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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 (Abercarn Residential Home)Tj ET /F1 12 Tf BT 1 0 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(Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 451.7 Tm (32)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 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211.96 m 567.8 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 189.13 m 568.1 189.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.79 m 567.8 234.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.96 m 568.1 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 189.13 m 568.1 189.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 107.97 m 568.1 107.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 235.86 m 30.07 106.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 235.86 m 566.72 106.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 218.6 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.77 Tm (The maximum number of service users who can be accommodated is: 32)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.94 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 158.36 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 34.05 143.78 Tm (needs on admission to the home are within the following categories: Mental disorder, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 129.2 Tm (excluding learning disability or dementia \(MD\) 8, Old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.62 Tm (category \(OP\) 32, Physical disability \(PD\) 8,)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 93.18 m 315.25 93.18 l S 0.001 w 1 1 1 RG 20.58 w 317.5 93.18 m 346.55 93.18 l S 0.001 w 20.58 w 348.8 93.18 m 377.9 93.18 l S 0.001 w 20.58 w 380.15 93.18 m 409.2 93.18 l S 0.001 w 20.58 w 411.45 93.18 m 440.55 93.18 l S 0.001 w 20.58 w 442.8 93.18 m 471.9 93.18 l S 0.001 w 20.58 w 474.15 93.18 m 503.2 93.18 l S 0.001 w 20.58 w 505.45 93.18 m 534.55 93.18 l S 0.001 w 20.58 w 536.8 93.18 m 565.9 93.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 104.6 m 568.1 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.77 m 568.1 81.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 105.68 m 30.07 80.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 105.68 m 316.37 80.69 l S 0.001 w [] 0 d [] 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/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 (21)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 30.07 440.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 440.77 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 28.99 441.85 m 568.1 441.85 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 35.5 753.91 Tm (Abercarn is a located in the heart of Pensnett on a main road between Kingswinford )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (and Dudley, served by a bus route. There is car parking at the front and side of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (property.)Tj ET /F1 12 Tf BT 1 0 0 1 91.33 719.91 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104 719.91 Tm (The)Tj ET /F1 12 Tf BT 1 0 0 1 126.14 719.91 Tm ( home provides accommodation for a maximum of 32 people on two )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (floors, accessed by a lift. On the ground floor, there is a communal lounge, and the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (office is in the corner of the dining room. In the enclosed garden there is a covered )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (area for people who smoke and a laundry building. Bedrooms are on the ground and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (first floor, have washbasins, and a few of these are double rooms. There are communal )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (toilets located throughout the home and near communal areas, but these cannot )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (accommodate a wheelchair and hoist. People needing this equipment may not feel able )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (to use communal areas except for short periods. There are two assisted bathrooms; a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (bath on the ground floor and a shower on the first.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 566.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 549.91 Tm (At the time of our visit there was a temporary acting manager two days a week, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 532.91 Tm (supported by the Cotdean Director of Nursing, and a new manager was being )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 515.91 Tm (recruited.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 498.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 481.92 Tm (Enquiries need to be made from the care home about the fee range, as the information )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 464.92 Tm (published in the service user guide is out of date and only applied up to March 2008.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 447.92 Tm ()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 (21)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 (A new manager had taken up position at the end of 2008 and has not yet applied to us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (for registration. She told us that initially she was supernumerary for two days a week and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (that had now been increased to approximately two and half days a week.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (The medication system has been changed and senior staff have undertaken training with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (the pharmacist, a new medication trolley has been provided and the treatment room had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (been rearranged to make it more methodical.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (Some bedrooms had been decorated and new carpets fitted and they were still working )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (on other areas.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (The manager told us that the communication with staff had improved and she was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (contacting appropriate health care professionals to follow up the care people using the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (service.)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 (She told us that she had started guiding staff in respect of person centred planning, but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (quite a lot of work was still required with care plans.