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(8)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Cadogan Court)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Barley Lane )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Exeter)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Devon)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (EX4 1TA)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01392251436)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01392410097)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 597.97 Tm (hmitchell@rmbi.org.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 575.14 Tm (www.rmbi.org.uk)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 436.64 m 353.25 436.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 436.64 m 565.9 436.64 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 413.8 m 353.25 413.8 l S 0.001 w 1 1 1 RG 20.58 w 355.5 413.8 m 565.9 413.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 567.8 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 492.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 425.22 m 568.1 425.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.71 m 567.8 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 425.22 m 568.1 425.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.39 m 568.1 402.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 401.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 449.13 m 354.37 401.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 401.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Royal Masonic Benevolent )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Institution)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.52 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.7 Tm (Ms )Tj ET /F1 12 Tf BT 1 0 0 1 54.64 454.7 Tm (Helen )Tj ET /F1 12 Tf BT 1 0 0 1 93.06 454.7 Tm (Mitchell)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.86 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 431.86 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 409.04 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 409.04 Tm (70)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 390.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 346.64 m 564.47 346.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 336.36 m 567.8 336.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 336.36 m 567.8 336.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.52 m 567.8 313.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.09 m 30.07 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 360.26 m 298.32 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 337.43 m 432.52 312.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 383.09 m 566.72 312.45 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 365.83 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 343 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 320.17 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 320.17 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 291.45 m 297.25 291.45 l S 0.001 w 35.16 w 299.5 291.45 m 429.25 291.45 l S 0.001 w 35.16 w 431.5 291.45 m 565.9 291.45 l S 0.001 w 20.58 w 31.2 261.33 m 297.25 261.33 l S 0.001 w 20.58 w 299.5 261.33 m 429.25 261.33 l S 0.001 w 20.58 w 431.5 261.33 m 565.9 261.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 272.74 m 568.1 272.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.15 m 568.1 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.74 m 568.1 272.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 249.91 m 568.1 249.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 311.23 m 30.07 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 311.23 m 298.37 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 311.23 m 430.37 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 311.23 m 567.02 248.83 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 293.96 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.39 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 293.96 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 293.96 Tm (70)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.55 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 256.55 Tm (70)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 256.55 Tm (70)Tj ET 0.95294 0.95294 0.95294 RG 43.41 w 32.32 205.58 m 564.77 205.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 206.71 m 567.8 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.54 m 567.8 229.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 568.1 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.88 m 568.1 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 230.61 m 30.07 182.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 230.61 m 566.72 182.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (Registered for up to 15 - OP with nursing)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 169.09 m 315.25 169.09 l S 0.001 w 1 1 1 RG 20.58 w 317.5 169.09 m 346.55 169.09 l S 0.001 w 20.58 w 348.8 169.09 m 377.9 169.09 l S 0.001 w 20.58 w 380.15 169.09 m 409.2 169.09 l S 0.001 w 20.58 w 411.45 169.09 m 440.55 169.09 l S 0.001 w 20.58 w 442.8 169.09 m 471.9 169.09 l S 0.001 w 20.58 w 474.15 169.09 m 503.2 169.09 l S 0.001 w 20.58 w 505.45 169.09 m 534.55 169.09 l S 0.001 w 20.58 w 536.8 169.09 m 565.9 169.09 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 180.5 m 568.1 180.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 157.67 m 568.1 157.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 181.58 m 30.07 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 181.58 m 316.37 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 181.58 m 347.67 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 181.58 m 379.02 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 181.58 m 410.32 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 181.58 m 441.67 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 181.58 m 473.02 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 181.58 m 504.32 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 181.58 m 535.67 156.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 181.58 m 567.02 156.59 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 164.32 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 145.79 m 565.9 145.79 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 136.17 m 568.1 136.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 137.25 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 137.25 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 155.42 m 568.1 155.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 136.17 m 568.1 136.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 156.5 m 30.07 135.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 156.5 m 567.02 135.09 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 142.24 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 142.24 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 122.99 Tm (Cadogan Court provides accommodation for up to 70 people over retirement age. It is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 105.99 Tm (registered to provide nursing care for up to 15 people, and residential care for up to 70 )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 88.99 Tm (service users. The home does not offer intermediate care.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 71.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 54.99 Tm (Until recently, it was a requirement for prospective residents that they have )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 406.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 406.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.85 m 568.1 407.