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(3)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 193.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 193.87 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 193.87 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 193.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 193.87 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 193.87 Tm (0)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Regent Hotel)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 719.2 Tm (11 North Marine Drive )Tj ET /F2 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Bridlington)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 684.04 Tm (East Yorkshire)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 666.46 Tm (YO15 2LT)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01262673338)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01262403607)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 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provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Sandylane Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 59.76 469.27 Tm (Elizabeth Annie )Tj ET /F2 12 Tf BT 1 0 0 1 156.67 469.27 Tm (Finney)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 423.61 Tm (29)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 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301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 263.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 308.55 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 308.55 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 308.55 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.71 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.14 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 285.71 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 285.71 Tm (29)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 32.32 231.57 m 564.47 231.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 244.12 m 567.8 244.12 l S 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0.001 w [] 0 d [] 0 d 2.25 w 347.67 218.99 m 347.67 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 218.99 m 379.02 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 218.99 m 410.32 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 218.99 m 441.67 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 218.99 m 473.02 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 218.99 m 504.32 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 218.99 m 535.67 194 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 218.99 m 567.02 194 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 201.73 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 201.73 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 201.73 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 201.73 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 201.73 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 201.73 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 201.73 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 201.73 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 201.73 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 183.21 m 565.9 183.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 173.58 m 568.1 173.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 174.66 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 174.66 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.83 m 568.1 192.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.58 m 568.1 173.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 193.91 m 30.07 172.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 193.91 m 567.02 172.5 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 179.65 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 179.65 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 160.4 Tm (Regent Hotel is a large detached building situated on the front of Bridlington's North )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 143.4 Tm (Beach. It is part of a residential area away from the town centre. Local shops and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 126.39 Tm (amenities however, are only a short walk from the home. Limited parking is available )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 109.39 Tm (behind the house. On-street parking is close by but because of the home's position on )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 92.39 Tm (the seafront, there is a fee for this. The home is currently registered to provide )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 75.39 Tm (accommodation and personal care for up to twenty-nine older people, some of whom )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 58.4 Tm (may have dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 41.4 Tm ()Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.85 m 568.1 509.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 756.16 Tm (Regent Hotel has mainly single bedrooms, the majority of which have ensuite facilities. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 739.16 Tm (Some of the en-suites have a bath or a shower. The home also has two assisted )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 722.16 Tm (bathrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 705.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 688.16 Tm (The home has a large communal room, which overlooks the bay. This is divided into a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 671.16 Tm (lounge area at one end and a dining area with a few easy chairs at the other end. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 654.16 Tm (There is a small dining room to offer more space and choice for residents.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 637.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 620.16 Tm (There is a small garden area at the front of the home with seating and tables available.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 603.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 586.16 Tm (The weekly fees range between 362 and 450. There may be a top up fee dependent )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 569.16 Tm (on the size of the bedrooms. Additional charges are made for optional extras such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 552.16 Tm (hairdressing, chiropody and personal items like newspapers and specific toiletries. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 535.16 Tm (Information about the home can be found in the statement of purpose and service user )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 518.16 Tm (guide located in the entrance.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We decided to complete a random inspection of Regent Hotel in response to concerns )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 705.57 Tm (about risk management and care planning highlighted during a joint visit by a member of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 690.98 Tm (the local authority safeguarding team and a health and safety officer. A safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 676.41 Tm (investigation is still progressing.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 661.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 647.24 Tm (We found that there were some concerns about risk management and care planning and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 632.66 Tm (have issued the provider with a warning letter to ensure that action is taken to address )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.09 Tm (the shortfalls. We will continue to monitor the home closely and it is possible that an )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.51 Tm (early return visit will take place to check on progress.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.34 Tm (The provider advised that they had become aware of some management shortfalls in )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 559.77 Tm (January 2010 and had started an internal investigation with subsequent disciplinary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 545.18 Tm (action.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 516.03 Tm (Two weeks prior to this site visit, the registered manager of a sister home took over )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.45 Tm (responsibility for managing Regent Hotel to address the shortfalls. The provider has also )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 486.86 Tm (employed an experienced person to assist the manager with regards to care plans, risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 472.29 Tm (assessments and other important records.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 457.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 443.13 Tm (The following is our findings from this site visit: -)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 413.96 Tm (Choice of Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.8 Tm (We examined four care files during the visit and it was clear that not everyone admitted )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.23 Tm (to the home had their needs assessed prior to admission. The home had templates of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.64 Tm (assessment documentation for staff to use. However, to improve, this needs to cover all )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 341.07 Tm (the areas identified in standard 3 of the Care Homes Regulations and detail how the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.48 Tm (person's health or condition affects their activities of daily living.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 297.33 Tm (It is important that all people admitted to the home have their needs thoroughly assessed )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 282.74 Tm (to enable staff to be sure the home is able to meet their needs. Without this assessment )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 268.17 Tm (important care may be missed at the care planning stage or the person may have to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 253.59 Tm (move to another home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.01 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 224.43 Tm (One of the four care files examined had an assessment and care plan produced by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 209.85 Tm (local authority. The home needs to obtain assessments and care plans for all residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 195.26 Tm (funded by the local authority, prior to admission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 180.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 166.1 Tm (The home needs to write to the potential resident, or their representative, following their )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 151.52 Tm (pre-admission assessment, formally stating their ability to meet the person's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 136.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 122.36 Tm (Health and Personal Care)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 107.