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (Three peoples care plans were looked at in detail. This is a document that is developed by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (staff following an assessment of individuals needs. It outlines what they can do )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (independently, the activities people require assistance with and the actions staff need to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (provide in order to support them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (There was evidence that some risk assessments had been completed, these tell staff if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (there any any risks and then appropriate plans of care can be developed to reduce and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (minimise the effects of these identified risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (It was found that the planning of care was inconsistent and therefore it could not be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (demonstrated that each person had care plans that were up to date, accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (addressed their needs. This may result in poor provision of care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (Staff evaluated care plans monthly and maintained daily records of events . The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (information in daily records and evaluations lacked detail about people's health, social )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (and psychological welfare or progress, this makes evaluation of care more difficult and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (may result in minor changes being missed.)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 (Two people had bed rails in place and did not have risk assessments completed and a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (further person had a risk assessment that had been partially completed. On inspection it )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (was found that the bed rails for two people were not of sufficient height to protect them )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (as pressure relieving equipment was in place. When inspecting the bed rails on the third )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (person's bed we found that one of them did not have a protective bumper in place and it )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (was loose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (On discussion with staff they were not aware of the daily checks to make on bed rail, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (which was stated in care plans to ensure they are safe; they thought the loose rail was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (safe and they stated they had not received training in respect of bed rails.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm ()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 (21)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 (The manger told us that issues had been identified with the bed rails a few months ago )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (and the owners had been notified. The maintenance man who was involved in the checks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (of bed rails stated they were on order. The use of such equipment without risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (assessments, suitable equipment and lack of staff knowledge puts people at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (All three people had equipment in place for pressure relief, as they were at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (developing injury to their skin due to prolonged pressure, and two of the people had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (pressure sores at the time of inspection.)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 (Risk assessment had identified the risk of pressure sores developing and suitable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (equipment was in place. There were no care plans and no records to indicate that people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (were receiving regular pressure relief and staff confirmed they were not receiving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (pressure relief regularly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (A comment received told us that the staff would relieve pressure if people had pressure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (sores.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (One of the pressure relieving mattresses had a fault, staff were not aware of the settings )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (on the pressure reliving mattress, and stated they would be aware of there was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (problem if it was not inflated properly or there was a bleeping sound from the machine. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Staff do not have sufficient understanding about the care needed for those who are at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (risk or have pressure sores, this may affect the care given and increase the risks to each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (The staff complete nutritional risk assessments and weigh people intermittently to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (determine if they are at risk. It was found that some people were identified as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (nutritionally at risk and sign posted staff to seek dietetic advice. However no action was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (taken at the time and it was several weeks later that the GP prescribed nutritional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (supplements.)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 (No supplements were being used and there was no evidence that staff had assessed the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (needed and requested supplements from the GP or sought advice from the community )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (dietitian. This is necessary to ensure that wounds heal and people receive a well balance )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (diet to maintain their health and body weight.)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 (Risk assessments were completed for moving and handling, but care plans did not advise )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (staff of the plan of care for moving and handling, but referred them to the risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (assessment. Staff gave varying accounts of the type of equipment used for people, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (indicating that practice was not consistent. Care staff told us they did not refer to care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (plans and on discussion with the senior carer who completes the care plans told us she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (had any training on how to complete care plans, but had been shown by a previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (manager as they use pre printed core care plans, and she was not aware of the need to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (record the type of hoist and size of sling on the care plans.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (The manager was aware that past accidents and incidents had not being recorded in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (accident book as is required. Staff must record all incidents and accidents and an audit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (should be undertaken to determine if there are any contributing factors that can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (During the inspection it was noted that one person was in need of assistance from staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (and we informed them about it. They assured us they would go and attend to them )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 (21)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 (straightaway. However, we returned to the person approximately 20 minutes later and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (staff had not attended to them; they were sitting at the dining table having a drink.