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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 adults \(18-65 years\))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 55.74 w 31.2 471.5 m 164.46 471.5 l S 0.001 w 1 1 1 RG 55.74 w 166.71 471.5 m 580.25 471.5 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 28.99 442.5 m 582.46 442.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 441.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 441.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 441.43 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 (Besford House)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 (19 Besford Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Liverpool)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (L25 2XT)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.21 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 31.2 410.71 m 391.05 410.71 l S 0.001 w 1 1 1 RG 20.58 w 393.3 410.71 m 580.25 410.71 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 387.88 m 391.05 387.88 l S 0.001 w 1 1 1 RG 20.58 w 393.3 387.88 m 580.25 387.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 399.3 m 582.46 399.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 422.13 m 582.46 422.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.3 m 582.46 399.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.47 m 582.46 376.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 423.2 m 30.07 375.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 423.2 m 392.17 375.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 423.2 m 581.38 375.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 405.94 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 405.94 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 383.11 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 345.16 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 28.35 328.16 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 28.35 311.16 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 277.16 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 1 150.58 277.16 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 1 200.47 277.16 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 277.16 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 277.16 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 260.16 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 28.35 243.16 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 31.2 208.68 m 315.25 208.68 l S 0.001 w 20.58 w 317.5 208.68 m 565.9 208.68 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.85 m 346.55 185.85 l S 0.001 w 20.58 w 348.8 185.85 m 377.9 185.85 l S 0.001 w 20.58 w 380.15 185.85 m 409.2 185.85 l S 0.001 w 20.58 w 411.45 185.85 m 440.55 185.85 l S 0.001 w 20.58 w 442.8 185.85 m 471.9 185.85 l S 0.001 w 20.58 w 474.15 185.85 m 503.2 185.85 l S 0.001 w 20.58 w 505.45 185.85 m 534.55 185.85 l S 0.001 w 20.58 w 536.8 185.85 m 565.9 185.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 197.26 m 568.1 197.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.09 m 568.1 220.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.26 m 568.1 197.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.43 m 568.1 174.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 221.17 m 30.07 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 221.17 m 316.37 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 198.34 m 347.67 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 198.34 m 379.02 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 198.34 m 410.32 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 198.34 m 441.67 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 198.34 m 473.02 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 198.34 m 504.32 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 198.34 m 535.67 173.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 221.17 m 567.02 173.36 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.91 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 1 320.35 203.91 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 181.08 Tm (Maggy Howells)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 181.08 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 181.08 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 181.08 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 181.08 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 181.08 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 181.08 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 181.08 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 181.08 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 Adults \(18-65 years\))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 55.74 w 31.2 733.69 m 267.21 733.69 l S 0.001 w 1 1 1 RG 55.74 w 269.46 733.69 m 563.65 733.69 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 693.28 m 267.21 693.28 l S 0.001 w 1 1 1 RG 20.58 w 269.46 693.28 m 563.65 693.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 670.45 m 267.21 670.45 l S 0.001 w 1 1 1 RG 20.58 w 269.46 670.45 m 563.65 670.45 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 647.62 m 267.21 647.62 l S 0.001 w 1 1 1 RG 20.58 w 269.46 647.62 m 563.65 647.62 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 624.79 m 267.21 624.79 l S 0.001 w 1 1 1 RG 20.58 w 269.46 624.79 m 563.65 624.79 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 28.99 704.7 m 565.85 704.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.87 m 565.85 681.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.04 m 565.85 659.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.21 m 565.85 636.21 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 28.99 704.7 m 565.85 704.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.87 m 565.85 681.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.04 m 565.85 659.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.21 m 565.85 636.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 613.38 m 565.85 613.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 612.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 612.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 612.3 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 (Besford House)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 (19 Besford Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Liverpool)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (L25 2XT)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 688.51 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 688.51 Tm (01514984281)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 665.68 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 665.68 Tm (01514880944)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.85 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 642.85 Tm (sally.jones@liverpool.gov.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.02 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 584.08 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.59 m 353.25 564.59 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.59 m 565.9 564.59 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.76 m 353.25 541.76 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.76 m 565.9 541.76 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.93 m 353.25 518.93 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.93 m 565.9 518.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 553.17 m 568.1 553.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.34 m 568.1 530.