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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 adults \(18-65 years\))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 (Goldcrest House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (194 Boothferry Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Goole)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (East Yorkshire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (DN14 6AJ)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Diane Wilkinson)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 Adults \(18-65 years\))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 (9)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 (Goldcrest House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (194 Boothferry Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Goole)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (East Yorkshire)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (DN14 6AJ)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 (01405763329)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 1 272.31 625.27 Tm (goldcresthouse@onetel.net)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 (Genhawk Limited)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 (10)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 20.58 w 31.2 365.7 m 297.25 365.7 l S 0.001 w 20.58 w 299.5 365.7 m 429.25 365.7 l S 0.001 w 20.58 w 431.5 365.7 m 565.9 365.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.28 m 568.1 354.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 353.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 353.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 353.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 353.21 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (learning disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.93 Tm (sensory impairment)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 360.93 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 360.93 Tm (0)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 322.49 m 565.6 322.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 333.91 m 567.8 333.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.08 m 567.8 311.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 334.99 m 30.07 310 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 334.99 m 566.72 310 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 317.72 Tm (Conditions of registration:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 296.29 m 315.25 296.29 l S 0.001 w 1 1 1 RG 20.58 w 317.5 296.29 m 346.55 296.29 l S 0.001 w 20.58 w 348.8 296.29 m 377.9 296.29 l S 0.001 w 20.58 w 380.15 296.29 m 409.2 296.29 l S 0.001 w 20.58 w 411.45 296.29 m 440.55 296.29 l S 0.001 w 20.58 w 442.8 296.29 m 471.9 296.29 l S 0.001 w 20.58 w 474.15 296.29 m 503.2 296.29 l S 0.001 w 20.58 w 505.45 296.29 m 534.55 296.29 l S 0.001 w 20.58 w 536.8 296.29 m 565.9 296.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 307.7 m 568.1 307.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.87 m 568.1 284.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 308.78 m 30.07 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 308.78 m 316.37 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 308.78 m 347.67 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 308.78 m 379.02 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 308.78 m 410.32 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 308.78 m 441.67 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 308.78 m 473.02 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 308.78 m 504.32 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 308.78 m 535.67 283.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 308.78 m 567.02 283.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 291.52 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 271.87 m 565.9 271.87 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 262.25 m 568.1 262.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 263.33 m 30.07 88.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 263.33 m 567.02 88.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.5 m 568.1 281.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262.25 m 568.1 262.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 90 m 568.1 90 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 282.58 m 30.07 261.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 282.58 m 567.02 261.17 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 268.31 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 268.31 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 249.06 Tm (Goldcrest House is a care home that provides care and accommodation for 10 younger )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 232.06 Tm (adults with a learning disability; it is owned by Genhawk Limited. The home )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 215.06 Tm (endeavours to empower service users in order to maximise their social and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 198.06 Tm (independent living skills, and they are in the process of becoming accredited with the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 181.06 Tm (National Autistic Society.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 164.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 147.06 Tm (Accommodation is provided in single rooms that have been furnished to a good )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 130.06 Tm (standard. Service users have access to a range of shared space, including a lounge, a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 113.06 Tm (dining room and a small well-maintained garden and patio area to the rear of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 96.06 Tm (building, which is equipped with garden furniture.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 75.69 Tm ()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 Adults \(18-65 years\))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 (9)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 checked the care records for one resident living at the home. These did not include )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (a care needs assessment but we were told that these were stored in the main office so )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (that they could be held securely; the assessment for the resident concerned was later )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (shown to the inspector. We observed that information is obtained from the local )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (authority and from the person's previous place of residence \(where appropriate\) and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (that all of this information is used to develop an individual plan of care for each )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (resident. The registered manager should consider storing a copy of the care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (assessment with care plan information so that staff have access to full details of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (person concerned.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (Individual care plans are a good record of the person's personal history and previous )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (lifestyle. They include up to date information about a person's capabilities and any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (assistance needed from staff or other health care professionals. Behaviour )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (management plans and risk assessments are also included, as well as very thorough )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (monthly summaries that record how people have spent the previous month, including )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (activities undertaken, any illnesses or concerns, any special events and any family )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (contact. Monthly key worker meetings are held and recorded - an overview of general )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (health, diet, living skills and personal hygiene for each resident is discussed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (There is evidence in care plans that residents are supported and encouraged to make )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (decisions about their day to day lives, and that responsible risk taking is considered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (and supported. There is a document in place that records the required intervention and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (any restrictions on choice or freedom. For example, some residents are given the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (freedom to come and go from the home but this is on condition that they tell staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (when they are leaving and when they return.