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Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (0)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (The Old Rectory)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Stubb Lane )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Brede)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (East Sussex)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (TN31 6EH)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01424882600)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01424882066)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 597.97 Tm (old-rectory@craegmoor.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 575.14 Tm (www.craegmoor.co.uk)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Parkcare Homes \(No.2\) Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (16)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 397.67 m 30.07 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 374.84 m 298.32 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 352.01 m 432.52 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 397.67 m 566.72 327.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.58 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 357.58 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 334.75 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 313.32 m 297.25 313.32 l S 0.001 w 20.58 w 299.5 313.32 m 429.25 313.32 l S 0.001 w 20.58 w 431.5 313.32 m 565.9 313.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 300.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.55 Tm (learning disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.55 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.55 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 224.29 m 564.77 224.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 258.7 m 567.8 258.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.87 m 568.1 235.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.52 m 567.8 281.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.7 m 568.1 258.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.87 m 568.1 235.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.29 m 568.1 169.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 282.6 m 30.07 168.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 282.6 m 566.72 168.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 265.34 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.51 Tm (The maximum number of service users to be accommodated is 16.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 219.68 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 205.1 Tm (home only - \(PC\) to service users of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (needs on admission to the home are within the following categories: Learning disability )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (\(LD\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 154.51 m 315.25 154.51 l S 0.001 w 1 1 1 RG 20.58 w 317.5 154.51 m 346.55 154.51 l S 0.001 w 20.58 w 348.8 154.51 m 377.9 154.51 l S 0.001 w 20.58 w 380.15 154.51 m 409.2 154.51 l S 0.001 w 20.58 w 411.45 154.51 m 440.55 154.51 l S 0.001 w 20.58 w 442.8 154.51 m 471.9 154.51 l S 0.001 w 20.58 w 474.15 154.51 m 503.2 154.51 l S 0.001 w 20.58 w 505.45 154.51 m 534.55 154.51 l S 0.001 w 20.58 w 536.8 154.51 m 565.9 154.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 165.92 m 568.1 165.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 143.09 m 568.1 143.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 167 m 30.07 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 167 m 316.37 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 167 m 347.67 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 167 m 379.02 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 167 m 410.32 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 167 m 441.67 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 167 m 473.02 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 167 m 504.32 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 167 m 535.67 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 167 m 567.02 142.01 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 149.74 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 149.74 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 149.74 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 149.74 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 149.74 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 149.74 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 149.74 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 149.74 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 149.74 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 131.21 m 565.9 131.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 121.59 m 568.1 121.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 122.67 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 122.67 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.84 m 568.1 140.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 121.59 m 568.1 121.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 141.92 m 30.07 120.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 141.92 m 567.02 120.51 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 127.65 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 127.65 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 108.4 Tm (The Old Rectory is registered to accommodate thirteen adults with learning disabilities )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 91.4 Tm (in the main house, and three adults in the cottage. The property is set in extensive )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 74.4 Tm (grounds close to the village of Brede near Rye. Whilst Brede offers some amenities the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 57.4 Tm (village of Westfield approximately two miles away is used for shops and post office )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))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 (15)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 30.07 644.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 644.77 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 28.99 645.85 m 568.1 645.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (facilities. The main property is a three-storey building and service users )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (accommodation is now on all floors. The cottage is adjacent to the main house, is )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (detached with all three bedrooms having en-suite facilities and a private garden area. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (The properties are owned by Parkcare Homes Limited, which in turn is owned by )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (Craegmoor Healthcare Limited.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (The current scale of fees range from 581 to 1250)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 Adults \(18-65 years\))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 (15)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 (The initial purpose of the random inspection of this service was to confirm that, areas of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (improvement identified at the last inspection and discussed with the then registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (manager have been completed, in accordance with the assurances given at the time.)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 (Our visit confirmed that the service has made improvements to the way in which changes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (in prescribed medication are recorded on medication sheets, cross referencing of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (documentation provides evidence of appropriate authorisations for the changes.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (The leak previously noted from the first floor shower room, which was impacting on the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (carpet and flooring external to the shower, has now been resolved. Some improvement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (works have taken place but these have been reactive rather than planned, generally )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (upgrading of the premises has not been maintained. Our visit highlighted a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (further shortfalls to the environment and ew have therefore revised a previous )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (requirement to take account of the present condition of the home.)