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 93.21 Tm (All four of the care files examined did not have detailed plans of how needs were to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 78.63 Tm (met. This was to be expected in three of the care files, as there was no assessment of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 64.04 Tm (person's needs. The care plans in place were generic and covered personal care and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 49.47 Tm (general social care only. Staff commented on how the person mobilised in the general )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (social care plan. There was an information sheet on nutrition, which gave staff some )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (details about food preferences and where the person likes to eat their meal. It also stated )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (the homes meal times, rather than, as indicated on the form, the residents preference )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (times.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (One care plan we examined was for a person who had recently had a serious accident in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (the home. The section on personal care described a person who was very independent )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (with all personal care tasks only requiring minimal assistance, and the general social care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (plan described how the person mobilised unaided and attended the home for day care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (and periods of respite. In reality, the person was a permanent resident, experienced )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (confusion, tried to leave the building on several occasions, had cellulitis and very swollen )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (legs, had wandered into the dining room and fallen out of a window fracturing her hip and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (had recently returned to the home following surgery. The care plan in place bore no )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (resemblance to the needs of the resident.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (A second care plan had some information in the general social care section regarding )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (behaviours that could be challenging to other residents and staff. Staff were completing a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (seven day, 'behaviour record' for a health professional. The behaviour chart used codes )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (from 1-6 recorded at fifteen minute intervals, 1 being, 'asleep' and 6 being, 'challenging )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (verbal/physical aggression'. The entry for 2/8/10 at 1pm recorded 45 minutes of code 6 )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (but there was no information about what the behaviour was, who it was directed at, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (whether it was verbal or physical aggression nor what the staff did to support the person )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (and manage the situation. The person did not have a risk assessment detailing the risks )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (involved with the behaviours that can be challenging and there was no behaviour )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (management plan in place to guide staff on what the behaviours were and what )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (approaches to use to manage any incidents in a consistent way.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (We spoke to staff members and they described the action they took during any incidents )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (and these differed between them. It was important that staff had clear guidelines in order )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (for support for the person to be consistent and based on advice from professionals )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (involved in their care.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (The two other care plans we examined were similarly lacking in detail about the range of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (care needs the residents experienced. For example, one person had a history of pressure )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (sores to their heels and had required district nurse intervention. The risk assessment )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (stated they were at risk of pressure sores but there was no effective care plan to relieve )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (pressure and prevent a re-occurrence of the sores. Other residents were noted to have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (dementia care needs but the care plans failed to address this. We examined a fifth, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (additional care plan, as there was a medical record that stated the person was discharged )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (from hospital with a broken skin area that was sore and infected. The care plan had not )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (been updated with this information and there was no guidance in how staff were to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (manage this element of care.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (The care plans must cover all health, social, emotional and psychological needs, have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (clear guidance for staff in how the needs are to be met, must be updated when needs )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (change and evaluated monthly to ensure its ongoing use in meeting needs. We also )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (noted that there were no personal profiles or life histories in the care files we examined. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (These would provide staff with background information about the residents and their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (families, their likes and dislikes, their preferences for care and support, their previous )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (interests and hobbies and would also help staff to have a better understanding of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (person in their care. The care plans could then be made more person-centred.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (When spoken with, staff were reasonably clear about how they manage personal care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (tasks, despite some of the information not written down in plans. This was due to the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (length of time the staff had cared for the residents. However, this reliance on a verbal )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (exchange of information from staff to staff could mean that important care will be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (missed. Good, clear care plans would also help new staff gain information much quicker )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (and enable them to be confident in the knowledge that they know how to meet peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (needs.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (The care files included various risk assessments for moving and handling and pressure )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (sores. There were also individual risk assessments, for example, for one person who )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (wanders at night. The individual risk assessments need to be more detailed about the risk )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (and the action staff need to take to minimise the risks. For example, one person liked to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (wander about the home and had on occasions left the building and on others had opened )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (windows and doors. On a recent occasion they had opened a window on the ground floor, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (climbed out and had fallen and fractured their hip. Their risk assessment mentioned )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (hazards as, 'wandering at night', 'poor vision' and 'unsteadiness', and that the resident )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (could be harmed if their en-suite light was not left on, if there were obstacles in their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (way, if they were not using their walking stick or if the correct moving and handling )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (techniques were not used. Staff stated the risk was adequately controlled by ensuring the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (light was on and an obstacle-free environment. Further actions were to observe day and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (night and ensure the resident wore their glasses. There was no risk assessment regarding )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (the residents' attempts to leave the building and that they had also tried to take another )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (resident with them, there was no mention that the resident opened windows if they were )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (not locked, despite a monthly report dated 7/6/10 to 5/7/10 highlighting this and there )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (was no guidance for staff in how to minimise these risks.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (Six residents had bed rails in place but there were no risk assessments that conformed to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (health and safety guidance.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Information from the risk assessments that were in place was not carried forward to the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (care plans. If staff used the care plans to guide them in the care of the residents, they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (would be lacking vital information.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (There was evidence that people had access to health care professionals for advice and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (treatment. People were registered with a general practitioner and district nurses and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (community psychiatric nurses visited specific residents. Staff completed a medical records )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (form when the resident received any medical care. We noted that one resident had an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (infected eye. They had received treatment for this previously but were not receiving any )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (current treatment. It was also noted that their spectacles, finger nails and hands needed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (cleaning. Another resident was observed almost sliding out of their chair. Staff passed by )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (frequently but didn't notice and their visitor had to request assistance. Staff need to be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (more proactive and contact the GP for further advice and more vigilant about hygiene )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (and other issues of concern. The acting manager confirmed that a care staff member was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (now to be positioned in the lounge at all times so they could respond quickly as required.