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576 m 568.1 576 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.17 m 568.1 553.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.34 m 568.1 530.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.51 m 568.1 507.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 577.08 m 30.07 506.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 577.08 m 354.37 506.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 577.08 m 567.02 506.44 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 559.82 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 559.82 Tm (Liverpool City Council)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 536.99 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 536.99 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.16 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.16 Tm (18)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 495.21 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.72 m 565.6 475.72 l S 0.001 w 41.16 w 31.2 442.6 m 297.2 442.6 l S 0.001 w 20.58 w 299.45 452.89 m 565.6 452.89 l S 0.001 w 20.58 w 299.45 432.31 m 432.52 432.31 l S 0.001 w 20.58 w 432.52 432.31 m 565.6 432.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 464.31 m 567.8 464.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 487.14 m 567.8 487.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 464.31 m 567.8 464.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.9 m 567.8 420.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 488.22 m 30.07 419.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 465.39 m 298.32 419.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 488.22 m 566.72 419.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 470.95 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 448.12 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 448.12 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 427.54 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 427.54 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 406.11 m 297.25 406.11 l S 0.001 w 20.58 w 299.5 406.11 m 429.25 406.11 l S 0.001 w 20.58 w 431.5 406.11 m 565.9 406.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 417.52 m 568.1 417.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.69 m 568.1 394.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.6 m 30.07 393.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 418.6 m 298.37 393.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 418.6 m 430.37 393.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 418.6 m 567.02 393.62 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 401.34 Tm (learning disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 401.34 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 401.34 Tm (0)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 362.9 m 565.6 362.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 351.49 m 567.8 351.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 374.32 m 567.8 374.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 351.49 m 568.1 351.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.92 m 568.1 284.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 375.4 m 30.07 283.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 375.4 m 566.72 283.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 358.13 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 335.3 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.72 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 34.05 306.14 Tm (needs on admission to the home are within the following categories: Learning disability )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.56 Tm (- Code LD The maximum number of service users who can be accommodated is: 18)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 270.13 m 315.25 270.13 l S 0.001 w 1 1 1 RG 20.58 w 317.5 270.13 m 346.55 270.13 l S 0.001 w 20.58 w 348.8 270.13 m 377.9 270.13 l S 0.001 w 20.58 w 380.15 270.13 m 409.2 270.13 l S 0.001 w 20.58 w 411.45 270.13 m 440.55 270.13 l S 0.001 w 20.58 w 442.8 270.13 m 471.9 270.13 l S 0.001 w 20.58 w 474.15 270.13 m 503.2 270.13 l S 0.001 w 20.58 w 505.45 270.13 m 534.55 270.13 l S 0.001 w 20.58 w 536.8 270.13 m 565.9 270.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 281.54 m 568.1 281.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.71 m 568.1 258.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 282.62 m 30.07 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 282.62 m 316.37 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 282.62 m 347.67 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 282.62 m 379.02 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 282.62 m 410.32 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 282.62 m 441.67 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 282.62 m 473.02 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 282.62 m 504.32 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 282.62 m 535.67 257.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 282.62 m 567.02 257.64 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 265.36 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 246.84 m 565.9 246.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 237.21 m 568.1 237.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 238.29 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 238.29 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.46 m 568.1 256.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 237.21 m 568.1 237.21 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 30.07 257.54 m 30.07 236.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 257.54 m 567.02 236.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 243.28 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 243.28 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 224.03 Tm (Besford House is owned and run by Liverpool Social Services. The home provides )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 207.03 Tm (support and personal care to 18 younger persons who have a learning disability. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 190.03 Tm (home consists of three bungalows each accommodating six people in single bedrooms. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 173.03 Tm (One of the bungalows accommodates 6 people who live at the home on a permanent )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 156.03 Tm (basis whilst the other two provide respite care and emergency care. Each bungalow )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 139.03 Tm (has its own domestic style kitchen, laundry room, sitting room and dining room. Each )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 122.03 Tm (bungalow has assisted baths and a walk in shower with additional aids provided as and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 105.03 Tm (when required. The home is situated in the Belle Vale area of Liverpool and is easily )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 88.03 Tm (accessible by public transport and is close to shops and other community facilities. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 71.03 Tm (Parking is available. At the time of the inspection, the weekly cost for the service was )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 Adults \(18-65 years\))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 (366.00 with the people who use the service making a weekly contribution to this )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (overall cost depending on their benefit entitlements. A statement of purpose, which )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (describes the services offered at Besford House, is available for relatives and social and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (health care professionals to refer to. A service user guide is available for people )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (interested in using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm ()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 Adults \(18-65 years\))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 (We visited this service because the lead inspector had some concerns about how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (medicines were handled and recorded. The visit was carried out by a pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (inspector. It lasted four hours and involved speaking with the person in charge of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (service. We checked the medicines storage areas, a sample of medicines stocks and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (medicines records. We gave detailed feedback to the person in charge throughout the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (visit, and repeated the main findings to them at the end of the visit.)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 (Overall we found that most medicines were given correctly. There were some areas of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (practice that could be further improved so as to better protect the health and wellbeing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (of people who live in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (We looked at a sample of records and stock. Most medicines were stored in blister )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (packs supplied by the pharmacist and these had been given correctly. However we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (found it difficult to account for a few medicines that were supplied in bottles and boxes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (and some 'gaps' on the medication records. This meant that we could not be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (absolutely sure that medicines had been given to people correctly. When the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (administration of medicines is not accurately recorded, people are at risk of being )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (given the wrong amount of medicine \(too much or too little\). Some people were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (prescribed medicines to be taken only 'when required' e.g. painkillers. There was no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (formal system for recording detailed information about how and when these medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (were to be given. Having clear written information helps to ensure that people are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (given their medicines consistently and correctly.)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 (We looked at the storage of medicines and found that the service had an appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (trolley available. Medicines were taken to the individual houses in a locked container, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (and whilst this was acceptable, there were concerns that the practice may place the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (safety of the medicines and staff at risk of harm. Advice was given about current )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (storage solutions that are available including the option of storing medicines securely )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (in people's rooms.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (No controlled drugs \(medicines that can be misused\) were kept at the time of the visit. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (The person-in-charge told us that no formal audits \(checks\) of the medicines handling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (system were carried out at the moment, although there were plans to start doing this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (soon. When audits are not carried out, it means that mistakes are not found and action )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (cannot be taken to prevent them happening again. An audit that looks into all aspects )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (of handling, administering and recording medication is important to help maintain and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (improve standards.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (We looked at training and found that staff who were authorised to handle medication, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (had completed appropriate trainings within the last two months, but there was no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (formal system of checking and recording the competence of staff actually performing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (this task. Checking the competence of staff ensures that staff have understood the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (training and are safe to carry out their duties without supervision.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (Policies and procedures for handling medication were available, but did not accurately )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (reflect all aspects of the service offered at Besford House. These documents should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (personalised to Besford House so that staff always have clear guidelines to refer to at )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 Adults \(18-65 years\))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 17.58 w 31.2 803.74 m 563.65 803.74 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 28.99 793.82 m 565.85 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 792.75 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (all times.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 775.75 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 775.75 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 166.38 w 31.2 681.37 m 563.65 681.37 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 765.69 m 565.85 765.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 597.06 m 565.85 597.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.77 m 30.07 595.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 766.77 m 564.78 595.98 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 749.5 Tm (Staff support people in a variety of ways to take their medicines. The support offered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 734.92 Tm (takes into account each person's individual needs and choices.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 720.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.76 Tm (The system used for ordering medicines is robust, with very little waste produced )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 691.18 Tm (whilst ensuring that people have enough medication in stock.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 662.02 Tm (Staff who are authorised to handle medicines have recently updated their medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.44 Tm (training. Well trained staff are less likely to make mistakes.