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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Old Vicarage Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Norwich Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Ludham)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Norfolk)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (NR29 5QA)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Judith Last)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Old Vicarage Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Norwich Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Ludham)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Norfolk)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (NR29 5QA)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (01692678346)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (01692678565)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (ashleycaregroup1@btconnect.com)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 547.01 m 353.25 547.01 l S 0.001 w 1 1 1 RG 20.58 w 355.5 547.01 m 565.9 547.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 524.18 m 353.25 524.18 l S 0.001 w 1 1 1 RG 20.58 w 355.5 524.18 m 565.9 524.18 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 501.35 m 353.25 501.35 l S 0.001 w 1 1 1 RG 20.58 w 355.5 501.35 m 565.9 501.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.59 m 568.1 535.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.76 m 568.1 512.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.93 m 568.1 489.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 488.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 488.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Hewitt-Hill Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.41 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 519.41 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 496.58 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 496.58 Tm (29)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 381.24 m 297.25 381.24 l S 0.001 w 35.16 w 299.5 381.24 m 429.25 381.24 l S 0.001 w 35.16 w 431.5 381.24 m 565.9 381.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 361.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 361.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 361.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 361.46 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 369.18 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 330.74 m 565.6 330.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 319.33 m 567.8 319.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.92 m 568.1 281.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.09 m 568.1 259.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.16 m 567.8 342.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.33 m 568.1 319.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.92 m 568.1 281.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.09 m 568.1 259.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.68 m 568.1 221.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 343.24 m 30.07 220.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 343.24 m 566.72 220.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 325.97 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.14 Tm (That appropriate care and accommodation can be provided for up to three \(3\) service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 288.56 Tm (users who are under 65 years of age.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 265.73 Tm (Twenty-nine \(29\) older people may be accommodated.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.9 Tm (Two \(2\) service users, named in the Commission`s records, who have a diagnosis of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.32 Tm (dementia may be accommodated. Maximum number not to exceed twenty-nine \(29\).)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 206.89 m 315.25 206.89 l S 0.001 w 1 1 1 RG 20.58 w 317.5 206.89 m 346.55 206.89 l S 0.001 w 20.58 w 348.8 206.89 m 377.9 206.89 l S 0.001 w 20.58 w 380.15 206.89 m 409.2 206.89 l S 0.001 w 20.58 w 411.45 206.89 m 440.55 206.89 l S 0.001 w 20.58 w 442.8 206.89 m 471.9 206.89 l S 0.001 w 20.58 w 474.15 206.89 m 503.2 206.89 l S 0.001 w 20.58 w 505.45 206.89 m 534.55 206.89 l S 0.001 w 20.58 w 536.8 206.89 m 565.9 206.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 218.3 m 568.1 218.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.47 m 568.1 195.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 219.38 m 30.07 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 219.38 m 316.37 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 219.38 m 347.67 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 219.38 m 379.02 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 219.38 m 410.32 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 219.38 m 441.67 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 219.38 m 473.02 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 219.38 m 504.32 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 219.38 m 535.67 194.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 219.38 m 567.02 194.4 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 202.12 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 183.6 m 565.9 183.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 173.97 m 568.1 173.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 175.05 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 175.05 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.22 m 568.1 193.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.97 m 568.1 173.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 194.3 m 30.07 172.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 194.3 m 567.02 172.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 180.04 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 180.04 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 160.79 Tm (The Old Vicarage is a care home with nursing for older people, and is situated in the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 143.79 Tm (village of Ludham. Hewitt-Hill Limited owns the home. The majority of service users )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 126.79 Tm (require nursing as well as personal care and the staffing ratios reflect this level of care. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 109.79 Tm (There is a nurse on duty at all times in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 92.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 75.79 Tm (The 29 bedrooms are situated over two floors with access via a shaft lift. Some of the )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 570.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 570.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 571.15 m 568.1 571.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm (ground floor bedrooms open directly to the gardens. The communal areas consist of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (two lounges and one conservatory that also double as dining areas.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (The grounds consist of surrounding lawns, shrubs, large trees and flowerbeds, with a )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (small patio area and pond, all of which can be accessed by residents. There is ample )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm (car parking at the front of the premises.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 681.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 664.47 Tm (The cost of a placement at the home is from 366 per week, and is individually )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 647.47 Tm (assessed according to dependency and nursing needs.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 630.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 613.47 Tm (Copies of CSCI reports can be made available to residents and their relatives upon )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 596.47 Tm (request from the home's office.