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(4)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 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 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /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 (Oaks Court)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 (Oaks Crescent )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Wolverhampton)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (West Midlands)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (WV3 9SA)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01902715266)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Quality Homes \(Midlands\) Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (41)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 358.98 m 297.25 358.98 l S 0.001 w 20.58 w 299.5 358.98 m 429.25 358.98 l S 0.001 w 20.58 w 431.5 358.98 m 565.9 358.98 l S 0.001 w 35.16 w 31.2 328.86 m 297.25 328.86 l S 0.001 w 35.16 w 299.5 328.86 m 429.25 328.86 l S 0.001 w 35.16 w 431.5 328.86 m 565.9 328.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.15 m 568.1 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 309.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 309.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.38 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 331.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 331.38 Tm (41)Tj ET 0.95294 0.95294 0.95294 RG 95.4 w 32.32 239.82 m 564.77 239.82 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 266.95 m 567.8 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 568.1 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.77 m 567.8 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 568.1 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 568.1 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.13 m 568.1 192.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 290.85 m 30.07 191.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 290.85 m 566.72 191.05 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 273.59 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 250.76 Tm (The maximum number of service users accommodated is 41)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (The registered person may provider personal care to service users of both sexes whose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (primary care needs on admission to the home are within the following categories: )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.77 Tm (Older People \(OP\) 41 Dementia over 55 years of age \(DE\)\(E\) 34)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 177.34 m 315.25 177.34 l S 0.001 w 1 1 1 RG 20.58 w 317.5 177.34 m 346.55 177.34 l S 0.001 w 20.58 w 348.8 177.34 m 377.9 177.34 l S 0.001 w 20.58 w 380.15 177.34 m 409.2 177.34 l S 0.001 w 20.58 w 411.45 177.34 m 440.55 177.34 l S 0.001 w 20.58 w 442.8 177.34 m 471.9 177.34 l S 0.001 w 20.58 w 474.15 177.34 m 503.2 177.34 l S 0.001 w 20.58 w 505.45 177.34 m 534.55 177.34 l S 0.001 w 20.58 w 536.8 177.34 m 565.9 177.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 188.75 m 568.1 188.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 165.92 m 568.1 165.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 189.83 m 30.07 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 189.83 m 316.37 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 189.83 m 347.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 189.83 m 379.02 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 189.83 m 410.32 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 189.83 m 441.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 189.83 m 473.02 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 189.83 m 504.32 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 189.83 m 535.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 189.83 m 567.02 164.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 172.57 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 154.04 m 565.9 154.04 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 144.42 m 568.1 144.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 145.5 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 145.5 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 163.67 m 568.1 163.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.42 m 568.1 144.42 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 30.07 164.75 m 30.07 143.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 164.75 m 567.02 143.34 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 150.49 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 150.49 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 131.24 Tm (Oaks Court is a purpose built residential home for 41 older people that was originally )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 114.24 Tm (intended, and run for a short time, as a nursing home. It is situated in a quiet )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 97.24 Tm (residential cul-de-sac close to Wolverhampton city centre. The building is on three )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 80.24 Tm (floors, which are serviced by a couple of lifts. All the bedrooms have en-suite facilities. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 63.24 Tm (The home has an enclosed garden at the side of the building and a large car parking )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 46.24 Tm (area at the front.)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 30.07 712.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 712.77 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 28.99 713.85 m 568.1 713.85 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 ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (The fees are in accordance with local authority rates.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 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 (Oaks Court was rated as 2* good at the last key inspection in February 2008 since then )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (we have received a number of safeguarding referrals, as a result we have completed a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (random inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (Two inspectors carried out the inspection over nine hours. During the inspection we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (looked at a number of documents including careplans, infection control procedures, safety )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (procedures, staff training records, accident records and regulation 37 notifications. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (spoke with the Manager, both Deputy Managers and four care staff, plus four service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (user's. We also looked around the building at bathrooms, toilets, bedrooms, the laundry )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (and communal area's.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (We found a number of area's of concern including poor infection control practices, poor )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (service user safety, lack of detail in care plan documentation, non-reporting of accidents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (and deaths, lack of staff training and poor medication administration practices.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (The home is registered with the Care Quality Commission to provide care for 41 elderly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (persons, to include 34 persons with dementia. The home's Statement of Purpose and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (Service Uer Guide which is given to prospective service users states: 'The home is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (registered to provide care for elderly and elderly mentally ill persons'. This is incorrect )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (and misleading for potential users of the service, and should be rectified.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (Throughout the inspection we asked individual members of staff how many service users )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (were living at the home, we were given different answers by each member of staff. Of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (most concern was the fact the staff member in charge was unsure how many service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (users resided in the home. She stated: '35 or 36 at a rough guess'. This of concern and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (may affect the safety of people using the service in the event of a fire.)