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (professional links with the Royal Masonic Benevolent Institute \(RMBI\), but this no )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (longer applies.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (The home is purpose-built, and stands in its own grounds on the outskirts of Exeter. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (There is some car parking space. The home has its own transport . A local shop and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (public transport routes are available nearby.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (The home has three levels, with lift access to all areas. There are various communal )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (facilities around the home: several large lounges and smaller sitting rooms, a large )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (dining room, kitchenettes, laundry facilities that can be used by individuals, a library )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (and a chapel. All bedrooms have en suite facilities.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm (Weekly fees at the time of the last key inspection were 470 - 743 pounds. These did )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm (not include the cost of theatre outings/concerts \(charged at 50% of the ticket price\), )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 518.16 Tm (magazines/newspapers \(variable\), toiletries \(variable\), hairdressing, chiropody, and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 501.17 Tm (aromatherapy. Up-to-date information about fees can be obtained from the home. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 484.17 Tm (General information about fees and fair terms of contracts can be accessed from the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 467.17 Tm (Office of Fair Trading web site at www.oft.gov.uk.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 450.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 433.17 Tm (Our previous inspection reports about the home \(produced under the previous )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 416.17 Tm (commission, CSCI\) are kept at the reception in the home's entrance hall.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We carried out this random inspection to follow up the provider's proposed action )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (subsequent to their investigation of a serious complaint. We made an unannounced visit )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (to the home which lasted just under 8 hours. The registered manager, Helen Mitchell, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (was present; we discussed our findings with her at the end of our visit. She and her staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (assisted us fully throughout the day. We did not inspect all the core National Minimum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (Standards as we do at a key inspection, but looked at care planning, health care, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (handling of complaints and aspects of quality assurance.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (The original complaint related to various inadequacies encountered with the care of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (someone admitted to the home. At the time of their admission, the person was not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (deemed to have nursing needs but they had high levels of care needs. Thus we )Tj ET /F1 12 Tf BT 1 0 0 1 519.03 574.34 Tm (case-)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (tracked)Tj ET /F1 12 Tf BT 1 0 0 1 79.09 559.77 Tm ( two people who had high levels of need but not nursing needs, during our visit. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (This meant we looked in some depth at their care and associated records, spoke with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (them and with three staff who supported them about their care, and looked at some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (management systems related to the delivery of care. This included changes made by the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (service as a result of the complaint investigation.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (The provider's report on the investigation indicated that aspects of record keeping, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (communication and care were to be addressed, with some of the proposed action not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (specifically required by regulation. Our focus was on how effectively the complaint was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (dealt with in terms of outcomes for people who live at the home and improving the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (quality of the service they receive.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (Both people that we case-tracked looked well cared for, in that their personal care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (had been attended to and their clothes looked clean, etc. Information in their care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (explained why they did not have their dentures or hearing aids in place, where relevant. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (When we met them, they were sitting in their bedrooms, which were homely, clean, well )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (kept and free of malodours.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (We looked at care-related records. The home's policy on care planning indicated that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (people's care plans should be updated within 24 hours of changes in a person's condition )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (or of new needs arising. We found a care plan had not been updated more than 2 days )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (after someone had had a catheter removed, to clarify their new needs and how staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (should meet them. Information about this was found on other records, and staff we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (spoke with were aware. They were consistent in describing appropriate care and support )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (now needed by the person concerned. They confirmed that they read care plans and/or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (had received verbal information about individuals' current care needs on each shift they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (had worked. We noted some of this care was given during our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (Both people we case-tracked were having their fluid intake and output monitored through )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (keeping of 'fluid charts'. The charts for one person had been completed regularly, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (showing they had drinks through the day. Records for the second person had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (completed on previous days, with a reasonable intake each day. But during our visit )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (nothing was noted on the chart except at 8am and 1pm. Thus by 2pm, the chart showed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (the person had only had 265mls to drink that day. When we asked staff in the afternoon )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (about the person's fluid intake, one said they had not been told what the person's intake )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (was so far that day although they had been told they were 'doing quite