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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 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 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 (Meadowbank Nursing Home)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 (Meadow Lane)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Clayton Green)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Bamber Bridge)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Lancashire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (PR5 8LN)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01772626363)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01772698044)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 580.39 Tm (askinsh@bupa.com)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 557.56 Tm (www.bupa.com)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 479.3 m 353.25 479.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 479.3 m 565.9 479.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 456.46 m 353.25 456.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 456.46 m 565.9 456.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.71 m 568.1 490.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.88 m 568.1 467.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 445.05 m 568.1 445.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 443.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 443.97 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (BUPA Care Homes \(CFHCare\) Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 474.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 451.7 Tm (120)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 432.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 389.3 m 564.47 389.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.67 m 567.8 424.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.85 m 567.8 401.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.75 m 30.07 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.92 m 298.32 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 380.09 m 432.52 355.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.75 m 566.72 355.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 408.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 385.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 362.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 362.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 341.39 m 297.25 341.39 l S 0.001 w 20.58 w 299.5 341.39 m 429.25 341.39 l S 0.001 w 20.58 w 431.5 341.39 m 565.9 341.39 l S 0.001 w 35.16 w 31.2 311.27 m 297.25 311.27 l S 0.001 w 35.16 w 299.5 311.27 m 429.25 311.27 l S 0.001 w 35.16 w 431.5 311.27 m 565.9 311.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 352.81 m 568.1 352.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 329.98 m 568.1 329.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 292.57 m 568.1 292.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 353.89 m 30.07 291.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 353.89 m 298.37 291.49 l S 0.001 w [] 0 d [] 0 d 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(Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 233.18 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.6 Tm (only - Code PC To service users of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 204.02 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 189.44 Tm (falling within any other category - Code OP Dementia - Code DE The maximum number )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.86 Tm (of service users who can be accommodated is: 120)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 153.43 m 315.25 153.43 l S 0.001 w 1 1 1 RG 20.58 w 317.5 153.43 m 346.55 153.43 l S 0.001 w 20.58 w 348.8 153.43 m 377.9 153.43 l S 0.001 w 20.58 w 380.15 153.43 m 409.2 153.43 l S 0.001 w 20.58 w 411.45 153.43 m 440.55 153.43 l S 0.001 w 20.58 w 442.8 153.43 m 471.9 153.43 l S 0.001 w 20.58 w 474.15 153.43 m 503.2 153.43 l S 0.001 w 20.58 w 505.45 153.43 m 534.55 153.43 l S 0.001 w 20.58 w 536.8 153.43 m 565.9 153.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 164.84 m 568.1 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 142.01 m 568.1 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 165.92 m 30.07 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 165.92 m 316.37 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 165.92 m 347.67 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 165.92 m 379.02 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 165.92 m 410.32 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 165.92 m 441.67 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 165.92 m 473.02 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 165.92 m 504.32 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 165.92 m 535.67 140.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 165.92 m 567.02 140.93 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 148.65 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 130.13 m 565.9 130.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 120.51 m 568.1 120.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 121.59 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 121.59 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.76 m 568.1 139.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 120.51 m 568.1 120.51 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 30.07 140.84 m 30.07 119.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 140.84 m 567.02 119.43 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 126.57 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 126.57 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 107.32 Tm (Meadowbank Nursing Home is situated in Bamber Bridge close to the motorway )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 90.32 Tm (network, easily accessible by road and public transport. The home provides care for up )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 73.32 Tm (to 120 persons within four 30-bedded single storey houses, set amongst )Tj ET /F1 12 Tf BT 1 0 0 1 479.02 73.32 Tm (well-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 56.33 Tm (established,)Tj ET /F1 12 Tf BT 1 0 0 1 107.74 56.33 Tm ( landscaped gardens. Enclosed sensory gardens are also available. Care is )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 (12)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 30.07 525.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 525.77 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 28.99 526.85 m 568.1 526.85 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 (provided for older people and persons requiring care associated with a diagnosis of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (dementia. All private accommodation is in single, fully furnished bedrooms. Although )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (there are no en-suite facilities provided, toilets and bathing facilities are conveniently )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (located throughout each unit. Each house has pleasantly decorated spacious lounges )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (and dining areas, although service users are able to dine within their private )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (accommodation, if they so wish. The laundry services and kitchen facilities are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (centrally located within the administration block and main reception area. The scale of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (charges as at 27th January 2010 ranged from 335.50 to 770.00 per week. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (Additional charges were incurred for hairdressing, chiropody, holistic therapies, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (magazines and newspapers. The service users' guide contains detailed information )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (about life at Meadowbank and is provided to prospective residents to assist them in )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm (making an informed choice about where to live. The quality rating for this service is )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm (three star, which means that people who us this service experience excellent quality )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm (outcomes.)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 (12)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 tracked the care of four people living on Sabrina House who we had identified from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (information received from the home as being involved in numerous altercations with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (other residents. The needs of all four people had been thoroughly assessed before they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (were admitted to Sabrina House to ensure that the staff team could deliver the care and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (support required.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (Plans of care examined told staff how aggressive episodes of individuals should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (managed and what they needed to do in the event of challenging behaviour to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (that any risks to people were minimised. Staff spoken to were able to tell us the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (techniques used for calming volatile situations so that people were protected from harm. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (We spoke with three staff members who were all very knowledgeable about the support )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (required by the people whose care we tracked. They explained to us in plain English )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (exactly how they supported people to meet their individual needs, but this was not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (always as clear or as detailed within the plans of care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (The care records for one person who had difficulty with communication did not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (incorporate a care plan specific for preferred methods of communicating, such as the use )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (of monosyllables and what these mean to him, pointing or using gestures. The care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (records did not give a clear picture about how this individual could be supported to make )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (decisions and what kind of decisions he makes when he has the capacity to choose. There )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (were no details in his care records of his preferences and neither was the information told )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (to us by care staff about what he was able to do, what he liked or disliked. We were told )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (that this resident was receiving one to one supervision at certain times of the day, but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (again this was not incorporated in to the care planning process and records did not clarify )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (if the plan of care was effective or not.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (One care worker told us that she had a good relationship with one of the people whose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (care we tracked and his wife and had lots of information about him but never had the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (opportunity to write this down. We understood that care staff do not routinely have the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (opportunity to be involved in the care planning process by making entries within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (plans of care themselves. This was discussed with some care staff during our visit who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (said that they would welcome the opportunity to be more involved, which would give )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (them added responsibility and maintain their interest and motivation. However, if this is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (considered then training would be needed and the process would need to be overseen by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (qualified nurses to ensure consistency.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (Records showed that staff had received training in relation to aggressive and challenging )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (behaviour, including de-escalation techniques and safe holds to ensure they knew what to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (do in the event of any volatile situation.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (A variety of assessments were in place within a risk management framework to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (that any potential harm had been identified and minimised as far as possible so that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (people living on Sabrina House were kept safe.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (At the time of our visit Sabrina House was quiet, calm and relaxed and it was evident that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (those living there had a good rapport with staff. We noted some one to one activities )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (taking place and we were able to talk to two relatives who were visiting individuals living )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 (12)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 (on Sabrina House. They told us that they were very happy with the care and support )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (provided for their relatives and that there was extremely good communication with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (staff. They both confirmed that they were involved in the care planning process and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (they met with staff regularly to review the contents of the plan of care. We noted that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (there was a good ratio of residents to staff to ensure enough support was being offered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (and it was pleasing to see staff spending quality time with residents in the communal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (areas of the unit, sitting with them and chatting about every day events and things that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (interested the individual.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (The plans of care varied in quality, although in general they were sufficiently detailed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (However, they did not consistently co-incide with the monthly reviews and on occasions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (provided some conflicting information for staff. One example of this was that the care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (plan for one person stated, 'unable to communicate effectively due to CVA.' However, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (care plan review of the 10th December 2009 stated, 'Resident continues to communicate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (well.' Although the monthly reviews showed that any changes in needs were reflected )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (well, the plans of care should also reflect the changes as these are a working document )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (for staff to follow. Two plans of care seen were very detailed showing how staff needed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (manage aggressive behaviour, including what triggers they needed to be aware of that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (indicated escalating aggressive behaviour. The guidance advised staff how to diffuse )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (incidents, so that people living on Sabrina House were protected.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (The care records of one person living on Sabrina House stated, 'Due to lack of capacity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (staff have to act in the resident's best interests, even if he refuses or becomes resistive' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (and 'Resident cannot make decisions for his own best interests'. We were unable to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (determine who had made these decisions on behalf of this individual, but later )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (established that an external assessment had not been requested to ensure that this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (person was not being deprived of his liberty. We discussed this with the new manager of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (the home, who took our comments on board and told us that she will take appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (legal advise and will act accordingly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Records throughout showed that one resident responded better to male staff and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (preferred male staff to attend to his needs. We established that his key worker was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (male carer, which was good practice and showed that this person's preferences were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (being followed in day to day practice.)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 (We visited Beech House during our random inspection to this service. This was because )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (we had recently received some information about this unit, in which the contact raised a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (variety of concerns about Beech House. The information was passed back to the provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (to investigate using the home's complaints procedure and a detailed report had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (subsequently been forwarded to us.