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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Greenslades Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Willeys Avenue )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Exeter)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Devon)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (EX2 8BE)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Vivien Stephens)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Greenslades Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Willeys Avenue )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Exeter)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Devon)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (EX2 8BE)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (01392274029)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (01392279089)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (alison.robertson@sanctuary-housing.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 539.72 m 353.25 539.72 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.72 m 565.9 539.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 509.6 m 353.25 509.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 509.6 m 565.9 509.6 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 486.77 m 353.25 486.77 l S 0.001 w 1 1 1 RG 20.58 w 355.5 486.77 m 565.9 486.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 521.01 m 568.1 521.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 498.18 m 568.1 498.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 521.01 m 568.1 521.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 498.18 m 568.1 498.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 475.35 m 568.1 475.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 474.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 474.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 474.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Sanctuary Housing Association )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 527.66 Tm (\(trading as Sanctuary Care\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 504.83 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 504.83 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 482 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482 Tm (67)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 463.05 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 443.56 m 565.6 443.56 l S 0.001 w 41.16 w 31.2 410.44 m 297.2 410.44 l S 0.001 w 20.58 w 299.45 420.73 m 565.6 420.73 l S 0.001 w 20.58 w 299.45 400.15 m 432.52 400.15 l S 0.001 w 20.58 w 432.52 400.15 m 565.6 400.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 432.15 m 567.8 432.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 454.98 m 567.8 454.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.15 m 567.8 432.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 388.74 m 567.8 388.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 456.06 m 30.07 387.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 433.23 m 298.32 387.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 456.06 m 566.72 387.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 438.79 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 415.96 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 415.96 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 395.38 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 395.38 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.95 m 297.25 373.95 l S 0.001 w 20.58 w 299.5 373.95 m 429.25 373.95 l S 0.001 w 20.58 w 431.5 373.95 m 565.9 373.95 l S 0.001 w 35.16 w 31.2 343.83 m 297.25 343.83 l S 0.001 w 35.16 w 299.5 343.83 m 429.25 343.83 l S 0.001 w 35.16 w 431.5 343.83 m 565.9 343.83 l S 0.001 w 35.16 w 31.2 306.42 m 297.25 306.42 l S 0.001 w 35.16 w 299.5 306.42 m 429.25 306.42 l S 0.001 w 35.16 w 431.5 306.42 m 565.9 306.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.12 m 568.1 325.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.36 m 568.1 385.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.12 m 568.1 325.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.71 m 568.1 287.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 386.44 m 30.07 286.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 386.44 m 298.37 286.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 386.44 m 430.37 286.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 386.44 m 567.02 286.64 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 369.18 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 369.18 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 369.18 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.77 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 346.35 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 346.35 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 308.94 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 294.36 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.94 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.94 Tm (31)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 255.92 m 565.6 255.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 267.34 m 567.8 267.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.51 m 567.8 244.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 268.42 m 30.07 243.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 268.42 m 566.72 243.43 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 251.15 Tm (Conditions of registration:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 229.72 m 315.25 229.72 l S 0.001 w 1 1 1 RG 20.58 w 317.5 229.72 m 346.55 229.72 l S 0.001 w 20.58 w 348.8 229.72 m 377.9 229.72 l S 0.001 w 20.58 w 380.15 229.72 m 409.2 229.72 l S 0.001 w 20.58 w 411.45 229.72 m 440.55 229.72 l S 0.001 w 20.58 w 442.8 229.72 m 471.9 229.72 l S 0.001 w 20.58 w 474.15 229.72 m 503.2 229.72 l S 0.001 w 20.58 w 505.45 229.72 m 534.55 229.72 l S 0.001 w 20.58 w 536.8 229.72 m 565.9 229.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 241.13 m 568.1 241.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.3 m 568.1 218.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 242.21 m 30.07 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 242.21 m 316.37 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 242.21 m 347.67 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 242.21 m 379.02 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 242.21 m 410.32 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 242.21 m 441.67 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 242.21 m 473.02 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 242.21 m 504.32 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 242.21 m 535.67 217.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 242.21 m 567.02 217.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 224.95 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 206.43 m 565.9 206.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.8 m 568.1 196.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 197.88 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 197.88 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 216.05 m 568.1 216.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.8 m 568.1 196.8 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 30.07 217.13 m 30.07 195.