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We give a quality rating following a full assessment of )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.52 Tm (the service. We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.52 Tm (This is a report of a )Tj ET /F1 12 Tf BT 1 0 0 1 150.53 259.52 Tm (random)Tj ET /F1 12 Tf BT 1 0 0 1 205.9 259.52 Tm (inspection)Tj ET /F2 12 Tf BT 1 0 0 1 275.45 259.52 Tm ( of this care home. A random inspection is a short, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.52 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.52 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 31.2 191.05 m 315.25 191.05 l S 0.001 w 20.58 w 317.5 191.05 m 565.9 191.05 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.21 m 346.55 168.21 l S 0.001 w 20.58 w 348.8 168.21 m 377.9 168.21 l S 0.001 w 20.58 w 380.15 168.21 m 409.2 168.21 l S 0.001 w 20.58 w 411.45 168.21 m 440.55 168.21 l S 0.001 w 20.58 w 442.8 168.21 m 471.9 168.21 l S 0.001 w 20.58 w 474.15 168.21 m 503.2 168.21 l S 0.001 w 20.58 w 505.45 168.21 m 534.55 168.21 l S 0.001 w 20.58 w 536.8 168.21 m 565.9 168.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.63 m 568.1 179.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.46 m 568.1 202.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.63 m 568.1 179.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.8 m 568.1 156.8 l S 0.001 w [] 0 d [] 0 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12 Tf BT 1 0 0 1 34.05 648.08 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.24 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 272.31 625.24 Tm (cumbriahouse@ashwoodhealthcare.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.41 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 566.47 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.98 m 353.25 546.98 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.98 m 565.9 546.98 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 524.14 m 353.25 524.14 l S 0.001 w 1 1 1 RG 20.58 w 355.5 524.14 m 565.9 524.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 501.31 m 353.25 501.31 l S 0.001 w 1 1 1 RG 20.58 w 355.5 501.31 m 565.9 501.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.56 m 568.1 535.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.73 m 568.1 512.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.39 m 568.1 558.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.56 m 568.1 535.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.73 m 568.1 512.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.89 m 568.1 489.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.47 m 30.07 488.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.47 m 354.37 488.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.47 m 567.02 488.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 542.2 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 542.2 Tm (Cumbria House)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 519.37 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 519.37 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.54 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.54 Tm (32)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.59 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.1 m 565.6 458.1 l S 0.001 w 41.17 w 31.2 424.98 m 297.2 424.98 l S 0.001 w 20.58 w 299.45 435.27 m 565.6 435.27 l S 0.001 w 20.58 w 299.45 414.69 m 432.52 414.69 l S 0.001 w 20.58 w 432.52 414.69 m 565.6 414.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.69 m 567.8 446.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.52 m 567.8 469.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.69 m 567.8 446.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.27 m 567.8 403.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.6 m 30.07 402.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.76 m 298.32 402.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.6 m 566.72 402.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 453.33 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.5 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.5 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 409.91 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 409.91 Tm (Over 65)Tj ET 1 1 1 RG 35.17 w 31.2 381.19 m 297.25 381.19 l S 0.001 w 35.17 w 299.5 381.19 m 429.25 381.19 l S 0.001 w 35.17 w 431.5 381.19 m 565.9 381.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 399.89 m 568.1 399.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.48 m 568.1 362.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.97 m 30.07 361.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 400.97 m 298.37 361.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 400.97 m 430.37 361.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 400.97 m 567.02 361.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.71 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 369.12 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 383.71 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 383.71 Tm (32)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 330.69 m 565.6 330.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 319.27 m 567.8 319.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.69 m 568.1 252.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.1 m 567.8 342.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.27 m 568.1 319.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.69 m 568.1 252.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.86 m 568.1 229.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 343.18 m 30.07 228.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 343.18 m 566.72 228.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 325.92 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 303.08 Tm (The registered person may provide the following categorY of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 288.5 Tm (only \(PC\) to service users of the following gender: Either whose primary care needs on )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 273.92 Tm (admission to the home are within the following category: Old age, not falling within any )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 259.33 Tm (other category \(OP\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 236.5 Tm (The maximum number of service users to be accommodated is 32)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 216.19 m 315.25 216.19 l S 0.001 w 1 1 1 RG 20.58 w 317.5 216.19 m 346.55 216.19 l S 0.001 w 20.58 w 348.8 216.19 m 377.9 216.19 l S 0.001 w 20.58 w 380.15 216.19 m 409.2 216.19 l S 0.001 w 20.58 w 411.45 216.19 m 440.55 216.19 l S 0.001 w 20.58 w 442.8 216.19 m 471.9 216.19 l S 0.001 w 20.58 w 474.15 216.19 m 503.2 216.19 l S 0.001 w 20.58 w 505.45 216.19 m 534.55 216.19 l S 0.001 w 20.58 w 536.8 216.19 m 565.9 216.19 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 31.2 195.15 m 565.9 195.