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (In order to ensure that people who are new to this service are given their medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (correctly, staff confirm their current medication with the GP before they are admitted.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 576.74 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 239.28 w 31.2 445.91 m 563.65 445.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 566.67 m 565.85 566.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.14 m 565.85 325.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 567.75 m 30.07 324.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 567.75 m 564.78 324.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 550.49 Tm (The service should audit \(check\) all aspects of handling, administering and recording )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 535.91 Tm (medication regularly in order to identify any areas of weakness. 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of bed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 669.58 Tm (rails, that a full risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 655 Tm (assessment is in place )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 640.42 Tm (around the continuing use of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 625.84 Tm (bed rails that includes staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 611.26 Tm (being trained in the safe use )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 596.68 Tm (of bed rails by an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.1 Tm (appropriately qualified )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.52 Tm (person. This is to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.94 Tm (safety of the people using )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.36 Tm (the service.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 727.9 Tm (10/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.37 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.37 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.37 Tm (13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.37 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.79 Tm (ensure that medication is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.21 Tm (held securely at all times so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.63 Tm (as to ensure the safety of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.05 Tm (people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.37 Tm (10/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.06 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 370.06 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 370.06 Tm (37 \(1\) \(e\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.06 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.48 Tm (inform the CSCI of any event )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.9 Tm (in the care home which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.32 Tm (adversely affects the well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.74 Tm (being or safety of any service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.16 Tm (user. This is needed so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.58 Tm (the CSCI can ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 268 Tm (home is operating in the best )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.42 Tm (interests of the people who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.84 Tm (are living there.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 370.06 Tm (10/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.85 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 183.85 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 183.85 Tm (18 \(1\) \(a\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.85 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.27 Tm (ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.69 Tm (sufficient permanent staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 140.11 Tm (available to promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.53 Tm (continuity of care for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.95 Tm (people who use the service. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.37 Tm (\(Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.79 Tm (25/07/07 not met.\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 67.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 183.85 Tm (10/09/2008)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 Adults \(18-65 years\))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 20.58 w 31.2 802.24 m 91.05 802.24 l S 0.001 w 20.58 w 93.3 802.24 m 197.4 802.24 l S 0.001 w 20.58 w 199.65 802.24 m 289.45 802.24 l S 0.001 w 20.58 w 291.7 802.24 m 473.8 802.24 l S 0.001 w 20.58 w 476.05 802.24 m 566.1 802.24 l S 0.001 w 213.12 w 31.2 683.14 m 91.05 683.14 l S 0.001 w 213.12 w 93.3 683.14 m 197.4 683.14 l S 0.001 w 213.12 w 199.65 683.14 m 289.45 683.14 l S 0.001 w 213.12 w 291.7 683.14 m 473.8 683.14 l S 0.001 w 213.12 w 476.05 683.14 m 566.1 683.14 l S 0.001 w 154.8 w 31.2 496.93 m 91.05 496.93 l S 0.001 w 154.8 w 93.3 496.93 m 197.4 496.93 l S 0.001 w 154.8 w 199.65 496.93 m 289.45 496.93 l S 0.001 w 154.8 w 291.7 496.93 m 473.8 496.93 l S 0.001 w 154.8 w 476.05 496.93 m 566.1 496.93 l S 0.001 w 213.12 w 31.2 310.72 m 91.05 310.72 l S 0.001 w 213.12 w 93.3 310.72 m 197.4 310.72 l S 0.001 w 213.12 w 199.65 310.72 m 289.45 310.72 l S 0.001 w 213.12 w 291.7 310.72 m 473.8 310.72 l S 0.001 w 213.12 w 476.05 310.72 m 566.1 310.72 l S 0.001 w 137.88 w 31.2 132.97 m 91.05 132.97 l S 0.001 w 137.88 w 93.3 132.97 m 197.4 132.97 l S 0.001 w 137.88 w 199.65 132.97 m 289.45 132.97 l S 0.001 w 137.88 w 291.7 132.97 m 473.8 132.97 l S 0.001 w 137.88 w 476.05 132.97 m 566.1 132.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 790.82 m 568.3 790.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.45 m 568.3 575.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.4 m 568.3 418.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.03 m 568.3 203.03 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 28.99 790.82 m 568.3 790.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.45 m 568.3 575.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.4 m 568.3 418.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.03 m 568.3 203.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 292.3 799.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 774.64 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 774.64 Tm (32)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 774.64 Tm (17 \(3\) \(b\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 774.64 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 760.06 Tm (must ensure that the records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 745.48 Tm (specified in Schedule 4 of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 730.9 Tm (The Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 716.32 Tm (2001 are at all times )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 701.74 Tm (available for inspection in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 687.16 Tm (care home by the CSCI. This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 672.58 Tm (is to ensure that evidence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 658 Tm (that staff have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 643.42 Tm (appropriately recruited and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 628.84 Tm (trained can be viewed during )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.26 Tm (the inspection visit.