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 (Environment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (When we visited the service last year we noted that lounge furniture was broken and in a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (poor state. At that time we were given assurances that replacement furnishings were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (already on order. When we visited this time we found residents sitting in the lounge on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (the same broken settees with other chairs and seats ,stained, discoloured and torn. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (are advised the delay in supplying new furnishings has been as a result of a change in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (suppliers.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (We found loose wires running across the floor in the activity room posing a tripping )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (hazard to residents and staff. A wheelchair was placed in the room but staff informed us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (this is rarely used and can be folded away. We acknowledge that this room is currently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (about to be decorated but was cluttered and not very appealing or well resourced to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (undertake activities. A free standing electric fan heater was located to the side of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (door and the lead for this was located in front again posing a tripping hazard to residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (and or staff. Staff were unable to locate a risk assessment for the freestanding electric )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (fires.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (In the kitchen the cooker hood is marked out of use, discussion with staff indicated this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (has been the situation since early January 2010. Staff were unaware whether this is to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (repaired or replaced and the timescales for doing so.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (With some minimal updating the dining room could be a bright pleasant area for residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (to eat, however, one wooden table in particular is heavily scored and pitted on the table )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (top and poses an infection risk, consideration should be given to covering the table top or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (replacing it.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (Stair carpet to the upper floors is worn on some of the treads and will need repair or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (replacement in the near future.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (On the whole bathrooms and toilets throughout the property are in a poor condition.)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 Adults \(18-65 years\))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 (15)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 (Ground floor:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (In a modernised downstairs shower room we found a pile of clean towels on a cupboard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (near to the toilet, for people who are to use the shower, unfortunately these are at risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (from cross contamination being near to the toilet and being the only means of residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (using the toilet to wipe their hands. There is a hand wash sink but no means provided to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (promote good hand washing by the presence of liquid soap or paper towel or hand drying )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (facility.)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 (downstairs single toilet-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (we found this to contain a very rusty toilet stand with split paintwork, this was in poor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (condition and poses an infection control risk. The toilet which is used by male and female )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (residents was without a toilet seat at our last visit and this remains unchanged, a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (portable toilet seat is available but residents cannot use the toilet independently with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (seat in place because this is kept in a cupboard.)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 (1st floor-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (We wished to check that repairs to a new shower room had been made to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (excessive flooding onto the landing, we are satisfied that remedial works have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (undertaken to rectify this problem, however the shower room concerned has no facility )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (for staff engaged in personal care to wash and dry their hands or for residents to wash )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (their hands. A radiator within the shower room is uncovered and also has an electrical )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (earthing wire hanging down, which residents can easily access and pull off. The ceiling is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (in need of redecoration with split and flaking paint. A bulb in the light fitting needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (replacement.)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 (We found that a small bathroom on a mezzanine level had been improved since our last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (visit in that a new toilet had been installed and a new light fitting, however, we found )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (bath seals to be in a poor state, grouting was missing from tiling in some places, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (paintwork on the window and sill was flaking and chipped, all posing an infection control )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (A visit to a second small bathroom at the other side of the house on the middle floor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (highlighted cracked tiles and missing grouting, a toilet stand although in better condition )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (has rusty bolts near the seat area and could pose a risk to residents if they scratched )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (themselves on them. Like other areas of the house there is a an area of blown plaster )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (and holes are forming in this. The bath panel was broken at the base. Two bulbs in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (light fitting need replacement. The toilet roll holder was empty and new toilet rolls were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (inaccessible to residents on that floor without climbing or use of a ladder being kept on a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (high shelf about eight feet off the ground.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Individual resident bedrooms are generally well maintained and personalised although )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (these were not studied in detail. However:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (bedroom 4 - The door needs repair around the lock area where wood has been split and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (broken and this may be affecting the effectiveness of the fire seal on the door.)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 (Bedroom 3 top floor - extensive area of blown plaster outside bedroom door, large area )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (of plaster has fallen away revealing the wooden lathes beneath.)