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 204.77 m 568.1 204.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 185.52 m 568.1 185.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.61 m 568.1 227.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 204.77 m 568.1 204.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 185.52 m 568.1 185.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 57.28 m 568.1 57.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 228.68 m 30.07 56.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 228.68 m 316.37 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 228.68 m 347.67 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 228.68 m 379.02 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 228.68 m 410.32 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 228.68 m 441.67 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 228.68 m 473.02 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 228.68 m 504.32 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 228.68 m 535.67 203.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 228.68 m 567.02 56.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 211.42 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 191.58 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.27 191.58 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 172.33 Tm (Cumbria House is a detached property in Folkestone situated within easy walking )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 155.33 Tm (distance of local amenities and public transport. A major refurbishment has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 138.33 Tm (completed with improved accommodation, such as en suite facilities, and a safer and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 121.33 Tm (more comfortable environment. All rooms are now being used for single )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 104.33 Tm (accommodation and there is a shaft lift enabling access to services users to all parts of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 87.33 Tm (the home. There are communal lounges and a separate dining room. There are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 70.33 Tm (mature, well maintained gardens which have ramps for easy access for wheelchair )Tj ET endstream endobj 9 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 10 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (3)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 777.4 m 568.1 777.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 776.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 776.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.25 802.72 Tm (users. There is a large patio area where service users can sit and relax. Up to date fees )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 785.72 Tm (can be obtained from the home. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 765.34 Tm ()Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (4)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 1 1 1 RG 698.48 w 31.2 413.26 m 563.65 413.26 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 30.07 764.7 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.7 m 564.78 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 747.44 Tm (This random inspection focused on three outcome areas, Health and Personal Care, )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 732.85 Tm (Complaints and Protection and Staffing. An unannounced visit was made to the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 718.27 Tm (on 28 January 2009, residents, relatives and staff were spoken to and various )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 703.69 Tm (documents were viewed. The Deputy Manager assisted throughout the visit and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 689.1 Tm (feedback was also given to the Registered Manager on 29 January 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 674.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 659.94 Tm (Health and Personal Care)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 645.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.77 Tm (The care of two people was tracked to help gain evidence as to what it's like to receive )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 616.19 Tm (a service from the home. In some areas the plans contained good information of how )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 601.61 Tm (to care for the individual, however there are examples where improvements need to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 587.02 Tm (be made. Sometimes the detail in the care plan is not clear to ensure that the person )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 572.44 Tm (receives the care they need, taking into account their health and personal preferences. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 557.86 Tm (For example, 'assistance with personal care' and 'assistance when mobilising' does not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 543.28 Tm (give staff a clear guideline of how this should be carried out, and the home needs to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 528.69 Tm (record just what assistance means to the individual. The moving and handling risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 514.11 Tm (assessments also contain the word 'assistance' and lack specific detail of how to move )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 499.53 Tm (a person. They need to be improved to make sure that staff have a clear written )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 484.94 Tm (record of how to move people safely.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 470.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 455.78 Tm (There has been a high number of residents invoved in a falls during the last two )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 441.19 Tm (months. The home has completed the accident forms and summarised the information )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 426.61 Tm (with action taken. However, this information has not been consistently recorded and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 412.03 Tm (updated in the care plans. For example when a resident fell several times in one )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 397.45 Tm (month, the moving and handling risk assessment was not updated. The action taken )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 382.86 Tm (was recorded on the summarised account of the accident form but not in the care plan. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 368.28 Tm (In addition to this the record of any health care visits, GP or District Nurse, had also )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 353.7 Tm (not been updated. The care plan needs to be consistently updated to make sure the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 339.11 Tm (staff are clear of what changes have been made to ensure they can meet the residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 324.53 Tm (needs. From talking to the residents and staff it is evident that the home are ensuring )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 309.95 Tm (health care needs are being met, however, this is not reflected in the care plans. Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 295.36 Tm (plans need to be up to date and include full details of individual care so that staff can )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 280.78 Tm (feel confident that the care plan will have clear guidelines of how they can meet )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 266.2 Tm (individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 251.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 237.03 Tm (Residents spoken to confirm the staff look after them well if they fall or are poorly and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 222.45 Tm (they told us that they see the Doctor, District Nurse and go to hospital appointments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 207.87 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 193.28 Tm (Improvements are required when staff are completing the daily contact sheets. In two )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 178.7 Tm (cases the information recorded could not be easily read and abbreviations such as 'W )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 164.12 Tm (and D' for wash and dress is not acceptable. The use of 'assisted with personal care', )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 149.53 Tm ('appears ok', and 'all care given' do not give a clear picture of what care has been )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 134.95 Tm (provided. Carers should also sign their full name to identify who is responsible when )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 120.37 Tm (providing personal care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 105.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 91.2 Tm (The Registered Manager told us that the issue of completing the daily contact sheets )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 76.62 Tm (has been raised previously and all staff will now be reminded of how to complete the )Tj ET endstream endobj 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (5)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET 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 /F2 12 Tf BT 1 0 0 1 31.8 802.72 Tm (sheets.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 788.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 773.55 Tm (Although there is some evidence that residents have been involved in completing the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 758.97 Tm (care plan, no one has signed their care plan to say they agree with the contents. Some )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 744.38 Tm (have signed risk assessments for medication. The home needs to involve the residents, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 729.8 Tm (their representatives or advocates in care planning to ensure that all personal )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 715.22 Tm (preferences and choices are recorded. The plans need to be more person centered with )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 700.63 Tm (detailed information, which has been agreed by the individual.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 686.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 671.47 Tm (A resident's comment: 'I know they write about me but do not know what is in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 656.89 Tm (care plan, I know they write in it when things happen'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 642.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 627.72 Tm (A requirement will be made in this report to cover all of the above issues.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 613.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 598.55 Tm (Complaints and Protection)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 583.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 569.39 Tm (The Home has a complaints policy in place, which is displayed in the hallway. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 554.8 Tm (complaints folder contained one complaint since the last inspection, which was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 540.22 Tm (actioned within appropriate timescales. Residents spoken to confirm they do not have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 525.64 Tm (any complaints and feel confident that their complaints will be listened to.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 511.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 496.47 Tm (Resident comments: 'I have no complaints but would say if I needed to'. 'Yes I know )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 481.89 Tm (how to complain, I have raised a concern in the past and the Manager sorted it out )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 467.31 Tm (very quickly'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 452.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 438.14 Tm (Staff discussed the importance of safeguarding and demonstrated their awareness of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 423.56 Tm (making the residents safe. The majority of staff have received The Protection of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 408.97 Tm (Vulnerable Adult training and there are additional courses booked for February. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 394.39 Tm (home was involved in a safeguarding alert last year, which was responded to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 379.81 Tm (appropriately. There are no current safeguarding issues.