well'. They )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (thought 500mls would be an acceptable intake over the morning. There was no record of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (the person's intake in daily care notes for the morning, and no guidance in the care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (about the fluid chart or what intake was appropriate. However, the person looked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (hydrated; they said that staff kept telling them they had to drink although the person felt )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (they drank enough. They had a clean glass with squash in it, within their reach. They )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (confirmed this was their preferred drink \(as shown in their care plan also\), and we heard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (staff doing hot drinks rounds in the afternoon ask them if they wanted a cold drink )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (instead of tea or coffee. Staff were able to describe signs of dehydration, but gave )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (various suggestions for how much an individual should ideally drink in a day; they said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (they would tell senior carers if someone drank less than this amount.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (Food intake charts had also been kept recently for one person. We looked at some and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (found they had not been completed each mealtime. More recent daily care notes did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (reflect the person's intake well either, although weight charts indicated the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (weight had been stable over a month, after a period of weight loss. We were told that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (food intake charts had just been stopped because the person had an increased appetite. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (When we met the person, they said they were feeling a bit off colour, later telling us they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (had not eaten much for lunch that day, and that a carer had also told them they were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (eating much. Staff we spoke with told us colleagues on previous shifts would only report )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (on someone's intake if there had been a problem with it, so if nothing was said it would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (be assumed the person had eaten sufficient. However, they were not aware that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (person might have eaten relatively little at lunchtime, and there was nothing in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (person's daily notes for the day. Other conversations with staff working on the unit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (suggested they were not fully informed about people who ate in the dining room \(rather )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (than on the unit\) as this person had done.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (The second person ate their meals in their room during our visit, because of recent ill )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (health, and this change of dining arrangements wasn't reflected in their care plan. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (was no nutritional needs care plan for them despite a recent needs assessment that said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (they had a minced diet and that they should be prompted to drink 'regularly', as well as a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (mental health risk assessment that identified they sometimes refused to eat or drink. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (There were no suggestions in care records as to this person's dietary preferences, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (might help care staff if they had to encourage the person to eat, although we were told )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (that kitchen staff had a list of people's likes/dislikes. There were intermittent records of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (this person's intake in their recent daily records. When we asked staff about any resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (who had a risk of choking, one staff member identified this person as needing a pureed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (diet. The person's care plan hadn't indicated what staff should do if the person choked. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (Another staff member said there was no-one at such risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (One person complained to us that their bottom was sore. Staff looking after them were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (not aware of this current problem for the person, but knew the person required )Tj ET /F1 12 Tf BT 1 0 0 1 517.05 192.21 Tm (pressure-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (relieving)Tj ET /F1 12 Tf BT 1 0 0 1 83.26 177.63 Tm ( equipment, which we saw was in place. A care plan had been written, on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (person's admission some months previously, for promoting skin integrity. This did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (refer to a separate risk assessment which showed the person was at high risk of getting a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (pressure sore, whether district nurse advice was sought about this, or if any )Tj ET /F1 12 Tf BT 1 0 0 1 498.09 133.9 Tm (pressure-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (relieving)Tj ET /F1 12 Tf BT 1 0 0 1 83.26 119.32 Tm ( equipment had been provided then. Advice was sought 3 months later when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (their skin worsened, although there was a delay in following this up when there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (response from relevant professionals initially. Soreness had been reported in the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (daily notes since, but not in the last week. A relevant skin cream chart in the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (bedroom had not been completed regularly. There was no evidence that a community )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (nurse had checked the person's skin.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Records and our observations showed some aspects of care required by these two people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (were well monitored, such as catheter care and functioning, with prompt involvement of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (relevant professionals as necessary. One had been referred to a dietitian as a result of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (monitoring of their weight.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (However, care planning and monitoring systems were not sufficiently robust to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (some people's health and wellbeing, because there were risks that their needs would not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (be met properly or consistently.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (When we checked training records to see how many staff had attended training on care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (planning - one of the provider's action points - 14 of 70 care staff had attended training. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (The manager said training had been halted because the care documentation was being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (revised, but it was still included in new staff induction programmes. We have since been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (told that another 9 staff have undergone the training as part of their induction. We spoke )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (with a care assistant who had had the training. They said it included identification of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (people's care needs, and personalisation of care plans in order to move away from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (institutionalised care. We could see this approach reflected in the care records we looked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (at.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (The home's written policies and the action plan said that staff should print their name )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (alongside entries in care records. One staff member we spoke with about this said they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (had been told to print their name as well as using a signature. But not all staff were doing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (this, with some records not allowing space for this to be done easily. We discussed other )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (ways of achieving the required outcome \(i.e. that it be clear who had made each entry in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (records\) with the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (The manager explained there was now a system established for storage of care records, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (so that they are kept as required by regulation. Staff had also had some training on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (legal significance of such records. Minutes of a night staff meeting showed that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (importance of fluid charts had been discussed, including legal aspects. All information and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (written records we requested during our visit were made available to us.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (The provider also made recommendations for improving communication - with relatives )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (or other advocates of people who lived at the home, as well as within the staff team. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (provider's recommendation was that a staff member should be delegated to contact )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (people's families, and the staff member should be the person's keyworker. The home's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (guidance on the Keyworker role included only that they should 'ensure appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (contact made with family, etc. if requested by the individual'. We found evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (next-of-kin or other advocates had been informed of significant events relating to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (individuals living at the home - such as accidents or changes in health. This information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (was kept on forms specifically for this type of record, with a prompt also for evidencing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (any contact with health professionals about the matter. We noted that staff had recorded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (when relatives had not been informed because the individual did not want staff to contact )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (them. We also saw, in one case, that an advocate's views had been communicated to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (GP on the advocate's behalf. We were told by care staff that all such communication was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (usually done by senior carers, at the suggestion of the keyworker.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (We saw that the home routinely recorded the wishes of individuals about their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (representative attending or being involved in reviews of their care plan. Such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (involvement was another opportunity for promoting communication with people's )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (families. One person we case-tracked had indicated they would like their relative to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (involved. Yet there was no evidence that this had been acted on, with only the individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (themselves having attended and signed care plan reviews.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (To monitor that all information was passed between shifts, a 'Handover book' was now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (kept, with care assistants given increased responsibility for recording in it. We discussed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (with the manager the need to ensure that such records were kept in line with data )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (protection guidance so that personal information about individuals was kept in ways that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (protected their privacy, etc.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (When we asked care staff whose responsibility was the giving of required care, they said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (they were - as individual staff - and that the seniors \(who they handed over to, or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (reported to\) had some responsibility. One said the seniors would ask them about specific )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (matters or ask about anything unusual.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (The provider recommended that staff were allocated to work in an area of the home for a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (long period of time, to promote continuity of care for individuals. Rotas and staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (indicated this was not happening. The manager said that allocation was attempted for a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (week, but recruitment had affected allocations for longer periods of time, because )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (appropriate skill mixes had to be maintained also. A staff member told us that if someone )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (living at the home with more complex needs got on well with a particular staff member, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (the staff member might be allocated to work in that area of the home for longer than )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (otherwise was usual. Staff allocation sheets we saw during our visit showed some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (continuity of carer for individuals, over the week, achieved by staff working in pairs on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (the units, with an overlap of a staff member between pairs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Staff we spoke with confirmed they had never had to look after someone they knew )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (nothing about. They had always had at least some information, through hand-overs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (which they said they had received every time they had started a shift, from the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (themselves, from families, and/or from written records. One said they would always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (make sure they knew about the person's mobility and dietary needs, since the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (could ring for assistance or staff would be giving out drinks and meals each shift they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (were on. Asked about getting advice, staff said there was good team-working, and they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (could ask their peers or line manager, besides reading the available care information.