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (This is unacceptable and raises serious concerns about the management of the staff, as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (they had left a vulnerable person without the appropriate care despite being informed of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (The pharmacist inspector visited the home on 10th August 2009 to check the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (management and control of medicines within the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Medication was stored within the correct temperature ranges. An air conditioning unit was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (in operation in the room.)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 were shown a medication policy provided by Cotdean Nursing Homes Limited, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (was reviewed in October 2008. It included brief details on prescribing, supply, storage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (and administration of medication including drug errors. The policy itself was not specific )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (to the service and did not contain detail for care staff to manage medication safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (The service uses two different pharmacy suppliers and medication is provided in two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (different medication containers. This was not detailed in the medication policy and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (therefore increases the risk to the care and continuity of medicines supply to people living )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (We saw current records for the receipt and disposal of medication. The date of opening of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (boxes and bottles of medicines were recorded and balances of medication were usually )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (carried forward from old records to new records. This means that records showed what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (medication was available to administer to people living in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (There are separate records for the application of topical preparations, which were kept in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (each person's bedroom. These are completed and show when ointments and creams are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (applied.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Staff had undertaken medication training in January 2009. We were shown certificates for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (the Boots Care of Medicines Foundation Module dated 28th January 2009. This means )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (that medication is handled by staff who have been trained to do so and ensure the safety )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (of people living in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (The medication administration record \(MAR\) charts are usually documented with a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (signature for administration or a reason was recorded if medication was not given.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (We found one person's MAR chart had not been documented correctly. The prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (medicine was to be given twice a day at 8am and 5pm, however there were gaps in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (records at 5pm for a total of 5 days. The person concerned did not receive their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (medication as prescribed by their doctor and this may impact on their health.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (It was not possible from the records to determine whether medication had been given or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (not, the 'blister pack showed this medication had been removed and there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (evidence that it had been destroyed. Other medication prescribed at 5pm had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (signed to show that they had been given. The monthly audit of medication had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (completed, this tells us that the error had not been pick up by the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 119.64 w 31.2 725.41 m 580.26 725.41 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 28.99 664.46 m 582.46 664.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 663.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 663.38 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (One person regularly did not take their lunch time medication, used to control their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (diabetes. This person often goes out at this time of day, so the staff have not been giving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (it nor had they discussed this with the doctor. By not taking the medication as prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (by the Doctor this person's health may deteriorate.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (People in this service did not always receive care and assistant in a timely way, this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (would mean that the outcome for them would be poor, and their health and well being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (may deteriorate.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 646.39 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 1 175.95 646.39 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 610.33 m 580.26 610.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 636.33 m 582.46 636.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 584.34 m 582.46 584.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 637.4 m 30.07 583.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 637.4 m 581.38 583.26 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm (There has been better arrangements to secure medication.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (The manager has started training for the staff in personalised care.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 564.02 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 370.5 w 31.2 367.58 m 580.26 367.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 553.95 m 582.46 553.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.2 m 582.46 181.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 555.03 m 30.07 180.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 555.03 m 581.38 180.