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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 (Summerfield)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 (42-43 Wellington Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Dudley)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (West Midlands)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (DY1 1RD)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 (one star adequate 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 (Jean Edwards)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (6)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 (22)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 (Summerfield)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 (42-43 Wellington Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Dudley)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (West Midlands)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (DY1 1RD)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 (01384239331)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 34.05 625.27 Tm (Email address:)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 (Merron Care 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 (38)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.53 m 297.25 388.53 l S 0.001 w 20.58 w 299.5 388.53 m 429.25 388.53 l S 0.001 w 20.58 w 431.5 388.53 m 565.9 388.53 l S 0.001 w 35.16 w 31.2 358.41 m 297.25 358.41 l S 0.001 w 35.16 w 299.5 358.41 m 429.25 358.41 l S 0.001 w 35.16 w 431.5 358.41 m 565.9 358.41 l S 0.001 w 20.58 w 31.2 328.29 m 297.25 328.29 l S 0.001 w 20.58 w 299.5 328.29 m 429.25 328.29 l S 0.001 w 20.58 w 431.5 328.29 m 565.9 328.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.87 m 568.1 316.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 315.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 315.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 315.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 315.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.93 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 360.93 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 360.93 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 323.52 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 323.52 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 323.52 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 285.08 m 565.6 285.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 273.67 m 567.8 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.5 m 567.8 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.67 m 568.1 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.84 m 568.1 250.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 297.58 m 30.07 249.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 297.58 m 566.72 249.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 280.31 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.48 Tm (The Manager should source and undertake further training in dementia care.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 236.05 m 315.25 236.05 l S 0.001 w 1 1 1 RG 20.58 w 317.5 236.05 m 346.55 236.05 l S 0.001 w 20.58 w 348.8 236.05 m 377.9 236.05 l S 0.001 w 20.58 w 380.15 236.05 m 409.2 236.05 l S 0.001 w 20.58 w 411.45 236.05 m 440.55 236.05 l S 0.001 w 20.58 w 442.8 236.05 m 471.9 236.05 l S 0.001 w 20.58 w 474.15 236.05 m 503.2 236.05 l S 0.001 w 20.58 w 505.45 236.05 m 534.55 236.05 l S 0.001 w 20.58 w 536.8 236.05 m 565.9 236.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 247.46 m 568.1 247.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.63 m 568.1 224.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.54 m 30.07 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.54 m 316.37 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 248.54 m 347.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 248.54 m 379.02 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 248.54 m 410.32 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 248.54 m 441.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 248.54 m 473.02 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 248.54 m 504.32 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 248.54 m 535.67 223.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.54 m 567.02 223.56 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 231.28 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 212.76 m 565.9 212.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 203.13 m 568.1 203.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 204.21 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 204.21 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.38 m 568.1 222.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.13 m 568.1 203.13 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 30.07 223.46 m 30.07 202.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 223.46 m 567.02 202.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 209.2 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 209.2 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 189.95 Tm (Summerfield was originally two semi-detached residential properties that have been )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 172.95 Tm (linked and extended to its present form. The home is registered to provide personal )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 155.95 Tm (care for up to 38 people with up to 18 places accommodating older people who have )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 138.95 Tm (dementia, up to 12 places for older people who do not fall within any other category )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 121.95 Tm (and up to 8 places for people who are over 65 years and have a physical disability. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 104.95 Tm (home comprises of three floors. The basement is used to house the boilers and is also )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 87.95 Tm (a storage area. The ground floor has a number of bedrooms, two offices, the kitchen, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 70.95 Tm (communal areas and hygiene facilities. The first floor accommodates further bedrooms, )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 (22)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 30.07 706.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 706.08 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 28.99 707.15 m 568.1 707.15 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 (bathrooms, sluice and toilets. Summerfield Care Home is located near to central )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (Dudley and is situated on a main road, which is also a main bus route. Opposite is the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (Dudley Leisure Centre, there is a Carvery next door and a number of shops are in the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (local vicinity, a small car park is available to the front of the )Tj ET /F1 12 Tf BT 1 0 0 1 401.13 732.47 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 439.21 732.47 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (22)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 (We undertook this urgent random inspection visit between 16:40 and 22:20 on Friday )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (6 February 2009 as a result of a series of complaints received during the week of this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (inspection visit, some of which were anonymous. In addition there were serious )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (allegations of abusive behaviour and evidence that the registered proprietor had failed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (to take agreed action to safeguard people living at the home. We were also made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (aware of serious concerns from two social care professionals relating to an unreported )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (incident of a missing person and issues about alleged poor standards of personal care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (of someone admitted to the home for a respite stay.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (We were accompanied at this visit by the Netherton Team Manager from Dudley )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (Directorate of Adult, Community and Housing Services \(DACHS\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (We held a formal, recorded meeting with the registered proprietor, Jenny Green. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (looked at staffing records and care records, including those relating to the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (identified to us. We looked at incident and accident records and at how a sample of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (people were supported and given assistance to meet their daily needs. We looked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (specifically at information relating to the concerns raised in complaints and allegations. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (We also made a brief tour of the premises to check the basic amenities were in place, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (such as heating, lighting, food and washing facilities.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (We looked into the series of complaints raised in the week of this inspection. Three )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (were anonymous and raised concerns about the lack of laundry facilities for some time )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (due to a lack of working washing machines and the general deterioration in standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (of cleanliness at the home, alleging that people had no clean clothes, bed linen or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (towels, posing risks to their health and comfort. One person stated they had spoken to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (the proprietor, making her aware that residents did not have any clothes, 'had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (given dead people's clothes to wear', and had no clean towels or bed linen. This person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (stated that although the engineers had been called, the washers were still not working, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (and 'clothes were left rotting in plastic bags'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (There were also complaints from a member of the public and a relative, wishing to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (remain anonymous for fear of repercussions, raising similar concerns about the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (malodour, dirty carpets but importantly about the unkempt state of some people living )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (at the home. One person raised concerns that their relative was not being cared for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (properly, looked unkempt, had not been shaved and almost had a beard, had no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (slippers or socks, their were clothes stained and had been worn for several days. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (person had dementia. The complainant alleged the home, and dementia unit was dirty )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (and smelled.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (On the day we received the anonymous complaints, 2/2/09, we contacted the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (registered proprietor to ask about the allegations made in the complaints and to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (discuss the management arrangements for the home. The registered proprietor, Jenny )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (Green acknowledged that the washing machines were broken, she stated they had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (been broken for one week only and that the engineers had been out and parts were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (awaited. When asked about arrangements for laundry, she stated some had been sent )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (to another home, Amberly. She admitted that there were about 12 bags of dirty linen )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (and clothing stacked in the laundry. She told that the engineer would be returning the )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 (22)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 (next day, 3/2/09 to repair the washing machines. She stated that she would contact )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (commercial laundry to arrange for soiled linen to be laundered as priority. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (requested the following to be sent to the CSCI office Birmingham, a copy of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (engineer's report and confirmation that the washing machines were fully functional. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (copy of an interim laundry procedure and infection control guidelines for transporting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (soiled or infected linen a copy of the laundry and arrangements and assurance that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (there were adequate supplies of clean linen, towels, personal clothing for people living )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (at the home. Although the registered proprietor wrote to us as requested there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (no copies of the documents required.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (We had reported to the Registered Proprietor recent allegations of verbal, emotional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (and physical abuse of a person living in the home, which were made to Dudley DACHS )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (on 2/2/2009 and we looked into how this information had been managed. The incident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (was allegedly originally reported to the acting manager by staff witnessing an incident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (involving a resident and 2 senior members of staff, which had occurred in January )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (2009. Following our report to the registered proprietor, we, the CSCI and Dudley )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (DACHS had received a letter from the registered provider, Jenny Green dated February )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (4, 2009, stating, 'I have made my own inquiries into the above and I recall and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (incident in the home back in January of which I have enclosed a copy of the incident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (report, have also enclosed a copy of the daily report sheet. I have spoken to xx and xx )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (and as of today both members of staff have been suspended from their duties.' We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (noted that this action had not taken place immediately as the registered proprietor had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (assured on 2 February 2009. Additionally the enclosed staff rotas, did do show any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (revised management or staffing arrangements and the list of CRB's requested did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (contain start dates of employment or the dates CRBs were received, has had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (requested.)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 (Furthermore on the afternoon of 6/2/09 we became very concerned to receive )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (information from a Social Worker who was investigating serious concerns surrounding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (an incident where a person was missing from the home on 5/2/09. She had spoken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (the senior person responsible at the home, and this was a member of staff we had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (been informed had been suspended from duty on 4/2/09.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (Also late in the afternoon of 6/2/09 another social worker reported concerns raised by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (neighbour of person staying for a short respite at Summerfield Care home. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (neighbour was concerned about the person's appearance, their poor personal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (cleanliness, swollen legs, inappropriate foot stool, no dentures, no shoes on, noticeable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (weight loss and staff refused them access to the bedroom to bring clean clothes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (We were seriously concerned about the management arrangements and stability of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (home, especially after receiving information from a member of staff on 2/2/09 stating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (they were deputy manager from Summerfield. This person told us that the deputy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (manager who was off sick, had been contacted by the acting manager making threats. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (This person informed us that the acting manager had been dismissed on 15 Jan 09. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (The person stated that the acting manager and another member staff who had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (dismissed had been 'texting' members of staff working at the home saying that 'the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (home was going to go up'. She did not know what that meant, but thought it was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (threat. We had advised that the home contact the police to give details of this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (information. We received confirmation from the police a report had been made.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (During the inspection visit we discussed with the registered proprietor the information )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 (22)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 (she had supplied to the CSCI during telephone calls on 2/2/09 and subsequently in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (writing. She acknowledged that she had failed to notify the CSCI of the departure of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (the acting manager, employed on 27 October 2008 and ceased employment on 15 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (January 2009. She also failed to provide information relating to the circumstances of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (her departure, despite agreeing to a request to do so on 2 February 2009. When )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (questioned the registered proprietor was evasive and did not directly answer. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (declined to say whether the acting manager had been dismissed, rather saying that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (she had been on a three month contract and that "things had not worked out and so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (she had let her go".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (On 2/2/09 we had formally requested that the registered proprietor provide the CSCI )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (with information about the person responsible for the management and running of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (home, as there was no acting manager and information indicated that the deputy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (manager was still on long term sick leave. She verbally gave us information and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (subsequently confirmed the person's name, qualifications, training and experience in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (writing. During the examination of staff files, the registered proprietor's claims made )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (about the person's experience, qualifications and experience could not be verified as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (accurate. Furthermore during the brief examination of other staff personnel files we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (noted that there was also evidence that other staff had not been recruited following )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (robust recruitment procedures to safeguard people living at the home from risks of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (harm. An example was the person appointed on a POVA first basis, without satisfactory )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (written references or investigation of dismissal from a previous care home. There were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (indications other staff had been appointed on a POVA first basis. There was insufficient )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (documentary evidence that all persons had a written risk assessment in place, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (named experienced, competent supervisor on each shift to ensure that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (adequately supervised with residents, within adequate staffing levels.)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 (We asked the registered proprietor about the member of staff who was dismissed, she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (stated this person had been employed on a POVA first basis. At first she stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (this person had had been on a probationary contract and had been 'let go' at the end )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (of three months. We put it to her that we had been given information that this person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (had been dismissed following the receipt of a CRB disclosure, which showed a criminal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (record, not disclosed on the application or at interview. She was again evasive and did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (not directly answer. We also noted in an examination of staff records that this person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (had been invited to a formal disciplinary hearing on 9/1/09 citing allegations relating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (to a person living at the home and leaving the home without authorisation. Additionally )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (we found an unsigned, undated statement making allegations of a potentially criminal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (nature about this person. We could not find any further information about these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (issues, which was a further matter of serious concern. In addition we noted that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (recruitment records for the acting manager did not demonstrate a rigorous and robust )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (process.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (The unsatisfactory staff records did not demonstrate rigorous recruitment procedures )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (were followed or a robust approach to staff records or management. This registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (provider was issued with a Statutory Regulation Notice Reg 19\(1\) relating to this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (service on 20/12/07 with compliance date 31/12/07. Compliance was noted and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (confirmed at key inspection 10 April 2008. However the previous registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (who had implemented considerable improvements had resigned in July 2008.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (An important focus of this inspection was to verify information that the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (proprietor had knowing allowed 2 senior members of staff to be at work when they )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 (22)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 (were meant to be suspended to allow an impartial investigation to take place by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (outside agencies into allegations of abuse at the home. During the inspection visit the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (registered proprietor acknowledged that she had failed to take agreed actions to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (suspend two members of senior staff. One person was nominated to be responsible for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (the running of the home and another was a senior carer. There were reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (allegations that they had physically and emotionally abused a person living at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (home. This was despite giving written and repeated verbal assurance to the CSCI and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (Dudley DACHS that these persons were suspended from duty to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (living at the home and to allow a formal investigation to take place in compliance with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (the Local Authority safeguarding procedure 'Safeguard & Protect. During examination )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (of records at the home and interviews with staff on duty it was evident that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (registered proprietor had intentionally attempted to seriously mislead Officers of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (CSCI and Dudley DACHS, which she eventually admitted.