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (Keyworkers were also to be allocated from staff working in the area, to ensure they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (involved in the care of the individuals they were keyworker for. During our visit, we noted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (keyworkers were on duty but not working in relevant areas. We were told this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (difficult to achieve in practise, but as keyworkers were now responsible for updating the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (care plans of the people they were keyworker for, they made sure they kept up-to-date )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (with the person's care. Guidance on the keyworker role said they were to be allocated )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (pre-admission \(and meet the individual if possible\), or within 2 weeks' of the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (admission.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Someone we spoke with said they were cared for by lots of different staff, and they didn't )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (know if they had a keyworker. However, we saw a file in the person's room with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (name and a photograph of their keyworker. This was the new 'Welcome pack' produced )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (by the home. We had read a notice asking keyworkers to collect packs for their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (individuals, with an indication that they would go through the pack with each person. One )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (staff member we spoke with thought the packs were useful, and that they had read the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (contents to people with visual impairments; they felt people now had something to refer )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (to for themselves, or their families also had access to information about the keyworkers. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Another staff member said that the two people they were linked to were self-caring so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (they didn't need much physical help, but the staff member popped in to see them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (regularly, or got messages that the individuals wanted to see the staff member. Minutes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (of a residents' meetings included discussion of the 'Welcome pack' and the keyworkers' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (responsibilities.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (To improve outcomes for people living at the home, senior carers were to take more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (effective responsibility for the delivery of care. Thus they now rotated between working )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ('hands on' and running the shifts. We saw this in practise during our visit, with a senior )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (allocated as a 'floater', working alongside other care staff for a variety of possible reasons )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (\(to assess an individual's care needs, for staff training, etc.\). The staff allocation sheet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (stated 'Please identify where to work' regarding the floater, but this was not done in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (advance or retrospectively during our visit. However, the allocation record promoted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (continuity of care staff with individuals, and enabled monitoring of which staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (responsible for delivery of care to which people - for both informing or communication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (purposes as well as follow up of any care issues.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (An assistant home manager had been appointed to allow for extra clinical supervision. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (They have care experience and we met them walking around the home in a monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (capacity, answering call bells as part of this and liaising with staff on duty about the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (support or care individuals needed during that time. The manager and another deputy, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (who are both nurses, had also worked shifts on the nursing wing, monitoring care there.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Staffing levels had been increased recently, from 10 to 11 staff in the afternoons, with 12 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (care staff on in the morning, to look after 63 people. The care staff throughout the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (were supported by a full team of domestic staff. Staff thought the increase had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (made following a recent staff meeting, when they raised the matter of relative staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (shortages - in that the needs of people living at the home had recently increased, so staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (were finding it difficult to care for them properly. The manager told us the increase was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (because resident numbers had increased. One person we spoke with said the staff were a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (little bit rushed at times and occasionally told them there were staff shortages, but they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (felt they generally got good treatment. They had a call bell within reach; they said they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (didn't always get a prompt response. We noted this person sometimes needed help from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (2 staff, with time taken to get a second staff member on such occasions. A second person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (who felt their call bell was answered sufficiently quickly needed help from only one staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (member.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (People told us that agency staff were used occasionally. Rotas for 2 recent weeks showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (agency staff were required for 7 shifts one week \(working mostly on the nursing wing\), )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (with 4 shifts covered by agency staff the following week - a very small proportion of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (total staff shifts required each week.