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(1)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 122.79 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 122.79 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 122.79 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 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 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Church Farm)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Yarmouth Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Hemsby)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Great Yarmouth)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Norfolk)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (NR29 4NJ)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01493730181)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01493531599)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 580.39 Tm (rsonshomes@btopenworld.com)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 557.56 Tm (rsonshomes@btopenworld.com)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.3 m 353.25 479.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 479.3 m 565.9 479.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 456.46 m 353.25 456.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 456.46 m 565.9 456.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.05 m 568.1 445.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 443.97 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (R Sons \(Homes\) Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 474.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 451.7 Tm (40)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 432.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 389.3 m 564.47 389.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.67 m 567.8 424.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.75 m 30.07 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.92 m 298.32 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 380.09 m 432.52 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.75 m 566.72 355.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 408.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 385.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 362.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 362.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 341.39 m 297.25 341.39 l S 0.001 w 20.58 w 299.5 341.39 m 429.25 341.39 l S 0.001 w 20.58 w 431.5 341.39 m 565.9 341.39 l S 0.001 w 35.16 w 31.2 311.27 m 297.25 311.27 l S 0.001 w 35.16 w 299.5 311.27 m 429.25 311.27 l S 0.001 w 35.16 w 431.5 311.27 m 565.9 311.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 352.81 m 568.1 352.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 292.57 m 568.1 292.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.89 m 30.07 291.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 353.89 m 298.37 291.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 353.89 m 430.37 291.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 353.89 m 567.02 291.49 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 336.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 336.63 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 336.63 Tm (28)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.8 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.21 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 313.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 313.8 Tm (12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 32.32 259.65 m 564.47 259.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 272.2 m 567.8 272.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 249.37 m 567.8 249.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 273.27 m 30.07 248.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 273.27 m 566.72 248.29 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 256.01 Tm (Conditions of registration:)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 234.57 m 315.25 234.57 l S 0.001 w 1 1 1 RG 20.58 w 317.5 234.57 m 346.55 234.57 l S 0.001 w 20.58 w 348.8 234.57 m 377.9 234.57 l S 0.001 w 20.58 w 380.15 234.57 m 409.2 234.57 l S 0.001 w 20.58 w 411.45 234.57 m 440.55 234.57 l S 0.001 w 20.58 w 442.8 234.57 m 471.9 234.57 l S 0.001 w 20.58 w 474.15 234.57 m 503.2 234.57 l S 0.001 w 20.58 w 505.45 234.57 m 534.55 234.57 l S 0.001 w 20.58 w 536.8 234.57 m 565.9 234.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 245.99 m 568.1 245.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 223.16 m 568.1 223.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 247.07 m 30.07 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 247.07 m 316.37 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 247.07 m 347.67 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 247.07 m 379.02 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 247.07 m 410.32 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 247.07 m 441.67 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 247.07 m 473.02 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 247.07 m 504.32 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 247.07 m 535.67 222.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 247.07 m 567.02 222.08 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 229.8 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 211.29 m 565.9 211.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 201.66 m 568.1 201.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 202.74 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 202.74 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.91 m 568.1 220.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.66 m 568.1 201.66 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 30.07 221.99 m 30.07 200.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 221.99 m 567.02 200.58 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 207.73 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 207.73 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 188.48 Tm (Church Farm offers residential accommodation to a maximum of 40 service users in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 171.48 Tm (the registration category of older people. The building is a period residence that has )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 154.48 Tm (been adapted over the years to meet the needs of older people and extended to )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 137.48 Tm (include purpose built accommodation. Service users rooms are situated on the ground )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 120.47 Tm (and first floor of the building. Twenty-four of the rooms have en suite facilities and all )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 103.47 Tm (others have washbasins with access to WCs and bathrooms close by. There are four )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 86.47 Tm (separate communal areas and a conservatory, which has been designated a smoking )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 69.47 Tm (area for staff and residents. The grounds are well maintained comprising of a garden )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 52.47 Tm (and large car park at the front of the property and a courtyard in the centre of the )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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)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 30.07 593.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 593.77 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 28.99 594.85 m 568.1 594.85 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 /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (home. Church Farm is located in the seaside village of Hemsby, 5 miles north of Great )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (Yarmouth. The home is situated in a quiet location away from the main centre of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (Hemsby and is within walking distance of the local shop. There are very few local )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (facilities, however it is a short drive to the town of Great Yarmouth, which has )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (numerous shops and other facilities. The surrounding areas of Hemsby also offer a )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (number of pubs and restaurants situated on the edge of the broads that can provide )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (some very pleasant outings.