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (In the three surveys received from residents two people stated that staff were, 'usually' )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (available, one stated, 'always'. Two said that they received the care and support they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (required, 'always', whilst the third person said this was, 'usually'. One resident told us, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm ('people are very good to you'. A relative told us they were very satisfied with the care, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm ('mum is much better here than at the previous home - she is a lot happier. The only issue )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (is the staffing levels'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (One care file indicated that the person was at risk of falls and indeed, when the accident )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (book was checked, they had 18 recorded falls in May and five in June 2010. Records )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (highlighted that staff had acted appropriately as the resident had seen their GP and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (community psychiatric nurse who had referred them to the falls clinic, their medication )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (had been reviewed and a walking aid provided.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Recording of care and dating of records needs to be improved to ensure there are clear )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (and consistent records. Staff recorded the care they provided daily on a weekly )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (evaluation sheet. There were separate sheets for AM, PM and at night. Staff indicated yes )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (or no, as to whether care needs and personal hygiene tasks had been met, commented )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (good, fair or poor for diet and fluids, ticked a box relating to, 'toileting needs' and made a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (very brief statement when asked to comment on problems or what the person had done )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (that day. There was also a weekly tick box for bathing, hair, nail and foot care and any )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (GP or district nurse visit.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (It was difficult to follow the pattern of care in one file examined, as, out of twelve record )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (sheets, only five were dated. The comments box was small and dictated the amount of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (information staff could write. Staff tended to comment on meals at each entry. It was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (noted in the comments for one resident, 'legs continue to be a concern. The antibiotics )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (don't seem to be working', however, there was no indication of what the concern was or )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (what staff did about it, and there was only one other mention of it, 'having a little trouble )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (with her legs'. The four-weekly evaluation sheet did include information about the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (persons' cellulitis and swollen legs and that creams were to be applied and antibiotics )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (taken. It also mentioned that the resident tried to leave the building and was capable of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (opening doors and windows if not locked. It also commented that the person, 'eats quite )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (well' but can also move food about the plate without eating eating it. None of these needs )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (had been updated into the care plan, which was the intention of the evaluation of care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (sheet.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (There was no monitoring charts for pressure relief in place despite a resident having a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (pressure sore.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (The management of medication required improvement to ensure people received their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (medication as prescribed and to ensure clear records were maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (We examined the medication administration records \(MAR's\) and generally medication )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (was signed into the home when it was delivered in monitored dosage systems. However, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (there were gaps in signing in medication and carrying it forward to the next MAR, for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (deliveries outside of this weekly system. This made auditing medication difficult.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (Some people had been unable to have medicines that were prescribed to them because )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (of poor stock control and there were some gaps in administration, without a code to say )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (why it was omitted. We also noted that one person was prescribed a medicine to be taken )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (weekly, however, staff had missed the day they should have had it, which was four days )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (prior to this site visit. They were advised to contact the GP during the inspection and seek )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (advice.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Some residents were prescribed creams or ointments but there was no, or only )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (intermittent, evidence of their application. One person was prescribed a pain relief cream )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (three times a day but the evidence suggests it was applied once a day at 5pm with )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (sometimes a second application in the morning.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Some residents had declined to take their medicines, sometimes for days at a time but )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (there was no evidence that the persons' GP was contacted so they could prescribe the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (medicine in an alternative format or at another time of day.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (When medication was prescribed mid-cycle, staff hand wrote the instructions onto the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (MAR. For good practice it is recommended that there be a witness to countersign the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (instructions to avoid any mistakes. There was an occasion noted when staff had hand )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (written instructions outside the MAR boxes designated for that purpose, and then failed to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (record whether it was administered at all. There was another occasion when a staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (member had written incorrect information on the MAR stating that the medicine )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (contained paracetamol when it didn't.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (The controlled drugs \(CD\) book had not been completed effectively so that the amount )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (remaining in the book did not tally with the actual stock. This error had occurred when )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (residents had died in the home and their controlled drugs returned to the pharmacy. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (had indicated the residents death but not what had happened to their remaining )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (controlled drugs. Hence, the medicine appeared to be still in stock. This was the case for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (four entries of pain relief patches in the CD book and staff will have to seek advice from )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (the pharmacist about correction. The deputy manager confirmed that the patches had )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (been returned to the pharmacy.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Daily Life and Social Activities)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We noted that there were very little social activities or occupations for residents. Some )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (people were content to sit near the windows and look out at the sea and watch the world )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (go by, but other people said they were bored. Those with dementia care needs had little )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (stimulation. Residents spoken with and surveys received from them confirmed this. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Comments were, 'a lot sleep', 'no there are none - my son used to take me out but they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (live abroad now and no-one here takes me out. I would love to go for a walk', 'it's boring )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (- there is nothing to do', 'something could be done to entertain the residents, as it is very )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (boring' and 'I would like to go out more for a cup of tea and to go and sit by the sea'. In )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (discussions and surveys staff also confirmed that there were limited activities in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (home, 'it would be better if service users could have more entertainment within and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (outside of the home', 'there are no activities other than movement to music - we used to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (have bingo. No-one ever goes out because there is not enough staff' and 'we have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (movement to music on Thursdays and monthly church services'. In three surveys from )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (residents, two said they had activities, 'sometimes' and one person said, 'never'. It was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (clear that staff recognised the need to provide more stimulation but staffing constraints )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (prevented this.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We were concerned during the visit that there appeared to be limited choices and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (decision-making for some residents, which can lead to a culture of institutionalised care. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (We were told that some residents were supported to get up at 5am, as night staff needed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (to start early. This is unacceptable and must be investigated and stopped. Staff also told )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (us that a church service was held monthly in the home and Holy Communion given to all )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (present. Staff were unsure if people had a choice about this. Staff and residents also told )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (us that people were restricted in where they could eat a full cooked breakfast, i.e. in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (dining room only. One resident also missed their weekly bath, meaning they went two )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (weeks in between baths, as the staff were too busy.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (There were also negative comments about the choices of meals. For example, one choice )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (was provided for the main meal at lunch and catering staff visited each resident at about )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (10am to check that they wanted this option. If people preferred something else there was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (little time left before lunch at 12 noon to prepare anything. People told us the alternatives )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (to the main meal were sausages and fish cakes and the sandwiches at tea-time were very )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (repetitive. Some comments were, 'the tea is just not strong enough' and 'we have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (sandwiches for tea at 5pm and they are taken out again at 9pm and they are wet'. Of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (three surveys we received from residents, one stated they liked the meals, 'always', one )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (said this was, 'usually' and the third stated, 'sometimes'. Staff stated in surveys and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (discussions, 'I think the meals could be improved as well', 'there are limited biscuits for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the tea rounds, only one for each resident usually' and 'the dining room is just not big )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (enough and there is a separate place for people who need assistance'. The dining room )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (was small and could not accommodate all the residents at once. The home would have to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (have two sittings if people wished to eat there.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (People must be allowed to choose their preferred rising and retiring times, where they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (choose to have their meals, and be given the opportunity to participate in occupations )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (and social stimulation.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (Staff were very busy and management changes at the home had impacted on the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (organisation of shifts. One resident was observed saying, 'hello' to staff but they didn't )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (respond. We also observed staff assisting people to eat their meals at lunch time. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (were wearing plastic aprons and hair nets and we questioned whether this was required.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Complaints and Protection)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (When asked, some residents were unsure about how to make a complaint. This should be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (explained to people again to make sure they feel able to complain freely and with )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (confidence that their complaint will be addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (We noted that very few staff had received any training in the protection of vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (adults from abuse. Staff, in discussions, did state they would report any poor practice or )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (allegations of abuse but there were unsure of the full procedures. It is important that )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (people can recognise when abuse or poor practice has occurred and report it with the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (confidence that it will be addressed and referred to the local authority, as the lead )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (agency, for investigation. Managers need to make sure that they complete a more in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (depth managers awareness course in their role as referrer and possible investigator.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (The local authority is currently investigating an allegation made by a resident regarding )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (the care they received at night. One night care worker is suspended pending the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (investigation. There is also an ongoing joint investigation with the local authority's )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (safeguarding team and health and safety officer regarding a residents' serious accident )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (and fractured hip.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (There has been an instance when a resident has left the building and was returned by the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (police, another when a resident was harmed in a serious incident, and there have been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (occasions when some people have been targeted by an other resident and verbally )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (abused causing anxiety and distress. The lack of effective risk management and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (comprehensive behaviour management plans means that there is a chance these )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (incidents could continue. Plans must be put in place to ensure the continued safety and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (welfare of residents living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Environment)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We carried out a check on the environment during the visit. The home is situated on the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (sea front with nice views out to sea from the lounge windows. The lounge had been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (redecorated recently and a relative commented that they were pleased with the result. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (The home has a separate dining room leading off from the kitchen. This is a small and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (rather dark room, as the windows face a passage and the walls of the building next door. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (However, it was clean and tidy and tables were set out with individual tablecloths and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (place settings. There would need to be two sittings if everyone chose to use the dining )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (room for their meals.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Most bedrooms had an en-suite toilet and sink and some rooms had baths or showers. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (However, most people were bathed in the main bathroom on the second floor, which had )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (a chair lift for ease of access. The bathroom on the first floor was unusable, as it was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (cluttered with items. This needs to be de-cluttered so it can be used, or made )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (inaccessible if it is to continue to be used as a store room. The toilet next to this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (bathroom had no hand washing facilities and inappropriately sited toilet paper. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (provider may wish to consider an alternative use for these two rooms such as a walk-in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (shower room.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (Bedrooms were personalised to varying degrees based on the taste of the occupant. It )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (was noted that the lightweight wardrobes moved very easily and could become a hazard, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (especially as large safety deposit boxes were stored on top of them and moved forward )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (when we opened the door of one of the wardrobes. This was mentioned to the provider to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (address.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (Some areas of the home, including some bedrooms and en-suites, were looking quite )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (tired and in need of modernisation and redecoration. We acknowledge that this is a big )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (task but there needs to be a redecoration/refurbishment plan with timescales so )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (improvements can be planned and monitored.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (During the tour of the premises we observed some issues of practice that required )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (attention. In one en-suite toilet there were four catheter bags on the floor, two had been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (used, but all had compromised tubing. All needed to be discarded. There were no tooth )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (brush holders, which meant that the brushes came into contact with other toiletry items, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (such as soap, some sinks did not have plugs and some of the overhead sink lights were )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (not working. These items were mentioned during feedback to the provider.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (The home has not had a dishwasher for a year and we were told that the oven )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (thermostat has been broken for several weeks, which has made cooking difficult. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (acting manager advised that a new dishwasher and a new part for the cooker has been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (ordered. Replacement equipment needs to be provided in a more timely way.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (It was noted in bathing records that the hot water temperature was recorded between 37 )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (and 41 degrees. This could be cool for some residents and should be approximately 43 )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (degrees for an ambient temperature.