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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 (Hope Cottage)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 (5-7 Pilkington Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Southport)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Merseyside)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (PR8 6PD)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 (two star good 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 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 (Daniel Hamilton)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (6)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 (1)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 (11)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 (Hope Cottage)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 (5-7 Pilkington Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Southport)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Merseyside)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (PR8 6PD)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 (01704536286)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 1 272.31 648.1 Tm (01704543222)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 1 272.31 625.27 Tm (hopecottage@cedarscaregroup.co.uk)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 (Hope Cottage Limited)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 (26)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 [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 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 30.07 401.02 m 30.07 376.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 376.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 376.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 376.04 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 (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (26)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 345.32 m 565.6 345.32 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 333.91 m 567.8 333.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.74 m 567.8 356.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.91 m 568.1 333.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.34 m 568.1 267.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 357.82 m 30.07 266.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 357.82 m 566.72 266.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 340.55 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.72 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.14 Tm (only - Code PC. To service users of the following gender: Either. Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 288.56 Tm (needs on admission to the home are within the following categories: Dementia - Code )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.98 Tm (DE. The maximum number of service users who can be accommodated is: 26. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 252.55 m 315.25 252.55 l S 0.001 w 1 1 1 RG 20.58 w 317.5 252.55 m 346.55 252.55 l S 0.001 w 20.58 w 348.8 252.55 m 377.9 252.55 l S 0.001 w 20.58 w 380.15 252.55 m 409.2 252.55 l S 0.001 w 20.58 w 411.45 252.55 m 440.55 252.55 l S 0.001 w 20.58 w 442.8 252.55 m 471.9 252.55 l S 0.001 w 20.58 w 474.15 252.55 m 503.2 252.55 l S 0.001 w 20.58 w 505.45 252.55 m 534.55 252.55 l S 0.001 w 20.58 w 536.8 252.55 m 565.9 252.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 263.96 m 568.1 263.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.13 m 568.1 241.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 265.04 m 30.07 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 265.04 m 316.37 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 265.04 m 347.67 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 265.04 m 379.02 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 265.04 m 410.32 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 265.04 m 441.67 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 265.04 m 473.02 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 265.04 m 504.32 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 265.04 m 535.67 240.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 265.04 m 567.02 240.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 247.78 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 247.78 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 247.78 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 247.78 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 247.78 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 247.78 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 247.78 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 247.78 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 247.78 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 229.26 m 565.9 229.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 219.63 m 568.1 219.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.71 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.71 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.88 m 568.1 238.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.63 m 568.1 219.63 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 30.07 239.96 m 30.07 218.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 239.96 m 567.02 218.56 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 225.7 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 225.7 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 206.45 Tm (Hope Cottage is a residential care home that provides care for older people with )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 189.45 Tm (dementia. The home is Registered for 26 residents and is owned by Hope Cottage Ltd. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 172.45 Tm (The Responsible Person is Mr T Yilmaz. The home currently has an acting manager in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 155.45 Tm (day-to-day charge of the service.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 138.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 121.45 Tm (Hope Cottage is situated within a suburb of Southport and is within easy reach of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 104.45 Tm (town centre [1 mile]. The home has been extended to include a conservatory and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 87.45 Tm (further bedrooms, bathrooms and toilets. The facilities are spread over 2 floors with a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 70.45 Tm (passenger lift serving the first floor. All communal space is on the ground floor and )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 (11)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 30.07 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 689.08 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 28.99 690.15 m 568.1 690.15 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 (includes lounge, conservatory and dining room facilities. There is an enclosed garden )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (to the rear of the building and parking space at the front. A ramp has been added to )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (provide disabled access. 