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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Holmwood Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (53 The Avenue )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Tadworth)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Surrey)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (KT20 5DB)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 365.53 Tm (15/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Sally Hall)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Holmwood Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (53 The Avenue )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Tadworth)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Surrey)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (KT20 5DB)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (01737217000)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 547.01 m 353.25 547.01 l S 0.001 w 1 1 1 RG 20.58 w 355.5 547.01 m 565.9 547.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 524.18 m 353.25 524.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 524.18 m 565.9 524.18 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 501.35 m 353.25 501.35 l S 0.001 w 1 1 1 RG 20.58 w 355.5 501.35 m 565.9 501.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.93 m 568.1 489.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 488.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Robert William Kibble)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.41 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 519.41 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 496.58 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 496.58 Tm (48)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.53 m 297.25 388.53 l S 0.001 w 20.58 w 299.5 388.53 m 429.25 388.53 l S 0.001 w 20.58 w 431.5 388.53 m 565.9 388.53 l S 0.001 w 35.16 w 31.2 358.41 m 297.25 358.41 l S 0.001 w 35.16 w 299.5 358.41 m 429.25 358.41 l S 0.001 w 35.16 w 431.5 358.41 m 565.9 358.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 338.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 338.63 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (48)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.93 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 360.93 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 360.93 Tm (48)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 307.91 m 565.6 307.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 296.5 m 567.8 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.67 m 568.1 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.33 m 567.8 319.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.5 m 568.1 296.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.67 m 568.1 273.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.1 m 568.1 207.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 320.41 m 30.07 206.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 320.41 m 566.72 206.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 303.14 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.31 Tm (The maximum number of service users to be accommodated is 48)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.48 Tm (The registered person may provide the following category of service: Care home with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.9 Tm (Nursing\(N\) to service users of the following gender; Either whose primary care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.32 Tm (on admission to the home are within the following category : Old age, not falling within )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.74 Tm (any other category \(OP\) Dementia \(DE\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 192.31 m 315.25 192.31 l S 0.001 w 1 1 1 RG 20.58 w 317.5 192.31 m 346.55 192.31 l S 0.001 w 20.58 w 348.8 192.31 m 377.9 192.31 l S 0.001 w 20.58 w 380.15 192.31 m 409.2 192.31 l S 0.001 w 20.58 w 411.45 192.31 m 440.55 192.31 l S 0.001 w 20.58 w 442.8 192.31 m 471.9 192.31 l S 0.001 w 20.58 w 474.15 192.31 m 503.2 192.31 l S 0.001 w 20.58 w 505.45 192.31 m 534.55 192.31 l S 0.001 w 20.58 w 536.8 192.31 m 565.9 192.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 203.72 m 568.1 203.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 180.89 m 568.1 180.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 204.8 m 30.07 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 204.8 m 316.37 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 204.8 m 347.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 204.8 m 379.02 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 204.8 m 410.32 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 204.8 m 441.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 204.8 m 473.02 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 204.8 m 504.32 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 204.8 m 535.67 179.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 204.8 m 567.02 179.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 187.54 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 187.54 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 187.54 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 187.54 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 187.54 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 187.54 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 187.54 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 187.54 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 187.54 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 169.02 m 565.9 169.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 159.39 m 568.1 159.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 160.47 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 160.47 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 178.64 m 568.1 178.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 159.39 m 568.1 159.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 179.72 m 30.07 158.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 179.72 m 567.02 158.32 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 165.46 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 165.46 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 146.21 Tm (Holmwood is registered with the Commission for Social Care Inspection as a care home )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 129.21 Tm (with nursing for forty-eight service users. The home is located in Tadworth in Surrey )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 112.21 Tm (and close to public amenities and other facilities. Accommodation is provided on two )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 95.21 Tm (floors and comprises of an office, lounge, dining area, kitchen, bathrooms, toilets, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 78.21 Tm (showers, laundry and bedrooms with en-suite facilities. The home has an attractive )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 61.21 Tm (garden which is private and accessible to service )Tj ET /F1 12 Tf BT 1 0 0 1 334.69 61.21 Tm (users.)Tj ET /F1 12 Tf BT 1 0 0 1 371.44 61.21 Tm ( )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 740.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 740.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 741.15 m 568.1 741.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (The purpose of this random unannounced inspection was to monitor compliance with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (the Statutory Requirements Notice issued on 23rd January 2009 following a key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (unannounced inspection on the 15th December 2008 The Care Home Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (2001.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (We explained the purpose of our visit and spoke to the previous appointed manager, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (the clinical lead nurse and the current appointed manager.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (Documentation and evidence to support making a judgement about the quality of care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (within the home that was seen at the previous inspection was re evaluated in order to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (measure compliance with the Statutory Requirements Notices issued. Documentation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (pertaining to a new resident was also sampled to further triangulate evidence to make )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (sound judgements.