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (The home had a system of writing down any repairs or replacements that were required )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (and these were signed off when the task had been completed. Staff need to check the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (environment more frequently and be more vigilant to ensure that issues are reported )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (quickly.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (There were other environmental issues that impacted more on the safety and welfare of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (residents and these are detailed in the section on management and administration.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (Staffing)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We were told that the home currently has twenty-five residents and that there were two )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (care staff and a deputy manager or senior on duty each day. We were told there was an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (additional staff member five mornings a week, specifically to bathe residents. In the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (mornings, as the deputy manager or senior carer would be administering medication, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (taking phone calls and dealing with any health professionals, this left the two care staff to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (support people to rise and dress. The staff member employed to bathe residents stated )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (they usually managed to bathe about four people each morning. We were told that the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (night staff started to get people up very early in order to help the day staff to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (work was completed. As mentioned previously this practice is to stop and people are only )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (to be supported to rise at the time of their choice.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Staff in surveys and discussions told us they were rushed and very busy, having little )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (time to sit and chat with people. There were specific busy times and the provider needs )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (to look at staff deployment to ensure these are covered adequately. Comments from staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (were, 'sometimes we have some service users that are quite ill, or we have service users )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (that take two carers - it would be helpful to staff if we had extra staff at some parts of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (the shift' and 'at times the home could do with more staff, especially when service users )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (are ill'. This was also echoed by a resident, who had recently stated they felt rushed, had )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (been spoken to abruptly and had been told by a night carer that they could only see to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (her once at night when she couldn't get to the toilet in time, as they were too busy. This )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (latter issue is being investigated by the safeguarding team. We also observed during the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (visit, an incident when a resident said, 'hello' to a staff member and this was not even )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (acknowledged.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (The home had a training plan on the office wall, which highlighted the training staff had )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (completed. It didn't have dates of completion or when follow up, refresher training was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (required. The acting manager advised that these details were held in individual staff files )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (and they were in the process of auditing training to ensure it was up to date and to plan )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (specific courses. There were some gaps in mandatory training such safeguarding adults )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (from abuse, fire safety awareness and competency checks for medication practices. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (had received moving and handling training from the acting manager, who had completed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (a train the trainer course. However, we were told that the acting manager required a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (refresher moving and handling course to enable her to continue delivering moving and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (handling training to other staff.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Some staff had completed dementia care training but this, along with how to manage )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (behaviours that can be challenging to others, needs to be completed by all carers in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (home. There had been some training in the past regarding the conditions affecting older )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (people, however, this can be broadened to ensure that staff have the opportunity to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (participate in training such as Parkinson's disease, diabetes, strokes, sensory loss, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (arthritis, catheter care and pressure area care. This will help to provide staff with the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (knowledge and confidence required to care for people with a range of needs and )Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 28 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (conditions.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (The figures regarding training to National Vocational Qualification \(NVQ\) in care at level 2 )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (or above, were not available to us on the day and training information had not arrived at )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (the time of writing this report. However, staff spoken with confirmed they had access to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (NVQ training and three surveys received from staff told us they received the training they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (required for their role.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (We did not examine staff recruitment files during the visit. However, it is advised that the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (acting manager check out the staff files to ensure that the required recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (documentation is in place.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Management and Administration)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (We were told that the previous manager had recently left the home and interim )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (arrangements had been put in place. The provider needs to formally write to the Care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Quality Commission with the details of these new management arrangements. There is )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (an acting manager in place at present, who is the registered manager for a sister home in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (the company. The deputy manager was working her last week at the home and a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (replacement deputy manager had stated work two days prior to our site visit. The )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (changes in management structure will have an effect on the home and staff will need to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (get used to different management styles. One resident told us how they would miss the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (previous manager and a comment in a staff survey stated, 'hopefully the changes )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (\(management\) will make this an even better home'.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (The provider advised that they had been made aware of shortfalls in care planning from a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (recent visit by the safeguarding team and had made arrangements for an additional )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (person to work at the home, in a supernumerary capacity, to assist the acting manager )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (to re-write the care plans.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (There have been some issues with a lack of communication between staff, the previous )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (manager and the provider and relevant information has not been passed on. There was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (also an occasion when staff reported an issue to the manager but no action was taken to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (address the situation.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (The provider completed visits to the home in line with responsibilities detailed in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (regulation 26 of the care homes regulations. The provider confirmed that they spoke to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (residents and staff during these visits, satisfied themselves that the home was being )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (managed appropriately and produced a report. We were unable to locate the regulation )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (26 reports during the visit and these need to be available for future inspections.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (We did not examine staff supervision during the visit but the acting manager was advised )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (to check that care staff have been receiving formal supervision at least six times a year. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (This will enable their practice to be monitored, training needs to be identified, enable an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (exchange of relevant information, and also enable a forum for staff to discuss any issues )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (of concern.