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Although the home had received a copy of the provider's investigation into the complaint, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (the manager had not seen the action plan or recommendations arising from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (investigation prior to our visit. The manager confirmed she had more support currently, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (through weekly contact with a regional manager who is otherwise available for advice. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (We read some of the provider's own recent monthly reports on the home, written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (following unannounced visits that are required by regulation. These showed, among other )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (things, that the home's own care plan audits had been checked, with some shortfalls )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (identified and some remedial action taken subsequently by the home.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 207.12 w 31.2 681.66 m 580.26 681.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.98 m 582.46 576.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 575.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 575.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (We have not received any other complaints about the home in the last 12 months. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (Training records showed the majority of staff had attended training on Customer care in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (recent months. Staff we asked about this said the training had included dealing with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (complaints. The manager had also undertaken similar training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (We looked at the home's records of complaints. We saw people's concerns had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (recorded, with action taken to try to address them. This included meeting with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (complainant to discuss the issues, and with dates agreed for reviewing the situation to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (monitor progress in addressing their concerns.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (Because of our findings, we will bring forward the key inspection for the home to monitor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the home's action taken to address the requirements made in this report, whilst )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (inspecting all the core National Minimum Standards.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 558.91 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 558.91 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 530.14 m 580.26 530.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 548.84 m 582.46 548.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 511.43 m 582.46 511.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 549.92 m 30.07 510.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 549.92 m 581.38 510.36 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (The home listens to people and tries to work with them to resolve their concerns and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (complaints.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 491.11 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 151.8 w 31.2 404.02 m 580.26 404.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 481.05 m 582.46 481.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327 m 582.46 327 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 482.13 m 30.07 325.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 482.13 m 581.38 325.92 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 464.86 Tm (Whilst people have a written care plan, which is reviewed at least monthly, further action )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.29 Tm (to ensure these are updated in a timely way when people's needs change will ensure they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.7 Tm (receive the care they need in a person centred and consistent way. Particular attention is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.13 Tm (needed regarding identification of people's various health needs and how staff are to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 406.55 Tm (meet them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.39 Tm (More robust quality assurance systems - such as effective audits or other effective )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.8 Tm (monitoring of the service over time - would ensure that concerns and complaints do )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.23 Tm (result in sustained development and improvement of the quality of care people receive at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 308.69 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 308.69 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 292.69 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 331.68 w 32.32 512.11 m 564.97 512.11 l S 0.001 w 1 1 1 RG 227.7 w 31.2 461.24 m 91.05 461.24 l S 0.001 w 227.7 w 93.3 461.24 m 197.4 461.24 l S 0.001 w 227.7 w 199.65 461.24 m 289.45 461.24 l S 0.001 w 227.7 w 291.7 461.24 m 473.8 461.24 l S 0.001 w 227.7 w 476.05 461.24 m 566.1 461.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 346.27 m 568.3 346.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 560.03 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 560.03 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 560.03 Tm (13 4 \(c\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.03 Tm (You must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 545.46 Tm (unnecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.88 Tm (health or safety of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 516.29 Tm (living at the Home are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 501.71 Tm (identified and so far as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 487.14 Tm (possible eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 472.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.98 Tm (This refers to ensuring that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.39 Tm (all COSHH items are kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.82 Tm (securely stored.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.65 Tm (NOT INSPECTED ON THIS )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.08 Tm (OCCASION.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 560.03 Tm (26/07/2008)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 154.8 w 31.2 422.1 m 91.05 422.1 l S 0.001 w 154.8 w 93.3 422.1 m 197.4 422.1 l S 0.001 w 154.8 w 199.65 422.1 m 289.45 422.1 l S 0.001 w 154.8 w 291.7 422.1 m 473.8 422.1 l S 0.001 w 154.8 w 476.05 422.1 m 566.1 422.1 l S 0.001 w 154.8 w 31.2 265.05 m 91.05 265.05 l S 0.001 w 154.8 w 93.3 265.05 m 197.4 265.05 l S 0.001 w 154.8 w 199.65 265.05 m 289.45 265.05 l S 0.001 w 154.8 w 291.7 265.05 m 473.8 265.05 l S 0.001 w 154.8 w 476.05 265.05 m 566.1 265.05 l S 0.001 w 142.85 w 31.2 113.97 m 91.05 113.97 l S 0.001 w 142.85 w 93.3 113.97 m 197.4 113.97 l S 0.001 w 142.85 w 199.65 113.97 m 289.45 113.97 l S 0.001 w 142.85 w 291.7 113.97 m 473.8 113.97 l S 0.001 w 142.85 w 476.05 113.97 m 566.1 113.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 343.58 m 568.3 343.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.52 m 568.3 186.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.58 m 568.3 343.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.52 m 568.3 186.