3 of the bedrooms can provide for residents to share.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (The fees at the time of the last inspection ranged between 415.00 - 510.00 per )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm (week.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 678.09 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 (11)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 (This random inspection was undertaken on 26th January 2009 and lasted )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (approximately 3.5 hours. The purpose of the random inspection was to review )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (progress and monitor compliance following a random inspection on 14th October 2008, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (during which some breaches in the Care Home Regulations 2001 were noted. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (inspector from the Commission for Social Care Inspection was also accompanied by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (two officers from the Environmental Protection Department.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (Outcome area - Choice of Home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (Two resident's files were selected to view. Examination of records confirmed that a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (range of assessment information had been completed by the service for each resident, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (prior to being admitted to Hope Cottage as noted at the previous visit. A copy of an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (assessment had been obtained from a social worker for a resident referred via care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (care management arrangements.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (A range of risk assessments had also been completed for each resident covering a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (range of areas including: person-centred risks; pressure area / skin integrity; moving )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (and handling and nutrition and falls. It was noted that some of the assessments used a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm ('tick box' approach and there was limited information on the control mechanisms. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (issue was brought to the attention of the acting manager and should be addressed, to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (ensure staff have clear information on the action that should be taken to minimise / )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (control potential risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (Outcome area - Health and Personal Care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (Two resident's files were selected to view. Examination of records confirmed that a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (care plan had been developed for each resident as previously noted. Care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (outlined the 'assessed need'; 'aim of care' and 'key worker instructions' and covered a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (range of areas including; safety, communication, breathing, nutrition, elimination, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (personal hygiene, body temperature, mobility, pain, mental health, social interests, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (sleeping, spiritual / cultural needs, final wishes, medication and any other significant )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (information.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (Care plans viewed had been kept under monthly review and updated by the acting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (manager to ensure they contained more detailed information on how the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (people using the service were to be met. The acting manager was advised to include )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (more background information on the diagnosis, level of comprehension and impact of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (dementia on the life of each resident. Furthermore, the acting manager was advised to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (clarify the skills and abilities each resident has in order to promote and maintain )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (independence and daily living skills.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (Some gaps in supporting documentation were noted for one resident and this should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (be addressed to ensure all relevant information is available and carried forward from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (the assessment of need stage to the care planning process.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (Accident records had been completed to account for all incidents however the details of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (three falls for a resident had not been transferred to the 'service user falls risk )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 (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (assessment and care / action plan form'. Concern was expressed regarding a resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (who had fallen on ten occasions between the period 10/09/08 to 13/01/09 and the last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (recorded contact with a general practitioner was 1/09/2008.)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 (Outcome area - Environment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (The area where an accident had occurred during September 2008 was inspected by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (officers from the Environmental Protection Department. Advice was given to re-paint )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (the steps as the original paintwork was worn. Other issues were noted \(please refer to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (the section entitled 'Management and Administration'\).)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 (Outcome area - Staffing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (On the day the random inspection was undertaken there were 20 residents living in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (Hope Cottage and the acting manager, three care staff and 4 ancillary staff were on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (duty.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (Since the last visit a new laundry assistant had been employed to work 25 hours per )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (week \(Monday to Friday\). The acting manager reported that the service continued to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (advertise for a weekend laundry assistant.