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (At the last annual service review in February 2010 we received several surveys from )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (residents stating that activities and elements of catering could be improved. We )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (contacted the home and alerted the deputy manager to the contents of the surveys and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (also mentioned these comments in the report that was produced. The deputy manager )Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 30 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (stated that they would conduct a questionnaire to residents to find out their views and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (address any shortfall. We could not determine that these questionnaires had been sent to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (the residents or that the shortfalls had been addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (A general survey had been sent to residents and relatives in October 2009. In the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (residents survey, twelve were returned out of twenty-four. The questions covered the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (accommodation, staff attitudes, food and activities. There were negative comments about )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (food and activities. The summary stated that the activity programme would be looked at )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (but ten months later, the situation remained the same. Residents views must be listened )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (to and action taken to address shortfalls to improve the service, or they may be reluctant )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (to comment in future surveys. Generally, relatives commented positively in the surveys, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (however, some stated that the opportunity to express choice could be improved. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Although there is an annual system of questionnaires, shortfalls are not always actioned. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (It would also be useful to gain the views of professional visitors to the home and staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (members working there.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (There were several areas in the environment that impacted on safety and welfare. A good )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (quality auditing system would have identified these issues. The environment needs to be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (monitored more effectively to ensure the home is a safe place for people to live in and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (staff to work in. For example, six residents used bed rails but there were no protectors in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (place and one accident record stated a resident had been found with their legs stuck )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (through the rails, causing redness to the back of their knee. In the same time frame the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (resident had an entry in a medical record that referred to a skin flap on their leg but no )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (other accident record explained the cause. A further entry stated the district nurse visited )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (and noted the skin flap had healed. It was unclear whether the bed rail incident had )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (caused the skin flap but it was difficult to rule it out.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (There were no foot rests on one of the wheelchairs, which may lead to the occupant )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (trapping their feet when using it and the tyres did not have sufficient air in them. This )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (could affect the braking system.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (The home had a stair gate at the foot of the stairs on the ground floor and on the first )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (floor, to prevent residents wandering upstairs. However, the ground floor gate was )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (positioned on the third step up so if any resident did come down the stairs, when they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (reached it, it was just above knee level. There was a risk of falling over it at this point. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (This has been mentioned to the acting manager and the local authority health and safety )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (officer to check out.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (One of the bedrooms had an extension lead with several plugs installed. This was hanging )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (from the chest of drawers and affected the opening of it. The provider needs to install )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (more appropriately placed sockets if the resident requires extra electrical equipment and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (ensure any extension lead overload is checked out as safe with an electrician.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We were told that the tea pots used by staff, leaked when pouring the tea, which could )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (cause injuries and needs to be checked out.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (We were told that there had not been any fire drills for over a year. As there were )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (seventeen staff members that still required fire safety training it was important that this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (was checked out and addressed to ensure that staff knew what to do in cases of fire )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (emergencies. We checked the fire alarm test records and it was unclear whether these )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (had been completed as accurately as the documentation suggested. There was a )Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 90.48 w 31.2 739.98 m 580.26 739.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.62 m 582.46 693.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 692.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 692.54 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (discrepancy between a fire system service result and a weekly alarm test record. This )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (was mentioned to the acting manager and provider to ensure that weekly and accurate )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (fire alarm tests are completed. It is recommended that a different fire zone be tested )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (each time and this zone recorded on the test sheet. The fire system service report )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (highlighted faults with the detectors and the provider stated that these had been fixed. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (The provider is to send evidence of this to the Care Quality Commission.)Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 675.55 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 675.55 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 312.18 w 31.2 508.27 m 580.26 508.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 665.48 m 582.46 665.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 351.05 m 582.46 351.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 666.56 m 30.07 349.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 666.56 m 581.38 349.98 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 649.3 Tm (The provider has acknowledged the shortfalls identified in this report and is anxious to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 634.72 Tm (work with the Care Quality Commission to improve the quality of the service provided to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 620.14 Tm (people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 605.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 590.98 Tm (The majority of staff have worked at the home for some time and know the residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 576.4 Tm (well. They have the residents best interests at heart and want to ensure that they are )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 561.82 Tm (safe and well cared for.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 547.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 532.66 Tm (The acting manager told us that over 50% of care staff had completed a national )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.08 Tm (vocational qualification \(NVQ\) in care at level 2 or 3. We accepted this information as )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 503.5 Tm (correct, however, we could not confirm it during the day.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 488.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 474.34 Tm (Although there are some areas of the home that are looking tired and in need of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 459.76 Tm (decoration, the home is very pleasantly situated, facing the sea front.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 445.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.6 Tm (The lounge has been recently decorated and a relative commented on how nice it looked.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 416.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 401.44 Tm (Most of the bedrooms have en-suite toilets and sinks and some have showers or a bath.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 386.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 372.28 Tm (Visitors are welcomed at the home at any time and we observed family members coming )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 357.7 Tm (and going throughout the day.)Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 330.73 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 278.12 w 31.2 181.61 m 580.26 181.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 321.8 m 582.46 321.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 322.87 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 322.87 m 581.38 40.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 305.61 Tm (The home must make sure that peoples' needs are assessed prior to their admission and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 291.03 Tm (that any risks are identified.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 276.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 261.87 Tm (Each resident must have a comprehensive care plans detailing what their needs are and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 247.29 Tm (how these are to be met. There must also be comprehensive behaviour management )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 232.71 Tm (plans to guide staff in how to support people consistently, when they experience )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 218.13 Tm (behaviours that are challenging to others. Good assessments and care plans that are )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 203.55 Tm (updated when needs change will help staff to look after people more fully.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 188.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 174.39 Tm (Staff need to make sure that they date the records they complete. Monitoring charts )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 159.81 Tm (could be filled out more comprehensively and there could be more information about the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 145.23 Tm (care provided each day to people, with follow through to the next shift when required.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 130.