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 (We looked at the care plans of two people who were being cared for in bed, and who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (required full assistance from staff with eating & drinking, positioning \(2hrly turns\), )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (toileting and personal care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (It was of concern that not all the individual's specific needs are recorded properly in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (care plans seen. It was established on talking to staff that both service users were on a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (soft diet, there is conflicting information in the care file. Staff have written the individual )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (likes toast and fish, this information has not been updated since 24/01/07. Then there is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (a letter dated 12th May 2009 from the GP stating that the individual is to have a liquid )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (diet only.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (There is no evidence to show that a dietician has been consulted for advice, nor has )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (nutritional screening taken place, there is a potential risk of the individual's choking and a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (risk of lack of nutrition. Weight charts are on file but there are gaps, so it is not clear if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (the service user has gained or lost weight. This means that staff can not be sure if people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (living in the home are receiving adequate nutrition to help them maintain their weight. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (Recording of daily food and fluid intake is poor, with entries missing and entries made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (stating 'small amount of dinner taken'. It does not show what was eaten, how much was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (eaten, how the individual should be assisted to eat or how they should be positioned to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (ensure they dont choke. Again, there are potential risks of choking and inadequate )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 (nutrition for the person.)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 (Pressure area care is poor. The local district nursing team treat and dress pressure sores )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (accordingly, but staff at the home did not know the size or grade of the pressure sore, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (the treatment given or the dressings used. The Deputy Manager said: 'I know she's got a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (nasty sore on her bottom'. There is no mention in the service users care file of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (pressure sores, how they are to be treated or how staff are to ensure optimal healing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (with additions of pressure relieving equipment or positioning. The district nurses record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (everything about the pressure sore and current treatment in an assessment file kept in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (the service users bedroom. Staff at the home stated they dont look in the file, nor do )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (they really communicate with the district nursing team.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (This is of great concern as the home has a duty of care to their service users, and must )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (maintain professional working relationships with visiting health care professionals to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (ensure optimal care is given to prevent and treat pressure sores.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Turning charts are kept in the individual's bedrooms to show that they are repositioned )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (two hourly to prevent pressure sores developing and to ensure optimal healing of existing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (sores. The two charts we looked at had big gaps in times and dates. Either staff are not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (recording entries correctly or people are not being turned.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (Risk assessments seen were lacking in detail, for example. when hoisting a person it does )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (not state which hoist or sling to use, or give any clear instructions to staff. This places )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (both the person being hoisted and the staff at risk of potential injury.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (Entries made by staff in the daily records were not comprehensive, there were no entries )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (to say how the person's changing needs had been met during the shift.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (During the inspection we saw some poor medication practice. A member of staff carried )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (medication in a pot, then went opened the front door for visitors, she then went and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (signed the medication chart and told us she was going to give the medication to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (We also found a medication chart in a persons bedroom, all medication charts should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (kept in the treatment room A tube of medicated cream was found in a bedroom. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (directions state it should be applied 4 times a day. The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (medication is being stored appropriately, administered safely and at the correct times.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (We saw staff interacting well with people living in the home but did observe that staff did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (not knock on bedroom or bathroom doors before entering, and no apologies were made )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (for disturbing people in their rooms. This showed that the privacy and dignity of people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (living in the home was not respected. When hoisting a person in the communal lounge, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (staff did not preserve her dignity in front of other people. The lady herself was pulling her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (skirt down to protect her modesty. Staff need to be made aware that privacy and dignity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (must be maintained at all times.)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 (Lunchtime was observed. There was a general lack of direction for staff. At times there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (were no staff in the dining room to supervise and give assistance where needed. An )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (individual was seen trying to cut her food with a spoon, and struggling to get the food to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (her mouth. No assistance was given to her by staff, and she therefore only ate a small )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (amount of her meal.)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 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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (The homes complaints policy is available to people living in the home. A register of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (complaints is kept with actions taken and outcomes listed. The home has a policy on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (safeguarding. Staff have not received training on safeguarding, although when asked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (they stated that they would report any concerns to the Manager, and when prompted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (they were able to say that CQC and social services should be informed of any concerns.