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 537.77 Tm (Staff require training in care planning and the care planning systems needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.18 Tm (developed, to ensure it is person centred and provides staff with details about what )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.61 Tm (support people require, so their needs are met effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.45 Tm (Staff require training in respect of tissue viability \(skin care\) and all aspects of prevention )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 464.86 Tm (of pressure sores to ensure they have the knowledge and skills to meet each persons )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.29 Tm (needs and ensure their well being. Where people are at risk appropriate systems must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.7 Tm (put in pace to reduce the risk of skin damage.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 406.55 Tm (Staff require training in nutrition and suitable systems must be put in pace to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.96 Tm (action is taken where people are at risk, so their well being is maintained. Also the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.39 Tm (should purchase a set of weighing scales so that people can be weighed regularly.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.23 Tm (A risk assessment must be undertaken where staff consider the use of bed rails and if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (they are deemed necessary staff must ensure they have suitable equipment to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.07 Tm (people are not put at risk. Staff should have training in the use and maintenance of bed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.48 Tm (rails to ensure each person is safe.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 275.33 Tm (Where people sustain and injury as a result of an accident of incident a record must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.74 Tm (made in the appropriate place. Regular audits of accidents/incidents should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 246.16 Tm (undertaken to determine if there are any patterns and/or actions that can be taken to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 231.59 Tm (reduce further incidents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 202.43 Tm (Safe procedures for the management of medication need to be put in place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.85 Tm (people who live in the service are protected from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 162.89 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 162.89 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 146.89 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 0 612 792]>> endobj 20 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 (21)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 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172.54 l S 0.001 w 259.98 w 476.05 172.54 m 566.1 172.54 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 303.65 m 568.3 303.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 303.65 m 568.3 303.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 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 34.05 645.7 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 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 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 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj 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BT 1 0 0 1 294.55 258.31 Tm (guidance relating to complex )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.73 Tm (needs such as diabetes, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.15 Tm (Parkinsons disease, dementia )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.57 Tm (and includes, diet, foot, eye, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.99 Tm (skin care.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.83 Tm (2\) To include fuller details of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.25 Tm (care provided in short term )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.67 Tm (care plans, such as increased )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.09 Tm (fluids, increasing attention to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.51 Tm (continence, additional skin )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 97.93 Tm (care and mobility)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.77 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.19 Tm (to notify the CSCI when )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 287.47 Tm (01/01/2008)Tj ET endstream endobj 21 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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 81.9 w 31.2 640.29 m 91.05 640.29 l S 0.001 w 81.9 w 93.3 640.29 m 197.4 640.29 l S 0.001 w 81.9 w 199.65 640.29 m 289.45 640.29 l S 0.001 w 81.9 w 291.7 640.29 m 473.8 640.29 l S 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meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (these requirements are met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (\(Timecale of 01/01/08 in Not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (Met\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 582.03 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 582.03 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 582.03 Tm (13\(1\)13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.03 Tm (1\) To ensure that any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm (resident with significant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (weight loss, poor appetite or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (assessed as nutritionally at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (risk is referred to the GP and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (community dietician for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (advice and support)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (2\) To ensure records of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (residents food / fluid intake )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (demonstrate adequate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (nutrition, any fortified meals, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (food supplements and action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (taken where there is concern)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (3\) To ensure records of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (personal care are fully )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.17 Tm (accurately recorded)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.02 Tm (4\) To review the Waterlow )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.43 Tm (score of resident with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.86 Tm (pressure ulcer, which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.27 Tm (indicates an improved score, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.7 Tm (rather than identifying )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (increased risk)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.96 Tm (5\) To implement turn charts, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.38 Tm (food / fluid intake charts for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.79 Tm (any resident identified