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 217.13 m 567.02 195.73 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 202.87 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 202.87 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 183.62 Tm (Greenslades Nursing Home is a modern three-storey red brick building. Access is via a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 166.62 Tm (side road off one of the main routes into the city near the centre of Exeter. There are )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 149.62 Tm (local shops and amenities close by, the city centre being approximately one mile away. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 132.62 Tm (ISCA wing is primarily for 36 older people with mental health/dementia related needs. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 115.62 Tm (Belvedere wing is for 31 older people with more general health care needs. Nursing )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 98.62 Tm (care is provided for 67 service users in all areas of the home, by nursing care )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 81.62 Tm (assistants who are supervised by Registered Nurses. There is one double room, which )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 64.62 Tm (is currently being used as a single room. All residents accommodation is en-suite. The )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)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 30.07 706.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 706.08 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 28.99 707.15 m 568.1 707.15 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 (average cost of care is 503 per week at the time of inspection. Additional costs, not )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (covered in the fees, include hairdressing and personal items such as toiletries, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (newspapers and magazines and private chiropody and taxis. Current information about )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (the service, including CSCI reports, which are accessible at the Home, is given to )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (prospective residents/their representatives.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)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 253.86 w 31.2 634.45 m 563.65 634.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.51 m 565.85 762.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 506.4 m 565.85 506.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 763.59 m 30.07 505.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 763.59 m 564.78 505.32 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 746.32 Tm (This unannounced visit was carried out following an anonymous telephone complaint )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 731.74 Tm (received by the Commission relating to staffing levels, medication, and low )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 717.16 Tm (temperature bathing. Two inspectors visited the home, arriving at approximately )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 702.58 Tm (10.30am and finishing at approximately 3pm. During our visit we talked to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 688 Tm (manager, Alison Robertson. We also talked to five members of staff in depth about the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.42 Tm (specific issues relating to the complaint, and we also spoke more briefly to, and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 658.84 Tm (observed, other staff who were on duty during our visit. We also talked to one person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 644.26 Tm (living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.1 Tm (There are 2 separate units in the home - Belvedere and Isca. Each unit is arranged )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 600.52 Tm (over 2 floors - Upper Belvedere and Lower Belvedere, and Upper Isca and Lower Isca. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 585.94 Tm (During our visit one inspector looked at the care provided in Isca and one inspector )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 571.36 Tm (looked at the care provided in Belvedere.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 556.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 542.2 Tm (During this inspection we did not look at the requirements or recommendations made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 527.62 Tm (at the last key inspection. They will be checked for compliance at our next key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 513.04 Tm (inspection.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 486.08 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 1 175.95 486.08 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 413.11 w 31.2 269.46 m 563.65 269.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 477.14 m 565.85 477.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 565.85 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 478.22 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 478.22 m 564.78 60.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 460.95 Tm (The anonymous caller told us that people living at Greenslades were being bathed in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.37 Tm (cold water. We talked to the manager and staff about the normal practice throughout )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.79 Tm (the home when staff assist people with bathing, showering and washing. We heard )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 417.21 Tm (that approximately 3 months ago there was a short period of just a couple of days )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.63 Tm (when some parts of the home were affected by boiler problems. While the heating in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 388.05 Tm (the home had not been affected, the water temperature from the hot water taps in a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 373.47 Tm (few bedrooms had been affected. The problem was quickly resolved by plumbers. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.89 Tm (care staff we talked to said it had not been a problem as they were able to fetch hot )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 344.31 Tm (water in a bowl from another sink nearby.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 329.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.15 Tm (We were told that almost everyone who lives in the home prefers to have a shower )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.57 Tm (rather than a bath. The showers are electrically heated and thermostatically controlled )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.99 Tm (and therefore the showers have always worked efficiently and have not been affected )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.41 Tm (by hot water problems at any time. One person on Belvedere always liked to have a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.83 Tm (bath and two people on Isca. We talked to one of these people and they were told us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.25 Tm (their baths have always been the correct temperature and they have always been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.67 Tm (warm enough when having a bath.