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 579.47 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (Before we made our visit, we looked at all the information we had about the home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (This includes information we have been sent and concerns or complaints that have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (been made to us.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (Because of these concerns Mrs Prettyman and Mrs Last \(Regulatory Inspectors\) carried )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (out this visit unannounced. We arrived at the home just after 10 in the morning, and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (left at 4:45p.m.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (We focused particularly on outcomes for people in their personal and health care and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (some aspects of the environment, staffing and management The main method of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (inspection we used is called case tracking. This means we look at records and then try )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (to find out from observation and discussion, how well people's needs are being met. As )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (part of this we looked at records for six people, spoke to three visitors to the home, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (two people living there, the manager, owner, two staff and a visiting health )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (professional. We had permission to include the views of the doctor and two relatives.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (Two requirements in this report were made at the last inspection and show up as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm ("outstanding requirements." We did not check compliance with these at this visit and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (they will be assessed at the next key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (Files kept in people's rooms set out priorities for their care. However, care plan aims )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (are a "standard format".)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (For example - one person who has had a stroke and is assessed as requiring "support )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (with personal care but maintains some independence". There is similar information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (about how their personal care needs are to be met as for a person who is bed-fast and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (requires full support of staff to meet their needs. This means that care plans and aims )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (for care do not reflect the specific needs of individuals and how staff are to support )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (them appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (Two visitors told us they felt that the personal care for the person they visited had not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (been acceptable during the last three months of last year. They say that the person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (was not offered a bath for a considerable period. We were not able to verify from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (records that the care delivered matched expectations. Complaints we have received )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (also say that people had not had personal care delivered as relatives would wish.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (Assessments for people's risk of falling are incomplete in some cases. Records are also )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (unclear about why people are identified as needing "cot sides" on their beds. There are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (risk assessments about using bed rails which do not refer to the person's risk of falling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (from their bed. For example one says that the person is at risk of falling out of their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (bed "after shuffling down past cot sides".)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (Records of accidents show that one person has had accidents involving them getting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (limbs caught in bed rails that have been happening since 2006. One inspector )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (demonstrated to the manager that the existing padding was not adequate to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (the person getting caught in the rails and sustaining skin tears or bruising. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (manager says new padded "bumpers" are coming but the person's continuing use of )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (the existing system has not been properly assessed to make sure it is safe. Action has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (not been taken promptly to minimise the risk of these accidents being repeated so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (placing the person at continued risk of injury.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (There is information in the home about nutritional needs. However, not everyone has a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (completed assessment to show what action might be needed to promote good nutrition )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (\(and so contribute to reducing the likelihood of pressure sores developing\) or to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (achieve and maintain a healthy weight. People's weight is not always consistently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (monitored. One person was noted as losing weight in 2008 but there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (subsequent care plan to monitor this. One person had no recorded weights since the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (middle of last year so nutritional problems would not be identified promptly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (One person's records show that they are to be on a "low fat diet" although there is no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (information about why this has been considered necessary or whether the person has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (been consulted about the arrangement, so being able to make their own decision )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (about their health and diet.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (There was no evidence on any of the plans of care seen that people have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (consulted about their care when their own care plans are being developed or reviewed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (\(The need to involve people is set out in our standards and regulations. It is also in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (guidance produced for nurses by their professional organisation - the Nursing and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (Midwifery Council. Staff are not adhering to this.\) On five out of six of the plans seen, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (the only signatures on the individual care plan aims are of named nurses who have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (completed them. One initial care plan had been signed by a relative. Relatives we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (spoke to say that they had not been spoken to about individual needs until very )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (recently, and had not been involved in regular reviews and updates of individual plans.