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 365.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 350.64 Tm (Staffing)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 336.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 321.48 Tm (At the time of the inspection the Deputy Manager was managing the home, there was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 306.89 Tm (one Senior Carer, one carer on duty from 8 am to 2pm and one from 8 am to 11 am. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 292.31 Tm (In the afternoon there was one Senior Carer, one carer on duty form 2pm to 8pm and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 277.73 Tm (one from 4pm to 8pm. This means at times there are only two carers on duty to care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 263.14 Tm (for 29 residents. The Deputy Manager told us that she or the Registered Manager )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 248.56 Tm (assist with the direct care of the residents when required. With 29 residents, five of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 233.98 Tm (which need more than one carer to assist them and at times a minimum of two staff, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 219.4 Tm (leaves the other residents at risk of not having their care needs met. There is no )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 204.81 Tm (laundry person therefore the care staff are also responsible for the daily laundering )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 190.23 Tm (and putting the clothes away. The layout of the building is over a large area and when )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 175.65 Tm (staff are putting laundry away in residents rooms, this can leave the home with only )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 161.06 Tm (one carer available in the lounge to meet residents needs. Daily staff also includes two )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 146.48 Tm (domestics, a cook, kitchen assistance and a maintenance person.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 131.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 117.31 Tm (At the previous inspection a recommendation was given to review the staffing levels. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 102.73 Tm (As a result the home introduced two additional shifts in the morning and afternoon. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 88.15 Tm (Information from the January rota shows that this additional shift was only )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 73.57 Tm (implemented once for two weeks, and twice for two weeks. In addition to this there )Tj ET endstream endobj 15 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 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (6)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET 1 1 1 RG 498.82 w 31.2 563.12 m 563.65 563.12 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 28.99 312.58 m 565.85 312.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 311.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 311.51 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 802.72 Tm (was two weekend days when there were only two staff on duty for the full shift and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 788.13 Tm (one covering the split shift. The Registered Manager says when this occurs she or the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 773.55 Tm (deputy is on hand to cover if required.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 758.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 744.38 Tm (There have been a considerable number of resident falls and slips in the last two )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 729.8 Tm (months. Action recorded on the accident summary indicates that residents need to call )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 715.22 Tm (and wait for staff, this indicates that they try to move before staff arrive to assist )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 700.63 Tm (them. Whilst this may be the case increased staffing levels would minimise the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 686.05 Tm (falls as response times would be quicker. A requirement will be made in this report to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 671.47 Tm (review staffing levels to ensure that at all times there is sufficient care staff on duty to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 656.89 Tm (meet the needs of the residents.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 642.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 627.72 Tm (When asked if there is enough staff on duty two relatives comments: 'Overall my )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 613.14 Tm (relative is happy here and the staff are fine, sometimes I think there could be more on )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 598.55 Tm (duty, but in general it is OK'. 'There seems less staff on at weekend, they are skeletal )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 583.97 Tm (but they seem to cope'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 569.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 554.8 Tm (The Registered Manager told us that she would be advertising for one full time and one )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 540.22 Tm (part time carer to address the staffing levels. In addition there will also be a dedicated )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 525.64 Tm (Activities Co-ordinator who will be employed for 24 hours per week.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 511.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 496.47 Tm (Over fifty per cent of the care staff have achieved or are completing the NVQ level 2 or )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 481.89 Tm (3.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 467.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 452.72 Tm (We looked at two staff files, which contained the relevant documentation to employ )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 438.14 Tm (staff safely. This included the appropriate checks such as Protection of Vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 423.56 Tm (Adults \(POVA\) First and Criminal Record Bureau \(CRB\) checks. This ensures that staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 408.97 Tm (are safe to provide care to the residents.