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (The safe handling of medicines was assessed by a CSCI specialist pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (inspector. They looked at the medication records and medicine supplies for 11 people, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (the care plans for 4 people, the policies and procedures for medication handling and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (talked to staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (The amounts of each medicine received into the home is now being recorded but the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (home is yet to start its own auditing of these records to ensure that people are getting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (their medicines as prescribed. We checked the quantities of medicines, for three )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (medicines prescribed for one resident new to the home, with the quantities recorded )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (as being received into the home and the records of medicines given. The correct )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (number of tablets had been used for one medicine. However, more tablets had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (used than should have for the other two medicines. Staff were not able to account for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (these missing doses. When medicines were prescribed to be given at a variable dose, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (such as one or two tablets, the actual dose being given was not recorded and so it was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (not possible to reconcile the records and stock levels for these medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (The medication policy and procedure in the home was a standardised copy purchased )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (in from a management organisation. These had not been reviewed to ensure that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (described the procedures in place in this home. Part of a medicines procedure, page 2 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (only, was in the front of one of the medication administration record chart files. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (described an out of date practice no longer in use in the home. Having a part copy of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (an old procedure in daily access to staff when they are giving medicines to people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (could lead to staff following inappropriate practices.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (We found evidence that people are at risk of not receiving their medicines at the dose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (and frequency their doctor has prescribed for them. We found: Two people were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (prescribed sedative medication to be given only when needed but they were both )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (being given the medicine regularly every day. There was no care plan for these people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (describing the circumstances under which staff would be expected to give these )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (medicines, nor any other strategies for avoiding the use of sedative medicines. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (Another person had a sedative medicine prescribed to be given at a dose of one or two )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (tablets twice daily. This person was always given the higher dose of two tablets. Again, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (there was no care plan describing the circumstances under which staff would be )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 717.42 w 31.2 453.82 m 563.65 453.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 93.98 m 565.85 93.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 92.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 92.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (expected to give the higher dose of this medicine. One person had a sleeping tablet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (prescribed to be given at a dose of one or two at night. The higher dose of two tablets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (was being given each night. Again, no care plan was available.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (One person was prescribed insulin, which was being given by the nursing staff. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (amount to be given at each dose was handwritten on the medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (record charts by the nurses. No one in the home was able to evidence what doses of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (insulin had been prescribed for this person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (For two people prescribed creams there was no record of then being used.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (During the inspection of a sample of care plans, one residents file evidenced that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (pre assessment record had information added to it since the last inspection making it )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (more comprehensive. The pre assessment information for the new resident admitted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (since the last inspection was not however fully completed and the assessment and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (care plan from the social services department of the placing authority was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (available.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (No evidence within the care planning process was seen that the residents had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (ownership of their plan of care or are supported by relatives or advocates to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (that they are person centred.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (In the files examined evidence was not seen that care plans have been kept under )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (review on a regular basis. Evidence was also seen that where information was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (available to indicate a change to the care plan this had not been either undertaken or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (any action taken to address the change.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (No evidence was seen that moving and handling assessments along with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (management strategy to minimise any identified risks had been undertaken since the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (last inspection. This included both new and existing residents. No evidence was found )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (of risk assessments pertaining to the risk of pressure damage to skin for those )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (residents being nursed in bed, where records seen had indicated that they was a risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (Where there were other risk assessments there was no clear documented action for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (staff to follow to minimise the risk identified. No new risk assessments had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (undertaken since the last inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (The Registered Nurse appointed as the clinical lead for the home has not undertaken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (any further training as required at the last inspection with regard to dementia care and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (risk assessment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (During the compliance visit in one file sampled, reference was made to a resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (being placed in a reclining chair because they would not stay in bed, were wandering )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (in out of other residents rooms at night and because staff were worried they could fall )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (down the stairs. The chair was therefore being used as a restraint as the resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (could not get out of it easily, this carried on for a number of days. There was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (evidence that this had been documented appropriately and that other professionals )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (involved in this persons care had been consulted.