to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.21 Tm (at risk)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.05 Tm (6\) To ensure all residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.47 Tm (have a base line weight \(or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.89 Tm (MUST score\) on admission )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.32 Tm (and have records of regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.74 Tm (weight monitoring)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 582.03 Tm (01/01/2008)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 111.06 w 31.2 625.72 m 91.05 625.72 l S 0.001 w 111.06 w 93.3 625.72 m 197.4 625.72 l S 0.001 w 111.06 w 199.65 625.72 m 289.45 625.72 l S 0.001 w 111.06 w 291.7 625.72 m 473.8 625.72 l S 0.001 w 111.06 w 476.05 625.72 m 566.1 625.72 l S 0.001 w 169.38 w 31.2 483.24 m 91.05 483.24 l S 0.001 w 169.38 w 93.3 483.24 m 197.4 483.24 l S 0.001 w 169.38 w 199.65 483.24 m 289.45 483.24 l S 0.001 w 169.38 w 291.7 483.24 m 473.8 483.24 l S 0.001 w 169.38 w 476.05 483.24 m 566.1 483.24 l S 0.001 w 352.63 w 31.2 219.99 m 91.05 219.99 l S 0.001 w 352.63 w 93.3 219.99 m 197.4 219.99 l S 0.001 w 352.63 w 199.65 219.99 m 289.45 219.99 l S 0.001 w 352.63 w 291.7 219.99 m 473.8 219.99 l S 0.001 w 352.63 w 476.05 219.99 m 566.1 219.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.43 m 568.3 397.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.43 m 568.3 397.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (to notify the CSCI when )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (these requirements are met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (\(Timescale of 01/01/08 is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (Not Met\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (13\(4\)\(c\) Unnecessary risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (to the dietary needs of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (people with diabetes must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (identified and as far as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (possible eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm (There should be detailed care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (plans with clear staff roles )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (and instructions so that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (people's needs and risks are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (appropriately met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (14/11/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.24 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 381.24 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 381.24 Tm (13\(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (1\) The process of updating )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (and expanding the homes )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (medication policy and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (procedures must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (completed)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (2\) To ensure there is an )Tj ET /F1 12 Tf BT 1 0 0 1 444.62 293.77 Tm (up-)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (to-date)Tj ET /F1 12 Tf BT 1 0 0 1 338.57 279.18 Tm ( medication list in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (residents case file / care plan)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (3\) To agree arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.87 Tm (with individual residents for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.29 Tm (the administration of weekly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.71 Tm (dosages of Allendronic Acid )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (150mgs to be taken half an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.54 Tm (hour before first food or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (drink and following advice for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (administration)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (4\) To ensure Levothyroxine )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm (is administered before the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm (residents have first food of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.49 Tm (the day)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 45.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 381.24 Tm (01/01/2008)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 431.82 w 31.2 465.33 m 91.05 465.33 l S 0.001 w 431.82 w 93.3 465.33 m 197.4 465.33 l S 0.001 w 431.82 w 199.65 465.33 m 289.45 465.33 l S 0.001 w 431.82 w 291.7 465.33 m 473.8 465.33 l S 0.001 w 431.82 w 476.05 465.33 m 566.1 465.33 l S 0.001 w 203.5 w 31.2 145.43 m 91.05 145.43 l S 0.001 w 203.5 w 93.3 145.43 m 197.4 145.43 l S 0.001 w 203.5 w 199.65 145.43 m 289.45 145.43 l S 0.001 w 203.5 w 291.7 145.43 m 473.8 145.43 l S 0.001 w 203.5 w 476.05 145.43 m 566.1 145.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 248.3 m 568.3 248.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 248.3 m 568.3 248.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (5\) To ensure Calogen is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (refrigerated once opened and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (labelled with date of opening )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (and use by date \(within 14 )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (days\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (6\) The registered persons )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (must liaise with the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (appropriate G.Ps to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm (that prescriptions carry more )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.64 Tm (specific directions for the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.05 Tm (administration of service )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 496.48 Tm (users medication as opposed )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 481.89 Tm (to `as directed'.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 467.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 452.73 Tm (7\) To obtain and use a drugs )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 438.15 Tm (fridge thermometer and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 423.58 Tm (record the daily minimum )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 408.99 Tm (and maximum fridge )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 394.42 Tm (temperatures \(to be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 379.83 Tm (maintained between 2C - 8C\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 365.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 350.67 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 336.1 Tm (to notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 321.52 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 306.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 292.36 Tm (\(Timescale of 01/01/08 is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 277.77 Tm (not met\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 257.