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (We particulaly expressed our concern about the registered person's evasive answers to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (questions and her statements that the staff had 'popped in to speak to her' and talked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (about the incident. Stating she allowed the person to look at and to photocopy some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (paperwork for her relating to the incident of abuse in the home, she indicated these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (were statements. We requested to see the statements, at first the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (proprietor was evasive then eventually produced a small sheaf of papers, written by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (staff. We put it to the registered proprietor that this was grossly improper, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (contravened the Safeguard and Protect procedures. When asked for an explanation of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (her actions she again repeated that she believed the allegations against the staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (false. We interviewed staff who had witnessed the senior staff, who were meant to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (suspended, working at the home. We also took copies of records as evidence showing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (that they had been on duty .)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 (We were concerned that amongst the sheaf of statements from staff there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (serious allegations made in writing about the acting manager, which did not appear to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (have been investigated by the registered person even though they were in her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (possession. She acknowledged the initial incident had not been reported in compliance )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (with Regulation 37 or to Dudley DACHS for review relating to safeguarding, even )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (though there appeared to be an investigation of some kind undertaken with counter )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (allegations made against the acting manager. She acknowledged these also were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (reported in compliance with Regulation 37 or to Dudley DACHS in accordance the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm ('Safeguard and Protect' procedure.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (During a brief tour of the premises we noted the following, there were areas of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (home, notably Daisy Unit communal areas, the bathing facilities, laundry and kitchen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (where the cleanliness had deteriorated even further than the poor level observed at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (the random inspection on 2 December 2008. As we discussed with the Registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (Proprietor at the time of this visit there was a very strong overpowering, pervasive, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (offensive malodour in Daisy Unit. The carpets and flooring were extremely dirty, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (heavily stained and in places sticky. We observed that there were people without )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (tights, stockings or socks and one person with bare feet for whom the flooring )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (presented risks to their health and safety. There were opened incontinence products )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (stored on bathrooms floors, which were stained and sticky underfoot, posing risks to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (the health and well being of persons needing incontinence products. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (proprietor acknowledged that there were no written cleaning schedules in place, as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (required at the random inspection 2 December 2008 to safeguard people living at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (home from risks of infection. Furthermore the vacancy for a second domestic assistant )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 (22)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 (had not been filled and the home's only domestic assistant had decreased her days )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (from 6 to 5 days per week.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (At the key inspection on 10 April 2008 we had issued an immediate requirement )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (relating to the WC flooring on Daisy unit requiring an urgent repair. At the random )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (inspection 2 December 2008 we saw evidence that the flooring repaired but there was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (still a protruding ridge posing a hazard. At this inspection visit we noted that this had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (still not been rectified and continued to pose a serious tripping hazard and safety risks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (for residents with dementia and sensory impairments using this facility.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (During a brief tour of the home we observed 2 sets of bedrails in use, which were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (correctly fitted, with excessive gaps and risk assessments, which were unchanged )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (since the key inspection 10 April 2008 and not adequate to manage risks such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (entrapment or injury. There was no identification of the type of bed, bedrail or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (mattress, and no consideration as to compatibility. One person had been provided with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (a replacement pressure relieving mattress, which had been placed over the top of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (existing mattress, which was not safe, leaving approximately 70mm to the top of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (bedrails instead of more than 220mm required for safety. The Registered Proprietor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (acknowledged that there were no maintenance or safety checks of the bedrails, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (neither she nor the staff on duty had training, awareness or were familiar with the safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (use of bedrails.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (We looked at the kitchen, which had open access with staff in and out. We again asked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (if the kitchen had been completely refurbished as required at previous inspections. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (registered proprietor told us the cupboard doors had been replaced. We informed her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (that all previous requirements and recommendations would be assessed at the next )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (full key inspection and that we would be sharing information in relation to observed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (poor standards with Dudley Directorate for the Urban Environment, Environmental )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (services. We noted that the large chest freezer, seen at the random inspection 2/12/08 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (remained in use and was extremely rusty, in addition there was rust and corrosion )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (around a large upright fridge and this also needed to be replaced to maintain good )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (standards of food hygiene and safety. The general condition of the kitchen, appliances )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (and equipment was untidy and not clean. For example metal teapots being used for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (evening drinks were heavily stained inside and on the outside. We asked the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (proprietor to show us kitchen cleaning schedules and food temperature records. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (acknowledged that there were no cleaning schedules and could not locate the food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (records. We saw some menus, which had not been followed and the meal for the day )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (had been substituted for turkey slices. We looked at food stocks, which were basic but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (adequate. A 1.5 kg pack of frozen minced beef was defrosting for Saturday's meal, for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (24 people. The registered proprietor stated there were also beef burgers available. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (also noted a 2.5 kg bacon joint was defrosting in bottom of fridge for ready for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (Sunday meal.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (We looked at the laundry and noted that the two commercial washing machines were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (in working order and both were loaded with washing. We also noted the large tumble )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (dryer was being used to dry linen, towels and clothing. We saw that there were 4 large )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (bins and 7 plastic bags of unwashed mixed clothing and linen waiting to be laundered. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (We asked the registered proprietor if there were laundry procedures and infection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (control guidelines available. We noted the laundry floor, walls shelving and equipment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (were dirty with debris accumulated. We also asked if there were any cleaning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (schedules for the laundry. The registered proprietor acknowledged she could not )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 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 (22)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 (produce any documents to show the cleaning and infection control systems were in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (place. We also asked to see the interim laundry and infection control guidelines for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (transporting the soiled laundry from the home to other sites, which should have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (copied to the CSCI following telephone conversations with the registered proprietor on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (2 February 2009. She acknowledged she had not put the required interim procedure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (and guidance in place. The acting manager from Amberly, also accompanying us, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (confirmed that some soiled laundry had been sent to Amberly Care Home to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (laundered. We discussed the registered proprietor's previous comments that she had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (taken laundry to wash at her own home and that she was going to source a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (commercial laundry service to clear the backlog. She told us that she was unable to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (find a commercial laundry service and had taken some of the unwashed laundry to a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (laundrette. We once again highlighted the issues of infection control and strongly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (recommended that The Black Country Health Protection Unit be contacted for advice )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (and a copy of the DoH guidance 'Essential Steps' be obtained and used to audit and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (improve infection control measures at the home. We questioned a container of an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (assortment of shoes, slippers and other items in the laundry and the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (proprietor told us they belonged to people no longer at the home. She told us these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (would be disposed and we requested this be actioned at this visit. This was to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (that people currently living at the home were not dressed in other people's belongings.)