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 394.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 379.81 Tm (Although there are shortfalls in the mandatory training the home has a training )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 365.23 Tm (programme in place to address these issues. The home needs to ensure that this is )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 350.64 Tm (ongoing to provide all staff with the training they need to meet resident's needs. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 336.06 Tm (home has an 'in house' induction programme, which includes shadowing, and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 321.48 Tm (competency based evidence of completion.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 294.51 Tm (What the care home)Tj ET /F1 14 Tf BT 1 0 0 1 191.49 294.51 Tm (does well:)Tj ET 1 1 1 RG 64.33 w 31.2 251.15 m 563.65 251.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 284.44 m 565.85 284.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 217.86 m 565.85 217.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 285.52 m 30.07 216.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 285.52 m 564.78 216.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 268.25 Tm (The people who use the service comments: 'The staff work hard, they are wonderful )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 253.67 Tm (with the more dependent people. They are very polite and socialable'. 'The staff are )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.09 Tm (always busy, they are always polite and knock on my door before they come in. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 224.51 Tm (are pretty good, they look after me fairly well'.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 197.54 Tm (What they could do better:)Tj ET 1 1 1 RG 124.57 w 31.2 125.19 m 563.65 125.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 188.6 m 565.85 188.6 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 30.07 189.67 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 189.67 m 564.78 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 172.41 Tm (Care plans need to be reviewed to provide more detail of how to care for the individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 157.82 Tm (person. The residents need to be more involved and participate in the review of their )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 143.24 Tm (plan. Improvements are required when recording in the daily contact sheets.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 128.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 114.08 Tm (Risk assessments require further detail to provide staff with written guidance of how to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 99.49 Tm (move people safely.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 84.91 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 70.33 Tm (Review staffing levels to ensure that residents care needs are fully met.)Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (7)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET 1 1 1 RG 178 w 31.2 723.53 m 563.65 723.53 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 28.99 633.41 m 565.85 633.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 632.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 632.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 788.13 Tm (The people who use the service comment: 'The staff are quite good but there is not )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 773.55 Tm (enough on duty, they do their best but sometimes take a while to come'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 758.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 744.38 Tm (A visitor comments: 'Overall I think the home is OK, however, staffing levels could be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 729.8 Tm (improved'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 715.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 700.63 Tm (Staff feedback is as follows: 'Staff struggle especially in the morning, it is a shame we )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 686.05 Tm (have no time to sit and socialise with the residents as we are too busy. This is not a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 671.47 Tm (reflection on the care as we make sure we give everyone personal care'. 'Mainly there )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 656.89 Tm (is enough staff on duty, it does make it a lot easier when there is four on in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 642.3 Tm (morning and afternoon. We cope and I am quite happy'. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 617.34 Tm (If you want to know what action the person responsible for this care home)Tj ET /F2 12 Tf BT 1 0 0 1 483.43 617.34 Tm (is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 601.34 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 19 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 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (8)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET 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 27.22 801.45 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.2 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.2 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.2 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.2 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.45 m 567.22 760.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F3 12 Tf BT 1 0 0 1 476.37 769.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F3 12 Tf BT 1 0 0 1 548.37 769.88 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 81.92 w 31.2 699.42 m 566.2 699.42 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 30.07 658.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.46 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 725.31 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 707.73 Tm (These requirements were set at the last inspection. They may not have been looked at )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 693.15 Tm (during this inspection, as a )Tj ET /F2 12 Tf BT 1 0 0 1 201.51 693.15 Tm (random inspection is short and focussed. The registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 678.56 Tm (person must take the necessary action to comply with these requirements within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 663.98 Tm (timescales set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 639.93 m 91 639.93 l S 0.001 w 30.3 w 93.25 639.93 m 197.4 639.93 l S 0.001 w 30.3 w 199.65 639.93 m 289.5 639.93 l S 0.001 w 30.3 w 291.75 639.93 m 473.9 639.93 l S 0.001 w 30.3 w 476.15 639.93 m 566.2 639.