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 75.91 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 75.91 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 787.66 m 563.65 787.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 761.66 m 565.85 761.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 760.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 760.59 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 797.47 Tm (The Registered Provider has appointed a new manager however an application to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 782.89 Tm (register them with the Commission for Social Care Inspection has not yet been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 768.31 Tm (received.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 740.22 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 589.2 w 31.2 434.43 m 563.65 434.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 730.15 m 565.85 730.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.7 m 565.85 138.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 731.23 m 30.07 137.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 731.23 m 564.78 137.63 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 713.97 Tm (The newly appointed manager had not made any of the changes indicated in the last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 699.39 Tm (inspection report. They had not taken any action to ensure that the Registered Nurses )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 684.81 Tm (currently working in the service had undertaken the assessments of risk, or changed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.23 Tm (the way that medication is managed in the service as required in the Statutory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 655.65 Tm (Requirement Notices issued for those breaches of the regulations. There was no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 641.07 Tm (evidence that the Registered Provider had taken any action to ensure that this had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.49 Tm (occurred, or to ensure that the people he had appointed had undertaken any action to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 611.91 Tm (comply with the Statutory Requirement Notices. The management of the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.33 Tm (remains poor, and evidence was seen of non compliance.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 582.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 568.17 Tm (All perspective residents should have a fully completed pre-assessment undertaken )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.59 Tm (before they are offered a place at the home to ensure that their needs can be met by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.01 Tm (the experience and skills of the staff working there. This is not currently happening )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 524.43 Tm (placing people who use the service at risk of harm)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 509.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 495.27 Tm (A care plan written with the residents and or family involvement should be available )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 480.69 Tm (for staff to follow to ensure all the residents care needs wishes and preferences are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 466.11 Tm (followed. The care plans should reflect the assessments undertaken and changes to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.53 Tm (care needs indicated by that assessment. This is still not happening, placing people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.95 Tm (who use the service at risk of harm)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 422.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.79 Tm (Residents are at risk due to the lack of safe systems regarding the regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.21 Tm (ordering, recording and administration of medication. There needs to be systems for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 378.63 Tm (monitoring medication administered to ensure residents receive the medication they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 364.05 Tm (are prescribed. With nursing staff abiding by the NMC guidelines for the administration )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 349.47 Tm (of medicines. The homes policies and procedures need to be reviewed and reflect the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.89 Tm (practice with in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.73 Tm (All people who use the service that require assistance with moving should have a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.15 Tm (moving and handling risk assessment. There should be a risk assessment available for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 276.57 Tm (any identified risk, it should detail the risk, give the management strategy, and record )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 261.99 Tm (the date when reviews will take place. This is still not happening placing people who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.41 Tm (use the service at risk of harm or abuse.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.25 Tm (Although evidence had been seen previously that staff training on prevention of abuse )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.67 Tm (had taken place restraint without risk assessing was still undertaken. No service user )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 189.09 Tm (should be subject to restraint unless securing welfare and then only in exceptional )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.51 Tm (circumstances. In all cases the circumstances must be recorded in which restraint is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.93 Tm (used and the type of restraint.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 120.39 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 120.39 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 104.39 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 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 672.91 m 566.2 672.91 l S 0.001 w 30.3 w 31.2 620.92 m 91 620.92 l S 0.001 w 30.3 w 93.25 620.92 m 197.4 620.92 l S 0.001 w 30.3 w 199.65 620.92 m 289.5 620.92 l S 0.001 w 30.3 w 291.75 620.92 m 473.9 620.92 l S 0.001 w 30.3 w 476.15 620.92 m 566.2 620.92 l S 0.001 w 1 1 1 RG 540.62 w 31.2 333.21 m 91.05 333.21 l S 0.001 w 540.62 w 93.3 333.21 m 197.4 333.21 l S 0.001 w 540.62 w 199.65 333.21 m 289.45 333.21 l S 0.001 w 540.62 w 291.7 333.21 m 473.8 333.21 l S 0.001 w 540.62 w 476.05 333.21 m 566.1 333.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 605.73 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 605.73 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.3 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 605.73 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 605.73 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 605.73 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 605.73 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.63 m 568.4 708.