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (Some care plans had not been reviewed or updated appropriately. For example, one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (person's records show that the plan for delivering personal care was put into place in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (November and updated in December. Information was transferred to a new "form" in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (April but there was no evidence of review between December 2008 and April this year, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (despite the person's recorded gradual deterioration and changing needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (Observation shows some people are too poorly to be involved in agreeing their own )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (support, but others are able to do so, based on our conversations with them. They )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (could not confirm that they were involved in developing their own support plans - )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (although some information is accessible to them in their own rooms should they wish )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (to refer to it or agree to their representatives doing so.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (One record from April this year shows that a person is "unable to make informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (decisions" and that staff need to "make decisions for her based on assessment and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (knowledge of... needs." There is no evidence of proper assessment of the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (capacity to make a particular decision about their care \(as required by the Mental )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (Capacity Act\) or any evidence of consultation with any other relevant parties at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (point this information was recorded \(for example relatives, care manager, GP or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (independent advocate\).)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (Two out of three relatives spoken to say they have found it difficult to get information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (about what has been going on for the person and what has happened. However, they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (also say that this has improved since the new manager came into post and that she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (does respond properly to their questions. They say they have been spoken to about )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (the most recent plan for care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (We spoke to the doctor visiting the home who says that the home does refer people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (for advice or treatment at the appropriate stage, neither unnecessarily delaying, nor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (referring when there is no real need. The doctor is generally satisfied with the standard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (of care that patients receive.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (However, we have some concerns about the way things are recorded, updated and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (reviewed as this report explains.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (People's records show that they are referred for professional advice about continence )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (and for any aids that might be considered necessary to promote their comfort. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (However, nursing records on care plans are not always clear about what should )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (happen. This is because a "standard" form is in use and has not been adapted or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (amended to reflect specific individual needs. For example, one person's individual plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (has not been completed with the type of catheter, size, or balloon fill and says "Use )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (long/short bags during day". It is unclear what sort of bags should be used because )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (the suitable type has not been highlighted \(or the unsuitable one - deleted\).)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (Two visitors to the home expressed concerns about the way someone's diabetes was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (monitored in the past and about the regime for testing their blood sugar. They felt this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (was not as frequent as it should be. However, we could see from records that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (frequency of testing had been reduced on the advice of the doctor following a period of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (stability. They would have been aware of this if they had been informed and consulted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (about changes and reviews.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (There are assessments of people's vulnerability to developing pressure sores. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (However, because of the way records are kept \(and where\) it is not always clear when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (information should be or has been reviewed. This is because the records are held in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (different places and files.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (For example, one person has an assessment for the risk of developing pressure sores )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (that was completed in November and not apparently updated until May. Another )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (similar assessment for the same person in a different file shows that it was completed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (in October and reviewed in December and January. Records do not support that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (assessment was reviewed monthly despite the increase in risk to the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (concerned.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (The assessment completed when the person arrived at the home shows that although )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (their skin was healthy, other factors meant they were at medium risk of developing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (pressure sores. However, records do not support that they were provided with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (appropriate pressure relieving equipment to minimise the assessed risk at that point. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (They say that on 18th December the person "is on bed rest. Needs turning frequently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (and nursed on alternate sides". \(There is no reference to equipment, techniques or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (frequency of turns.\) The assessed risk that month was high but the first reference to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (an air mattress being supplied is at the end of January by which time the person's skin )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (had broken down. Relatives feel that at the point the mattress to relieve pressure was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (supplied, the damage had already been done and this is confirmed by records.