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.51 Tm (The care staff showed us the procedures they always follow before a person takes a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.93 Tm (shower. There is a thermometer tied to each shower rail and the staff showed us how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.35 Tm (they check the temperatures to ensure they are correct.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.19 Tm (We looked at the way the home has recorded the temperatures of the water in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.61 Tm (showers and baths. We saw a bath and shower recording book that had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 111.03 Tm (completed regularly until October 2008. The staff were unsure why the recording had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.45 Tm (suddenly ceased, but thought it was possibly due to a new system or recording that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.87 Tm (had been brought in around that time. We talked to the manager about the recording )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.29 Tm (systems and she assured us they will resume hot water temperature recording )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (immediately.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (Despite the lack of temperature records we were reassured by the staff we talked to, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (and by checking the showers and observing the procedures the staff follow when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (assisting people with a bath, shower or wash, that the water has always been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (comfortably warm. The baths and showers have temperature regulators to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (scalding.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (We found no evidence to support this part of the complaint.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (The anonymous caller told us that there were too few staff to help people who needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (one to one assistance with their meals. On the day of our inspection there were 30 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (people accommodated in Belvedere \(15 people on the upper floor and 15 people on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (the lower floor\) and 35 people accommodated on Isca \(18 people on Lower Isca and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (17 people on Upper Isca\). Each unit had 1 trained nurse in charge and 3 care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (assistants.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (We talked to each of the trained nurses in charge of each wing about the staffing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (levels, and about the staffing needs of each unit particularly at meal times. We were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (told how the staff organise themselves so that the meals are dished up, medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (administered, and people are given the assistance they need. Each of the nurses we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (talked to said they felt the staffing levels were sufficient and that they were able to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (help each person who needed one to one help to eat their meals without anyone )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (feeling rushed, and without the need for staff to help more than one person at a time, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (or by leaving people to wait for their meal.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (We watched at lunchtime as staff dished up meals in each dining room and we saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (staff helping people calmly, sensitively, and carefully. In each dining room we saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (staff dishing up one meal at a time and when they took the meal to the person they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (asked the person if they needed help to cut the food up. At the time of our visit there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (were four people on each unit who could not feed themselves and needed total )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (assistance from staff with all aspects of the meal. The staff organised themselves )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (efficiently with one member of staff sitting down with one person to give them their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (meal while the other staff members dished up and helped other people. The first )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (person who needed one to one assistance had finished their meal by the time the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (other staff had finished dishing up the meals. The staff were then able to sit down with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (the other three people who needed individual attention. In this way everyone was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (given help in a timely way, and no one was left to wait for a long time without food. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (The meal time lasted approximately 45 minutes. We saw staff talking to the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (they were assisiting, encouraging them to eat, and making the meal time a pleasant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (occasion.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (One member of staff was concerned when one person did not appear to want much )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (food, and so they quietly spoke to the nurse in charge and then went back and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (encouraged the person again. The person then ate some more. Another member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (staff recognised when the meal had cooled down and went and warmed the meal up )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (again in the microwave.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (We looked at the records the home has maintained on the diet and nutrition of each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (person. We found that the home had kept detailed records of the actual foods eaten )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (and the amounts of food and fluids. Each person has been weighed at least once a )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (month, and those people who have lost or gained weight have been weighed either )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (fortnightly or monthly. Where the staff have been concerned about weight gain or loss )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (they have sought advice from the person's GP, and where necessary supplements or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (treatment has been provided. The home has recorded peoples weights in several ways )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (including a graph which gave very clear evidence of any fluctuations in weight. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (records also included assessments of the risk of pressure sores or malnutrition. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (staff we talked to were able to give examples of the people they had monitored closely )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (and the actions they had taken.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (Comments from some of care assistants we talked to said they felt able to go to senior )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (staff. 'They're always around the wings', 'They have an open door policy', 'You could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (ring across and ask to speak with them'.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (We talked to one person who lives in the home about staffing levels. She said she felt )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (the staff were often rushed and thought that there were not enough staff to give )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (people the right amount of help they needed at mealtimes. We also talked to each of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (the four nurses in charge of each unit. They told us that if more people needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (assistance than they were able to cope with they could ask for assistance from other )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (areas of the home. The manager or assitant manager also told us they will always help )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (out at mealtimes if needed. Our observations of mealtimes in all parts of the home was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (that the staffing levels were satisfactory and that staff had sufficient time to help )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (people in a calm and unhurried manner.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (We were satisfied that people receive good care to ensure they receive the support )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (they need with meals and drinks. This part of the complaint was not upheld.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (The anonymous caller told us that they had witnessed staff not checking that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (people they had given medication to had taken the medication. They said they had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (seen people giving the medication to another person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (At lunchtime we watched the senior nurse on each floor giving the midday medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (out on each floor. The home uses a monitored dosage system supplied in monthly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (blister packs from a local pharmacy. Each floor has it's own medicine trolley. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (trained nurse in charge of each floor was observed checking the medicines against the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (medicines administration record for each person, before placing the tablets for that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (person in a clean pill pot and giving the pot to the person. They then returned to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (medicines trolley and recorded that they had given the tablets to that person. They )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (were calm, unhurried and took care when checking and signing to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (medications were correct.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (While some people took their tablets immediately, in a few instances people were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (given their tablets at the dining table and they did not take them immediately. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (nurse did not wait to observe these people taking their tablets. We talked to the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (manager about this practice. We agreed that some people may not want to take their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (tablets while they were eating their meal, and instead may prefer to wait until after )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (their meal. However, there may be a risk of people either forgetting to take the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (tablets, or another person may accidentally take them. The manager agreed to carry )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (out a risk assessment on each person and to determine which people should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (observed taking their tablets, and which people will be safe to be left.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (We concluded that the procedures followed by staff were satisfactory but further )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 789.16 m 563.65 789.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 764.66 m 565.85 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 763.59 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (safeguards could be put in place to ensure people who may be at risk of forgetting to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (take their medications are observed to make sure the medicines have been taken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (safely.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 746.59 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 195.54 w 31.2 637.63 m 563.65 637.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 736.53 m 565.85 736.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.74 m 565.85 538.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.61 m 30.07 537.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 737.61 m 564.78 537.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.34 Tm (Whenever people are assisted by staff to have a bath or shower a record should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.76 Tm (made of the water temperature. This will provide evidence to show that people are not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 691.18 Tm (being placed at risk of scalding, or of being bathed in cold water.)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 (When staff give people their medication they should observe the person actually taking )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.44 Tm (the medication unless a risk assessment shows the person can be safely left to take )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (their medication without observation. The risk assessment should also determine if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (other people may be at risk if the medication is left in a place where another person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (might accidentally pick it up and take it.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (The bathrooms would benefit from upgrading or redecoration to make them appear )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm (more welcoming. The manager told us that they had plans to upgrade these rooms but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (no definite dates for the work. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 520.43 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 520.43 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 504.43 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 672.91 m 566.2 672.91 l S 0.001 w 30.3 w 31.2 620.92 m 91 620.92 l S 0.001 w 30.3 w 93.25 620.92 m 197.4 620.92 l S 0.001 w 30.3 w 199.65 620.92 m 289.5 620.92 l S 0.001 w 30.3 w 291.75 620.92 m 473.9 620.92 l S 0.001 w 30.3 w 476.15 620.92 m 566.2 620.92 l S 0.001 w 1 1 1 RG 227.7 w 31.2 489.67 m 91.05 489.67 l S 0.001 w 227.7 w 93.3 489.67 m 197.4 489.67 l S 0.001 w 227.7 w 199.65 489.67 m 289.45 489.67 l S 0.001 w 227.7 w 291.7 489.67 m 473.8 489.67 l S 0.001 w 227.7 w 476.05 489.67 m 566.1 489.67 l S 0.001 w 198.54 w 31.2 274.3 m 91.05 274.3 l S 0.001 w 198.54 w 93.3 274.3 m 197.4 274.3 l S 0.001 w 198.54 w 199.65 274.3 m 289.45 274.3 l S 0.001 w 198.54 w 291.7 274.3 m 473.8 274.3 l S 0.001 w 198.54 w 476.05 274.3 m 566.1 274.3 l S 0.001 w 109.88 w 31.2 117.84 m 91.05 117.84 l S 0.001 w 109.88 w 93.3 117.84 m 197.4 117.84 l S 0.001 w 109.88 w 199.65 117.84 m 289.45 117.84 l S 0.001 w 109.88 w 291.7 117.84 m 473.8 117.84 l S 0.001 w 109.88 w 476.05 117.84 m 566.1 117.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 374.7 m 568.3 374.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.91 m 568.3 173.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 605.73 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 605.73 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.3 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 605.73 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 605.73 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 605.73 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 605.73 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.63 m 568.4 708.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.4 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 374.7 m 568.3 374.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.91 m 568.3 173.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 709.71 m 30.07 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 638.28 m 92.12 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 638.28 m 198.52 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 638.28 m 290.62 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 638.28 m 475.02 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 709.71 m 567.32 603.57 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 691.42 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 673 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 658.42 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 658.42 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 658.42 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.84 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 643.84 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 626.02 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 623.02 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 623.02 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 623.02 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 623.02 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 610.87 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.46 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 588.46 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.46 Tm (13 \(4\) \(c\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.46 Tm (You must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.88 Tm (unnecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.3 Tm (health or safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.72 Tm (users are identified and so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.14 Tm (far as possible eliminated. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.56 Tm (\(This relates to the need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.98 Tm (ensure that actions are taken )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.4 Tm (to protect those residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.82 Tm (identified as being at risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.24 Tm (from falls.\) This remains to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.66 Tm (ensure that if a resident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.08 Tm (continues to fall then the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.5 Tm (issue of staff supervision or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.92 Tm (other aids are considered.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.46 Tm (13/02/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.51 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 358.51 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 358.51 Tm (12 \(1\) \(a\) \(b\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.51 Tm (You must ensure that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.93 Tm (care home is conducted so as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 329.35 Tm (to promote and make proper )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.77 Tm (provision for the health, care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 300.19 Tm (and welfare of service users. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.61 Tm (\(This relates to the need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271.03 Tm (ensure that the psychological )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.45 Tm (health is monitored and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.87 Tm (preventative and restorative )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.29 Tm (care provided.\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.71 Tm (This remains but there have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.13 Tm (been improvements.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 358.51 Tm (13/03/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.72 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 157.72 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 157.72 Tm (13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.72 Tm (You must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.14 Tm (arrangements for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.56 Tm (safekeeping and handling of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.98 Tm (medicines received into the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.4 Tm (home. \(This relates to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.82 Tm (need to record when and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.24 Tm (why `as needed? )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 157.72 Tm (13/02/2007)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 81.9 w 31.2 667.6 m 91.05 667.6 l S 0.001 w 81.9 w 93.3 667.6 m 197.4 667.6 l S 0.001 w 81.9 w 199.65 667.6 m 289.45 667.6 l S 0.001 w 81.9 w 291.7 667.6 m 473.8 667.6 l S 0.001 w 81.9 w 476.05 667.6 m 566.1 667.6 l S 0.001 w 169.38 w 31.2 539.71 m 91.05 539.71 l S 0.001 w 169.38 w 93.3 539.71 m 197.4 539.71 l S 0.001 w 169.38 w 199.65 539.71 m 289.45 539.71 l S 0.001 w 169.38 w 291.7 539.71 m 473.8 539.71 l S 0.001 w 169.38 w 476.05 539.71 m 566.1 539.71 l S 0.001 w 213.12 w 31.2 346.21 m 91.05 346.21 l S 0.001 w 213.12 w 93.3 346.21 m 197.4 346.21 l S 0.001 w 213.12 w 199.65 346.21 m 289.45 346.21 l S 0.001 w 213.12 w 291.7 346.21 m 473.8 346.21 l S 0.001 w 213.12 w 476.05 346.21 m 566.1 346.21 l S 0.001 w 173.37 w 31.2 150.71 m 91.05 150.71 l S 0.001 w 173.37 w 93.3 150.71 m 197.4 150.71 l S 0.001 w 173.37 w 199.65 150.71 m 289.45 150.71 l S 0.001 w 173.37 w 291.7 150.71 m 473.8 150.71 l S 0.001 w 173.37 w 476.05 150.71 m 566.1 150.