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 Adults \(18-65 years\))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 (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Bedroom 1- The lock cover is loose and quite battered, edges are sharp and could injure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (the resident trying to get into their room using their key.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (First floor- Outside of the shower room is a large store cupboard with a door which has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (been pulled off, and placed inside the cupboard this is unsightly and poses a potential risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (with exposed sharp edges.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Infection control practises are not good within the home, on the day we visited we noted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (several laundry baskets located on floors which staff informed us contained residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (dirty laundry, this was not sealed and other residents could have gained access to this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (When we last visited the service. A new maintenance person had been appointed and was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (commencing a programme of covering radiators throughout the home, this is complete )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (apart from the shower room, however none of the hardboard covers has been painted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (and this is unsightly.)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 (We spoke with the maintenance person who confirmed that he was commencing a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (programme of redecoration but only works three days per week. It will not be possible for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (the maintenance person to take on the sole responsibility for upgrading this property and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (the significant current shortfalls in the environment, in addition to the routine health and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (safety checks he undertakes as part of the maintenance role, and this work is being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (compromised as a result.)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 (During our visit we found a number of health and safety issues, highlighting the need for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (improved understanding and awareness at all levels of possible hazards, clear oversight )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (by the management team is needed to ensure health and safety practise and procedures )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (are adhered to and all staff need reminding of their responsibilities to themselves and to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (residents to be mindful of health and safety issues.)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 (The Cottage -)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 (We found that the entrance hall radiator is tied to the wall top centre by use of a jagged )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (piece of wire, this could be a source of injury to residents or any other staff or visitors to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (the home and needs a safe and more appropriate means of affixing the radiator to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (wall.)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 (Downstairs toilet -this is currently out of action, the ceiling has been removed as floor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (boards in the room above are rotten and have been removed.)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 (Lounge/conservatory - settees very dirty with unpleasant staining on one large cushion. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (large television which is no longer in use has been left on the floor of the lounge and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (needs removing.)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 (Downstairs bedroom - We noted a hole in the plaster of the stud wall and chipping to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (plaster and paintwork on the corner of a wall.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Upstairs- One resident bedroom is out of use entirely as much of the floor on one side )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (has been removed in an attempt to resolve a long standing leak problem, this has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (subsequently highlighted extensive rotting of floor boards and these have been removed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (the resident has been relocated in the mean time to another home.)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 Adults \(18-65 years\))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 (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (A second upstairs bedroom still currently in use will as a result of removing a stud wall )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (become unusable as that resident will no longer have access to their en suite toilet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (facilities. Alternative arrangements will need to be made to accommodate them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (elsewhere.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (In the dining area a large unsightly hole has been made in the stud wall by the door )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (handle because a door stop has not been fitted.)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 (Although this is not an exhaustive list of deficiencies in the environment we have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (expressed our serious concerns at the lack of a sustained and planned programme of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (upgrading to the internal environment which further compromises the ability to maintain )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (good infection control standards. Mindful of some of the improvements that have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (made to the environment we have revised a previous requirement, and have issued )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (specific timescales by which time the identified shortfalls within this report must be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (addressed, failure to comply with the set timescales may lead us to consider further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (enforcement action.)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 (Risk Assessment - during the course of examining resident files for evidence of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (medication change authorisation, we noted that individual risk assessments for residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (we were case tracking some of whom have very challenging behaviour, have not in some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (cases been updated since August 2008.)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 discussed with the staff on duty what the present arrangements are for updating care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (plans and have been advised that this is happening however, the frequency of such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (reviews has slipped and does not routinely include re-evaluation of risk, we have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (expressed concerns about this and have issued a requirement for this to be addressed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (and thereafter risk information to be updated in keeping with care plan frequencies or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (when risk levels change whichever is soonest.)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 (It is also important that the service is proactive in assessing new environmental risks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (where changes occur e.g the recent use of free standing electric fires, to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (health and safety of residents is promoted and protected at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Activity/educational programmes)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (At our previous inspection of this service we recommended a review of activities for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (residents, concerned that they lacked adequate stimulation through activity and exercise. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (When we visited this time we found that despite six staff being on duty and available )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (within the home, the majority of residents were located in the lounge without any activity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (other than the TV. This situation continued unchanged for the duration of our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (From discussion with a senior staff member on duty and examination of the activity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (planner, it is clear that some service users are enjoying a more active lifestyle,however )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (only one resident in the main house attends an activity every day. Four people attend 2 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (activities per week, and two people have one activity. Five people currently have no set )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (activity at all.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (When we spoke with staff about those residents without activities we were advised that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (they do participate in activities in house and externally, however, when we examined the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (daily log for one of these residents we found that in the preceding eight days, the only )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))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 (15)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 (recorded activity they had participated in had been helping with their laundry, although )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (the record of this was not clear as to how involved they are encouraged to be. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (indicated they did not believe recording reflected accurately what was being provided for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (some residents and thought this to be an area that needs improvement.)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 (We have previously commented on the lack of accessible information to enable residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (to have an understanding of what meals they are offered each day and to make choices )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (and decisions about what they want to eat and whether alternatives are available.)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 (During our visit staff informed us that there is a picture version of the menu but this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (could not be found and clearly is not routinely used, staff also reported that they write )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the days menu on a white board in the dining room, but acknowledged that for most )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (residents this would not be of little use. On the day we visited the board was not written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (on and showed no evidence of the previous days menu.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (We noted a handwritten menu for the week in the kitchen and this provided no choice or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (alternative options.)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 (It is our judgement that Residents experience less than satisfactory outcomes in this area )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (overall, progress to improve things has not been made, and a staff culture exists that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (places the responsibility for providing residents with activities with the activities )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (coordinator.)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 (Staff lack the leadership and guidance to help them develop a proactive and innovative )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (approach to developing and promoting the independence of less able residents through in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (house and external activities over and above those provided by the activities coordinator.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (We have expressed our concerns at these shortfalls with the acting manager and area )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (manager and continue to recommend that activity programmes are reviewed and a more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (stimulating programme of in house activities implemented to promote independence and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (reduce the level of boredom amongst residents.)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 recruitment-)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Although this outcome area has not been generally assessed, from our discussion with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (new staff we have noted that new staff continue to commence work at the home without )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (benefit of a satisfactory CRB. Whilst ISA checks are being obtained we have reminded the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (acting manager that staff employment without CRB should be the exception rather than )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (the rule, and only where the service can evidence it would be detrimental to the service if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (the staff member concerned did not commence work.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (A new staff member we spoke with reported that they unable to work unsupervised, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (however they were not working in a supernumerary capacity on the rota and were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (counted in the usual staff numbers, the home is not able to evidence at this time how )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (supervison of staff without CRBs works in practise.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (We are advised that the appointed manager recently resigned and the deputy manager is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (currently acting up into this position. Recruitment to the post of manager will be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (commencing. We accept that the unsettled management arrangements at both local and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (area level may have attributed to the deterioration in the service with a lack of robust )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (oversight by senior management. We have discussed the need for Regulation 26 visits to )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))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 (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 352.92 w 31.2 608.77 m 580.26 608.77 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 28.99 431.18 m 582.46 431.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 430.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 430.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (be strengthened to ensure shortfalls are identified early and acted upon, and lines of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (accountability for asddressing the shortfalls made clear.)