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (We have not been notified about people who have developed pressure sores since their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (admission and the actions that the home has taken to minimise the risk of these )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (worsening.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (These things lead us to conclude that the service has not always responded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (appropriately to promote tissue viability and so to maintain people's comfort and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (wellbeing.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (The manager says that, since being in post, the tissue viability nurse has been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (contacted and arrangements are being made for her to deliver training to staff. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (should help them understand and respond appropriately to identified risks and so to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (promote people's health better.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (The doors to most people's rooms were open when we walked round the building - )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (particularly those people who were bed fast. This may not necessarily be dignified for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (the person if they are in bed. However, staff did close doors when they were carrying )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (out personal care tasks and the call system can be set such that lights show above the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (door when personal or health care needs are being attended to, so their privacy can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (protected and other staff know not to enter the room.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (We looked at the arrangements for serving meals. We saw that there was a choice of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (meals and the cook had recorded the options people had selected. There is a "white )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (board" in the kitchen that provides information about special dietary needs. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (information about who has diabetes is also on the clipboard used to record people's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (choices. This means that the staff member who asks people what they would like can )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (advise them of suitable choices.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (We asked about soft diets \(where food is pureed\). The cook told us that each item is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (pureed separately so that people can experience different tastes, colours and smells. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (We saw this good practice happens.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (We also saw that these meals were some time in the preparation and so staff taking )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (the them round to people need to reheat them in the microwave to make sure that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (food is an acceptable temperature. We heard the cook reminding a staff member to do )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (However, we have had two complaints about this issue saying that the food is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (sometimes cold. This indicates staff may not always remember to ensure that it has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (been either kept hot or is heated appropriately to a safe and palatable temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (We saw one person being assisted with their food. The staff member assisting sat with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (them and to one side, engaging them quietly in conversation while the person was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (eating. This is good practice in promoting people's dignity.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (The new manager has brought in an increased programme of activities and provided )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (dedicated staff time for this. We saw from records that some people had been able to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (go out and the manager says for some this is the first time in a long while. Staff say )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (that people have something to get up for now, and that more people come out from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (their rooms. While we were there, some people went out for a short trip in the minibus )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (- being offered the opportunity to go for "ice cream or coffee".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (They are also working on a joint fete with the local church.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (We looked around the building. Wedges were being used to keep large numbers of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (room doors open. This means people may not be properly protected should a fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (break out.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (There are changes of level towards the top of the home and stairs accessible to anyone )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (who might wander. This presents a risk of trips and falls which has not been clearly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (documented or addressed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (One door \(down small step\) to where the hot water tanks are is labelled to be kept )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (locked shut. There is no lock on the door. The label indicates this area is considered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (potentially hazardous to service users or at risk of possible interference from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (unauthorised persons.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (One assisted bathroom was being used to store the linen bag trolley and three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (wheelchairs. Staff say these are removed when the bath is in use by someone and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (placed in the corridor. This presents a potential hazard for people or staff moving )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (along the corridor and for evacuation in an emergency. If they are left in the bathroom )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (it is not a pleasant environment for people.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (The manager says that staffing had been difficult. We know from three occasions when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (people contacted us since our last visit, that visitors have been concerned there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (insufficient staff to properly meet people's personal care needs and that people had to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (wait a long time for assistance. Two other visitors say that they have known it to take )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (15 minutes for staff to respond to the call bell when someone needs assistance. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (people we spoke to and who contacted us anonymously say that staffing is particularly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (bad at weekends.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (We had concerns when we last reviewed the service that staff turnover was very high )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (and the owners also confirmed to us in November that staffing levels had not been as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (they should as a result of illness.