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(5)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 193.11 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 193.11 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 193.11 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 193.11 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 193.11 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 193.11 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 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 723.97 m 274.61 723.97 l S 0.001 w 1 1 1 RG 20.58 w 276.86 723.97 m 580.25 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 701.14 m 274.61 701.14 l S 0.001 w 1 1 1 RG 20.58 w 276.86 701.14 m 580.25 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 678.31 m 274.61 678.31 l S 0.001 w 1 1 1 RG 20.58 w 276.86 678.31 m 580.25 678.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 655.48 m 274.61 655.48 l S 0.001 w 1 1 1 RG 20.58 w 276.86 655.48 m 580.25 655.48 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 632.65 m 274.61 632.65 l S 0.001 w 1 1 1 RG 20.58 w 276.86 632.65 m 580.25 632.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.55 m 582.46 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.72 m 582.46 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 666.9 m 582.46 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 644.07 m 582.46 644.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.55 m 582.46 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.72 m 582.46 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 666.9 m 582.46 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 644.07 m 582.46 644.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 621.23 m 582.46 621.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 620.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 620.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 620.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 696.37 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.54 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 650.71 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 627.88 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 591.93 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 572.45 m 353.25 572.45 l S 0.001 w 1 1 1 RG 20.58 w 355.5 572.45 m 565.9 572.45 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 549.61 m 353.25 549.61 l S 0.001 w 1 1 1 RG 20.58 w 355.5 549.61 m 565.9 549.61 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 526.78 m 353.25 526.78 l S 0.001 w 1 1 1 RG 20.58 w 355.5 526.78 m 565.9 526.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 561.03 m 568.1 561.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.2 m 568.1 538.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.86 m 568.1 583.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 561.03 m 568.1 561.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.2 m 568.1 538.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.37 m 568.1 515.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 584.94 m 30.07 514.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 584.94 m 354.37 514.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 584.94 m 567.02 514.29 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 567.67 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.84 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 544.84 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 522.02 Tm (Number of places registered:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 503.07 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 459.63 m 564.47 459.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 472.17 m 567.8 472.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 449.33 m 567.8 449.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.99 m 567.8 494.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.17 m 567.8 472.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 449.33 m 567.8 449.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 426.51 m 567.8 426.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 496.07 m 30.07 425.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 473.24 m 298.32 425.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 450.41 m 432.52 425.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 496.07 m 566.72 425.43 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 478.81 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.98 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 455.98 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 433.15 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 433.15 Tm (Over 65)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 32.32 393.59 m 564.47 393.59 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 406.13 m 567.8 406.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 383.3 m 567.8 383.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 407.21 m 30.07 382.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 407.21 m 566.72 382.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 389.95 Tm (Conditions of registration:)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 368.51 m 315.25 368.51 l S 0.001 w 1 1 1 RG 20.58 w 317.5 368.51 m 346.55 368.51 l S 0.001 w 20.58 w 348.8 368.51 m 377.9 368.51 l S 0.001 w 20.58 w 380.15 368.51 m 409.2 368.51 l S 0.001 w 20.58 w 411.45 368.51 m 440.55 368.51 l S 0.001 w 20.58 w 442.8 368.51 m 471.9 368.51 l S 0.001 w 20.58 w 474.15 368.51 m 503.2 368.51 l S 0.001 w 20.58 w 505.45 368.51 m 534.55 368.51 l S 0.001 w 20.58 w 536.8 368.51 m 565.9 368.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 379.92 m 568.1 379.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.1 m 568.1 357.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 381 m 30.07 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 381 m 316.37 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 381 m 347.67 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 381 m 379.02 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 381 m 410.32 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 381 m 441.67 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 381 m 473.02 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 381 m 504.32 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 381 m 535.67 356.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 381 m 567.02 356.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 363.74 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 344.1 m 565.9 344.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 334.47 m 568.1 334.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 335.55 m 30.07 331.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 335.55 m 567.02 331.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.72 m 568.1 353.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.47 m 568.1 334.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.22 m 568.1 332.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 354.8 m 30.07 333.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 354.8 m 567.02 333.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 340.54 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 340.54 Tm (care home)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (The purpose of this random inspection visit was to follow up on concerns identified to us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (which specifically related to care plans, the identification and management of risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (service users and staff, plus staff training provided at the home. The registered provider )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (for this home is also the registered manager and was present throughout the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (During this unannounced inspection, service users' care plans and associated risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (assessments, health and safety risk assessments, staff training records, accident and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (incident forms and medication practices and records were all sampled. We were shown )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (round all areas of the home and information was also obtained from additional records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (provided by the manager and from discussions with the manager, service users and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (members of staff on duty on the day of our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (NEEDS ASSESSMENTS AND CARE PLANNING: We sampled the care plans for three )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (service users. One person had recently moved to the home and their pre admission )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (assessment was seen. This document was one double sided sheet and contained medical )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (details and a series of tick boxes. Where needs had been identified there was no evidence )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (that further details had been sought. This could mean that people are being offered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (accommodation at the home without the home being sure that they can fully meet the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (person's needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (The manager has very recently introduced a new system of care planning. This is a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (commercial system purchased by the home and contains a comprehensive range of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (documentation that has to be completed in full by the staff. The system includes a needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (assessment, care plan and risk assessments. The documents cover all aspects of daily )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (living and include a section for life history, personality/personal circumstances, wishes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (regarding death, financial issues, social activities, interests and hobbies, religious )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (activities, current medication and physical health.