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (On the day of this site visit most residents were out taking part in a variety of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (activities. Some were at college and others were attending a social group where they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (were rehearsing for a production of The Sound of Music. One resident was out )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (shopping on their own, and other residents had been out for a walk with staff. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (Residents told us on the day of the site visit about paid employment and staff told us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (about a variety of facilities that are available for residents locally. In addition to this, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (the company have purchased a caravan at the coast and residents go for the weekend, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (in small groups, on a regular basis. Residents told us that they enjoyed visiting the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (caravan and taking part in activities in the surrounding area. Staff believe that this has )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (increased the confidence of some residents who are getting used to visiting and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (socialising in another area. Bedrooms included a small display cabinet that was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (securely attached to the wall where information about daily activities for each )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (individual was displayed; this is good practice.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (Care plans record any contact with family and friends and there is evidence that this is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (supported by staff. Residents are supported to make telephone calls and write letters )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (to family members, and discussions with residents on the day of the site visit )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (confirmed this. Staff were seen to interact well with residents and in one instance, this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (was seen to be a sensitive and supportive interaction.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (There is a four week menu in operation but we noted that this is not always adhered )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 Adults \(18-65 years\))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 (9)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 (to. The menu is varied and we saw evidence that residents discuss the menu at their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (meetings and are able to make suggestions about preferred foods, and that these are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (added to the menu. However, we observed that little progress had been made in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (ensuring that dietary requirements are met in a healthy way. We discussed this with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (the manager and suggested that more vegetables and salad could be introduced to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (menu.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (Care plans evidence that health and social care professionals are contacted on behalf )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (of residents when assistance is needed or advice is required. We examined the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (medication records for two residents and noted that medication administration records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (include a photograph of the resident concerned and clearly identify the time that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (person should receive prescribed medication. The medication administration record for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (one person evidenced that two written entries had been made for the same medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (bought as a 'homely' remedy. In addition to this, a further 'homely' remedy had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (purchased and used. This error could have resulted in a resident having an overdose of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (this drug. The registered manager told us that this would be rectified immediately. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (noted that there were some gaps in recording.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (We asked about an annual health check for the person being case tracked and were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (told that these do not take place routinely, but as and when needed, for example, at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (the time of a medication review or when a referral for additional services is made.)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 examined the complaints log and observed that a record is made of the complaint )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (made and any action taken. The deputy manager told us that safeguarding training is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (booked for staff on the 24th February; this is initial training for new staff and an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (update for established staff. We were told that staff at senior carer level and above )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (attend the manager's safeguarding training course.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (We checked the bedrooms of two residents and communal areas of the home. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (dining room has recently been refurbished and is a pleasant area for residents to take )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (their meals and socialise with others. One of the bedrooms had a painted concrete )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (floor and the resident concerned said that they would like a carpet to be fitted. It was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (acknowledged that this person had some difficulty in caring for their furniture and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (fittings and that action was being taken to improve that situation, but consideration )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (should be given to a carpet being provided. The other bedroom seen had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (personalised to suit the needs of the resident concerned and included equipment to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (promote sensory activities.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (We examined the recruitment records for a newly appointed member of staff. These )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (included an application form, two written references and a Protection of Vulnerable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (Adults \(POVA\) first check. However, records evidenced that the person had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (commenced work two days prior to the POVA first check being received. This staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (member had commenced Induction training and we noted that not much progress had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (been made towards completion. Individual training records are held but there is no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (training and development plan that records the training achievements and needs of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (the whole staff group. A training and development plan also assists with identifying )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (when refresher training is needed. We asked if staff had completed training on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (infection control and were told that this has not yet been achieved.)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 (We checked the fire safety records held at the home. There is a fire risk assessment in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (place and an annual fire test and fire extinguisher test took place in January 2009. Fire )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 Adults \(18-65 years\))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 (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 90.48 w 31.2 767.29 m 563.65 767.