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.12 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 232.12 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 232.12 Tm (13\(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (The registered person and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm (manager must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.96 Tm (an individual care plan is in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.38 Tm (place for each resident who )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.79 Tm (has their medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.21 Tm (prescribed on an` as needed' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.63 Tm (or `when required' basis. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.05 Tm (These must give clear )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.47 Tm (instruction to staff when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.89 Tm (these medications should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.32 Tm (given.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.15 Tm (\(Timescale of 29/01/07 and )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 232.12 Tm (01/01/2008)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 111.06 w 31.2 625.72 m 91.05 625.72 l S 0.001 w 111.06 w 93.3 625.72 m 197.4 625.72 l S 0.001 w 111.06 w 199.65 625.72 m 289.45 625.72 l S 0.001 w 111.06 w 291.7 625.72 m 473.8 625.72 l S 0.001 w 111.06 w 476.05 625.72 m 566.1 625.72 l S 0.001 w 169.38 w 31.2 483.24 m 91.05 483.24 l S 0.001 w 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133.38 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 322.92 Tm (01/01/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.39 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 78.39 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 78.39 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.39 Tm (13\(3\) The registered person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.81 Tm (must make suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 49.24 Tm (arrangements to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 78.39 Tm (14/11/2008)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 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 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0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 46.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 46.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 46.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 46.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 539.9 m 568.3 539.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 47.51 m 568.3 47.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (infection to people from )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (contaminated prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (medicines and homely )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (remedies.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (Medication storage, handling )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (and auditing should promote )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (and protect people's health )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (and wellbeing.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.72 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 523.72 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 523.72 Tm (16\(i\)17\(1\)Sch)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 509.14 Tm (edules)Tj ET /F1 12 Tf BT 1 0 0 1 241.41 509.14 Tm ( 4\(13\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (1\) To complete the revised )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (menus, in appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (formats, ensuring residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (current food preferences are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (included)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (2\) To demonstrate that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (new menus have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (assessed by the community )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (dietician to provide adequate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm (nutrition and meet any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (special dietary needs for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (residents)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.6 Tm (3\) To provide planned meals )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.02 Tm (on the menus with options )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.43 Tm (displayed for residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.86 Tm (preferring alternatives or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.27 Tm (special dietary requirements)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (4\) To ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm (detailed records to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.96 Tm (demonstrate nutritious food )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.38 Tm (intake, especially for any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.79 Tm (residents nutritionally at risk)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.63 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.05 Tm (to notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.47 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.32 Tm (\(The timescale of 01/12/07 is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.74 Tm (Not Met\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 523.72 Tm (01/12/2007)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 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 (15)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 731.01 w 32.32 418.6 m 564.97 418.6 l S 0.001 w 1 1 1 RG 125.64 w 31.2 618.42 m 91.05 618.42 l S 0.001 w 125.64 w 93.3 618.42 m 197.4 618.42 l S 0.001 w 125.64 w 199.65 618.42 m 289.45 618.42 l S 0.001 w 125.64 w 291.7 618.42 m 473.8 618.42 l S 0.001 w 125.64 w 476.05 618.42 m 566.1 618.42 l S 0.001 w 111.06 w 31.2 497.83 m 91.05 497.83 l S 0.001 w 111.06 w 93.3 497.83 m 197.4 497.83 l S 0.001 w 111.06 w 199.65 497.83 m 289.45 497.83 l S 0.001 w 111.06 w 291.7 497.83 m 473.8 497.83 l S 0.001 w 111.06 w 476.05 497.83 m 566.1 497.83 l S 0.001 w 388.08 w 31.2 246.01 m 91.05 246.01 l S 0.001 w 388.08 w 93.3 246.01 m 197.4 246.01 l S 0.001 w 388.08 w 199.65 246.01 m 289.45 246.01 l S 0.001 w 388.08 w 291.7 246.01 m 473.8 246.01 l S 0.001 w 388.08 w 476.05 246.01 m 566.1 246.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 554.48 m 568.3 554.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.17 m 568.3 441.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 49.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 554.48 m 568.3 554.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.17 m 568.3 441.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 50.84 m 568.3 50.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 666.18 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 666.18 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.18 Tm (23\(4\): Lighting must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (maintained in corridors and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (by fire exits.