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 (We have highlighted several health and safety issues which came to our attention during )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (the site visit, and the apparent lack of awareness among staff of possible hazards that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (may pose a risk to themselves and residents. Although staff have received health and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (safety training, there is a clear need for them to demonstrate greater understanding of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (health and safety issues within the working environment, and to take responsibility for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (implementing appropriate risk reduction measures or removing potential risks to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (The majority of care staff and senior have received infection control training, this would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (not seem to have been effective as when we visited we found some poor practise from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (staff around management of soiled and dirty laundry, and this coupled with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (deterioration in the environmental standards has placed residents at risk from poor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (infection control.)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 (As a result of our findings we have issued a requirement in respect of the registered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (person undertaking to promote and protect the health and safety of residents by ensuring )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (that the environment is maintained in good order, potential hazards identified and risks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (from infection dealt with by the organisation through appropriate planning and resourcing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (and at local level by good staff practise.)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 ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 413.11 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 1 175.95 413.11 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 180.96 w 31.2 311.44 m 580.26 311.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 403.05 m 582.46 403.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.84 m 582.46 219.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 404.12 m 30.07 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 404.12 m 581.38 218.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (From the outcome areas we assessed at this visit we are satisfied that:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 372.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.7 Tm (There are enough staff available to support residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (Residents are safeguarded by good practise in regard to the recording of medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.96 Tm (administration and any changes to this. Administering staff are trained to do so.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm (Residents benefit from a sustained programme of mandatory staff training to ensure staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (skills and knowledge are updated.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (Residents bedrooms are personalised with favourite and personal items and they have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (access to keys to their bedrooms although current arrangements are in need of review.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 199.51 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 146.9 w 31.2 116 m 580.26 116 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 190.57 m 582.46 190.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 191.65 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 191.65 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm (This random assessment did not focus in depth on all outcome areas but has highlighted )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (some serious shortfalls in some areas and requirements for improvement have been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (issued.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (These relate to the sub standard condition of the premises and the lack of sustained )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm (significant investment or planning for the upgrade of the premises.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (Staff have not maintained risk documentation to ensure support, interventions and risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (reduction measures remain appropriate to safeguard residents from harm.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 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 Adults \(18-65 years\))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 (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 265.44 w 31.2 652.51 m 580.26 652.51 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 28.99 518.66 m 582.46 518.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 517.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 517.58 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (There is a lack of awareness amongst management and staff of their individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (responsibility to promote and protect themselves and residents from harm by actively )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (assessing health and safety risks and acting to address them.)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 (Infection control is compromised by the general condition of the property and poor staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (practise and could place residents health and safety at risk. We have required the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (organisation to implement improvements in these areas to improve health and safety )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (measures in place.)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 (We have also made further recommendations and suggestions for improvement within )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the lifestyle outcome area where we consider outcomes for residents currently to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (unsatisfactory and reminded the home of their responsibilities in regard to staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (recruitment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (We have made clear the need for the organisation to provide evidence that action has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (been taken to address the shortfalls within the timescales given and will monitor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (compliance with these requirements.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 502.6 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 502.6 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 486.6 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 24 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 Adults \(18-65 years\))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 (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 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 Adults \(18-65 years\))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 (15)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 329.76 w 31.2 334.62 m 91.05 334.62 l S 0.001 w 329.76 w 93.3 334.62 m 197.4 334.62 l S 0.001 w 329.76 w 199.65 334.62 m 289.45 334.62 l S 0.001 w 329.76 w 291.7 334.62 m 473.8 334.62 l S 0.001 w 329.76 w 476.05 334.62 m 566.1 334.62 l S 0.001 w 124.94 w 31.2 105.02 m 91.05 105.02 l S 0.001 w 124.94 w 93.3 105.02 m 197.4 105.02 l S 0.001 w 124.94 w 199.65 105.02 m 289.45 105.02 l S 0.001 w 124.94 w 291.7 105.02 m 473.8 105.02 l S 0.001 w 124.94 w 476.05 105.02 m 566.1 105.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 168.62 m 568.3 168.62 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 28.99 168.62 m 568.3 168.62 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 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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 (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (The registered provider must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (ensure that assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (risk for individual residents is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (routinely reviewed to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (that risk reduction measures )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.54 Tm (continue to be 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Tel: 0870 600 5522. 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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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