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.4 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 709.71 m 30.07 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 638.28 m 92.12 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 638.28 m 198.52 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 638.28 m 290.62 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 638.28 m 475.02 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 709.71 m 567.32 603.57 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 691.42 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 673 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 34.05 658.42 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 658.42 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 658.42 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 34.05 643.84 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 643.84 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 626.02 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 623.02 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 623.02 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 623.02 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 623.02 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 610.87 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.46 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 588.46 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.46 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.46 Tm (14. Assessment of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.88 Tm (users 1, The registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.3 Tm (person shall not provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.72 Tm (accommodation to a service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.14 Tm (user at the care home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.56 Tm (unless, so far as it shall have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.98 Tm (been practicable to do so, a, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.4 Tm (needs of the service user )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.82 Tm (have been assessed by a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.24 Tm (suitably qualified or suitably )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.66 Tm (trained person, b, the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.08 Tm (registered person has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.5 Tm (obtained a copy of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.92 Tm (assessment, c, there has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 384.34 Tm (been appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.76 Tm (consultation regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.18 Tm (assessment with the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.6 Tm (user or a representative of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.02 Tm (the service user. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.44 Tm (Compliance visit on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 296.86 Tm (02/03/09 found this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.28 Tm (requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.7 Tm (met. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.54 Tm (All prospective service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.96 Tm (should be assessed and that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.38 Tm (assessment fully documented )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.8 Tm (evidencing that service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.22 Tm (are only being offered a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.64 Tm (place at the home if their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.06 Tm (needs can be met by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.48 Tm (home. If the service user has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.9 Tm (been referred by the local )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.32 Tm (authority or heath authority )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.74 Tm (then a copy of their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.16 Tm (assessment should be )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.46 Tm (09/02/2009)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 163.38 w 31.2 626.86 m 91.05 626.86 l S 0.001 w 163.38 w 93.3 626.86 m 197.4 626.86 l S 0.001 w 163.38 w 199.65 626.86 m 289.45 626.86 l S 0.001 w 163.38 w 291.7 626.86 m 473.8 626.86 l S 0.001 w 163.38 w 476.05 626.86 m 566.1 626.86 l S 0.001 w 478.89 w 31.2 303.47 m 91.05 303.47 l S 0.001 w 478.89 w 93.3 303.47 m 197.4 303.47 l S 0.001 w 478.89 w 199.65 303.47 m 289.45 303.47 l S 0.001 w 478.89 w 291.7 303.47 m 473.8 303.47 l S 0.001 w 478.89 w 476.05 303.47 m 566.1 303.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 544.04 m 568.3 544.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 544.04 m 568.3 544.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 778.03 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 34.05 763.45 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (available in the home before )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (admission again to help with )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (the decision process. Other )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (than in an emergency when )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 640.42 Tm (with in three days a review )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 625.84 Tm (will be held and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 611.26 Tm (documentation made )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 596.68 Tm (avaiable. Service users and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 582.1 Tm (their families where )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 567.52 Tm (appropriate should be part of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 552.94 Tm (the assessment process also. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 527.86 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 527.86 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 527.86 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 527.86 Tm (15 Service users plan 1, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 513.28 Tm (Unless it is impracticable to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.7 Tm (carry out such consultation, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.12 Tm (the registered person shall, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.54 Tm (after consultation with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.96 Tm (service user, or a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.38 Tm (representative of his, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.8 Tm (prepare a written plan, the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.22 Tm (service users plan, as to how )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.64 Tm (the service users needs in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 382.06 Tm (respect of his health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 367.48 Tm (welfare are to be met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.32 Tm (The Compliance visit on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.74 Tm (02/03/09 found this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.16 Tm (requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.58 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.42 Tm (All service users when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.84 Tm (admitted should a have a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.26 Tm (care plan that informs staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.68 Tm (at the home of the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 204.1 Tm (provision required by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.52 Tm (individual. The care plan in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.94 Tm (the first instance should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 160.36 Tm (based on the assessments )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.78 Tm (undertaken prior to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 131.2 Tm (admission and in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 116.62 Tm (consultation with the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 102.04 Tm (users and family if )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 87.46 Tm (appropriate. The care plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.88 Tm (will then remain under )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 527.86 Tm (09/03/2009)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 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BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (review and at the end of the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (trial period should be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (reviewed with all interested )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (parties, which includes the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 640.42 Tm (service user, their family, the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 625.84 Tm (placing authority if )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 611.26 Tm (appropriate, the key worker )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 596.68 Tm (and the homes manager/lead )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 582.1 Tm (nurse. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.02 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 557.02 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 557.02 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 557.02 Tm (13.4 The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 542.44 Tm (shall ensure that c, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 527.86 Tm (unnecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 513.28 Tm (health or safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.7 Tm (users are identified and so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.12 Tm (far as possible eliminated,)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.96 Tm (The Compliance visit on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.38 Tm (02/03/09 found this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.8 Tm (requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.22 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.06 Tm (To ensure that service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.48 Tm (remain as safe as possible )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.9 Tm (risk assessments should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.32 Tm (undertaken for individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 320.74 Tm (service users, where a risk is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.16 Tm (identified then the action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.58 Tm (required by staff to minimise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277 Tm (that risk should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.42 Tm (documented, the risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.84 Tm (management strategy. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.26 Tm (risk assessment should )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.68 Tm (contain the review date, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 204.1 Tm (which should be determined )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.52 Tm (by the level of the risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.94 Tm (identified. Good practice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 160.36 Tm (would be to review all risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.78 Tm (at least six monthly.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 557.02 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.95 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 122.95 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 122.95 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.95 Tm (13.5, The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.37 Tm (shall make suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.79 Tm (arrangements to provide a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.21 Tm (safe system for moving and )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 122.95 Tm (20/02/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 329.76 w 31.2 543.67 m 91.05 543.67 l S 0.001 w 329.76 w 93.3 543.67 m 197.4 543.67 l S 0.001 w 329.76 w 199.65 543.67 m 289.45 543.67 l S 0.001 w 329.76 w 291.7 543.67 m 473.8 543.67 l S 0.001 w 329.76 w 476.05 543.67 m 566.1 543.67 l S 0.001 w 312.51 w 31.2 220.28 m 91.05 220.28 l S 0.001 w 312.51 w 93.3 220.28 m 197.4 220.28 l S 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1 292.3 546.94 Tm (and handling risk assessment )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 532.36 Tm (undertaken, where risks are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 517.78 Tm (identified then the action )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 503.2 Tm (required by staff should be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 488.62 Tm (clear, the risk management )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 474.04 Tm (strategy. The risk )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 459.46 Tm (assessment must contain the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 444.88 Tm (review date, which should be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 430.3 Tm (determined by the level of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 415.72 Tm (the risk identified. Good )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 401.14 Tm (practice would be to review )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 386.56 Tm (all risks at least six monthly.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 361.48 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 361.48 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 361.48 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 361.48 Tm (Health and welfare of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.9 Tm (users The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 332.32 Tm (shall ensure that the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.74 Tm (home is conducted so as a, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 303.16 Tm (to promote and make proper )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 288.58 Tm (provision for the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 274 Tm (welfare of service users. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.42 Tm (registered person shall so far )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 244.84 Tm (as practicable enable service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.26 Tm (users to make decisions with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 215.68 Tm (respect to the care they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.1 Tm (to receive and their health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.52 Tm (and welfare. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.94 Tm (person shall, for the purpose )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.36 Tm (of providing care to service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.78 Tm (users, and making proper )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.2 Tm (provision for their health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.62 Tm (welfare, so far as practicable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.04 Tm (ascertain and take into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.46 Tm (account their wishes and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.88 Tm (feelings.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 361.48 Tm (09/03/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 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(been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (The Compliance visit on the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (02/03/09 found this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 640.42 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 619.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 605.26 Tm (That service users are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 590.68 Tm (consulted along with their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 576.1 Tm (families or representatives if )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 561.52 Tm (appropriate, on a health )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 546.94 Tm (action plan, this may be part )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 532.36 Tm (of the service users care plan )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 517.78 Tm (or a separate document. It )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 503.2 Tm (should be underpinned by )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 488.62 Tm (health assessments )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 474.04 Tm (undertaken to identify the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 459.46 Tm (service users health needs )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 444.88 Tm (and any risks they may pose. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 430.3 Tm (it should not only prevent or )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 415.72 Tm (reduce risks but look to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 401.14 Tm (promote good health.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 376.06 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 376.06 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 376.06 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 376.06 Tm (14.2 The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 361.48 Tm (shall ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.9 Tm (assessment of the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 332.32 Tm (users needs is a, kept under )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.74 Tm (review, and b, revised at any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 303.16 Tm (time when it is necessary to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 288.58 Tm (do so having regard to any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 274 Tm (change of circumstances.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 244.84 Tm (The Compliance visit on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.26 Tm (02/03/09 found this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 215.68 Tm (requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.1 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.94 Tm (All service users needs once )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.36 Tm (assessed must be kept under )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.78 Tm (review and changed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.2 Tm (reflect changes in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.62 Tm (circumstances.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 376.06 Tm (09/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 87.79 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 87.79 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 87.79 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 87.79 Tm (13.2 The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.21 Tm (shall make arrangements for )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 87.79 Tm (20/02/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 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(furnishings, including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.76 Tm (curtains and floor coverings, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.18 Tm (and equipment suitable to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 571.6 Tm (the needs of service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 557.02 Tm (and screens where )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 542.44 Tm (necessary. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 510.28 Tm (Service users should have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 495.7 Tm (adequate draw space and a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 481.12 Tm (comfortable chair for their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 466.54 Tm (own use in their bedrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 673.66 Tm (09/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.71 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 443.71 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 443.71 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.71 Tm (18,c, ensure that the persons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.13 Tm (employed by the registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.55 Tm (person to work at the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.97 Tm (home receive i, training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.39 Tm (appropriate to the work they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.81 Tm (are to perform)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.07 Tm (Ensure that registered nurses )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.49 Tm (have sufficient training and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.91 Tm (qualifications to enable them )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.33 Tm (to work within their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 265.75 Tm (proffesional code of cunduct )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 443.71 Tm (09/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.92 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 242.92 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 242.92 Tm (10)Tj ET /F1 12 Tf BT 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0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 695.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 681.16 Tm (It is the responsibility of the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 666.58 Tm (registered person to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 652 Tm (that the person they have )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 637.42 Tm (appointed as the manager )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 622.84 Tm (has the necessary )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 608.26 Tm (experience, training and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 593.68 Tm (qualifications to understand )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 579.1 Tm (and care for the category of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 564.52 Tm (service users the home care )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 549.94 Tm (for, in this case older persons )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 535.36 Tm (with dementia and in need of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 520.78 Tm (nursing. )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 749.72 m 566.2 749.72 l S 0.001 w 30.3 w 31.2 705.95 m 91 705.95 l S 0.001 w 30.3 w 93.25 705.95 m 197.4 705.95 l S 0.001 w 30.3 w 199.65 705.95 m 289.5 705.95 l S 0.001 w 30.3 w 291.75 705.95 m 473.9 705.95 l S 0.001 w 30.3 w 476.15 705.95 m 566.2 705.95 l S 0.001 w 1 1 1 RG 213.12 w 31.2 581.99 m 91.05 581.99 l S 0.001 w 213.12 w 93.3 581.99 m 197.4 581.99 l S 0.001 w 213.12 w 199.65 581.99 m 289.45 581.99 l S 0.001 w 213.12 w 291.7 581.99 m 473.8 581.99 l S 0.001 w 213.12 w 476.05 581.99 m 566.1 581.99 l S 0.001 w 409.15 w 31.2 268.6 m 91.05 268.6 l S 0.001 w 409.15 w 93.3 268.6 m 197.4 268.6 l S 0.001 w 409.15 w 199.65 268.6 m 289.45 268.6 l S 0.001 w 409.15 w 291.7 268.6 m 473.8 268.6 l S 0.001 w 409.15 w 476.05 268.6 m 566.1 268.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 474.3 m 568.3 474.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 690.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 690.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.3 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 690.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 690.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 690.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 690.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 777.21 m 568.4 777.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.4 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.3 m 568.3 474.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 778.29 m 30.07 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 723.3 m 92.12 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 723.3 m 198.52 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 723.3 m 290.62 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 723.3 m 475.02 688.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 778.29 m 567.32 688.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 761.03 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 743.45 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 728.87 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 711.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 708.