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (The concerns raised and our findings were as follows: 1. The unit 'stunk', the carpets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (were 'sticky' and there was a lump of faeces on a chair. We toured Beech house viewing a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (random selection of private accommodation and all communal areas. At the time of our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (visit there were no unpleasant smells evident, no 'sticky' areas of flooring noted and no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (evidence of excrement in any of the areas we saw. We spoke with one of the domestic )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (staff who was thoroughly cleaning the unit. We established that there were 80 hours of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (domestic input on Beech House alone per week, which we considered sufficient to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (maintain good hygiene standards within this unit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (2. Residents were inappropriately dressed. At the time of our visit there were 24 people )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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 469.56 w 31.2 550.45 m 580.26 550.45 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 28.99 314.54 m 582.46 314.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 313.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 313.46 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (living at Beech House whose care needs were associated with a dementia related illness. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (We were told that one person living at Beech House required one to one supervision. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (staff rota showed that there were seven staff on duty during the morning period and six )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (in the afternoon and evening, which provided a good ratio of residents to staff. We spent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (some time in the lounge area of Beech House observing how people were presented and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (found that residents looked well cared for and were wearing appropriate clothing, with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (neat hair styles and clean clothes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (3. One staff members English was poor. During our visit we spoke with two overseas staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (who were both able to converse well in the English language. They were both easily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (understood and responded fluently to any questions asked.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (4.Residents were walking in and out of the satellite kitchen on Beech House where there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (was a hot water geezer installed. We viewed this kitchen and found that the door was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (operated by a coded key pad. The door did not remain in the open position at any time )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (during our visit and it was constantly inaccessible by people who did not have the code to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (access this area. The satellite kitchen was adjacent to the lounge and we noted that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (number of staff were available in this area at all times to ensure the safety of people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (living at Beech House. Staff we spoke to told us that there were enough staff on duty to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (maintain close observation and to sit and spend time with the people in their care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (5. Staff looked unkempt with dirty uniforms. We observed staff going about their daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (duties on Beech House and spoke with a number of them. At the time of our visit staff on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (duty were well presented with clean uniforms.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (6. Poor care planning. At the time of our visit to Beech House we did not assess the care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (planning process because the provider informed us in the home's response to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (information received that the contact did not at any time view any plans of care or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (request to see them, but gained information required from staff working on Beech House )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (at the time.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Therefore on this occasion we found that regulations had been met.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 296.47 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 1 175.95 296.47 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 242.73 w 31.2 165.04 m 580.26 165.04 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 287.53 m 582.46 287.53 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 30.07 288.61 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 288.61 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm (The home had thoroughly assessed people's needs before they were admitted to Sabrina )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (House so that the staff team were confident that they could deliver the care and support )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (required by each individual wanting to move in to this unit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (The plans of care varied in quality. Two were very detailed, giving staff clear guidance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (about how the assessed needs of individuals could be best met and how challenging )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (behaviour could be minimised within a risk management framework. Care plans were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm (being followed in day to day practice to ensure that people's needs were being met, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (supported by a variety of external professionals so that health care needs were also )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (Sabrina House was quiet, calm and relaxed with some residents receiving one to one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (activities, therefore enjoying some quality time with staff who were sitting with people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (and chatting with them about daily events and things that interested them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (Records showed and staff spoken to confirmed that they had received appropriate )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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 323.76 w 31.2 623.34 m 580.26 623.34 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 28.99 460.34 m 582.46 460.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 459.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 459.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (training in relation to challenging behaviour and how to deal with volatile situations. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (were able to talk about the needs of people whose care we tracked and were very )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (knowledgeable about the care and support required by each individual.)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 (Relatives spoken with remarked about the excellent communication by staff and how they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (had been involved in care planning process and reviews. It was pleasing to see that staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (had evidently developed a good rapport with the people in their care and their relatives.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (At the time of our visit Beech House was clean, hygienic and pleasant smelling, providing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (a comfortable and homely environment for people to live in. The people living on this unit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (looked well cared for, being appropriately dressed with clean clothing and smart hair )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (styles.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (We spoke to several staff whose first language was not English. However, these people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (were able to converse clearly in the English language and could respond fluently to any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (questions asked. All staff on duty at the time of our visit to Beech House were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (presentable in clean uniforms and footwear. There was no evidence of staff looking )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (unkempt.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (The health and safety of people living on Beech House was protected by not allowing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (them access to the satellite kitchen where a hot water geezer is installed. This area was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (only accessible by a coded key pad and the door was closed at all times during our visit.