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (The fees range from 281 to 450 per week with hairdressing, chiropody, nespapers )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (and toiletries being an extra charge.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm ()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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 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 /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (This inspection was conducted to follow up on issues relating to medication raised during )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (the key inspection of 13th January 2009. Some areas of medicine management were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (discussed with the senior carer on duty at the time of arrival for inspection. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (Anne Morley arrived later and the findings of the inspection were discussed with her in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (detail. During the inspection we looked at the systems in place for administering and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (recording medicines and we examined the storage and security of medicines. We looked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (at some previous medication charts and associated care records. Part of the lunch-time )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (medicine round was observed in the dining area.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (Medicines are stored in a locked ground floor room. The cabinets within the room are not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (locked however there is a 'close-lock' mechanism on the door of the room so that when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (the door is closed the room becomes locked. The senior carer on duty said that keys to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (the storage of medicines are always held by a senior carer and the transfer of keys )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (between staff is logged. A medicine refrigerator is also located within the medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (storage room. At the time of inspection the temperature of the refrigerator was within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (accepted temperature range. Daily records for April 2009 also confirmed this. Since the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (previous inspection the home has fixed a robust metal cabinet to a wall of solid )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (construction for the storage of controlled drugs. The cabinet is fixed by two bolts. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (manager confirmed the cabinet is fixed by a metal plate within the wall.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (We looked at recently fitted cabinets in the rooms of two people living at the home used )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (for the storage of external medicines and other sundry items. We found that the cabinets )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (are not lockable and do not provide secure storage for such medicines to protect the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (health and welfare of people living at the home. In both rooms, we noted containers of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (denture cleansing tablets stored near the sinks placing people at risk of accidental )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (ingestion.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (Since the previous inspection the home has implemented an alternative system for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (medicine administration. Most medicines are now supplied in and administered from )Tj ET /F1 12 Tf BT 1 0 0 1 548.1 311.9 Tm (28-)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (day)Tj ET /F1 12 Tf BT 1 0 0 1 55.84 297.33 Tm ( monitored dosage system \(MDS\) with colour codes for times of day administration. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (The medicine administration records co-ordinate with the 28-day period. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (confirmed that this new arrangement is an improvement in the home's medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (management. Medicines not supplied in MDS containers are indicated on medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (charts as 'boxed' to assist members of staff when selecting medicines for administration. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (We noted that containers of eye preparations that were in use had been dated to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (they are not used longer than their expiry times \(usually 28 days\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (When we looked at the folder of current medication charts we noted that the home has in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (place interleaving sheets with information such as identifying photographs and known )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (allergies for people living at the service to assist with safe medicine administration. There )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (were also pain assessment tools for people with dementia and records for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (management of diabetes and anticoagulation with warfarin. The home also has a record )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (for the running balances of painkilling medicines for members of staff to complete and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (monitor medicine stocks. The home has put in place medication profile sheets for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (reference, however, when we checked a small number of these there were some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (discrepancies between medicines actively prescribed and written on medication charts )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (and the medication profiles where they had not been updated. This is potentially )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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)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 /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (misleading and could lead to staff confusion and error.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (A senior carer on duty stated that there are currently 8 people living at the service who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (have their oral medicines prepared by crushing some tablets and mixing them in yoghurt. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Since the previous inspection the home has received the input of the local Primary Care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Trust \(PCT\) prescribing team to review the medicines of these people and some liquid )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (medicines have been prescribed as alternatives. The means by which these people are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (administered their medicines is now documented. However, people's mental capacity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (must be assessed to establish if they are able to consent to treatment and that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (medicines administered in this way are being given to them in their best interests. To )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (date this has not been undertaken and recorded. The home also does not yet have a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (written policy on mental capacity assessment but the manager said that all senior staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (had recently completed training on this during April 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (We observed part of the lunchtime medicine round conducted from two medicine trolleys )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (in the dining area by two members of care staff respectively. The staff used pain )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (assessment charts to establish if people prescribed painkillers needed them. We saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (medicines being crushed and placed in pots and mixed with yoghurt to give to people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (prescribed them. For one person, three liquid medicines were also administered and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (carer made the person aware they were having their medicines. We found, however, that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (one member of staff completed records of medicine administration prior to giving them. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (This is incorrect procedure.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (We looked at current medication charts and found there were some omissions where )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (records for the administration of medicines had not been completed and where safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (procedures for medicine administration had not been followed by staff. Many records for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (the administration of medicines prescribed with variable doses such as painkillers did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (indicate the exact dose administered. With one exception, the administration of external )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (medicines taking place in people's rooms is still not recorded. We found that for many )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (medicines records of their receipt into the home are not recorded. For others not supplied )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (in MDS containers with the exception of running balances for painkillers there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (auditable system that allows medicines to be accounted for. Where we could audit such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (medicines we found some discrepancies where they could not be accounted for and so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (records did not demonstrate the medicines had been given to people as prescribed. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (discussed some discrepancies including one related to the administration of warfarin. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (However, since the previous inspection the home has improved systems in place for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (recording warfarin administration and keeping records related to anti-coagulant blood )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (testing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (The home has in place a Medicine Stock File but regular stock auditing to account for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (medicines is currently not in place. We saw that the home has a system for recording the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (disposal of medicines and an order form system for ordering and obtaining medicines. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (The home a controlled drug register for the additional record-keeping required for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (controlled drugs. However, we noted that recent pages were not properly entitled and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (names of the controlled drugs to which the pages refer were not written.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (Relatively few people at the home are prescribed medicines of a psychoactive and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (potentially sedative nature. However, for one person currently prescribed lorazepam for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (the occasional management of 'panic attacks' when required, records enabled the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (medicine to be accounted for but there was insufficient information available to assist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (staff to judge when non-medicinal interventions were likely to be effective and when use )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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 163.38 w 31.2 703.53 m 580.26 703.53 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 28.99 620.72 m 582.46 620.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 619.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 619.64 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (of the medicine was needed. The manager said the home was currently undertaking a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (programme of reviewing care plans. At the time of the inspection a local GP was in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (attendance at the home. He informed us he believed that people living at the service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (receive a good level of care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We asked the manager to provide evidence that all staff authorised to handle and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (administer medicines have received appropriate training. As this was not available on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (day of inspection we agreed to receive this following the inspection. Some members of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (care staff had not received training but there has been some assessment of their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (competence. Others had most recently received training 2003-2004.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 602.65 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 602.65 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 166.38 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 28.99 592.59 m 582.46 592.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.95 m 582.46 423.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 593.66 m 30.07 422.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 593.66 m 581.38 422.88 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (In relation to the home's management of medicines, the home has made improvements )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm (to systems in place for the administration and recording of medicines. Steps have been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm (taken to improve information available for members of care staff to refer to when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (administering medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (The home has also received involvement from the PCT prescribing team for the purposes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (of reviewing people's medicines. Steps have been taken to review some oral medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm (for people who have swallowing difficulties. The home has a good relationship with a GP )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (at the local surgery who informed us that in his view people at the service receive good )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm (care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.6 Tm (Improved arrangements have been made for the storage of controlled drugs )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 403.64 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 253.86 w 31.2 265.52 m 580.26 265.52 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 393.57 m 582.46 393.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 137.46 m 582.46 137.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 394.65 m 30.07 136.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 394.65 m 581.38 136.38 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 377.39 Tm (The home must make safe arrangements for the storage of external medicines and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.8 Tm (sundry items in people's rooms to safeguard their health and welfare.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (Where people with dementia have their medicines administered their mental capacity )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.07 Tm (must be assessed to establish if they are able to consent to treatment and that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.48 Tm (medicines administered in this way are being given to them in their best interests.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 275.33 Tm (Improved reliability of record-keeping for the receipt and administration of medicines at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.74 Tm (the home is needed. The home needs to keep records for the application of external )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 246.16 Tm (medicines. There are discrepancies arising where medicines cannot be accounted for and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 231.59 Tm (records do not demonstrate that all medicines are being administered as prescribed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.01 Tm (Some medicines cannot currently be audited and the home needs to improve its auditing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 202.43 Tm (system to ensure all medicines can be accounted for.