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 625.52 m 568.3 625.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.89 m 568.3 453.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.52 m 568.3 238.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 625.52 m 568.3 625.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.89 m 568.3 453.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.52 m 568.3 238.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 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0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (medications should be given )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (and to ensuring that creams )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (are not out of date.\) This )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (area has improved.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 634.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 609.34 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 609.34 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 609.34 Tm (16 \(2\) \(m\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 609.34 Tm (You must consult service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.76 Tm (users about their social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 580.18 Tm (interests and make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 565.6 Tm (arrangements to enable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (them to engage in social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (activities. This remains but it )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (is noted that some )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (improvement has been made )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (and that staff have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 478.12 Tm (undergone training.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 609.34 Tm (13/03/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 437.71 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 437.71 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 437.71 Tm (12\(3\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 437.71 Tm (You must, for the purpose of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 423.13 Tm (making proper provision for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 408.55 Tm (their health and welfare, so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.97 Tm (far as practicable ascertain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.39 Tm (and take into account service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.81 Tm (users? wishes and feelings. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.23 Tm (\(This relates to the need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.65 Tm (ensure that residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.07 Tm (offered choices and their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.49 Tm (capacity to exercise personal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.91 Tm (autonomy is maximised.\) )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.33 Tm (This remains but has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.75 Tm (improved.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 245.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 437.71 Tm (13/03/2007)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.34 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 222.34 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 222.34 Tm (18 \(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222.34 Tm (You must ensure that at all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.76 Tm (times there are suitably )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.18 Tm (qualified, competent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.6 Tm (experienced persons working )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.02 Tm (at the Home that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.44 Tm (appropriate for the health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.86 Tm (and welfare of residents. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.28 Tm (\(This refers to staff on Isca )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 105.7 Tm (relating to specialist training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 91.12 Tm (and competency monitoring\). )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 76.54 Tm (This remains but more in )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 222.34 Tm (13/03/2007)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 67.32 w 31.2 674.89 m 91.05 674.89 l S 0.001 w 67.32 w 93.3 674.89 m 197.4 674.89 l S 0.001 w 67.32 w 199.65 674.89 m 289.45 674.89 l S 0.001 w 67.32 w 291.7 674.89 m 473.8 674.89 l S 0.001 w 67.32 w 476.05 674.89 m 566.1 674.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 710.75 m 30.07 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 639.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 640.1 m 568.3 640.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 778.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 763.45 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (relation to the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (implementation of knowledge )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (gained and monitoring.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 649 Tm ()Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 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 (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 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The risk assessment )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 320.25 Tm (should also determine if other people may be at risk if the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 305.67 Tm (medication is left in a place where another person might )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 291.09 Tm (accidentally pick it up and take it.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.26 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 268.26 Tm (21)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 268.26 Tm (The bathrooms would benefit from upgrading or )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 253.68 Tm (redecoration to make them appear more welcoming.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.85 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 230.85 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 230.85 Tm (Whenever people are assisted by staff to have a bath or )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 216.27 Tm (shower a record should be made of the water temperature. )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 201.69 Tm (This will provide evidence to show that people are not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 187.11 Tm (being placed at risk of scalding, or of being bathed in cold )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 172.53 Tm (water.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (12)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 Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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/W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /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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