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (Staff allocation sheets were reviewed to check the deployment of staff and to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (there was adequate supervision and support for residents. Copies could not be located )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (for 31/12/08, 3/01/09 or 4/01/09. Overall, the standard of recording had improved )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (however some shortfalls were noted. For example, the records dated 24/01/09 and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (25/01/09 did not adequately specify how staff were to be deployed as the forms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (detailed; "All staff" were responsible for laundry duties between the period 09.00 hrs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (to 13:00 hrs. There were only three care staff on duty on each day and additional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (cover had not been organised to cover laundry duties. This practice was not in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (accordance with written correspondence dated 17th October 2008, received from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (responsible individual. Therefore, there was potential once again for all three staff to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (be engaged in non-care duties at the same time and to overlook the direct care and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (supervision needs of the people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (At the time of the visit the acting manager did not have a system in place to monitor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (the dependency needs of the people using the service and the staffing hours in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (home. The acting manager agreed to refer to guidance produced by the Residential )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (Forum and to keep the staffing levels in the home under regular review.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (The acting manager reported that funding had been agreed for a days training in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (dementia for all staff and that training dates would be agreed with a training provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (in the near future. It was agreed that the acting manager would notify the Commission )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (for Social Care Inspection of the dates of the training within the next four weeks.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (Management & Administration)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (Health and safety practice and policies and procedures were reviewed by officers from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (the Environmental Protection Department. It was noted that documented systems in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (some areas did not reflect what was actually being carried out in the home. Advice was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (given regarding: window restriction policies and procedures; risk of scalding; accident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (reporting; legionella control and asbestos assessments and information, supervision )Tj ET 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 (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 789.16 m 563.65 789.16 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 28.99 764.66 m 565.85 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 763.59 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (and training for staff on health and safety matters. 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This will help staff to promote and maintain the independence and daily )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 579.65 Tm (living skills of the people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 565.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 550.49 Tm (Risk assessments should clearly outline the control mechanisms to ensure staff have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 535.91 Tm (clear information on the action required to minimise / control risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 521.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 506.75 Tm (The health care needs of the people using the service should be closely monitored and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.17 Tm (issues of concern promptly referred to relevant health care professionals, to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.59 Tm (welfare of the people using the service is safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 463.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 448.43 Tm (A system should be established to verify that the dependency needs of the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 433.85 Tm (using the service and the resultant staffing levels in the home are appropriate for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 419.27 Tm (needs of the people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 404.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 390.11 Tm (The staff allocation sheet should always detail the name of each staff responsible for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 375.53 Tm (undertaking specific non-care duties, to ensure staff do not multi-task and are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.95 Tm (available at all times to provide direct care and supervision for the people using the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.37 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.21 Tm (All staff should complete comprehensive training in dementia and an assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.63 Tm (their skills and competency should be undertaken. This will help to ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 288.05 Tm (people using the service are supported by competent staff who fully understand the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.47 Tm (diverse needs of older people living with dementia.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 258.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.31 Tm (The edge of the treads on the outside steps should be highlighted, to make them )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.73 Tm (visible for service users and a review of the health and safety procedures be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 215.15 Tm (undertaken. This will ensure the health and safety issues identified by the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 200.57 Tm (Environmental Protection Officer are addressed and improve safe working practices.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.61 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 175.61 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 159.61 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 (11)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 81.9 w 31.2 699.43 m 566.2 699.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 741.5 m 568.4 741.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 742.58 m 30.07 658.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.48 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 725.32 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 34.05 707.74 Tm (These requirements were set at the last inspection. 