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (However, the manager has made two appointments and is looking to recruit additional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (part time staff for times of peak demand \(morning and twilight shifts\). She also says )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (that the roster for weekends was not well balanced when she first arrived at the home. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (We will look at this during the next key inspection to see whether the plans she told us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (about to improve staffing have been made and sustained.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (We looked at recruitment records for three staff who have recently started work at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (home. Up to date photographs need to be on file but the process shown in records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (provides for appropriate checks before staff start work, to ensure they are not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (unsuitable to work with vulnerable people.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (We discussed the events of last year and the things that we should have been notified )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (about, by law. We were not told that the former manager had left \(in June 2008\) and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (of the arrangements for running the home in the absence of the registered manager. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (We were also not notified of the drop in staffing levels which affected people's welfare )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (and were not told about the outbreak of sickness that affected staff and residents.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (Additionally, this visit tells us we have not been notified about developing pressure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (ulcers and the actions being taken to address this - including assurances that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (calibre of equipment provided is adequate for the condition of the person.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 31.2 774.58 m 563.65 774.58 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.5 m 565.85 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 734.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 734.43 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (There is now a manager in place who has been working at the home for approximately )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (three months. Relatives who have visited the home since last year when things were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (difficult with staffing, say they have noticed an improvement, that the manager is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (always welcoming, does answer their questions and "she's definitely doing her job".)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 717.43 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 717.43 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 239.28 w 31.2 586.6 m 563.65 586.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 707.37 m 565.85 707.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.84 m 565.85 465.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 708.45 m 30.07 464.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 708.45 m 564.78 464.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 691.18 Tm (People have a choice of food for their meals and people who have their food pureed, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.6 Tm (have this done separately so that they can enjoy the colours and tastes of the different )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 662.02 Tm (foods.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (There are staff who are allocated specifically to support people with activities. People )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (say this has improved recently and staff feel that it gives people more stimulation and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (motivation.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (The new manager has recruited some staff and is intending to recruit further. She )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm (recognises that there is a need for more staff at peak times of day and has plans to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (address this. She is also aware that the duty roster had become unbalanced on some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (weekends and is addressing the way rosters are planned so that staff can be used )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.22 Tm (more effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 487.06 Tm (Visitors tell us that the new manager is always welcoming, answers their questions and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.48 Tm (that "she's definitely doing her job". )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 445.52 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 370.5 w 31.2 250.2 m 563.65 250.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 436.58 m 565.85 436.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 63.83 m 565.85 63.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 437.66 m 30.07 62.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 437.66 m 564.78 62.75 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 420.39 Tm (We know that the manager is new in post and has already made some improvements. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 405.81 Tm (She has needed to prioritise what she is doing and came to the home at a time when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.23 Tm (significant problems had developed. What we saw, heard and were told on this visit , )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 376.65 Tm (information from our service review last year, and concerns from callers to our office , )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.07 Tm (tells us there are things that must be done to improve outcomes for people living in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.49 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 332.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.33 Tm (Care plans must set out the support needs of each individual rather that using a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.75 Tm (standard format. They must be kept under review so that staff are always clear exactly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.17 Tm (what support they should offer to meet someone's needs. People must be enabled to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.59 Tm (make decisions about their care and to participate in review.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 245.43 Tm (Action must be taken to assess and minimise \(as far as possible\) any risks to which )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.85 Tm (people are exposed. This includes in relation to falls, use of bed rails, pressure area )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 216.27 Tm (problems, and hazards arising in the environment. This is to show how people's safety )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 201.69 Tm (and welfare is being promoted effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.53 Tm (The Commission must be notified of specific events or incidents taking place in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.95 Tm (home. This is so we can be confident that the management team keeps us up to date )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 143.37 Tm (and responds appropriately to problems that arise in the best interests of people living )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 128.79 Tm (in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.63 Tm (These requirements, and some things that manager could think about doing to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.05 Tm (improve things, are set out in full at the end of the report. The manager can tell you )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 70.47 Tm (what action she is taking to respond to these.