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (Accident and incident records were seen. These lacked detail and did not give a full )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (picture of what had happened, and some entries were missing. Daily records did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (always correspond to the accident forms, this shows that not all staff were aware of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (accidents occurring to people in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (It is a legal requirement that the home reports any serious accidents, deaths and events )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (affecting well being of residents on a Regulation 37 notification form to CQC as soon as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (possible. CQC know that in the last 6 weeks there have been a number of serious )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (incidents that have not been reported to CQC. When asked, the Manager confirmed these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (had not been reported and stated she was unsure of what to report. We advised the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Manager that she was in serious breach of Regulation 37 of the Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (2001 Act for failure to notify CQC of these incidents. A code B was served to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (We were shown around the home by a Senior Carer. Three toilets and two bathrooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (were out of order. The carer stated that they had been out of use for at least two weeks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (as the toilets were blocked, and a chair seat was to be fitted in one of the bathrooms. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Manager later confirmed that the bathroom was not out of use, and it was to be used by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (able bodied persons. Communication with staff must be improved so they are aware of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (what facilities they can safely use. Where facilities are out of use, doors should be locked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (and have appropriate signage. The home must ensure that all facilities are repaired and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (in good working order for the use of the people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Mattresses seen on beds were covered in a plastic material which had ridden up and lay )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (in ridges on top of the mattress, very uncomfortable to touch. Linen was in poor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (condition, sheets were thin and had a washed out appearance, pillows were lumpy and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (would be very uncomfortable to lie on. A full audit of the mattresses and linen should )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (take place and replacement items purchased to ensure people using the beds are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (comfortable, safe and protected from injury.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (We saw unsafe area's in the home. The laundry room and the ground floor toilet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (contained cleaning materials, equipment and exposed electrical wires. These could have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (caused injury or harm to people wandering around the home. We asked staff to secure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (both rooms immediately. Fire doors were propped open with chairs. Some bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (were missing call buzzers so people in there had no way of summoning assistance. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (Wheelchairs were inappropriately stored. Two were seen in a persons bedroom, staff said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (he didnt actually use a wheelchair. Two were seen in a bathroom blocking access to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (bath. The hoist chair over the bath was cracked and chipped, and dried faeces was seen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (on the arms and back of the chair.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Infection control practices are extremely poor. We saw no evidence of staff using gloves )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (or aprons, and there were none seen in sluice rooms or bathrooms. There was a general )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (lack of handwash and paper towels throughout the home. The Senior Carer stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (the home provides personal toiletries for people living in the home. We saw very few )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /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 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 (toiletries, just bars of soap and in one case a mouldy toothbrush. In the bathroom there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (was a bottle of shampoo and some talcum powder which seemed to be used for all, and a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (used catheter bag was found on the floor of an ensuite.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (We asked staff the procedure for taking soiled linen from the bedrooms to the laundry. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Varying answers were given, one carer said they use open baskets, a second carer said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (she uses bags to transport the soiled linen to the laundry. We had conflicting answers )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (from staff when they were asked about disposing of soiled continence pads. The Deputy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Manager was unsure of the procedure and two other members of staff gave different )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (answers. The toilets in the communal area's contained plastic dustbins not pedal bins for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (disposing of waste. One bin was lined with a black bag, the other wasnt. A pack of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (opened clean pads was seen on top of one of the bins.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (In two of the bedrooms opened boxes of continence aids and dressings were sat on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (floor, not stored away. Equipment seen such as hoists, wheelchairs, commodes and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (bedside bumpers were dirty, stained and had dried faeces on them. One bedroom had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (dried faeces on the wall and bedrails, another bedroom had fresh stains on the carpet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (where faeces had been wiped away but not cleaned properly. We saw care staff wearing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (cardigans over their uniforms when assisting individual's. A bottle of handwash seen in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (one of the communal toilets was smeared with blood, this was removed when pointed out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (to a member of staff. Staff did not wear aprons when serving lunch until 15 minutes into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (the service, and then they had to ask if they should be wearing blue or white aprons.)