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96.15 608.62 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 608.62 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 608.62 Tm (A record of all falls and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.04 Tm (treatment provided to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 579.46 Tm (service users must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 564.88 Tm (maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 547.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.72 Tm (This will help to provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.14 Tm (information on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 503.56 Tm (circumstances of the falls, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.98 Tm (injuries sustained and action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.4 Tm (taken.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 608.62 Tm (17/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.57 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 451.57 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 451.57 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 451.57 Tm (Care plans must describe in )Tj ET /F1 12 Tf BT 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ET /F1 12 Tf BT 1 0 0 1 294.55 64.57 Tm (supervision of service users )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 93.73 Tm (17/12/2008)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 (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 81.9 w 31.2 771.58 m 91.05 771.58 l S 0.001 w 81.9 w 93.3 771.58 m 197.4 771.58 l S 0.001 w 81.9 w 199.65 771.58 m 289.45 771.58 l S 0.001 w 81.9 w 291.7 771.58 m 473.8 771.58 l S 0.001 w 81.9 w 476.05 771.58 m 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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 (11)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 28.35 793.57 Tm (Requirements and recommendations from this inspection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 733.59 m 566.2 733.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.09 m 568.4 761.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.17 m 30.07 707.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 762.17 m 567.32 707.22 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 744.9 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 34.05 727.32 Tm (These are immediate requirements that were set on the day we visited this )Tj ET /F1 12 Tf BT 1 0 0 1 493.86 727.32 Tm (care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.74 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.7 m 91 688.7 l S 0.001 w 30.3 w 93.25 688.7 m 197.4 688.7 l S 0.001 w 30.3 w 199.65 688.7 m 289.5 688.7 l S 0.001 w 30.3 w 291.75 688.7 m 473.9 688.7 l S 0.001 w 30.3 w 476.15 688.7 m 566.2 688.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.97 m 568.4 704.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.42 m 568.4 672.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.05 m 30.07 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.05 m 92.12 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.05 m 198.52 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.05 m 290.62 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.05 m 475.02 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.05 m 567.32 671.35 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 690.8 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 690.8 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 690.8 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 690.8 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 690.8 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 678.65 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 617.26 m 566.2 617.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.05 m 568.4 652.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.13 m 30.07 583.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.13 m 567.32 583.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 635.86 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 34.05 618.28 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 34.05 603.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 162.09 603.7 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 314.21 603.7 Tm (2001 and the National Minimum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 565.08 m 91 565.08 l S 0.001 w 30.3 w 93.25 565.08 m 197.4 565.08 l S 0.001 w 30.3 w 199.65 565.08 m 289.5 565.08 l S 0.001 w 30.3 w 291.75 565.08 m 473.9 565.08 l S 0.001 w 30.3 w 476.15 565.08 m 566.2 565.08 l S 0.001 w 1 1 1 RG 154.8 w 31.2 470.28 m 91.05 470.28 l S 0.001 w 154.8 w 93.3 470.28 m 197.4 470.28 l S 0.001 w 154.8 w 199.65 470.28 m 289.45 470.28 l S 0.001 w 154.8 w 291.7 470.28 m 473.8 470.28 l S 0.001 w 154.8 w 476.05 470.28 m 566.1 470.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 548.8 m 568.4 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 582.43 m 92.12 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 582.43 m 290.62 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 582.43 m 475.02 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 581.35 m 568.4 581.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 548.8 m 568.3 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 391.75 m 568.3 391.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 582.43 m 30.07 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 549.88 m 92.17 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 582.43 m 198.52 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 549.88 m 290.57 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 549.88 m 474.92 390.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 582.43 m 567.32 390.68 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 567.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 567.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 567.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 567.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 567.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 555.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 532.62 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.62 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.62 Tm (Suitable numbers of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.04 Tm (qualified, competent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 503.46 Tm (experienced care staff must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.88 Tm (be working at Hope Cottage )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.3 Tm (at all times. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.14 Tm (This will enable staff to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.56 Tm (respond to the diverse care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.98 Tm (and support needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.4 Tm (people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 532.62 Tm (03/03/2009)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 336.59 m 566.2 336.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 371.38 m 568.4 371.