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 116.07 Tm (People had access to health professionals but staff must be more aware of when to follow )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 101.49 Tm (up health issues with them. They also need to be more vigilant about hygiene issues for )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 86.91 Tm (particular residents, especially following meals, but also around the home in general.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 72.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 57.75 Tm (Medication must be managed more effectively so that people receive their medicines as )Tj ET endstream endobj 33 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 34 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (prescribed and so that records are accurate.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (There needs to be more activities and occupations for residents. This will prevent people )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (from becoming bored and help to keep them stimulated and feel included in their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (community.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (People must be supported in making more choices about their daily living to give them )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (more control. This will help people to recognise more that Regent Hotel is their home )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (where their views will be listened to and actioned.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (There have been some negative comments about the provision of meals and these must )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (be looked into and addressed. There could be a more improved system, especially around )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the timing of checking out whether people want the main meal at lunchtime, designated )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (on the menu. This would leave more time to prepare the preferred alternative.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (Residents need to be more aware of the complaints process, as we were told in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (discussions and surveys that they were not sure what to do and who to speak with.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (The home needs to make sure that all staff receive training in how to safeguard )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (vulnerable adults from abuse. This will make them more aware of the policies and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (procedures and ensure that any incidents are dealt with confidently and appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Management must ensure that the environment is risk assessed and checked more )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (frequently so that any issues of concern can be identified quickly and addressed. They )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (could also make sure that repairs of equipment or replacements are completed promptly.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (There needs to be more staff on duty at peak times or a better deployment of existing )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (staff so that peoples' needs can be fully met, and those with specific risks can be more )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (closely monitored.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Once the auditing of training has been completed, the home must have a training plan )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (that covers the shortfalls in mandatory training, such as safeguarding adults from abuse, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (fire safety and medication competence. It should also include service specific training, for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (example dementia care and conditions that affect older people. This will ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (have the skills and knowledge to meet residents needs.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (The home needs to have better overall management. There have been management )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (changes over the last six months, which have led to inconsistencies and a lack of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (communication.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (The quality monitoring system needs to be improved so that important environmental )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (checks are carried out, residents views are obtained and actioned, and the views of staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (and visiting professionals are sought.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Staff should have more frequent fire drills to ensure they know what to do in case of a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (fire emergency and weekly system checks should be fully carried out and identify the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (zone checked.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (The home must be a safer place for residents. This will only be achieved by good risk )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (management and care planning, more in depth staff training and supervision, improved )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (communication, environmental checks and prompt action when issues are identified.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 2.78 w 31.2 783.84 m 580.26 783.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 781.32 m 582.46 781.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 780.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 780.24 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 28.35 765.26 Tm (If you want to know what action the person responsible for this care home)Tj ET /F2 12 Tf BT 1 0 0 1 483.55 765.26 Tm (is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 749.26 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F3 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F3 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 462.9 w 32.32 446.5 m 564.97 446.5 l S 0.001 w 1 1 1 RG 358.92 w 31.2 395.64 m 91.05 395.64 l S 0.001 w 358.92 w 93.3 395.64 m 197.4 395.64 l S 0.001 w 358.92 w 199.65 395.64 m 289.45 395.64 l S 0.001 w 358.92 w 291.7 395.64 m 473.8 395.64 l S 0.001 w 358.92 w 476.05 395.64 m 566.1 395.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 213.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 215.05 m 568.3 215.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 560.03 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 560.03 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 560.03 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 560.03 Tm (Updated and reworded )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 545.46 Tm (requirement)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 530.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 516.29 Tm (When people have areas of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 501.71 Tm (need that are assessed as 'a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 487.14 Tm (risk' then there must be a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 472.55 Tm (clear and detailed written )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 457.98 Tm (plan of care describing what )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 443.39 Tm (the home is doing to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 428.82 Tm (minimise that risk. If )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 414.23 Tm (people's abilities change )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 399.65 Tm (from one day to the next )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 385.08 Tm (then a plan needs to be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 370.49 Tm (written to describe different )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 355.92 Tm (ways of managing that risk.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 338.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 323.76 Tm (This will make ensure staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 309.17 Tm (have accurate and up to date )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 294.6 Tm (information to provide )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 280.02 Tm (consistent support to help )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 265.43 Tm (people remain safe.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 250.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 236.27 Tm (Previous timescale of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 221.7 Tm (30/04/2009 remains unmet.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 560.03 Tm (10/09/2010)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 154.8 w 31.2 422.1 m 91.05 422.1 l S 0.001 w 154.8 w 93.3 422.1 m 197.4 422.1 l S 0.001 w 154.8 w 199.65 422.1 m 289.45 422.1 l S 0.001 w 154.8 w 291.7 422.1 m 473.8 422.1 l S 0.001 w 154.8 w 476.05 422.1 m 566.1 422.1 l S 0.001 w 256.86 w 31.2 214.02 m 91.05 214.02 l S 0.001 w 256.86 w 93.3 214.02 m 197.4 214.02 l S 0.001 w 256.86 w 199.65 214.02 m 289.45 214.02 l S 0.001 w 256.86 w 291.7 214.02 m 473.8 214.02 l S 0.001 w 256.86 w 476.05 214.02 m 566.1 214.02 l S 0.001 w 40.79 w 31.2 62.94 m 91.05 62.94 l S 0.001 w 40.79 w 93.3 62.94 m 197.4 62.94 l S 0.001 w 40.79 w 199.65 62.94 m 289.45 62.94 l S 0.001 w 40.79 w 291.7 62.94 m 473.8 62.94 l S 0.001 w 40.79 w 476.05 62.94 m 566.1 62.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 343.58 m 568.3 343.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 84.46 m 568.3 84.46 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198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 568.98 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 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 484.44 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 484.44 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 484.44 Tm (People must have their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 469.86 Tm (needs assessed prior to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 455.28 Tm (admission.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 437.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 423.12 Tm (This will enable staff to be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 408.54 Tm (sure the person's needs can )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 393.96 Tm (be met in the home and will )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 379.38 Tm (help to prevent care being )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 364.8 Tm (missed or the person having )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 350.22 Tm (to move on to another home.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 484.44 Tm (31/08/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 327.39 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 327.39 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 327.39 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 327.39 Tm (Each resident must have a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 312.81 Tm (comprehensive plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 298.23 Tm (that details what their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.65 Tm (assessed needs are, gives )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 269.07 Tm (clear guidance to staff on )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.49 Tm (how they are to be met and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 239.91 Tm (is updated when needs )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 225.33 Tm (change.