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 656.21 m 568.4 656.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.66 m 568.4 623.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 657.29 m 30.07 622.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 657.29 m 92.12 622.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 657.29 m 198.52 622.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 657.29 m 290.62 622.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 657.29 m 475.02 622.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 657.29 m 567.32 622.58 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 34.05 642.03 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 642.03 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 642.03 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 642.03 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 642.03 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 629.88 Tm (action)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (9)Tj ET /F2 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 534.18 32.22 Tm (11)Tj ET /F1 16 Tf BT 1 0 0 1 28.35 793.57 Tm (Requirements and recommendations from this inspection)Tj ET 0.99608 0.9451 0.76078 RG 52.75 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 30.07 762.16 m 30.07 707.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 762.16 m 567.32 707.21 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.9 Tm (Immediate requirements:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.31 Tm (These are immediate requirements that were set on the day we visited this )Tj ET /F2 12 Tf BT 1 0 0 1 493.73 727.31 Tm (care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 712.73 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.68 m 91 688.68 l S 0.001 w 30.3 w 93.25 688.68 m 197.4 688.68 l S 0.001 w 30.3 w 199.65 688.68 m 289.5 688.68 l S 0.001 w 30.3 w 291.75 688.68 m 473.9 688.68 l S 0.001 w 30.3 w 476.15 688.68 m 566.2 688.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.96 m 568.4 704.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.41 m 568.4 672.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.04 m 30.07 671.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.04 m 92.12 671.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.04 m 198.52 671.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.04 m 290.62 671.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.04 m 475.02 671.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.04 m 567.32 671.33 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 34.05 690.78 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 690.78 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 690.78 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 690.78 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 690.78 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 678.63 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.33 w 31.2 617.24 m 566.2 617.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.03 m 568.4 652.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.11 m 30.07 583.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.11 m 567.32 583.58 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 635.84 Tm (Statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.26 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.68 Tm (Standards Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 162.03 603.68 Tm (Care Homes Regulations )Tj ET /F2 12 Tf BT 1 0 0 1 314.13 603.68 Tm (2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.09 Tm (Standards. 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The plans, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 475.38 Tm (including moving and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 460.79 Tm (handling risk assessments, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 446.21 Tm (need to be kept under review )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 431.63 Tm (in consultation with the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 417.04 Tm (person. Improvements are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 402.46 Tm (required on the daily contact )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 387.88 Tm (sheets to provide detail of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 373.29 Tm (the care provided. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 355.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 341.13 Tm (The care plans need to be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 326.55 Tm (more person centered to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 311.96 Tm (ensure that the individual )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 297.38 Tm (needs are identified and met. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 282.8 Tm (Moving and handling risk )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268.21 Tm (assessments require to be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 253.63 Tm (reviewed when individual )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 239.05 Tm (needs change and written )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 224.46 Tm (guidelines put in place to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 209.88 Tm (enable staff to move people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 195.3 Tm (safely. Daily contact sheets )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 180.71 Tm (need to provide clear details )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 166.13 Tm (of the person's health and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 151.55 Tm (welfare to enable staff to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 136.97 Tm (monitor the care of the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 122.38 Tm (individual. )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 533.71 Tm (30/04/2009)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 99.55 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 99.55 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 99.55 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 99.55 Tm (The Registered Provider )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 84.97 Tm (needs to make sure that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 70.38 Tm (there are sufficient numbers )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 99.55 Tm (28/02/2009)Tj ET endstream endobj 23 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 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0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 684.66 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 292.3 802.72 Tm (of staff working at the home )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 788.13 Tm (at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 767.