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 173.26 Tm (Some members of care staff need to be provided training on medicine management. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 158.68 Tm (Others need refreshment training. The home should continue with its programme of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 144.1 Tm (assessing staff competence in medicine handling and administration.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 119.15 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 119.15 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 103.15 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)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 /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 67.32 w 31.2 542.56 m 91.05 542.56 l S 0.001 w 67.32 w 93.3 542.56 m 197.4 542.56 l S 0.001 w 67.32 w 199.65 542.56 m 289.45 542.56 l S 0.001 w 67.32 w 291.7 542.56 m 473.8 542.56 l S 0.001 w 67.32 w 476.05 542.56 m 566.1 542.56 l S 0.001 w 169.38 w 31.2 421.96 m 91.05 421.96 l S 0.001 w 169.38 w 93.3 421.96 m 197.4 421.96 l S 0.001 w 169.38 w 199.65 421.96 m 289.45 421.96 l S 0.001 w 169.38 w 291.7 421.96 m 473.8 421.96 l S 0.001 w 169.38 w 476.05 421.96 m 566.1 421.96 l S 0.001 w 125.64 w 31.2 272.2 m 91.05 272.2 l S 0.001 w 125.64 w 93.3 272.2 m 197.4 272.2 l S 0.001 w 125.64 w 199.65 272.2 m 289.45 272.2 l S 0.001 w 125.64 w 291.7 272.2 m 473.8 272.2 l S 0.001 w 125.64 w 476.05 272.2 m 566.1 272.2 l S 0.001 w 140.22 w 31.2 137.02 m 91.05 137.02 l S 0.001 w 140.22 w 93.3 137.02 m 197.4 137.02 l S 0.001 w 140.22 w 199.65 137.02 m 289.45 137.02 l S 0.001 w 140.22 w 291.7 137.02 m 473.8 137.02 l S 0.001 w 140.22 w 476.05 137.02 m 566.1 137.02 l S 0.001 w 22.11 w 31.2 53.6 m 91.05 53.6 l S 0.001 w 22.11 w 93.3 53.6 m 197.4 53.6 l S 0.001 w 22.11 w 199.65 53.6 m 289.45 53.6 l S 0.001 w 22.11 w 291.7 53.6 m 473.8 53.6 l S 0.001 w 22.11 w 476.05 53.6 m 566.1 53.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.77 m 568.3 507.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.14 m 568.3 336.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.26 m 568.3 208.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 65.79 m 568.3 65.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.77 m 568.3 507.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.14 m 568.3 336.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.26 m 568.3 208.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 65.79 m 568.3 65.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (17.1a & 3a)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (The scriber of care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (must date and sign each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (entry.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/08/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 491.59 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 491.59 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 491.59 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.59 Tm (People living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.01 Tm (must have their holistic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.43 Tm (needs assessed and reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.85 Tm (monthly and set out in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.27 Tm (written plan of care.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 415.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.11 Tm (This is 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(welfare is safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 319.96 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 192.07 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 192.07 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 192.07 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.07 Tm (The service must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.49 Tm (unnecessary risks associated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.91 Tm (with people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.33 Tm (home are identified and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.75 Tm (eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 116.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.59 Tm (This is so that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 87.01 Tm (health and welfare is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.43 Tm (safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 192.07 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.6 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 49.6 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 49.6 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 49.6 Tm (The service must enable )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 49.6 Tm (02/03/2009)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)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 198.54 w 31.2 581.97 m 91.05 581.97 l S 0.001 w 198.54 w 93.3 581.97 m 197.4 581.97 l S 0.001 w 198.54 w 199.65 581.97 m 289.45 581.97 l S 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BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (people to make their own )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (decisions about how they )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (want their health and welfare )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (needs to be met. Decisions )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (made on their behalf must )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (only be made in accord with )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (the principles of the Mental )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (Capacity Act.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (This is so that people's best )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 519.64 Tm (interests are promoted and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 505.05 Tm (their health and welfare is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 490.48 Tm (safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 465.39 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 465.39 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 465.39 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (The service must support )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (people living in the home to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (receive proper treatment and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (make proper provision for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (their health and welfare. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (This is so that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (health and welfare is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.76 Tm (safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 465.39 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 322.92 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 322.92 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 322.92 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (arrangements for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (recording, handling, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (safekeeping, safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (administration and disposal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (of medicines received into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.29 Tm (So that people's health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.71 Tm (welfare is safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 322.92 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 165.88 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 165.88 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 165.88 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.88 Tm (The service must promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.29 Tm (privacy and dignity at all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.56 Tm (This is so that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.97 Tm (health and wellbeing is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.39 Tm (promoted.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 165.88 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.56 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 52.56 Tm (12)Tj ET /F1 12 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BT 1 0 0 1 294.55 238.77 Tm (of any changes.