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (You must revise the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (assessment of each person's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (needs whenever their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (circumstances, condition or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (needs change)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 408.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.96 Tm (So that the individual's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.38 Tm (curent needs are clearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.8 Tm (identified, providing a good )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.22 Tm (basis for their care plan.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (20/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 327.39 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 327.39 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 327.39 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (You must revise and update - )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.81 Tm (with sufficient detail - each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 298.23 Tm (person's care plan when their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 283.65 Tm (needs assessment is revised)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 266.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 251.49 Tm (So that there is a current )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 236.91 Tm (and precise care plan for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222.33 Tm (each person as to how their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.75 Tm (individual health and welfare )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.17 Tm (needs are to be met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 327.39 Tm (20/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 170.34 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 170.34 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 170.34 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.34 Tm (You must ensure the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.76 Tm (managed so as to promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.18 Tm (and make proper provision )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 126.6 Tm (for the care, health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.02 Tm (welfare of each person who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 97.44 Tm (lives at the home, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 82.86 Tm (particularly with regard to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.28 Tm (effective systems to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 53.7 Tm (that each person living at the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 170.34 Tm (20/12/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 411.14 w 32.32 578.53 m 564.97 578.53 l S 0.001 w 1 1 1 RG 125.64 w 31.2 620.86 m 91.05 620.86 l S 0.001 w 125.64 w 93.3 620.86 m 197.4 620.86 l S 0.001 w 125.64 w 199.65 620.86 m 289.45 620.86 l S 0.001 w 125.64 w 291.7 620.86 m 473.8 620.86 l S 0.001 w 125.64 w 476.05 620.86 m 566.1 620.86 l S 0.001 w 183.96 w 31.2 463.82 m 91.05 463.82 l S 0.001 w 183.96 w 93.3 463.82 m 197.4 463.82 l S 0.001 w 183.96 w 199.65 463.82 m 289.45 463.82 l S 0.001 w 183.96 w 291.7 463.82 m 473.8 463.82 l S 0.001 w 183.96 w 476.05 463.82 m 566.1 463.82 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 556.92 m 568.3 556.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 369.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 556.92 m 568.3 556.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.71 m 568.3 370.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (home receives the care they )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (need, especially regarding )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 644.72 Tm (their diet, drinks and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 630.14 Tm (pressure area care)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 609.55 Tm (To ensure that people's )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 594.97 Tm (individual health and welfare )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 580.4 Tm (needs are met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 565.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 540.73 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 540.73 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 540.73 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 540.73 Tm (You must establish and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.16 Tm (maintain effective systems )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.58 Tm (for evaluating the quality of)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 496.99 Tm (the services provided at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.42 Tm (care home, particularly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 467.83 Tm (regarding the provider's own )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.26 Tm (action plans)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 435.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.1 Tm (So that any shortfalls )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.52 Tm (identified in the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 391.93 Tm (provided to people living at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.36 Tm (the home are addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 540.73 Tm (20/12/2009)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 295.06 m 564.97 295.06 l S 0.001 w 1 1 1 RG 20.58 w 31.2 251.2 m 91.05 251.2 l S 0.001 w 20.58 w 93.3 251.2 m 197.4 251.2 l S 0.001 w 20.58 w 199.65 251.2 m 566.1 251.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 263.69 m 30.07 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 263.69 m 567.22 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 283.02 m 568.4 283.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262.61 m 568.3 262.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 263.69 m 92.17 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 263.69 m 198.52 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 352.58 m 568.4 352.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 283.02 m 568.4 283.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 262.61 m 568.4 262.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.79 m 568.3 239.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.66 m 30.07 261.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 284.09 m 92.17 261.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 284.09 m 198.47 261.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 353.66 m 567.32 261.54 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 336.4 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 318.82 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.24 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 34.05 289.66 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 268.84 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 268.84 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 268.84 Tm (Good Practice Recommendations)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm 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/F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 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 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 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 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 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 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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