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 604.86 Tm (so that people can be safely )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.28 Tm (evacuated in the event of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.71 Tm (fire. \(Timescale of 14/11/08 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.13 Tm (is not met\))Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (14/11/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.29 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 538.29 Tm (25)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 538.29 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (13\(4\): Temperature checks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (should ensure the shower is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (maintained within the council )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (safe range.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm (Scald risk to people from hot )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (water needs to be prevented.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 538.29 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.98 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 424.98 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 424.98 Tm (18\(1\)\(a\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.98 Tm (1\) The registered persons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.4 Tm (must ensure that there are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.83 Tm (at all times suitably qualified, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (competent and experienced )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (staff working at the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (home in such numbers as are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (appropriate for the health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (and welfare of service users)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (2\) The registered persons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (must formally assess and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (document residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (dependency levels and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (demonstrate on the staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.87 Tm (rotas that staffing levels are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.29 Tm (being maintained at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.71 Tm (adequate levels to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (residents needs It is the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.54 Tm (home's responsibility to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (\(The timescale of 01/01/08 is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm (Not Met\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 424.98 Tm (01/01/2008)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 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 (16)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 271.44 w 31.2 545.53 m 91.05 545.53 l S 0.001 w 271.44 w 93.3 545.53 m 197.4 545.53 l S 0.001 w 271.44 w 199.65 545.53 m 289.45 545.53 l S 0.001 w 271.44 w 291.7 545.53 m 473.8 545.53 l S 0.001 w 271.44 w 476.05 545.53 m 566.1 545.53 l S 0.001 w 125.64 w 31.2 344.73 m 91.05 344.73 l S 0.001 w 125.64 w 93.3 344.73 m 197.4 344.73 l S 0.001 w 125.64 w 199.65 344.73 m 289.45 344.73 l S 0.001 w 125.64 w 291.7 344.73 m 473.8 344.73 l S 0.001 w 125.64 w 476.05 344.73 m 566.1 344.73 l S 0.001 w 235.99 w 31.2 161.67 m 91.05 161.67 l S 0.001 w 235.99 w 93.3 161.67 m 197.4 161.67 l S 0.001 w 235.99 w 199.65 161.67 m 289.45 161.67 l S 0.001 w 235.99 w 291.7 161.67 m 473.8 161.67 l S 0.001 w 235.99 w 476.05 161.67 m 566.1 161.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 408.68 m 568.3 408.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 280.79 m 568.3 280.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 408.68 m 568.3 408.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 280.79 m 568.3 280.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 666.18 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 666.18 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.18 Tm (The registered persons must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (continue to develop the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (homes self audit/ quality )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.45 Tm (monitoring processes to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.86 Tm (ensure that regular audits )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 593.28 Tm (reveal conformance and non- )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 578.71 Tm (conformance to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 564.13 Tm (requirements having to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 549.54 Tm (made by the CSCI.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 534.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 520.39 Tm (\(Timescale of 01/02/07 and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 505.8 Tm (01/02/08 is not met\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.64 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.07 Tm (to notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.48 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 432.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 415.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (01/02/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 392.49 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 392.49 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 392.49 Tm (24A)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (24\(a\): An improvement plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm (is required to ensure action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (is taken to CSCI )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (requirements.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.6 Tm (The registered provider must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.02 Tm (be accountable for health, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.43 Tm (welfare and safety.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 392.49 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 264.61 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 264.61 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 264.61 Tm (13\(3\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (1\) The registered persons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (must implement thorough )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (cleaning schedules for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 220.87 Tm (kitchen area, with regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.29 Tm (documented monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.71 Tm (arrangements to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (satisfactory standards of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.54 Tm (food safety are maintained at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (all times)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm (It is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (to notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.49 Tm (2\) The registered persons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 45.9 Tm (must, as a priority, ensure )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 264.61 Tm (01/12/2007)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 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 (17)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 300.27 w 32.32 633.97 m 564.97 633.97 l S 0.001 w 1 1 1 RG 198.54 w 31.2 581.97 m 91.05 581.97 l S 0.001 w 198.54 w 93.3 581.97 m 197.4 581.97 l S 0.001 w 198.54 w 199.65 581.97 m 289.45 581.97 l S 0.001 w 198.54 w 291.7 581.97 m 473.8 581.97 l S 0.001 w 198.54 w 476.05 581.97 m 566.1 581.