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 (All of these observations show that infection control practices are extremely poor and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (people living in the home are at risk of injury from accessible unsafe area's. We advised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (the Manager that there was a serious breach of Regulation 13\(3\)\(4\)\(a\) of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Homes Regulation 2001 and a code B was served to the Manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (There were five staff on duty plus the Manager and two Deputy Managers, one carer was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (off sick and had not been replaced. There were sufficient staff on duty to meet the needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (of the people living in the home, but due to a lack of direction and leadership from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (management team, and systems and procedures were not in place, staff were unsure of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (correct procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (At times there were no staff supervising lunchtime, nor were there any staff in the main )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (lounge. Three people were seen sitting in the lounge for over 40 minutes after lunch )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (started, they were not transferred to the dining room, and a meal was not given to them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (in the lounge.)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 (It was evident from looking at staff recruitment files that induction and training had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (taken place. In the files seen induction checklists were in place but the supervision )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (records showed that mandatory training had not taken place for new staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (The staff training matrix showed that all staff had undergone moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (training the week before the inspection. Prior to this training had not taken place for over )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (two years in some cases. There had been no training on dementia care which given that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (the home is registered for people with dementia would be beneficial to all. Staff spoken to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (confirmed that they had not had fire training or training on safeguarding for a long time. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (The Manager later confirmed that dates had been set for training in the New Year.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (It was evident from talking to staff that they have insufficient understanding of correct )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /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 1 1 1 RG 105.06 w 31.2 732.7 m 580.26 732.7 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 28.99 679.04 m 582.46 679.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 677.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 677.96 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (procedures particularly with regards to infection control, disposal of waste, pressure area )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (care and accident reporting. This puts people living in the home at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Overall, it was evident that a lack of direction and leadership from management, and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (systems and procedures not being followed combined with a lack of staff training has led )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (to people living in the home receiving poor outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 660.97 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 1 175.95 660.97 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 93.48 w 31.2 603.04 m 580.26 603.04 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 650.91 m 582.46 650.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 555.17 m 582.46 555.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 651.98 m 30.07 554.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 651.98 m 581.38 554.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm (Recruitment practices are good. Staff files contain all the relevant documentation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm (required by law.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (Complaints are listened to, acted upon and documented appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm (Staff are friendly and interact well with the people living at the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.85 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 482.24 w 31.2 283.67 m 580.26 283.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 525.91 m 582.46 525.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 526.99 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 526.99 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 509.73 Tm (The statement of purpose should be changed to reflect the home's current registration )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 495.15 Tm (with the Care Quality Commission, dementia not elderly mentally ill. This will ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 480.57 Tm (potential service user's have up-to-date relevant information.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 465.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.41 Tm (Care plans need to reflect all the specific needs of the individual's, with comprehensive )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.83 Tm (actions listed to enable staff to meet all needs safely.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 422.25 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.67 Tm (The home must work closely with the District Nursing team to ensure optimal healing of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.09 Tm (pressure sores. All staff need to undergo training o pressure area care to understand how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 378.51 Tm (to prevent and treat pressure sores.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 363.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 349.35 Tm (Risk assessments need to be more detailed showing how potential risks are to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.77 Tm (managed safely by staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.19 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.61 Tm (Entries in daily records should be more detailed to give a full picture of the individual at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.03 Tm (the time of writing. To include any information or advice given by other health care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 276.45 Tm (professionals.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 261.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.29 Tm (Staff should receive training on medication procedures to ensure people living at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.71 Tm (home receive their medication safely, and medication should be stored appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.55 Tm (Privacy and dignity must be maintained at all times by staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 188.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm (The home needs to introduce a system to ensure staff are present in the dining room at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (mealtimes to supervise and assist where needed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm (All accidents and incidents must be reported and documented appropriately to ensure an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (audit trail is maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (As stated in the report all area's accessible to people living at the home must be made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (safe to prevent injury or harm occurring.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm ()Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /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 (9)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 411.24 w 31.2 579.6 m 580.26 579.6 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 28.99 372.86 m 582.46 372.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 371.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 371.78 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (There must be an ongoing programme of maintenance to ensure all facilities are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (accessible and in good working order.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (An audit of mattressess, linen and pillows should take place, and items replaced to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (ensure the safety and comfort of the people using them.