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 797.59 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 797.59 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 781.59 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 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 671.79 m 566.2 671.79 l S 0.001 w 30.3 w 31.2 619.8 m 91 619.8 l S 0.001 w 30.3 w 93.25 619.8 m 197.4 619.8 l S 0.001 w 30.3 w 199.65 619.8 m 289.5 619.8 l S 0.001 w 30.3 w 291.75 619.8 m 473.9 619.8 l S 0.001 w 30.3 w 476.15 619.8 m 566.2 619.8 l S 0.001 w 1 1 1 RG 96.48 w 31.2 554.16 m 91.05 554.16 l S 0.001 w 96.48 w 93.3 554.16 m 197.4 554.16 l S 0.001 w 96.48 w 199.65 554.16 m 289.45 554.16 l S 0.001 w 96.48 w 291.7 554.16 m 473.8 554.16 l S 0.001 w 96.48 w 476.05 554.16 m 566.1 554.16 l S 0.001 w 96.48 w 31.2 455.43 m 91.05 455.43 l S 0.001 w 96.48 w 93.3 455.43 m 197.4 455.43 l S 0.001 w 96.48 w 199.65 455.43 m 289.45 455.43 l S 0.001 w 96.48 w 291.7 455.43 m 473.8 455.43 l S 0.001 w 96.48 w 476.05 455.43 m 566.1 455.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 504.79 m 568.3 504.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 604.6 m 30.07 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 604.6 m 567.22 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.3 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 604.6 m 92.17 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 604.6 m 198.52 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 604.6 m 290.57 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 604.6 m 474.92 404.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 707.5 m 568.4 707.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.4 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 504.79 m 568.3 504.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 406.06 m 568.3 406.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 708.58 m 30.07 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 637.15 m 92.12 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 637.15 m 198.52 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 637.15 m 290.62 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 637.15 m 475.02 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 708.58 m 567.32 602.45 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 690.3 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 671.88 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 34.05 657.3 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 657.3 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 657.3 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 34.05 642.72 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 642.72 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 624.9 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 621.9 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 621.9 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 621.9 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 621.9 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 609.75 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.34 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 587.34 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 587.34 Tm (18\(1\)\(c\)\(i\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 587.34 Tm (Training regarding dementia )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.76 Tm (care and `Safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.18 Tm (Adults? must be in place for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.6 Tm (staff to ensure safe and up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.02 Tm (date practice.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 587.34 Tm (30/04/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.61 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 488.61 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 488.61 Tm (23\(4\)\(c\) \(v\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.61 Tm (Arrangements must be in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.03 Tm (place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.45 Tm (emergency lighting tests are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.87 Tm (carried out at regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 430.29 Tm (intervals.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 488.61 Tm (29/02/2008)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 742.32 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 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 594.97 m 566.2 594.97 l S 0.001 w 30.3 w 31.2 544.2 m 91 544.2 l S 0.001 w 30.3 w 93.25 544.2 m 197.4 544.2 l S 0.001 w 30.3 w 199.65 544.2 m 289.5 544.2 l S 0.001 w 30.3 w 291.75 544.2 m 473.9 544.2 l S 0.001 w 30.3 w 476.15 544.2 m 566.2 544.2 l S 0.001 w 1 1 1 RG 286.02 w 31.2 383.79 m 91.05 383.79 l S 0.001 w 286.02 w 93.3 383.79 m 197.4 383.79 l S 0.001 w 286.02 w 199.65 383.79 m 289.45 383.79 l S 0.001 w 286.02 w 291.7 383.79 m 473.8 383.79 l S 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0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 239.66 m 568.3 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 596.28 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 34.05 581.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 581.7 Tm (Regulations 2001 and the National Minimum Standards. 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294.55 421.26 Tm (under review, people are at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.68 Tm (risk of not having their needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.1 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 362.94 Tm (Regulation 15\(2\) of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.36 Tm (Homes Regulations 2001 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 333.78 Tm (requires that service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.2 Tm (plans must be kept under )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.62 Tm (review and people be notified )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.04 Tm (of any revision of their plan.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 260.88 Tm (Breach of this regulation is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.3 Tm (an offence.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 511.74 Tm (24/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 223.47 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 223.47 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 223.47 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.47 Tm (People must be properly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 208.89 Tm (assessed for their risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.31 Tm (falls, including the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 179.73 Tm (falls from bed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.57 Tm (This is so people are not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 132.99 Tm (exposed to avoidable or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.41 Tm (unnecessary risk.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 103.