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 (We looked at a small sample of care records and accident records, these contained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (some omissions and were not well organised, evaluated or regularly monitored. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (were some accidents which should have been reported as Regulation 37 Notifications )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (and there was an accident record on 21/1/09 'EMI lounge' completed by a member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (staff employed on a POVA first basis and we highlighted that this member of staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (should have been supervised by an experienced competent senior at all times. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (were told that there was no risk assessment in place and from the staff rota was this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (person was not extra to the staffing level needed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (We looked at the care records for the person identified to be at risk of 'wandering', it )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (stated, ' X gets very agitated and tries to get out of the building' This person managed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (to leave the home late at night and return to their former home several miles away. It )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (was recorded 'On 5 Feb 09 X got out of the building via the front door that is the only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (way X could of got out. We got a phone call to say that and was picked up by the Earl )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (of Dudley Arms and was taken back to his house where he used to live and his )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (neighbour called to say he was back there which at that they brought him back to us'. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (There was a further record stating, 'I have put in place a hourly check form which is to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (be done 24/7 to state where the stand he is in the building at every hour. And also we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (am going to change the code on the front door every couple of months'. This was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (signed and dated 6/2/09 by a member of staff, who, we had been told was suspended )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (from duty from 4/2/09. Additionally there was no evidence that this had been reported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (as a Regulation 37 notification.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (During the course of this inspection visit we collected evidence, which upheld the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (majority of allegations contained in the complaints and concerns raised.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (There was serious concern that there were no satisfactory arrangements for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (running of Summerfield and though there was evidence Jenny Green, Registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (Proprietor and RI \(Merron Care Ltd\) visited the home daily. Her actions did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (demonstrate integrity and called into question her 'Fitness'.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm ()Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 23 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 (22)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 (We had received verbal and written information from the registered proprietor, Jenny )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Green, Registered Proprietor and RI , that she had arranged for management support )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (for Summerfield Care Home from another home, Amberly, also owned by her. She had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (told us that Yvonne Hughes, registered manager at Amberly would be taking )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (responsibility for Summerfield as an interim arrangement. However during )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (conversations with staff at the home they told us they were unaware of any such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (arrangement, furthermore Yvonne Hughes confirmed that she had not been asked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (any point prior to the afternoon of Friday 6/2/08 to provide management support. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (was not aware of any of the issues relating to Summerfield and stated Jenny Green, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (Registered Proprietor, had only told her late that afternoon, there may be 'trouble' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (because she had allowed a member of staff who had been suspended to visit the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (home. Yvonne Hughes confirmed to us that she was willing to be responsible for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (Summerfield care home until further notice, she was present and witnessed the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (remainder of the inspection with Jenny Green, Registered Proprietor, with her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (agreement and consent.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (We discussed with the registered proprietor her attempts to seriously mislead the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (Commission for Social Care Inspection and Dudley Directorate for Adult, Housing and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (Community Services, constituted an offence under the Care Homes legislation and a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (serious breach of trust.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (We issued immediate requirements to take urgent action to improve cleanliness and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (infection control measures and make safe the flooring in the WC in Daisy Unit To )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (implement systems for the safe use of bedrails, rigorous staff recruitment, diligent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (reporting of any allegations of abuse or suspected abuse, diligent reporting Regulation )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (37 notifications and maintaining robust management arrangements.)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 (Following discussions Jenny Green, Registered Proprietor and RI, gave a written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (undertaking to absent herself from Summerfield Care Home and give authorisation for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (Yvonne Hughes, registered manager from Amberly Care Home, to take full )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (responsibility for the day to day management and have access to all resources as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (deemed necessary for the safety and well being of all persons living at this home. In )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (addition she agreed that the home would not accept any new admissions until the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (situation was reviewed. We arranged for Jenny Green, Registered Proprietor and RI, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (attend a meeting at the CSCI Office Birmingham following this inspection visit, on 11 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (February 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (We have made it clear that the CSCI will hold a Management Review into the conduct )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (of this home and further enforcement action will be considered.)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 93.48 w 31.2 163.78 m 563.65 163.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 211.65 m 565.85 211.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 115.92 m 565.85 115.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 212.73 m 30.07 114.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 212.73 m 564.78 114.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 195.46 Tm (The staff were friendly, co-operative and answered questions openly. Some staff were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.88 Tm (cheerful as they went about their work. They made efforts to communicate and offer )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.3 Tm (assistance to people at the home. For example staff were seen talking in a reassuring )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.72 Tm (manner and at a level and pace that the people understood. One person at the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 137.14 Tm (for a short stay commented that they liked it, they liked the food and the staff were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.56 Tm (kind and helpful.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 95.6 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 22.63 w 31.2 74.22 m 563.65 74.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 86.66 m 565.85 86.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 565.85 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 87.74 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 87.74 m 564.78 60.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 70.47 Tm (The acting manager had left the homes employ since the last random inspection on 2 )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 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 (22)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 (December 2008 and there were no satisfactory management arrangements in place. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Furthermore the registered provider had attempted to give seriously misleading )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (information about the management and conduct of the home. The organisation must )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (give serious consideration to the registered persons position and must take action to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (ensure robust management arrangements are in place at all times and these must be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (notified to the CSCI without delay. This is to give assurances that all persons living at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (the home are safe from all risks of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (We had considerable difficulty in examining records, which were disorganised and not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (all readily available. All information relating to how people are cared for and kept safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (must be recorded and stored to be secure and easily accessible.)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 (We took copies of records as evidence that the registered person had failed to report )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (events, which adversely affect people living in the home, to the CSCI. For example the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (lack of washing machines in working order to make sure that people had clean clothes, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (linen and towels. The registered person must make sure equipment is proactively )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (maintained in good working order. There were also failures to report an incident of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (suspected abuse to outside agencies and to take action to safeguard persons living at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (the home by removing staff implicated. The registered persons must submit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (notifications to the CSCI in accordance with Regulations, without delay and report all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (allegations or suspicions of abuse and diligently follow the multi agency procedures to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (protect people from risks of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (As identified at the random inspection on 2 December 2008 there were again at this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (inspection strong pervasive, offensive malodours observed in the home and we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (highlighted that the Daisy lounge had an exceptionally strong unpleasant malodour. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (There was evidence that the home was generally not being maintained to high )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (standards of cleanliness. Urgent action must be taken to eradicate all malodours with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (an effective cleaning, infection control and maintenance program implemented without )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (delay.)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 (As identified at the random inspection on 2 December 2008 the planned refurbishment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (of the kitchen, bathing and toilet facilities must be prioritised to safeguard residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (from risk to their health and safety and provide a homely environment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (There had been a continued high staff turnover since the last random inspection on 2 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (December 2008 and there had been staffing shortages at times. In addition there had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (been a number of staff working without full and rigorous employment checks. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (registered person must take action to make sure that the home is adequately staffed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (with sufficient numbers of trained, experienced and competent staff with robust and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (thorough employment checks in place at all times to make sure the people living at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (home are safe and cared for appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (We had issued a requirement for the risk assessment and management of the safe use )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (of bedrails to protect people from injury at the key inspection on 10 April 2008. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (found evidence at this inspection that a safe system for the use of bedrails had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (been thought through and put in place. The registered persons must take immediate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (remedial action.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (There had been no analysis for accidents involving people living at the home from July )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (2008 to February 2009. A regular written accident analysis relating to residents must )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 148.8 w 31.2 738.13 m 563.65 738.13 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 28.99 662.6 m 565.85 662.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 661.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 661.53 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (be put in place to highlight any trends or increased risks, which need to be controlled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (and minimised. There were other significant areas of health and safety at the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (which required prompt attention and improvement. We issued immediate requirements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (for those areas, which required the most urgent action.)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 made the registered proprietor of the home aware that we would be sharing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (information about our concerns to other agencies such as the Local Authority )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (commissioning manager, and the Local Authority Environmental Health Officers and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (the CSCI will consider further enforcement action to obtain improvements for people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (living at this home.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 646.54 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 646.54 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 630.54 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 29 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 (22)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 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Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 626.02 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 623.02 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 623.02 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 623.02 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 623.02 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 610.87 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.46 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 588.46 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.46 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.46 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.88 Tm (ensure that medication is not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.3 Tm (left unattended at any time. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 527.14 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.56 Tm (living at the home from risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.98 Tm (of harm who may not take )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.4 Tm (their medication as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.82 Tm (prescribed or other people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.24 Tm (who may take medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.66 Tm (not intended for them. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.46 Tm (02/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.83 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 416.83 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 416.83 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.83 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.25 Tm (ensure all staff involved in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.67 Tm (the management and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 373.09 Tm (administration of medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.51 Tm (have received accredited )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.93 Tm (medication training and that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 329.35 Tm (there are regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.77 Tm (assessments of their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 300.19 Tm (competency to carry out the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.61 Tm (safe administration of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271.03 Tm (medication. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.87 Tm (This is to ensure the health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.29 Tm (and well being of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.71 Tm (living at the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.13 Tm (safeguarded. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 416.83 Tm (02/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.3 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 172.3 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 172.3 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.3 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.72 Tm (ensure that all persons living )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.14 Tm (at the home receive their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.56 Tm (medication as prescribed by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.98 Tm (their doctor and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.4 Tm (Medication Administration )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.82 Tm (Records must be accurately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.24 Tm (completed to demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 172.3 Tm (02/02/2009)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 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 (14)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 (22)Tj ET 0.98431 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that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 763.45 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 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 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (either medication has )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (administered or an )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (appropriate code entered to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (record the reason for non )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 640.42 Tm (administration. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 619.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 605.26 Tm (This is to maintain the health )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 590.68 Tm (and well being of people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 576.1 Tm (living at the home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 551.02 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 551.02 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 551.02 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (ensure staff use equipment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (provided, such as syringe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (supplied, to accurately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (measure liquid medication. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 475.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.54 Tm (This is to ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.96 Tm (person receives an accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 431.38 Tm (amount of medication, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.8 Tm (not too little or too much to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm (maintain and promote their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.64 Tm (health and well being. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 551.02 Tm (02/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 364.81 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 364.81 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 364.81 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.81 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.23 Tm (ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.65 Tm (cleaning schedules for all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.07 Tm (areas of the home, with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.49 Tm (sufficient numbers of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.91 Tm (ancillary staff, to diligently )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.33 Tm (maintain effective standards )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.75 Tm (of cleanliness and infection )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.17 Tm (control.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 216.01 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.43 Tm (living in the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.85 Tm (of infection and provide them )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.27 Tm (with a clean and pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.69 Tm (living environment. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 364.81 Tm (02/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 134.86 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 134.86 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 134.86 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.86 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.28 Tm (ensure that there is a named )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 105.7 Tm (person, qualified, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 91.12 Tm (experienced, competent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 76.54 Tm (with up to date training, )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 134.86 Tm (02/02/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 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 (15)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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 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(They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (designated on the rota to be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (responsible for the running of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (the home at all times, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (especially during vulnerable, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 640.42 Tm (high risk, night time hours. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 619.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 605.26 Tm (This is to ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 590.68 Tm (health, well being and safety )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 576.1 Tm (of people living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 561.52 Tm (is assured at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 536.44 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 536.44 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 536.44 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (An application must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (submitted to the CSCI for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (Registration of the manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (within 3 months.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 475.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.54 Tm (This to ensure the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.96 Tm (managed and run to assure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 431.38 Tm (the health well being and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.8 Tm (safety of the people living )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm (there. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 536.44 Tm (02/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 379.39 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 379.39 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 379.39 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.39 Tm (The Registered Provider or a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.81 Tm (nominated person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.23 Tm (consistently undertake )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.65 Tm (monthly unannounced )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.07 Tm (quality monitoring visits as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.49 Tm (to the conduct of the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.91 Tm (with reports available to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.33 Tm (home and CSCI in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.75 Tm (compliance with Regulation )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.17 Tm (26 of the Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.59 Tm (Regulations 2001)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 219.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 379.39 Tm (01/05/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.6 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 178.6 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 178.6 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.6 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.02 Tm (ensure that notifications are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.44 Tm (submitted to the CSCI )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.86 Tm (without delay for any event )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.28 Tm (adversely affecting the well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 105.7 Tm (being of the people living at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 91.12 Tm (the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 178.6 Tm (02/02/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> 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1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (living at the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 644.5 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 644.5 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 644.5 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 644.5 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.92 Tm (undertake further remedial )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.34 Tm (work to make safe the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.76 Tm (flooring in the communal WC )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.18 Tm (on Daisy Unit.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 568.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 554.02 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 539.44 Tm (living at the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.86 Tm (of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 644.5 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 502.03 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 502.03 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 502.03 Tm (13\(4\)\(c \))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.03 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 487.45 Tm (must ensure that the risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 472.87 Tm (assessments for bed rails are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.29 Tm (expanded to incorporate all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.71 Tm (areas of risk to the resident, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.13 Tm (including risks of entrapment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.55 Tm (and incompatibility with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.97 Tm (bed and / or mattress)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 382.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 502.03 Tm (01/05/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 359.56 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 359.56 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 359.56 Tm (13\(4\)\(c\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 359.56 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 344.98 Tm (take action to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 330.4 Tm (refurbishment of the kitchen )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 315.82 Tm (is carried out as a matter of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 301.24 Tm (priority.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 286.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.08 Tm (This requirement has been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.5 Tm (made to provide residents? )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 242.92 Tm (with wholesome safely stored )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.34 Tm (and prepared food.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 359.56 Tm (01/09/2008)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 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 (17)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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 749.72 m 566.2 749.72 l S 0.001 w 30.3 w 31.2 705.95 m 91 705.95 l S 0.001 w 30.3 w 93.25 705.95 m 197.4 705.95 l S 0.001 w 30.3 w 199.65 705.95 m 289.5 705.95 l S 0.001 w 30.3 w 291.75 705.95 m 473.9 705.95 l S 0.001 w 30.3 w 476.15 705.95 m 566.2 705.95 l S 0.001 w 1 1 1 RG 213.12 w 31.2 581.99 m 91.05 581.99 l S 0.001 w 213.12 w 93.3 581.99 m 197.4 581.99 l S 0.001 w 213.12 w 199.65 581.99 m 289.45 581.99 l S 0.001 w 213.12 w 291.7 581.99 m 473.8 581.99 l S 0.001 w 213.12 w 476.05 581.99 m 566.1 581.99 l S 0.001 w 183.96 w 31.2 381.2 m 91.05 381.2 l S 0.001 w 183.96 w 93.3 381.2 m 197.4 381.2 l S 0.001 w 183.96 w 199.65 381.2 m 289.45 381.2 l S 0.001 w 183.96 w 291.7 381.2 m 473.8 381.2 l S 0.001 w 183.96 w 476.05 381.2 m 566.1 381.2 l S 0.001 w 222.94 w 31.2 175.5 m 91.05 175.5 l S 0.001 w 222.94 w 93.3 175.5 m 197.4 175.5 l S 0.001 w 222.94 w 199.65 175.5 m 289.45 175.5 l S 0.001 w 222.94 w 291.7 175.5 m 473.8 175.5 l S 0.001 w 222.94 w 476.05 175.5 m 566.1 175.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 474.3 m 568.3 474.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.09 m 568.3 288.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 690.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 690.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.3 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 690.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 690.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 690.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 690.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 777.21 m 568.4 777.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.4 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.3 m 568.3 474.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.09 m 568.3 288.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 778.29 m 30.07 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 723.3 m 92.12 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 723.3 m 198.52 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 723.3 m 290.62 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 723.3 m 475.02 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 778.29 m 567.32 688.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 761.03 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 34.05 743.45 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 34.05 728.87 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 711.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 708.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 708.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 708.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 708.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 695.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.49 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 673.49 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 673.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 673.49 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 658.91 Tm (take action to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 644.33 Tm (the Local Authority )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.75 Tm ('Safeguard and Protect' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.17 Tm (multi-agency procedure is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.59 Tm (followed diligently and any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.01 Tm (incident or suspicion of abuse )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 571.43 Tm (is reported to all agencies )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 556.85 Tm (without delay.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 542.27 Tm (Timescale immediate.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 510.11 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 495.53 Tm (living at the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 480.95 Tm (of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 673.49 Tm (14/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 458.12 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 458.12 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 458.12 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.12 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.54 Tm (ensure that all staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.96 Tm (employed at the home are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.38 Tm (recruited following robust )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.8 Tm (recruitment procedures, with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.22 Tm (documentary evidence to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.64 Tm (demonstrate diligent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.06 Tm (compliance with The Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.48 Tm (Homes Regs 2001, 19\(1\). )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.32 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.74 Tm (living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 458.12 Tm (14/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.91 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 271.91 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 271.91 Tm (39)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271.91 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.33 Tm (report any significant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 242.75 Tm (absence of the manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.17 Tm (together with management )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.59 Tm (arrangements for the day to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.01 Tm (day running of the home, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 184.43 Tm (including the name, address, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.85 Tm (qualifications, training and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.27 Tm (experience of the person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 140.69 Tm (nominated to be responsible )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 126.11 Tm (for the running of the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.95 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.37 Tm (living at the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 271.91 Tm (14/03/2009)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 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 (18)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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 786.16 m 566.2 786.16 l S 0.001 w 30.3 w 31.2 742.39 m 91 742.39 l S 0.001 w 30.3 w 93.25 742.39 m 197.4 742.39 l S 0.001 w 30.3 w 199.65 742.39 m 289.5 742.39 l S 0.001 w 30.3 w 291.75 742.39 m 473.9 742.39 l S 0.001 w 30.3 w 476.15 742.39 m 566.2 742.39 l S 0.001 w 1 1 1 RG 17.58 w 31.2 716.2 m 91.05 716.2 l S 0.001 w 17.58 w 93.3 716.2 m 197.4 716.2 l S 0.001 w 17.58 w 199.65 716.2 m 289.45 716.2 l S 0.001 w 17.58 w 291.7 716.2 m 473.8 716.2 l S 0.001 w 17.58 w 476.05 716.2 m 566.1 716.2 l S 0.001 w 213.12 w 31.2 598.6 m 91.05 598.6 l S 0.001 w 213.12 w 93.3 598.6 m 197.4 598.6 l S 0.001 w 213.12 w 199.65 598.6 m 289.45 598.6 l S 0.001 w 213.12 w 291.7 598.6 m 473.8 598.6 l S 0.001 w 213.12 w 476.05 598.6 m 566.1 598.