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 708.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 708.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 708.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 695.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.49 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 673.49 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 673.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 673.49 Tm (13. 8 On any occasion on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 658.91 Tm (which a service user is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 644.33 Tm (subject to physical restraint, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.75 Tm (the registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.17 Tm (record the circumstances, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.59 Tm (including the nature of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.01 Tm (restraint.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 568.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 553.85 Tm (That restraint is recognised )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 539.27 Tm (and the circumstances are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.69 Tm (documented by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 510.11 Tm (registered person to include )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 495.53 Tm (how or what was used to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 480.95 Tm (restrain the individual.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 673.49 Tm (17/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 458.12 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 458.12 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 458.12 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.12 Tm (13. 7. The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.54 Tm (shall ensure that no service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.96 Tm (user is subject to physical )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.38 Tm (restraint unless restraint of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.8 Tm (the kind employed is the only )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.22 Tm (practicable means of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.64 Tm (securing the welfare of that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.06 Tm (or any other service user and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.48 Tm (there are exceptional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.9 Tm (circumstances.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.74 Tm (\(7\) The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 283.16 Tm (shall ensure that no service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 268.58 Tm (user is subject to physical )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254 Tm (restraint unless)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 239.42 Tm (\(a\) restraint of the kind )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.84 Tm (employed is the only )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.26 Tm (practicable means of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.68 Tm (securing the welfare of that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.1 Tm (or any other service user and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 166.52 Tm (there are exceptional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.94 Tm (circumstances; or)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.36 Tm (\(b\) in the case of a person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.78 Tm (who lacks capacity in relation )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.2 Tm (to the matter in question, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.62 Tm (the act meets the conditions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.04 Tm (of section 6 of the 2005 Act.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 458.12 Tm (17/03/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 786.16 m 566.2 786.16 l S 0.001 w 30.3 w 31.2 742.39 m 91 742.39 l S 0.001 w 30.3 w 93.25 742.39 m 197.4 742.39 l S 0.001 w 30.3 w 199.65 742.39 m 289.5 742.39 l S 0.001 w 30.3 w 291.75 742.39 m 473.9 742.39 l S 0.001 w 30.3 w 476.15 742.39 m 566.2 742.39 l S 0.001 w 1 1 1 RG 137.22 w 31.2 656.38 m 91.05 656.38 l S 0.001 w 137.22 w 93.3 656.38 m 197.4 656.38 l S 0.001 w 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759.74 m 92.12 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 759.74 m 198.52 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 759.74 m 290.62 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 759.74 m 475.02 725.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 725.04 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 765.31 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 747.49 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 744.49 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 744.49 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 744.49 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 744.49 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 732.34 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 712.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 697.6 Tm (That no method of restraint )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 683.02 Tm (is used unless no other )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.44 Tm (course of action is available )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.86 Tm (and then it is agreed with )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (other agencies involved in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (the persons care and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 610.12 Tm (includes the social services )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 595.54 Tm (and health for example.)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 517.02 m 566.2 517.02 l S 0.001 w 30.3 w 31.2 466.25 m 91 466.25 l S 0.001 w 30.3 w 93.25 466.25 m 197.4 466.25 l S 0.001 w 30.3 w 199.65 466.25 m 289.5 466.25 l S 0.001 w 30.3 w 291.75 466.25 m 473.9 466.25 l S 0.001 w 30.3 w 476.15 466.25 m 566.2 466.25 l S 0.001 w 1 1 1 RG 20.58 w 31.2 438.56 m 91.05 438.56 l S 0.001 w 20.58 w 93.3 438.56 m 197.4 438.56 l S 0.001 w 20.58 w 199.65 438.56 m 289.45 438.56 l S 0.001 w 20.58 w 291.7 438.56 m 473.8 438.56 l S 0.001 w 20.58 w 476.05 438.56 m 566.1 438.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 451.06 m 30.07 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 451.06 m 567.22 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 482.53 m 568.4 482.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.98 m 568.3 449.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 451.06 m 92.17 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 451.06 m 198.52 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 451.06 m 290.57 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 451.06 m 474.92 426.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 551.52 m 568.4 551.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 482.53 m 568.4 482.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.98 m 568.4 449.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 427.15 m 568.3 427.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 552.6 m 30.07 448.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 483.61 m 92.12 448.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 483.61 m 198.52 448.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 483.61 m 290.62 448.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 483.61 m 475.02 448.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 552.6 m 567.32 448.9 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 538.33 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 518.33 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 34.05 503.75 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 503.75 Tm (Regulations 2001 and the National Minimum Standards. 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28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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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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