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.25 Tm (Regulation 13\(4\) of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 74.67 Tm (Homes Regulations requires )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 223.47 Tm (12/06/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 66.74 w 31.2 779.16 m 566.2 779.16 l S 0.001 w 30.3 w 31.2 728.39 m 91 728.39 l S 0.001 w 30.3 w 93.25 728.39 m 197.4 728.39 l S 0.001 w 30.3 w 199.65 728.39 m 289.5 728.39 l S 0.001 w 30.3 w 291.75 728.39 m 473.9 728.39 l S 0.001 w 30.3 w 476.15 728.39 m 566.2 728.39 l S 0.001 w 1 1 1 RG 105.06 w 31.2 658.46 m 91.05 658.46 l S 0.001 w 105.06 w 93.3 658.46 m 197.4 658.46 l S 0.001 w 105.06 w 199.65 658.46 m 289.45 658.46 l S 0.001 w 105.06 w 291.7 658.46 m 473.8 658.46 l S 0.001 w 105.06 w 476.05 658.46 m 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RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 765.89 Tm (Regulations 2001 and the National Minimum Standards. 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/F1 12 Tf BT 1 0 0 1 202.5 588.62 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.62 Tm (Service users' plans for care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 574.04 Tm (must set out the specific )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.46 Tm (support that each individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.88 Tm (requires to meet their health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.3 Tm (and welfare needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.14 Tm (This is so people receive the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.56 Tm (support they need at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.98 Tm (right level and in the right )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.4 Tm (way.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.24 Tm (This is because individuals )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.66 Tm (require different levels of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.08 Tm (support and are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.5 Tm (having their independence )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.92 Tm (compromised if input is not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.34 Tm (appropriate for their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.18 Tm (Regulation 15\(1\) of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.6 Tm (Homes Regulations 2001 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.02 Tm (requires that a plan be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.44 Tm (prepared as to how the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.86 Tm (service user's needs in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.28 Tm (respect of health and welfare )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.7 Tm (are to be met.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.54 Tm (Breach of this regulation is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.96 Tm (an offence.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.62 Tm (26/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.13 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 169.13 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 169.13 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.13 Tm (People who are at risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.55 Tm (developing pressure sores )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 139.97 Tm (must have plans setting out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.39 Tm (clearly the equipment and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.81 Tm (interventions they need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.23 Tm (promote their welfare and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.65 Tm (reduce risk.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 169.13 Tm (12/06/2009)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 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BT 1 0 0 1 166.31 765.89 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 751.31 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 701.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 686.6 Tm (Regulation 13\(4\) of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 672.02 Tm (Homes Regulations 2001 )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 657.44 Tm (requires that all parts of the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.86 Tm (home to which people have )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 628.28 Tm (access be so far as possible, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.7 Tm (free from hazards to their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 599.12 Tm (safety. it also requires that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 584.54 Tm (unnecessary risks are so far )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.96 Tm (as possible, eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 555.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.8 Tm (Breach of this part of the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 526.22 Tm (regulation is an offence.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.14 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 501.14 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 501.14 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 501.14 Tm (Risks associated with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.56 Tm (practice of wedging open )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.98 Tm (doors must be assessed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.4 Tm (included in the overall fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.82 Tm (risk assessment for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.24 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.08 Tm (If this does not happen there )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.5 Tm (is a risk that any fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.92 Tm (breaking out would not be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.34 Tm (adequately contained and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.76 Tm (people living and working in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 323.18 Tm (the home would be at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.02 Tm (Regulation 23\(4A\) of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.44 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.86 Tm (stipulates that the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.28 Tm (must comply with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.7 Tm (Regulatory Reform \(Fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.12 Tm (Safety\) Order 2005.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 501.14 Tm (05/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.29 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 198.29 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 198.29 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.29 Tm (Notifications of incidents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.71 Tm (must be made to the Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.13 Tm (Quality Commission in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.55 Tm (accordance with regulations.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.39 Tm (This is so we can be sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.81 Tm (that the management team )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.23 Tm (is taking responsibility for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.65 Tm (running the home effectively )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 198.29 Tm (05/06/2009)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 66.74 w 31.2 779.16 m 566.2 779.16 l S 0.001 w 30.3 w 31.2 728.39 m 91 728.39 l S 0.001 w 30.3 w 93.25 728.39 m 197.4 728.39 l S 0.001 w 30.3 w 199.65 728.39 m 289.5 728.39 l S 0.001 w 30.3 w 291.75 728.39 m 473.9 728.39 l S 0.001 w 30.3 w 476.15 728.39 m 566.2 728.39 l S 0.001 w 1 1 1 RG 221.7 w 31.2 600.14 m 91.05 600.14 l S 0.001 w 221.7 w 93.3 600.14 m 197.4 600.14 l S 0.001 w 221.7 w 199.65 600.14 m 289.45 600.14 l S 0.001 w 221.7 w 291.7 600.14 m 473.8 600.14 l S 0.001 w 221.7 w 476.05 600.14 m 566.1 600.