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 207.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 193.17 Tm (This will ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 178.59 Tm (have full and accurate )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 164.01 Tm (information about how to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 149.43 Tm (care for and support people.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 134.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 120.27 Tm (At least ten care plans must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 105.69 Tm (be completed by the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 91.11 Tm (timescale for action date.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 327.39 Tm (30/09/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 68.28 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 68.28 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 68.28 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 68.28 Tm (Staff must ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 53.7 Tm (residents health needs are )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 68.28 Tm (31/08/2010)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 154.8 w 31.2 606.28 m 91.05 606.28 l S 0.001 w 154.8 w 93.3 606.28 m 197.4 606.28 l S 0.001 w 154.8 w 199.65 606.28 m 289.45 606.28 l S 0.001 w 154.8 w 291.7 606.28 m 473.8 606.28 l S 0.001 w 154.8 w 476.05 606.28 m 566.1 606.28 l S 0.001 w 140.22 w 31.2 456.52 m 91.05 456.52 l S 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0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.29 m 568.3 385.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.4 m 568.3 257.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.35 m 568.3 100.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.76 m 568.3 527.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.29 m 568.3 385.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.4 m 568.3 257.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.35 m 568.3 100.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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66.21 m 91.05 66.21 l S 0.001 w 45.06 w 93.3 66.21 m 197.4 66.21 l S 0.001 w 45.06 w 199.65 66.21 m 566.1 66.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 89.86 m 568.3 89.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 142.93 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 142.93 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.25 m 568.4 162.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.85 m 568.3 141.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 142.93 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 142.93 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 231.82 m 568.4 231.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.25 m 568.4 162.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.85 m 568.4 141.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 89.86 m 568.3 89.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 232.9 m 30.07 140.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 163.33 m 92.17 140.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 163.33 m 198.47 140.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 232.9 m 567.32 140.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 215.63 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 198.05 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 183.48 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 34.05 168.9 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 148.07 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 148.07 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 148.07 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 125.67 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 125.67 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 125.67 Tm (The home should formally write to people following any )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 111.08 Tm (pre-admission assessment stating its capacity to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 96.5 Tm (person's identified needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 73.68 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 73.68 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 73.68 Tm (The home should ensure that all assessments completed by )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 59.1 Tm (the local authority are obtained prior to the admission of )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 17.58 w 31.2 686.47 m 91.05 686.47 l S 0.001 w 17.58 w 93.3 686.47 m 197.4 686.47 l S 0.001 w 17.58 w 199.65 686.47 m 566.1 686.47 l S 0.001 w 64.32 w 31.2 643.27 m 91.05 643.27 l S 0.001 w 64.32 w 93.3 643.27 m 197.4 643.27 l S 0.001 w 64.32 w 199.65 643.27 m 566.1 643.27 l S 0.001 w 49.74 w 31.2 583.98 m 91.05 583.98 l S 0.001 w 49.74 w 93.3 583.98 m 197.4 583.98 l S 0.001 w 49.74 w 199.65 583.98 m 566.1 583.98 l S 0.001 w 78.9 w 31.2 517.41 m 91.05 517.41 l S 0.001 w 78.9 w 93.3 517.41 m 197.4 517.41 l S 0.001 w 78.9 w 199.65 517.41 m 566.1 517.41 l S 0.001 w 78.9 w 31.2 436.27 m 91.05 436.27 l S 0.001 w 78.9 w 93.3 436.27 m 197.4 436.27 l S 0.001 w 78.9 w 199.65 436.27 m 566.1 436.27 l S 0.001 w 49.74 w 31.2 369.7 m 91.05 369.7 l S 0.001 w 49.74 w 93.3 369.7 m 197.4 369.7 l S 0.001 w 49.74 w 199.65 369.7 m 566.1 369.7 l S 0.001 w 64.32 w 31.2 310.42 m 91.05 310.42 l S 0.001 w 64.32 w 93.3 310.42 m 197.4 310.42 l S 0.001 w 64.32 w 199.65 310.42 m 566.1 310.42 l S 0.001 w 49.74 w 31.2 251.13 m 91.05 251.13 l S 0.001 w 49.74 w 93.3 251.13 m 197.4 251.13 l S 0.001 w 49.74 w 199.65 251.13 m 566.1 251.13 l S 0.001 w 49.74 w 31.2 199.15 m 91.05 199.15 l S 0.001 w 49.74 w 93.3 199.15 m 197.4 199.15 l S 0.001 w 49.74 w 199.65 199.15 m 566.1 199.15 l S 0.001 w 49.74 w 31.2 147.15 m 91.05 147.15 l S 0.001 w 49.74 w 93.3 147.15 m 197.4 147.15 l S 0.001 w 49.74 w 199.65 147.15 m 566.1 147.15 l S 0.001 w 49.74 w 31.2 95.17 m 91.05 95.17 l S 0.001 w 49.74 w 93.3 95.17 m 197.4 95.17 l S 0.001 w 49.74 w 199.65 95.17 m 566.1 95.17 l S 0.001 w 24.37 w 31.2 55.86 m 91.05 55.86 l S 0.001 w 24.37 w 93.3 55.86 m 197.4 55.86 l S 0.001 w 24.37 w 199.65 55.86 m 566.1 55.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 676.55 m 568.3 676.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.98 m 568.3 609.98 l S 0.001 w [] 0 d [] 0 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that )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 498.07 Tm (professionals providing treatment have full and accurate )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 483.48 Tm (information.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 460.65 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 460.65 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 460.65 Tm (There should be clear records of all medicines received into )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 446.08 Tm (the home and when they are returned to the pharmacy. )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 431.49 Tm (The controlled drugs book should be updated to detail the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 416.92 Tm (correct stock in the home and advice should be sought )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 402.33 Tm (from the pharmacist about this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 379.51 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 379.51 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 379.51 Tm (There should be a witness signature to any hand written )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 364.92 Tm (entries on the medication administration record. This will )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 350.35 Tm (help to avoid mistakes.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 327.52 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 327.52 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 327.52 Tm (In light of some negative comments about the choice of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 312.93 Tm (meals at tea time and the alternatives provided to the main )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 298.36 Tm (meal at lunchtime, residents views should be sought and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 283.77 Tm (action taken to address any suggestions. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 260.95 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 260.95 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 260.95 Tm (Residents should be reminded of the complaints process )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 246.37 Tm (again, in light of comments from some people in surveys )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 231.79 Tm (and discussions, that they were unsure about it.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 208.96 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 208.96 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 208.96 Tm (The environment should be checked more frequently to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 194.38 Tm (enable issues of concern to be identified quickly and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 179.79 Tm (addressed, and equipment repaired or replaced promptly.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 156.96 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 156.96 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 156.96 Tm (The training on offer regarding conditions affecting older )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 142.38 Tm (people should be reviewed to include a wider range of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 127.81 Tm (issues.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 104.97 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 104.97 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 104.97 Tm (The acting manager should apply for registration with the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 90.39 Tm (Care Quality Commission quickly to ensure management )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 75.82 Tm (stability for the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 52.99 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 52.99 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 52.99 Tm (The views of staff and visiting professionals should be )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 52 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 238.44 w 32.32 664.88 m 564.97 664.88 l S 0.001 w 1 1 1 RG 46.74 w 31.2 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Tel: 0870 600 5522. 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 210.26 Tm ( Care Quality Commission 2010)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 190.26 Tm (This publication may be reproduced in whole or in part in any format or medium for )Tj ET /F2 12 Tf BT 1 0 0 1 539.47 190.26 Tm (non-)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 172.77 Tm (commercial)Tj ET /F2 12 Tf BT 1 0 0 1 97.55 172.77 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 155.27 Tm (derogatory manner or in a misleading context. 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dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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