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (As stated in the report all infection control practices must be reviewed, and significant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (changes made throughout the home to prevent the spread of infection. In particular )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (handwash, paper towels and pedal bins to dispose of waste should be put in place at all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (hand washing area's.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (All staff must be made aware of the home's procedures on disposal of waste, soiled pads )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (and transporting soiled linen through the home.)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 (Suitable storage area's should be found for continence equipment, dressings, hoists and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (wheelchairs. People's bedrooms should not be used as storage area's.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (The management should ensure sufficient domestic staff are on duty daily to keep the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (home clean, hygienic and free from infection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (A review of staff training should take place. A training and developement programme )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (should be developed for each staff member with specific training on infection control, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (pressure area care, safeguarding, first aid, food hygiene and fire safety to be addressed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (as a matter of priority.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (The Manager must ensure Deputy Managers are competent, aware of the home's policies )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (and procedures, and are supervising staff adequately.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 356.8 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 356.8 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 340.8 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 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 (10)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 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 ()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 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)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 /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 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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 553.61 w 32.32 323.11 m 564.97 323.11 l S 0.001 w 1 1 1 RG 154.8 w 31.2 422.1 m 91.05 422.1 l S 0.001 w 154.8 w 93.3 422.1 m 197.4 422.1 l S 0.001 w 154.8 w 199.65 422.1 m 289.45 422.1 l S 0.001 w 154.8 w 291.7 422.1 m 473.8 422.1 l S 0.001 w 154.8 w 476.05 422.1 m 566.1 422.1 l S 0.001 w 169.38 w 31.2 257.76 m 91.05 257.76 l S 0.001 w 169.38 w 93.3 257.76 m 197.4 257.76 l S 0.001 w 169.38 w 199.65 257.76 m 289.45 257.76 l S 0.001 w 169.38 w 291.7 257.76 m 473.8 257.76 l S 0.001 w 169.38 w 476.05 257.76 m 566.1 257.76 l S 0.001 w 125.64 w 31.2 108 m 91.05 108 l S 0.001 w 125.64 w 93.3 108 m 197.4 108 l S 0.001 w 125.64 w 199.65 108 m 289.45 108 l S 0.001 w 125.64 w 291.7 108 m 473.8 108 l S 0.001 w 125.64 w 476.05 108 m 566.1 108 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 343.58 m 568.3 343.58 l S 0.001 w [] 0 d [] 0 d 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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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393.96 Tm (user's of the service have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.38 Tm (current up to date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.8 Tm (information about the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.22 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (07/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 327.39 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 327.39 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 327.39 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (Care plans should reflect all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.81 Tm (the specific needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 298.23 Tm (individual with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 283.65 Tm (comprehensive actions listed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.07 Tm (to enable staff to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254.49 Tm (people's needs safely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 236.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222.33 Tm (This will enable staff to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.75 Tm (all the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.17 Tm (individual's living at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.59 Tm (home safely.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 327.39 Tm (02/02/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 155.76 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 155.76 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 155.76 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.76 Tm (All staff should undergo )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.18 Tm (training on pressure area )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 126.6 Tm (care.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.44 Tm (To enable staff to understand )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.86 Tm (how to prevent pressure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.28 Tm (sores and treat developed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 50.7 Tm (sores.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 155.76 Tm (07/02/2010)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC 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must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.85 Tm (introduced.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.68 Tm (To ensure all area's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.11 Tm (accessible to people living in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.52 Tm (the home are safe and free )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 336.95 Tm (from hazards to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.36 Tm (people are protected from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 307.79 Tm (injury or harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 442.01 Tm (07/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.95 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 284.95 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 284.95 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.95 Tm (Infection control practices )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.38 Tm (must be reviewed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.79 Tm (significant changes made )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.21 Tm (throughout the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.05 Tm (To prevent the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.48 Tm (infection and ensure people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 179.9 Tm (living in the home are safe.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 284.95 Tm (07/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.07 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 157.07 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 157.07 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.07 Tm (The home should ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.49 Tm (there are sufficient domestic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.9 Tm (staff employed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 95.75 Tm (To keep the home clean, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.17 Tm (hygienic and free from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.58 Tm (infection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 157.07 Tm (07/01/2010)Tj ET endstream endobj 30 0 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Tel: 0870 600 5522. 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The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 38 0 obj<> endobj 39 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 40 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 23 0 obj<> endobj 41 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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