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 713.19 m 30.07 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 487.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 488.16 m 568.3 488.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 765.89 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 751.31 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 701.18 Tm (and complying with the law.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 686.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 672.02 Tm (This is so we know what the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 657.44 Tm (management team are doing )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.86 Tm (to address any developing )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 628.28 Tm (concerns.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 599.12 Tm (Regulation 37 of the Care )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 584.54 Tm (Homes Regulations 2001 )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.96 Tm (requires that the Commission )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 555.38 Tm (be told of certain events and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.8 Tm (incidents in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 526.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.64 Tm (Breach of this regulation is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 497.06 Tm (an offence.)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 436.38 m 566.2 436.38 l S 0.001 w 18.15 w 31.2 391.39 m 91.05 391.39 l S 0.001 w 18.15 w 93.3 391.39 m 197.35 391.39 l S 0.001 w 18.15 w 199.6 391.39 m 566.2 391.39 l S 0.001 w 1 1 1 RG 78.9 w 31.2 341.74 m 91.05 341.74 l S 0.001 w 78.9 w 93.3 341.74 m 197.4 341.74 l S 0.001 w 78.9 w 199.65 341.74 m 566.1 341.74 l S 0.001 w 93.48 w 31.2 253.3 m 91.05 253.3 l S 0.001 w 93.48 w 93.3 253.3 m 197.4 253.3 l S 0.001 w 93.48 w 199.65 253.3 m 566.1 253.3 l S 0.001 w 49.74 w 31.2 179.44 m 91.05 179.44 l S 0.001 w 49.74 w 93.3 179.44 m 197.4 179.44 l S 0.001 w 49.74 w 199.65 179.44 m 566.1 179.44 l S 0.001 w 49.74 w 31.2 127.45 m 91.05 127.45 l S 0.001 w 49.74 w 93.3 127.45 m 197.4 127.45 l S 0.001 w 49.74 w 199.65 127.45 m 566.1 127.45 l S 0.001 w 36.31 w 31.2 82.18 m 91.05 82.18 l S 0.001 w 36.31 w 93.3 82.18 m 197.4 82.18 l S 0.001 w 36.31 w 199.65 82.18 m 566.1 82.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 301.17 m 568.3 301.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 205.44 m 568.3 205.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 153.45 m 568.3 153.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 101.46 m 568.3 101.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.4 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 383.4 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.59 m 568.4 401.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.32 m 568.3 382.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 383.4 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 383.4 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.16 m 568.4 471.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.59 m 568.4 401.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.17 m 568.3 301.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 205.44 m 568.3 205.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 153.45 m 568.3 153.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 101.46 m 568.3 101.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 472.24 m 30.07 381.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 402.67 m 92.17 382.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 402.67 m 198.47 382.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 472.24 m 567.32 381.24 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 454.98 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 437.4 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 422.82 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 34.05 408.24 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 387.42 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 387.42 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 387.42 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 366.13 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 366.13 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 366.13 Tm (The system for recording care and filing reviews and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 351.55 Tm (assessments should be reviewed to ensure that the practice )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 336.97 Tm (of holding it in different locations does not compromise )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 322.39 Tm (efficiency and mean people do not always have access to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 307.81 Tm (up to date information.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.98 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 284.98 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 284.98 Tm (Where it is felt people are not able to make informed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 270.4 Tm (decisions about their care, a proper process should be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 255.82 Tm (followed to assess ability on each occasion, and to show )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 241.24 Tm (that decisions are only made in the person's best interests. )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 226.66 Tm (This is also to avoid the service being in breach of the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 212.08 Tm (Mental Capacity Act.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 189.25 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 189.25 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 189.25 Tm (Key staff should have training in assessing risk )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 174.67 Tm (appropriately so they understand better about hazards to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 160.09 Tm (which people might be exposed and how to minimise them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 137.26 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 137.26 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 137.26 Tm (The door to the room with the hot water tanks should )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 122.68 Tm (either be secured or have the label removed if it is not )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 108.1 Tm (considered necessary to lock it following assessment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.27 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 85.27 Tm (21)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 85.27 Tm (Alternative arrangements for storing wheelchairs and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 70.69 Tm (laundry trolleys should be explored. This is so corridors are )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 67.32 w 31.2 778.87 m 566.2 778.87 l S 0.001 w 18.15 w 31.2 733.88 m 91.05 733.88 l S 0.001 w 18.15 w 93.3 733.88 m 197.35 733.88 l S 0.001 w 18.15 w 199.6 733.88 m 566.2 733.88 l S 0.001 w 1 1 1 RG 32.16 w 31.2 707.6 m 91.05 707.6 l S 0.001 w 32.16 w 93.3 707.6 m 197.4 707.6 l S 0.001 w 32.16 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1 96.15 674.21 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 674.21 Tm (The manager should date and sign copies of information on )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 659.63 Tm (recruitment files, confirming that she has seen the originals )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 645.05 Tm (of the information held. )Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 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0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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