administered as prescribed. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.1 Tm (If a medicine is not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.52 Tm (administered then a)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.94 Tm (code must be used to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.36 Tm (describe the reason for not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.78 Tm (administering the medicine.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.62 Tm (To ensure the safety of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.04 Tm (residents at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 262.26 Tm (25/05/2009)Tj ET 0.99608 0.9451 0.76078 RG 42.62 w 31.2 79.71 m 566.2 79.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 102.14 m 568.4 102.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 103.22 m 30.07 58.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 103.22 m 567.32 58.4 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 85.96 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 68.38 Tm (These recommendations are taken from the best practice described in the National )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 32.16 w 31.2 796.45 m 566.2 796.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 780.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 780.37 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 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 31.8 788.14 Tm (improving their service.)Tj ET 0.99608 0.9451 0.76078 RG 18.15 w 31.2 769.04 m 91.05 769.04 l S 0.001 w 18.15 w 93.3 769.04 m 197.4 769.04 l S 0.001 w 18.15 w 199.65 769.04 m 566.1 769.04 l S 0.001 w 1 1 1 RG 64.32 w 31.2 725.56 m 91.05 725.56 l S 0.001 w 64.32 w 93.3 725.56 m 197.4 725.56 l S 0.001 w 64.32 w 199.65 725.56 m 566.1 725.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 758.84 m 568.3 758.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 779.24 m 568.3 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.84 m 568.3 758.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 692.27 m 568.3 692.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 780.32 m 30.07 691.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 780.32 m 92.17 691.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 780.32 m 198.52 691.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 780.32 m 567.22 691.2 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 765.07 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 765.07 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 765.07 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 742.66 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 742.66 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 742.66 Tm (That the cause of each accident/incident is recorded in the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 728.08 Tm (relevant section on the accident/incident report. This will )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 713.5 Tm (provide information to manage accidents/incidents and may )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 698.92 Tm (help in preventing further accidents/incidents in the future.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Reader Information)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.1 m 223.34 774.1 l S 0.001 w 1 1 1 RG 20.58 w 225.59 774.1 m 565 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.27 m 223.34 751.27 l S 0.001 w 1 1 1 RG 20.58 w 225.59 751.27 m 565 751.27 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.44 m 223.34 728.44 l S 0.001 w 1 1 1 RG 20.58 w 225.59 728.44 m 565 728.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.61 m 223.34 705.61 l S 0.001 w 1 1 1 RG 20.58 w 225.59 705.61 m 565 705.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.52 m 567.2 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.2 m 567.2 694.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.6 m 27.22 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.6 m 224.46 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.6 m 566.13 693.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 746.5 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 746.5 Tm (CSCI)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 723.67 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 723.67 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 700.84 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 665.31 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 118.43 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj[26 0 R/XYZ 0 809.65 0] endobj 34 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 35 0 obj<> endobj 36 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 37 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 21 0 obj<> endobj 38 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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