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (All of the care plans we looked at had entries for each section, although the information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (was basic in detail and did not provide a person centred approach to care planning, for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (example service users' likes, dislikes and preferences were not recorded. The care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (should be further developed to ensure clarity as to all aspects of the service users' care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (needs and to ensure that service users' preferences are documented and a requirement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (has been made.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (INDIVIDUAL RISK ASSESSMENTS Areas of risk covered in the new care planning system )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (included risks associated with: Mental health e.g. memory impairment, wandering, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (depression; Physical health e.g. mobility, diet, continence; Personal e.g. getting up, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (bathing/showering, communication, use of equipment, going out; Behaviour; Pressure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (sores; Nutrition; Falls. Some work had been undertaken to identify some of the risks to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (service users but there was no detailed record of the risks that had been identified. All )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (three of the care plans sampled identified increased risks for all three service users in a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (number or areas, however there were no risk reduction plans in place and no guidance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (for staff to follow to ensure that identified risks were minimised or eliminated. In one file )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (it was seen that the person had fallen twice in the past four months and had sustained a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (minor injury on one occasion. The falls risk assessment had not been updated and a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (recent review assessed that the person remained a low risk of falling. In another care )Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (plan it was seen that the person's risk of developing pressure sores had increased but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (there was no care plan introduced to monitor or reduce the risk identified. The lack of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (robust risk management practices at the home is placing service users at risk of harm )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (and/or injury and a requirement has been made.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Each part of the care plan had been signed by the member of staff who had filled it in, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (however there was no evidence to show that the service users had been consulted on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (their plans. The manager told us that in the past she had asked service users to sign their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (plan but they had not been asked to sign the new plans. All of the plans looked at had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (been reviewed on a monthly basis with any changes recorded and signed by the staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (member undertaking the review, the manager had then countersigned the plans and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (reviews.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (MEDICATION: The safe handling of medicines was assessed by a CQC specialist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (pharmacist inspector. We looked at the medication records and medicine supplies for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (eight people, the care plans for one person, watched some medicines being given to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (people by a carer and talked to the care staff and the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (Medicines were not kept securely for the protection of people who live in the home as the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (key to the medicines cabinet was not kept securely. Items requiring cool storage were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (kept in a food fridge and were not in a locked container. The home does not have a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (cabinet that meets the standard of the Misuse of Drugs \(Safe Custody\) Regulations 1973. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Whilst no one living in the service is currently prescribed any Controlled Drugs they may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (be prescribed at any time in the future and so it is recommended that the provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (obtains a cabinet that meets the legal standard for the storage of Controlled Drugs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (Clear records were kept of all medicines received into the home. When medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (given to people a record is kept on a medication administration record chart by the carer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (giving the medicine. The records were not able to show us that people always get their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (medicines as prescribed. For example: One medicine, that is prescribed to be given every )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (day, had not been recorded as given for the last eleven days. When we looked at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (medicine supplies we found that the medicine had gone from stock for these days, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (indicating that it may have been given. Two people prescribed medicines to be given four )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (times daily were only being given these medicines three times each day. There was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (record to show that the medicines were offered more regularly. When we asked the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (manager why this was she said that it was people's choice to have their medicines like )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (this. She acknowledged that this was not recorded anywhere in their care plans. Three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (people were prescribed medicines to be given only when needed. None of these people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (had a care plan describing to staff when these medicines should be given. All of these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (medicines were being given to people regularly every day and not only when needed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (This could mean that people are being given medicines that they don't need. One person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (had not been given one of their prescribed medicines for three days whilst the service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (obtained a new supply of their medicine. This could have adversely affected this person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (health and welfare.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (We watched one carer giving people some of their medicine. They followed appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (safe practices and treated people respectfully. Staff have received training in the safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (handling of medicines. However the most recent training had been delivered over two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (years ago and one carer's certificate dated from 2005.