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 297.1 Tm (30/12/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.37 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 198.37 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 198.37 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.37 Tm (The service must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.79 Tm (monthly regulation 26 visits )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.21 Tm (are carried out.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.04 Tm (This is so that shortfalls in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.46 Tm (service provision are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.89 Tm (identified and improved.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 198.37 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.06 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 85.06 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 85.06 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 85.06 Tm (The service must have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.47 Tm (effective quality assurance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 55.9 Tm (systems in place.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 85.06 Tm (02/03/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 293.94 w 32.32 637.13 m 564.97 637.13 l S 0.001 w 1 1 1 RG 64.32 w 31.2 649.09 m 91.05 649.09 l S 0.001 w 64.32 w 93.3 649.09 m 197.4 649.09 l S 0.001 w 64.32 w 199.65 649.09 m 289.45 649.09 l S 0.001 w 64.32 w 291.7 649.09 m 473.8 649.09 l S 0.001 w 64.32 w 476.05 649.09 m 566.1 649.09 l S 0.001 w 125.64 w 31.2 551.85 m 91.05 551.85 l S 0.001 w 125.64 w 93.3 551.85 m 197.4 551.85 l S 0.001 w 125.64 w 199.65 551.85 m 289.45 551.85 l S 0.001 w 125.64 w 291.7 551.85 m 473.8 551.85 l S 0.001 w 125.64 w 476.05 551.85 m 566.1 551.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 615.8 m 568.3 615.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 486.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 486.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 486.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 486.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 486.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 486.83 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 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.8 m 568.3 615.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 487.91 m 568.3 487.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (This is so that shortfalls in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (service provision are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (identified and improved.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 599.61 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 599.61 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.61 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.61 Tm (Staff must be provided with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.03 Tm (supervision and have their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.46 Tm (competence assessed at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm (regular intervals.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (This is so that people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (health and welfare is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 599.61 Tm (16/03/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 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 /F1 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 /F1 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 /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 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 198.54 w 31.2 400.23 m 91.05 400.23 l S 0.001 w 198.54 w 93.3 400.23 m 197.4 400.23 l S 0.001 w 198.54 w 199.65 400.23 m 289.45 400.23 l S 0.001 w 198.54 w 291.7 400.23 m 473.8 400.23 l S 0.001 w 198.54 w 476.05 400.23 m 566.1 400.23 l S 0.001 w 140.22 w 31.2 228.6 m 91.05 228.6 l S 0.001 w 140.22 w 93.3 228.6 m 197.4 228.6 l S 0.001 w 140.22 w 199.65 228.6 m 289.45 228.6 l S 0.001 w 140.22 w 291.7 228.6 m 473.8 228.6 l S 0.001 w 140.22 w 476.05 228.6 m 566.1 228.6 l S 0.001 w 113.69 w 31.2 99.39 m 91.05 99.39 l S 0.001 w 113.69 w 93.3 99.39 m 197.4 99.39 l S 0.001 w 113.69 w 199.65 99.39 m 289.45 99.39 l S 0.001 w 113.69 w 291.7 99.39 m 473.8 99.39 l S 0.001 w 113.69 w 476.05 99.39 m 566.1 99.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 299.83 m 568.3 299.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.37 m 568.3 157.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.83 m 568.3 299.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.37 m 568.3 157.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 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 /F1 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 /F1 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 /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. 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This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 82.86 Tm (must be demonstrated by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.28 Tm (record-keeping practices)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 50.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 141.18 Tm (29/05/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 474.71 w 32.32 546.74 m 564.97 546.74 l S 0.001 w 1 1 1 RG 46.74 w 31.2 660.32 m 91.05 660.32 l S 0.001 w 46.74 w 93.3 660.32 m 197.4 660.32 l S 0.001 w 46.74 w 199.65 660.32 m 289.45 660.32 l S 0.001 w 46.74 w 291.7 660.32 m 473.8 660.32 l S 0.001 w 46.74 w 476.05 660.32 m 566.1 660.32 l S 0.001 w 183.96 w 31.2 542.72 m 91.05 542.72 l S 0.001 w 183.96 w 93.3 542.72 m 197.4 542.72 l S 0.001 w 183.96 w 199.65 542.72 m 289.45 542.72 l S 0.001 w 183.96 w 291.7 542.72 m 473.8 542.72 l S 0.001 w 183.96 w 476.05 542.72 m 566.1 542.72 l S 0.001 w 140.22 w 31.2 378.38 m 91.05 378.38 l S 0.001 w 140.22 w 93.3 378.38 m 197.4 378.38 l S 0.001 w 140.22 w 199.65 378.38 m 289.45 378.38 l S 0.001 w 140.22 w 291.7 378.38 m 473.8 378.38 l S 0.001 w 140.22 w 476.05 378.38 m 566.1 378.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 635.82 m 568.3 635.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.61 m 568.3 449.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 306.06 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 92.17 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 306.06 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 28.99 635.82 m 568.3 635.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.61 m 568.3 449.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.14 m 568.3 307.14 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 /F1 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 /F1 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 /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.01 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 723.42 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 680.2 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 680.2 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 680.2 Tm (The home should develop its audit of medication to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 665.61 Tm (all medicines can be monitored and accounted for in full )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.78 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 642.78 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.78 Tm (The home should develop and provide written guidance on )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 628.21 Tm (the assessment of people's mental capacity )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.38 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 605.38 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 605.38 Tm (Medication profile information should be promptly updated )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 590.79 Tm (following changes to people's medicines.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 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 /F1 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 /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 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 /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 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712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 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