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 720.92 m 565.85 720.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 719.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 719.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (drills take place on a monthly basis but the in house weekly fire tests had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (done since September 2008. This puts residents and staff at risk of harm. Due to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (absence of a training and development plan it was not possible to check when staff last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (had fire safety training. A test to detect the presence of Legionella in the water supply )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (had been carried out following the last key inspection and the deputy manager told us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (that a further test had taken place in January 2009. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 702.85 Tm (What 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 1 175.95 702.85 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 166.38 w 31.2 608.47 m 563.65 608.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 692.79 m 565.85 692.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.16 m 565.85 524.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 693.87 m 30.07 523.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 693.87 m 564.78 523.08 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 676.6 Tm (Individual care plans are a thorough record of a person's capabilities and assistance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 662.02 Tm (needed that are reviewed and updated on a monthly basis.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (Residents are encouraged to make decisions about their day to day lives and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (responsible risk taking is considered and supported.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (Bedrooms included a display cabinet where information about the individuals activities )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (for that day are displayed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (The dining room has been refurbished and provides pleasant surroundings for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (residents to take their meals and socialise with others.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 503.84 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 166.38 w 31.2 409.46 m 563.65 409.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 493.77 m 565.85 493.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.14 m 565.85 325.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 494.85 m 30.07 324.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 494.85 m 564.78 324.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 477.59 Tm (The weekly menu should be adhered to so that the foods provided for residents can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 463.01 Tm (monitored and healthy eating promoted.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 448.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 433.85 Tm (More care must be taken with the completion of medication administration records to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 419.27 Tm (ensure accuracy and to protect residents from the risk of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 404.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 390.11 Tm (There are arrangements in place for weekly fire tests to take place but these had not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 375.53 Tm (been adhered to. This does not protect residents and staff from the risk of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.37 Tm (Staff should not commence work until all safety checks are complete to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.79 Tm (only people safe to work with vulnerable people are employed. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 306.83 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 306.83 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 290.83 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 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 Adults \(18-65 years\))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 (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 769.89 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 81.9 w 31.2 699.43 m 566.2 699.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 741.5 m 568.4 741.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 742.58 m 30.07 658.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.48 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 725.32 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 707.74 Tm (These requirements were set at the last inspection. They may not have been looked at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.16 Tm (during this inspection, as a )Tj ET /F1 12 Tf BT 1 0 0 1 201.54 693.16 Tm (random inspection is short and focussed. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.58 Tm (person must take the necessary action to comply with these requirements within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 664 Tm (timescales set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 639.95 m 91 639.95 l S 0.001 w 30.3 w 93.25 639.95 m 197.4 639.95 l S 0.001 w 30.3 w 199.65 639.95 m 289.5 639.95 l S 0.001 w 30.3 w 291.75 639.95 m 473.9 639.95 l S 0.001 w 30.3 w 476.15 639.95 m 566.2 639.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 656.23 m 568.4 656.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.68 m 568.4 623.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 657.31 m 30.07 622.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 657.31 m 92.12 622.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 657.31 m 198.52 622.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 657.31 m 290.62 622.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 657.31 m 475.02 622.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 657.31 m 567.32 622.6 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 642.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 642.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 642.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 642.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 642.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 629.9 Tm (action)Tj ET endstream endobj 17 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 Adults \(18-65 years\))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 (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 793.57 Tm (Requirements and recommendations from this inspection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 733.59 m 566.2 733.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.09 m 568.4 761.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.17 m 30.07 707.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 762.17 m 567.32 707.22 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 744.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 727.32 Tm (These are immediate requirements that were set on the day we visited this )Tj ET /F1 12 Tf BT 1 0 0 1 493.86 727.32 Tm (care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.74 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.7 m 91 688.7 l S 0.001 w 30.3 w 93.25 688.7 m 197.4 688.7 l S 0.001 w 30.3 w 199.65 688.7 m 289.5 688.7 l S 0.001 w 30.3 w 291.75 688.7 m 473.9 688.7 l S 0.001 w 30.3 w 476.15 688.7 m 566.2 688.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.97 m 568.4 704.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.42 m 568.4 672.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.05 m 30.07 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.05 m 92.12 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.05 m 198.52 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.05 m 290.62 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.05 m 475.02 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.05 m 567.32 671.35 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 690.8 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 690.8 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 690.8 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 690.8 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 690.8 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 678.65 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 617.26 m 566.2 617.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.05 m 568.4 652.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.13 m 30.07 583.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.13 m 567.32 583.