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 752.97 Tm (To make sure that there is )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 738.38 Tm (enough staff on duty to meet )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 723.8 Tm (the health, welfare and )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 709.22 Tm (individual needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 694.63 Tm (people who live there. )Tj ET 0.99608 0.9451 0.76078 RG 67.33 w 31.2 632.82 m 566.2 632.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 667.61 m 568.4 667.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 668.69 m 30.07 599.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 668.69 m 567.32 599.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 651.43 Tm (Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 633.84 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 619.26 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.68 Tm (improving their service.)Tj ET 0.99608 0.9451 0.76078 RG 18.15 w 31.2 586.71 m 91.05 586.71 l S 0.001 w 18.15 w 93.3 586.71 m 197.4 586.71 l S 0.001 w 18.15 w 199.65 586.71 m 566.1 586.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 596.91 m 568.3 596.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.51 m 568.3 576.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 597.98 m 30.07 575.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 597.98 m 92.17 575.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 597.98 m 198.52 575.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 597.98 m 567.22 575.43 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 34.05 582.73 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 582.73 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 582.73 Tm (Good Practice Recommendations)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Older People)Tj ET /F2 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F1 11 Tf BT 1 0 0 1 508.09 32.22 Tm (11)Tj ET /F2 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F1 11 Tf BT 1 0 0 1 542.01 32.22 Tm (11)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 795.58 Tm (Reader Information)Tj ET 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 28.35 728.43 m 223.34 728.43 l S 0.001 w 1 1 1 RG 20.58 w 225.59 728.43 m 565 728.43 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.6 m 223.34 705.6 l S 0.001 w 1 1 1 RG 20.58 w 225.59 705.6 m 565 705.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.68 m 567.2 762.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.85 m 567.2 739.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.02 m 567.2 717.02 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 26.14 762.68 m 567.2 762.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.85 m 567.2 739.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.02 m 567.2 717.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.18 m 567.2 694.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.59 m 27.22 693.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.59 m 224.46 693.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.59 m 566.13 693.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F2 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.49 Tm (Author:)Tj ET /F2 12 Tf BT 1 0 0 1 228.43 746.49 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.66 Tm (Audience:)Tj ET /F2 12 Tf BT 1 0 0 1 228.43 723.66 Tm (General Public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.83 Tm (Further copies from:)Tj ET /F2 12 Tf BT 1 0 0 1 228.43 700.83 Tm (0870 240 7535)Tj ET /F2 12 Tf BT 1 0 0 1 329.23 700.83 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 1 0 0 1 28.35 679.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 665.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 650.7 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 78.92 w 25.8 608.73 m 563.3 608.73 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 633.12 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.54 Tm (Copies of the National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 303.87 618.54 Tm (Care Homes for Older People can be )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.95 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.37 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.79 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 554.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 536.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 507.46 Tm ()Tj ET 34.17 w 25.8 487.85 m 563.3 487.85 l S 0.001 w /F1 20 Tf BT 1 0 0 1 31.2 482.33 Tm (Helpline:)Tj ET /F1 20 Tf BT 1 0 0 1 28.35 448.16 Tm (Telephone:)Tj ET /F2 20 Tf BT 1 0 0 1 159.95 448.16 Tm (0845 015 0120)Tj ET /F2 20 Tf BT 1 0 0 1 320.9 448.16 Tm (or)Tj ET /F2 20 Tf BT 1 0 0 1 348.61 448.16 Tm (0191 233 3323)Tj ET /F1 20 Tf BT 1 0 0 1 28.35 416.5 Tm (Textphone)Tj ET /F1 20 Tf BT 1 0 0 1 147.24 416.5 Tm (:)Tj ET /F2 20 Tf BT 1 0 0 1 162.32 416.5 Tm (0845 015 2255)Tj ET /F2 20 Tf BT 1 0 0 1 323.28 416.5 Tm (or)Tj ET /F2 20 Tf BT 1 0 0 1 350.98 416.5 Tm (0191 233 3588)Tj ET /F1 20 Tf BT 1 0 0 1 28.35 384.83 Tm (Email:)Tj ET /F2 20 Tf BT 1 0 0 1 105.28 384.83 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F1 20 Tf BT 1 0 0 1 28.35 353.16 Tm (Web:)Tj ET /F2 20 Tf BT 1 0 0 1 100.35 353.16 Tm (www.csci.org.uk)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 323.51 Tm ()Tj ET /F1 18 Tf BT 1 0 0 1 28.35 294.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 272.04 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 254.54 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 18 Tf BT 1 0 0 1 28.35 228.51 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 205.79 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 205.79 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.2 205.79 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 188.29 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 170.79 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 153.29 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 135.79 Tm (misleading context. 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