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 480.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 481.58 m 568.3 481.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (that all legal requirements )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (and recommendations )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (identified in the Inspection )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (Report from Dudley )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (Directorate of the Urban )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (Environment are fully met It )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (is the home's responsibility )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (to notify the CSCI when this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (requirement is met.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.64 Tm (\(Timescale of 01/12/07 is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.05 Tm (Not Met\))Tj ET /F1 12 Tf BT 1 0 0 1 292.3 490.48 Tm ()Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 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 (18)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 (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 96.48 w 31.2 451.26 m 91.05 451.26 l S 0.001 w 96.48 w 93.3 451.26 m 197.4 451.26 l S 0.001 w 96.48 w 199.65 451.26 m 289.45 451.26 l S 0.001 w 96.48 w 291.7 451.26 m 473.8 451.26 l S 0.001 w 96.48 w 476.05 451.26 m 566.1 451.26 l S 0.001 w 125.64 w 31.2 337.95 m 91.05 337.95 l S 0.001 w 125.64 w 93.3 337.95 m 197.4 337.95 l S 0.001 w 125.64 w 199.65 337.95 m 289.45 337.95 l S 0.001 w 125.64 w 291.7 337.95 m 473.8 337.95 l S 0.001 w 125.64 w 476.05 337.95 m 566.1 337.95 l S 0.001 w 81.9 w 31.2 231.93 m 91.05 231.93 l S 0.001 w 81.9 w 93.3 231.93 m 197.4 231.93 l S 0.001 w 81.9 w 199.65 231.93 m 289.45 231.93 l S 0.001 w 81.9 w 291.7 231.93 m 473.8 231.93 l S 0.001 w 81.9 w 476.05 231.93 m 566.1 231.93 l S 0.001 w 96.48 w 31.2 140.49 m 91.05 140.49 l S 0.001 w 96.48 w 93.3 140.49 m 197.4 140.49 l S 0.001 w 96.48 w 199.65 140.49 m 289.45 140.49 l S 0.001 w 96.48 w 291.7 140.49 m 473.8 140.49 l S 0.001 w 96.48 w 476.05 140.49 m 566.1 140.49 l S 0.001 w 47.45 w 31.2 66.28 m 91.05 66.28 l S 0.001 w 47.45 w 93.3 66.28 m 197.4 66.28 l S 0.001 w 47.45 w 199.65 66.28 m 289.45 66.28 l S 0.001 w 47.45 w 291.7 66.28 m 473.8 66.28 l S 0.001 w 47.45 w 476.05 66.28 m 566.1 66.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.89 m 568.3 401.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.01 m 568.3 274.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 189.85 m 568.3 189.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 91.13 m 568.3 91.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.89 m 568.3 401.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.01 m 568.3 274.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 189.85 m 568.3 189.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 91.13 m 568.3 91.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (Care plans must be person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (centred and outline in detail )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (the support required by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (people.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 423.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 408.54 Tm (So their needs are met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (29/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385.71 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 385.71 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 385.71 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.71 Tm (Where people are deemed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.13 Tm (be at risk nutritionally )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.55 Tm (satiable systems must be put )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.97 Tm (in place to ensure they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (receive adequate nutrition.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.23 Tm (To ensure people's well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.65 Tm (being.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 385.71 Tm (29/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.82 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 257.82 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 257.82 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.82 Tm (All accidents/incidents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.24 Tm (affecting people should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.66 Tm (recorded appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.5 Tm (To ensure people's well fare)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 257.82 Tm (29/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 173.67 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 173.67 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 173.67 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.67 Tm (An audit of all bed rails must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.09 Tm (be undertaken and action )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 144.51 Tm (taken to ensure they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 129.93 Tm (suitable and safe at all times. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 97.77 Tm (To ensure people are safe.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 173.67 Tm (29/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 74.94 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 74.94 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 74.94 Tm 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0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 752.59 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.01 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 34.05 723.42 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.92 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 676.92 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 676.92 Tm (All staff shoudl be provided with traingin in respect of bed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 662.34 Tm (rails and how to undertake the daily checks required to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 647.77 Tm (ensure they are safe adn fit for use. )Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 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229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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