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 706.28 m 568.3 706.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 727.19 m 30.07 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 727.19 m 567.22 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.66 m 568.4 758.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 726.11 m 568.3 726.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 727.19 m 92.17 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 727.19 m 198.52 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 727.19 m 290.57 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 727.19 m 474.92 489.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.66 m 568.4 758.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 726.11 m 568.4 726.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 706.28 m 568.3 706.28 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 30.07 814.73 m 30.07 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 759.74 m 92.12 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 759.74 m 198.52 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 759.74 m 290.62 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 759.74 m 475.02 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 725.04 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 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 34.05 779.89 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 34.05 765.31 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 747.49 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 744.49 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 744.49 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 744.49 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 744.49 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 732.34 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 715.18 Tm (of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.1 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 690.1 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 690.1 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 690.1 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 675.52 Tm (take action to implement a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 660.94 Tm (safe system to ensure all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 646.36 Tm (bedrails are safely installed, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.78 Tm (maintained and checked by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (competent persons and that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.62 Tm (all staff involved in their use )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.04 Tm (have received appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (awareness and training. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (Timescale Immediate)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (living at the home from risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.56 Tm (of harm.)Tj ET /F1 12 Tf BT 1 0 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2.25 w 290.57 355.33 m 290.57 181.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 355.33 m 474.92 181.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 455.79 m 568.4 455.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.8 m 568.4 386.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.25 m 568.4 354.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 182.62 m 568.3 182.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 456.87 m 30.07 353.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 387.88 m 92.12 353.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 387.88 m 198.52 353.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 387.88 m 290.62 353.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 387.88 m 475.02 353.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 456.87 m 567.32 353.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 442.6 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 34.05 422.6 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 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The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.44 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 375.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 372.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 372.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 372.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 372.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 360.47 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 338.06 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 338.06 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 338.06 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.06 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.48 Tm (record full details of all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.9 Tm (complaints and investigations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.32 Tm (undertaken at the home, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.74 Tm (with evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 265.16 Tm (conclusions are formally )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.58 Tm (notified to complainants, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 236 Tm (the outcomes are recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.84 Tm (This is to safeguard people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.26 Tm (living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 338.06 Tm (31/03/2009)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 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 (19)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 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152.92 m 568.3 152.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.93 m 568.3 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 63.52 m 568.3 63.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 765.31 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 34.05 750.73 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 708.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 708.62 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 708.62 Tm (It is strongly recommended that staff sign to indicate )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 694.04 Tm (personal care delivered on the personal care log sheets, )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 679.46 Tm (rather than use ticks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 656.63 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 656.63 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 656.63 Tm (It is recommended that the registered manager consider )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.05 Tm (using Antecedent, Behaviour, Consequence \(ABC\) records )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 627.47 Tm (to evaluate the effectiveness of strategies and use of PRN )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 612.89 Tm (medication for residents with challenging or distressed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 598.31 Tm (behaviours.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.48 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 575.48 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 575.48 Tm (We strongly recommend that risk assessments for tissue )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 560.9 Tm (viability should always be repeated when known )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 546.32 Tm (deterioration has occurred.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 531.74 Tm (Not fully Met at key Inspection 10/04/08)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.16 Tm (Not assessed at the RU 2/12/08, Not Met at the RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.33 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 494.33 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 494.33 Tm (That carried forward stocks of medication are recorded on )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 479.75 Tm (each persons MAR sheet)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 456.92 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 456.92 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 456.92 Tm (That all handwritten entries on MAR sheets are dated )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 442.34 Tm (signed and witnessed by staff who are trained and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 427.76 Tm (competent. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 404.93 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 404.93 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 404.93 Tm (That staff are ware that Xalatan eye drops are to be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 390.35 Tm (refrigerated until opened, after which the drops are to be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 375.77 Tm (stored appropriately below 25C)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 352.94 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 352.94 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 352.94 Tm (That staff are aware of instructions contained in the Patient )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 338.36 Tm (Information Leaflet supplied with all prescribed medication.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.53 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 315.53 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 315.53 Tm (That an up to date BNF, no more than 12 months old, be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 300.95 Tm (obtained to replace the September 2005 edition)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 278.12 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 278.12 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 278.12 Tm (That discussion be held with BOOTS Pharmacist regarding )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 263.54 Tm (MAR sheets now have new code N Not required for PRN )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 248.96 Tm (medication, which may be applicable for medicines such as )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 234.38 Tm (pain relief but not for antipsychotic to be given PRN)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.55 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 211.55 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 211.55 Tm (The interior of drugs trolley should be thoroughly cleaned )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 196.97 Tm (and any sticky residue from liquid medicines cleaned )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 182.39 Tm (immediately after each medication round.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.56 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 159.56 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 159.56 Tm (Internal and external medicine should be stored separately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.73 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 136.73 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 136.73 Tm (That staff recording the BM results in the residents daily )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 122.15 Tm (notes also record their signatures to show which member of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 107.57 Tm (staff has carried out the test. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 84.74 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 84.74 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 84.74 Tm (That staff record variable dosages, such as 1 or 2 tablets )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 70.16 Tm (administered on MAR sheets. )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 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 (20)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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 67.32 w 31.2 778.87 m 566.2 778.87 l S 0.001 w 18.15 w 31.2 733.88 m 91.05 733.88 l S 0.001 w 18.15 w 93.3 733.88 m 197.35 733.88 l S 0.001 w 18.15 w 199.6 733.88 m 566.2 733.88 l S 0.001 w 1 1 1 RG 78.9 w 31.2 684.23 m 91.05 684.23 l S 0.001 w 78.9 w 93.3 684.23 m 197.4 684.23 l S 0.001 w 78.9 w 199.65 684.23 m 566.1 684.23 l S 0.001 w 78.9 w 31.2 603.08 m 91.05 603.08 l S 0.001 w 78.9 w 93.3 603.08 m 197.4 603.08 l S 0.001 w 78.9 w 199.65 603.08 m 566.1 603.08 l S 0.001 w 93.48 w 31.2 514.64 m 91.05 514.64 l S 0.001 w 93.48 w 93.3 514.64 m 197.4 514.64 l S 0.001 w 93.48 w 199.65 514.64 m 566.1 514.64 l S 0.001 w 64.32 w 31.2 433.49 m 91.05 433.49 l S 0.001 w 64.32 w 93.3 433.49 m 197.4 433.49 l S 0.001 w 64.32 w 199.65 433.49 m 566.1 433.49 l S 0.001 w 64.32 w 31.2 366.92 m 91.05 366.92 l S 0.001 w 64.32 w 93.3 366.92 m 197.4 366.92 l S 0.001 w 64.32 w 199.65 366.92 m 566.1 366.92 l S 0.001 w 64.32 w 31.2 300.35 m 91.05 300.35 l S 0.001 w 64.32 w 93.3 300.35 m 197.4 300.35 l S 0.001 w 64.32 w 199.65 300.35 m 566.1 300.35 l S 0.001 w 64.32 w 31.2 233.78 m 91.05 233.78 l S 0.001 w 64.32 w 93.3 233.78 m 197.4 233.78 l S 0.001 w 64.32 w 199.65 233.78 m 566.1 233.78 l S 0.001 w 135.35 w 31.2 131.7 m 91.05 131.7 l S 0.001 w 135.35 w 93.3 131.7 m 197.4 131.7 l S 0.001 w 135.35 w 199.65 131.7 m 566.1 131.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 643.66 m 568.3 643.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 562.51 m 568.3 562.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.78 m 568.3 466.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.21 m 568.3 400.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.64 m 568.3 333.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.07 m 568.3 267.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.5 m 568.3 200.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 725.89 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 643.66 m 568.3 643.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 562.51 m 568.3 562.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.78 m 568.3 466.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.21 m 568.3 400.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.64 m 568.3 333.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.07 m 568.3 267.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.5 m 568.3 200.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 765.31 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 34.05 750.73 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 708.62 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 708.62 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 708.62 Tm (It is strongly recommended that the registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 694.04 Tm (undertake agreed action to contact the relevant nurses to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 679.46 Tm (obtain training and work with them to devise and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 664.88 Tm (implement an agreed protocol for the invasive body )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 650.3 Tm (procedure. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 627.47 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 627.47 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 627.47 Tm (That efforts be made to ensure female residents leg wear )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 612.89 Tm (reflects their preferences and age. This was a previous )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 598.31 Tm (good practice requirement.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 583.73 Tm (Not Met at the Random Inspection on 02/12/08. Not Met at )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 569.15 Tm (the RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 546.32 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 546.32 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 546.32 Tm (That all people living at the home, receive personal care )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 531.74 Tm (and support to be well groomed and appropriately dressed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.16 Tm (in accordance with their recorded needs and preferences, )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 502.58 Tm (their age and weather conditions.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 488 Tm (Not Met at the Random Inspection on 02/12/08. Not Met at )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 473.42 Tm (the RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.59 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 450.59 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 450.59 Tm (It was strongly recommended that the large chest freezer )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 436.01 Tm (and large fridge, which were extremely rusty be replaced to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 421.43 Tm (maintain good standards of food hygiene and safety. Not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 406.85 Tm (Met at Random Inspection 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.02 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 384.02 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 384.02 Tm (It is recommended that staff sign the records of staff )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 369.44 Tm (meetings as confirmation they understand any agreed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 354.86 Tm (actions. Not Assessed at the Random Inspection on )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 340.28 Tm (02/12/08. Not MET at the RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.45 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 317.45 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 317.45 Tm (That the registered persons ensures a clear record of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 302.87 Tm (accidents and incidents is maintained and that effective )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 288.29 Tm (analysis and evaluations are undertaken to minimise risks )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 273.71 Tm (to people living at the home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 250.88 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 250.88 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 250.88 Tm (It is strongly recommended that The Black Country Health )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 236.3 Tm (Protection Unit be contacted for advice and a copy of the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 221.72 Tm (DoH guidance 'Essential Steps' be obtained and used to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 207.14 Tm (audit and improve infection control measures at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 184.31 Tm (21)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 184.31 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 184.31 Tm (It is strongly recommended that the Registered Manager )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 169.73 Tm (ensures all staff are aware that the under arm lift technique )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 155.15 Tm (must not be used. This is not good practice as it can pose )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 140.57 Tm (risks to residents who are frail and can cause injuries to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 125.99 Tm (staff and should be raised with staff concerned and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 111.41 Tm (discussed as a good practice matter at the next staff )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 96.83 Tm (meeting.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 82.25 Tm (Not Assessed at the Random Inspection on 02/12/08. Not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 67.67 Tm (Assessed at the RU 6/2/09)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 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 (21)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 (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 67.32 w 31.2 778.87 m 566.2 778.87 l S 0.001 w 18.15 w 31.2 733.88 m 91.05 733.88 l S 0.001 w 18.15 w 93.3 733.88 m 197.35 733.88 l S 0.001 w 18.15 w 199.6 733.88 m 566.2 733.88 l S 0.001 w 1 1 1 RG 108.06 w 31.2 667.78 m 91.05 667.78 l S 0.001 w 108.06 w 93.3 667.78 m 197.4 667.78 l S 0.001 w 108.06 w 199.65 667.78 m 566.1 667.78 l S 0.001 w 93.48 w 31.2 564.76 m 91.05 564.76 l S 0.001 w 93.48 w 93.3 564.76 m 197.4 564.76 l S 0.001 w 93.48 w 199.65 564.76 m 566.1 564.76 l S 0.001 w 93.48 w 31.2 469.03 m 91.05 469.03 l S 0.001 w 93.48 w 93.3 469.03 m 197.4 469.03 l S 0.001 w 93.48 w 199.65 469.03 m 566.1 469.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 722.94 m 568.3 722.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 612.63 m 568.3 612.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 516.9 m 568.3 516.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 725.89 m 30.07 420.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 420.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 420.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 420.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.94 m 568.3 722.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 612.63 m 568.3 612.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 516.9 m 568.3 516.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 421.17 m 568.3 421.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 765.31 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 34.05 750.73 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 706.75 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 706.75 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 706.75 Tm (That the practice of secondary dispensing with )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 692.17 Tm (inappropriate labelling of COSHH products is avoided )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 677.59 Tm (wherever possible or advice and sufficient information be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 663.01 Tm (obtained from the manufacturers, in order to inform staff in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 648.43 Tm (safe usage or in the event of an accident. Not Assessed at )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 633.85 Tm (the Random Inspection on 02/12/08. Not Assessed at the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 619.27 Tm (RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 596.44 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 596.44 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 596.44 Tm (We strongly recommend that a competent person should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 581.86 Tm (undertake a visual check of bedrails in the home on a daily )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 567.28 Tm (basis to ensure that they are safe. A record must be made )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.7 Tm (of these checks. Not Met at the Key Inspection 10/04/08.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.12 Tm (Not Assessed at the Random Inspection on 02/12/08. Not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 523.54 Tm (MET at the RU 6/2/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.71 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 500.71 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 500.71 Tm (It is strongly recommended that the Registered Manager )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 486.13 Tm (investigate whether all equipment used for lifting is being )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 471.55 Tm (serviced and certified as safe every six months in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 456.97 Tm (compliance with LOLER Regs with certificates available.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 442.39 Tm (Not Assessed at the Random Inspection on 02/12/08. Not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 427.81 Tm (Assessed at the RU 6/2/09)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 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 (22)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 (22)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. 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