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 774.64 Tm (10/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.27 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 559.27 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 559.27 Tm (18 \(1\) \(a\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.27 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.69 Tm (ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.11 Tm (sufficient permanent staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.53 Tm (available to promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.95 Tm (continuity of care for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.37 Tm (people who use the service. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.79 Tm (\(Previous timescale of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.21 Tm (25/07/07 not met.\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 559.27 Tm (10/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.22 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 402.22 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 402.22 Tm (17 \(3\) \(b\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm (The registered manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.64 Tm (must ensure that the records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 373.06 Tm (specified in Schedule 4 of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.48 Tm (The Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.9 Tm (2001 are at all times )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 329.32 Tm (available for inspection in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.74 Tm (care home by the CSCI. This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 300.16 Tm (is to ensure that evidence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.58 Tm (that staff have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271 Tm (appropriately recruited and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.42 Tm (trained can be viewed during )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.84 Tm (the inspection visit.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 402.22 Tm (10/06/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 186.85 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 186.85 Tm (39)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 186.85 Tm (24 \(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.85 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.27 Tm (ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.69 Tm (effective quality assurance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.11 Tm (and quality monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.53 Tm (systems in place so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.95 Tm (shortfalls in the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.37 Tm (provided are identified and a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.79 Tm (plan put in place to address )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.21 Tm (them.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 186.85 Tm (10/09/2008)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))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 1 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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 Adults \(18-65 years\))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 /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 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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. 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The results of the audit )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 377.41 Tm (and any action taken should be recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 362.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 348.25 Tm (A second member of staff should check and double-sign )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 333.67 Tm (any handwritten entries on medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 319.09 Tm (record charts in order to reduce the risk of mistakes.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 304.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 289.93 Tm (There should be clear, personalised information recorded )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 275.35 Tm (for people who are prescribed medicines to be taken only )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 260.77 Tm ('when required' so that staff are able to give these )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 246.19 Tm (medicines safely and consistently.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 231.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.03 Tm (In order to protect people who use this service, the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 202.45 Tm (competence of all staff who are authorised to handle )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 187.87 Tm (medication should be checked regularly.)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 173.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 202.5 158.71 Tm (Policies and procedures should be personalised to Besford )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 144.13 Tm (House so that staff have clear guidelines to refer to at all )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 129.55 Tm (times.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))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 (11)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 /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Reader Information)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.1 m 223.34 774.1 l S 0.001 w 1 1 1 RG 20.58 w 225.59 774.1 m 565 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.27 m 223.34 751.27 l S 0.001 w 1 1 1 RG 20.58 w 225.59 751.27 m 565 751.27 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.44 m 223.34 728.44 l S 0.001 w 1 1 1 RG 20.58 w 225.59 728.44 m 565 728.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.61 m 223.34 705.61 l S 0.001 w 1 1 1 RG 20.58 w 225.59 705.61 m 565 705.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.52 m 567.2 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.2 m 567.2 694.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.6 m 27.22 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.6 m 224.46 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.6 m 566.13 693.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 746.5 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 746.5 Tm (CSCI)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 723.67 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 723.67 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 700.84 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()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 28.35 665.31 Tm ()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 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (0845 015 0120)Tj ET /F1 20 Tf BT 1 0 0 1 308.99 448.23 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 336.71 448.23 Tm (0191 233 3323)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (0845 015 2255)Tj ET /F1 20 Tf BT 1 0 0 1 311.31 416.57 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 339.03 416.57 Tm (0191 233 3588)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.csci.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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