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 372.46 m 30.07 302.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 372.46 m 567.32 302.93 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 355.19 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 337.61 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 323.03 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 308.45 Tm (improving their service.)Tj ET 0.99608 0.9451 0.76078 RG 18.15 w 31.2 291.61 m 91.05 291.61 l S 0.001 w 18.15 w 93.3 291.61 m 197.4 291.61 l S 0.001 w 18.15 w 199.65 291.61 m 566.1 291.61 l S 0.001 w 1 1 1 RG 64.32 w 31.2 248.12 m 91.05 248.12 l S 0.001 w 64.32 w 93.3 248.12 m 197.4 248.12 l S 0.001 w 64.32 w 199.65 248.12 m 566.1 248.12 l S 0.001 w 49.74 w 31.2 188.84 m 91.05 188.84 l S 0.001 w 49.74 w 93.3 188.84 m 197.4 188.84 l S 0.001 w 49.74 w 199.65 188.84 m 566.1 188.84 l S 0.001 w 78.9 w 31.2 122.27 m 91.05 122.27 l S 0.001 w 78.9 w 93.3 122.27 m 197.4 122.27 l S 0.001 w 78.9 w 199.65 122.27 m 566.1 122.27 l S 0.001 w 22.17 w 31.2 69.49 m 91.05 69.49 l S 0.001 w 22.17 w 93.3 69.49 m 197.4 69.49 l S 0.001 w 22.17 w 199.65 69.49 m 566.1 69.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 281.41 m 568.3 281.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.84 m 568.3 214.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.85 m 568.3 162.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.7 m 568.3 81.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.81 m 568.3 301.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.41 m 568.3 281.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.84 m 568.3 214.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.85 m 568.3 162.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.7 m 568.3 81.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 57.28 m 568.3 57.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 302.89 m 30.07 56.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 302.89 m 92.17 56.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 302.89 m 198.52 56.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 302.89 m 567.22 56.2 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 287.63 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 287.63 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 287.63 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 265.22 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 265.22 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 265.22 Tm (Care plans should be updated to include information on the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 250.64 Tm (skills and abilities each resident has. This will help staff to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 236.06 Tm (promote and maintain the independence and daily living )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 221.48 Tm (skills of the people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.65 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 198.65 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 198.65 Tm (Risk assessments should clearly outline the control )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 184.07 Tm (mechanisms. This will ensure staff have clear information )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 169.49 Tm (on the action required to minimise / control risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 146.66 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 146.66 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 146.66 Tm (The health care needs of the people using the service )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 132.08 Tm (should be closely monitored and issues of concern promptly )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 117.5 Tm (referred to relevant health care professionals. This will )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 102.92 Tm (ensure the welfare of the people using the service is )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 88.34 Tm (safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 65.51 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 65.51 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 65.51 Tm (The staff allocation sheet should be closely monitored to )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 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 (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 31.2 774.58 m 91.05 774.58 l S 0.001 w 75.9 w 93.3 774.58 m 197.4 774.58 l S 0.001 w 75.9 w 199.65 774.58 m 566.1 774.58 l S 0.001 w 78.9 w 31.2 694.93 m 91.05 694.93 l S 0.001 w 78.9 w 93.3 694.93 m 197.4 694.93 l S 0.001 w 78.9 w 199.65 694.93 m 566.1 694.93 l S 0.001 w 93.48 w 31.2 606.49 m 91.05 606.49 l S 0.001 w 93.48 w 93.3 606.49 m 197.4 606.49 l S 0.001 w 93.48 w 199.65 606.49 m 566.1 606.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 735.5 m 568.3 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 654.35 m 568.3 654.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.5 m 568.3 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 654.35 m 568.3 654.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.62 m 568.3 558.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 557.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 557.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 557.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 557.55 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 200.25 802.72 Tm (ensure it always details the name of each staff responsible )Tj ET /F1 12 Tf BT 1 0 0 1 200.25 788.14 Tm (for undertaking specific non-care duties. This will ensure )Tj ET /F1 12 Tf BT 1 0 0 1 200.25 773.56 Tm (staff do not multi-task and are available at all times to )Tj ET /F1 12 Tf BT 1 0 0 1 200.25 758.98 Tm (provide direct care and supervision to the people using the )Tj ET /F1 12 Tf BT 1 0 0 1 200.25 744.4 Tm (service. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.32 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 719.32 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 719.32 Tm (A system should be established to verify that the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 704.74 Tm (dependency needs of the people using the service and the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 690.16 Tm (resultant staffing levels in the home are appropriate. This )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 675.58 Tm (will help in workforce planning and ensure the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 661 Tm (people using the service are met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 638.17 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 638.17 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 638.17 Tm (All staff should complete comprehensive training in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 623.59 Tm (dementia and an assessment of their skills and competency )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 609.01 Tm (should be undertaken. 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Tel: 0870 600 5522. 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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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