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 635.86 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 162.09 603.7 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 314.21 603.7 Tm (2001 and the National Minimum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 565.08 m 91 565.08 l S 0.001 w 30.3 w 93.25 565.08 m 197.4 565.08 l S 0.001 w 30.3 w 199.65 565.08 m 289.5 565.08 l S 0.001 w 30.3 w 291.75 565.08 m 473.9 565.08 l S 0.001 w 30.3 w 476.15 565.08 m 566.2 565.08 l S 0.001 w 1 1 1 RG 169.38 w 31.2 462.99 m 91.05 462.99 l S 0.001 w 169.38 w 93.3 462.99 m 197.4 462.99 l S 0.001 w 169.38 w 199.65 462.99 m 289.45 462.99 l S 0.001 w 169.38 w 291.7 462.99 m 473.8 462.99 l S 0.001 w 169.38 w 476.05 462.99 m 566.1 462.99 l S 0.001 w 140.22 w 31.2 305.94 m 91.05 305.94 l S 0.001 w 140.22 w 93.3 305.94 m 197.4 305.94 l S 0.001 w 140.22 w 199.65 305.94 m 289.45 305.94 l S 0.001 w 140.22 w 291.7 305.94 m 473.8 305.94 l S 0.001 w 140.22 w 476.05 305.94 m 566.1 305.94 l S 0.001 w 111.06 w 31.2 178.05 m 91.05 178.05 l S 0.001 w 111.06 w 93.3 178.05 m 197.4 178.05 l S 0.001 w 111.06 w 199.65 178.05 m 289.45 178.05 l S 0.001 w 111.06 w 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290.57 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 549.88 m 474.92 120.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 582.43 m 567.32 120.32 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 567.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 567.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 567.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 567.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 567.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 555.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 532.62 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.62 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.62 Tm (More care must be taken to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.04 Tm (ensure accurate recording on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 503.46 Tm (medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.88 Tm (records.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.72 Tm (This is needed to protect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.14 Tm (residents from the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.56 Tm (harm i.e. residents could )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.98 Tm (receive more than the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.4 Tm (recommended dosage of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.82 Tm ('homely' remedies. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 532.62 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.99 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 360.99 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 360.99 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.99 Tm (Staff must not commence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.41 Tm (work until all safety checks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.83 Tm (have been requested and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.25 Tm (responses received. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.09 Tm (This is to ensure that only )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.51 Tm (people who are safe to work )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.93 Tm (with vulnerable people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.35 Tm (employed. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 360.99 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.52 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 218.52 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 218.52 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.52 Tm (Weekly fire tests must take )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.94 Tm (place consistently.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.78 Tm (This is needed to protect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.2 Tm (residents and staff as far as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.62 Tm (is possible from the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.04 Tm (fire. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 218.52 Tm (20/02/2009)Tj ET 0.99608 0.9451 0.76078 RG 42.62 w 31.2 79.71 m 566.2 79.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 102.14 m 568.4 102.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 103.22 m 30.07 58.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 103.22 m 567.32 58.4 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 85.96 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 68.38 Tm (These recommendations are taken from the best practice described in the National )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))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 (9)Tj ET 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636.16 m 91.05 636.16 l S 0.001 w 64.32 w 93.3 636.16 m 197.4 636.16 l S 0.001 w 64.32 w 199.65 636.16 m 566.1 636.16 l S 0.001 w 49.74 w 31.2 576.88 m 91.05 576.88 l S 0.001 w 49.74 w 93.3 576.88 m 197.4 576.88 l S 0.001 w 49.74 w 199.65 576.88 m 566.1 576.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 758.84 m 568.3 758.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 692.27 m 568.3 692.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.44 m 568.3 669.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.87 m 568.3 602.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 779.24 m 568.3 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.84 m 568.3 758.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 692.27 m 568.3 692.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.44 m 568.3 669.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.87 m 568.3 602.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.88 m 568.3 550.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 780.32 m 30.07 549.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 780.32 m 92.17 549.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 780.32 m 198.52 549.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 780.32 m 567.22 549.81 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 765.07 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 765.07 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 765.07 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 742.66 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 742.66 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 742.66 Tm (The four weekly menu should be adhered to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 728.08 Tm (foods provision can be monitored. Considersation should be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 713.5 Tm (given to how the menu could be improved to promote )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 698.92 Tm (healthy eating. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.09 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 676.09 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 676.09 Tm (Residents should be offered an annual health check.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.26 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 653.26 Tm (35)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 653.26 Tm (There should be a training and development plan in place )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 638.68 Tm (that records the training achievements and needs for the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 624.1 Tm (full staff group; this would also assist in identifying when )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 609.52 Tm (refresher training is needed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 586.69 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 586.69 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 586.69 Tm (Staff should receive training on infection control to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 572.11 Tm (that they are aware of safe practices to maintain hygiene )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 557.53 Tm (standards and reduce the risk of cross infection.)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))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 (9)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 Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (0845 015 0120)Tj ET /F1 20 Tf BT 1 0 0 1 308.99 448.23 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 336.71 448.23 Tm (0191 233 3323)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (0845 015 2255)Tj ET /F1 20 Tf BT 1 0 0 1 311.31 416.57 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 339.03 416.57 Tm (0191 233 3588)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.csci.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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