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 442.27 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 388.53 w 31.2 237.94 m 580.26 237.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 433.33 m 582.46 433.33 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 30.07 434.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 434.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 417.14 Tm (The plans of care did not consistently reflect some changes in people's assessed needs in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.57 Tm (accordance with the care plan reviews, therefore staff were not always given up to date )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.98 Tm (information about people's current needs. The care records for some people whose care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 373.4 Tm (we tracked on occasions provided conflicting information, which could be confusing for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.83 Tm (staff and which could potentially result in the wrong care being delivered or care not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 344.24 Tm (being provided at all.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 329.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.08 Tm (The plans of care could have included all the information about people's care needs as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.51 Tm (described by staff spoken with to ensure that staff were provided with clear and detailed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.92 Tm (information about how they could exactly meet everyone's assessed needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (The care plan for one person who was prescribed as and when required medication for his )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (aggressive behaviour could have provided guidance for staff as to what point on the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm (pathway of escalation of aggression this should be administered. It was concerning to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (note that despite the number of incidents reported in relation to this person there was no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (risk management plan in place in relation to his aggressive outbursts to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (consistency and the use of appropriate techniques.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (Care staff could be given the opportunity to be involved in planning the care of the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (they support, so that they have more responsibility, which would aid in developing even )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (stronger links with the people living at the home and their relatives.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (The records for one person living on Sabrina House showed that he lacked capacity to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (make decisions and so staff needed to act on his behalf, but it was not clear who had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (made this judgement or how the decision had been made. We considered that this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (resident should be assessed by a Deprivation Of Liberty Safeguards representative to )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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 761.85 m 580.26 761.85 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 28.99 737.36 m 582.46 737.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 736.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 736.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (ensure that he was not being deprived of his liberty to make decisions for himself. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (recently appointed manager of Meadowbank confirmed that she would seek further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (advice and address this issue appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 721.3 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 721.3 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 705.3 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 23 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 (12)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 256.34 w 32.32 470.62 m 564.97 470.62 l S 0.001 w 1 1 1 RG 154.8 w 31.2 420.98 m 91.05 420.98 l S 0.001 w 154.8 w 93.3 420.98 m 197.4 420.98 l S 0.001 w 154.8 w 199.65 420.98 m 289.45 420.98 l S 0.001 w 154.8 w 291.7 420.98 m 473.8 420.98 l S 0.001 w 154.8 w 476.05 420.98 m 566.1 420.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 341.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.45 m 568.3 342.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 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 34.05 567.85 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 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (Plans of care must include all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (assessed needs and must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (provide details of how these )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.58 Tm (needs in respect of health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.99 Tm (and welfare are to be met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm (This must be done so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.26 Tm (people living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (receive the care and support )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.1 Tm (they need.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (08/03/2010)Tj ET 0.95294 0.95294 0.95294 RG 278.4 w 32.32 181.75 m 564.97 181.75 l S 0.001 w 1 1 1 RG 93.48 w 31.2 185.37 m 91.05 185.37 l S 0.001 w 93.48 w 93.3 185.37 m 197.4 185.37 l S 0.001 w 93.48 w 199.65 185.37 m 566.1 185.37 l S 0.001 w 64.32 w 31.2 104.21 m 91.05 104.21 l S 0.001 w 64.32 w 93.3 104.21 m 197.4 104.21 l S 0.001 w 64.32 w 199.65 104.21 m 566.1 104.21 l S 0.001 w 28.38 w 31.2 55.62 m 91.05 55.62 l S 0.001 w 28.38 w 93.3 55.62 m 197.4 55.62 l S 0.001 w 28.38 w 199.65 55.62 m 566.1 55.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 137.5 m 568.3 137.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 70.93 m 568.3 70.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 234.31 m 30.07 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 234.31 m 567.22 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.63 m 568.4 253.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.23 m 568.3 233.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 234.31 m 92.17 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 234.31 m 198.52 39.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 323.2 m 568.4 323.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.63 m 568.4 253.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.23 m 568.4 233.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 137.5 m 568.3 137.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 70.93 m 568.3 70.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.3 m 568.3 40.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 324.28 m 30.07 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 254.71 m 92.17 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 254.71 m 198.47 232.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 324.28 m 567.32 232.15 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 307.02 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 289.43 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.86 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 34.05 260.27 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 239.46 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 239.46 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 239.46 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.04 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 217.04 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.04 Tm (The plans of care should not provide any conflicting )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 202.46 Tm (information and should always reflect changes in people's )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 187.88 Tm (assessed needs in accordance with the care plan reviews. )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 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(capacity to make their own decisions and informed choices )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 616.63 Tm (then a Deprivation Of Liberty Safeguard referral should be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 602.04 Tm (made so that an independent person can assess if the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 587.47 Tm (person is being deprived of their liberty.)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 (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 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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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/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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