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (STAFF TRAINING: The staff team at the home consists of the manager plus eight care )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (The induction training file for a member of staff, recruited earlier this year, was sampled. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (It was seen that the induction booklet covered all topics required of the mandatory Skills )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (for Care induction standards. The member of staff had completed question and answer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (sheets for all sections of the booklet. On the front of the booklet there was a date of May )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (09, which the manager said was the date the person had completed their induction. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (There were no other notes or documentation in the file although the manager said she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (had worked through the booklet with the member of staff. The manager was not aware )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (that she is required to assess and verify that the staff member has attained the expected )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (outcomes for each topic and that she should be signing a record as confirmation. A )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (certificate was seen that this member of staff had attended manual handling training on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the 2nd November 2009. When asked, the manager confirmed that this was the first )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (manual handling training the person had received even though this topic should have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (been included in the person's induction training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (There is no structured staff training and development programme in place. In discussion )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (with the manager, we were also told that there is no method of monitoring, recording, or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (documenting training provided to or undertaken by staff apart from keeping certificates )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (together in a folder. There is also no system in place for the manager to identify and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (book safe working practice training and updates that are required and the manager was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (not aware of who, in her staff team, had received which training, or if anyone was due for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (update.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (The manager told us that she provides all staff training herself including skin care, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (manual handling, risk assessment, fire safety, infection control and dementia training. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (When asked for further details the manager explained that she has a collection of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (commercial training DVDs and workbooks that staff are expected to watch or work )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (through. We were told that the staff then answer question sheets which are sent off to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (the companies for marking and return with completion certificates. The manager said she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (only provides the dementia training herself, although this training is not formal or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (documented. The manager, when asked, said she had no formal qualifications in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (education and, apart from a manual handling 'train the trainer' course three years ago, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (had not received any training herself in providing training to others. It was noted that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (manual handling 'train the trainer' certificate was only valid until January 2007 and had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (expired. The home has no system for assessing that staff have understood their training, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (or for assessing that they are competent and safe to carry out the work they are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (expected to perform. The manager told us that, to keep herself up to date with current )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (best practice she subscribes to a professional, monthly magazine, looks on the Skills for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (Care website and looks on the internet.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (Concerns were raised with the home in early October relating to moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (practices at the home. It was noted at that time that service users who were not able to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (weight bear were being lifted by staff without the aid of appropriate equipment. At that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (time the home did not have a hoist although there were a number of service users who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (were not able to transfer themselves. Following the raising of those concerns the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (manager purchased a hoist and arranged for an external training company to come to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (home and provide manual handling training to the staff. Certificates were seen at this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (inspection that confirmed that manual handling '+ hoists' training was provided in early )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (November. On the day of this inspection the hoist was not in use as the manager was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (waiting for the correct sling attachments to be delivered. There are at least three service )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (users currently living at the home who have now been professionally assessed by the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (local occupational therapist as needing hoist transfers. It is not clear how the training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (company was able to deliver hoist training when there were no sling attachments )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (available and, as yet, no staff have been practically assessed for competence in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (transferring service users.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (Of the staff currently working at the home there was evidence that two people had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (received first aid training, although only one of the certificates was still within the validity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (date.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (The manager showed us the infection control training workbook she had purchased and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (that we were advised all staff had worked through, although there was no record of this. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (However, there was some evidence seen that the home has not followed through on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (training and made sure that safe infection control practices are put into place and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (followed. Contrary to safe hand washing instructions there was only a cloth towel in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (staff toilet. A bed rail on one service user's bed was dirty, having old food debris and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (other substances stuck on it, the commode in this room was also dirty with used toilet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (paper stuck on the seat, although the manager said the commode had already been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (cleaned that day. A member of staff was spoken with and confirmed that training is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (usually carried out by the manager. The staff member advised that she had received )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (manual handling training a few years ago and had recently had hoist training. The person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (also advised that she had had fire safety training 'not that long ago'. The current staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (training practices and the lack of staff competency assessments at the home are not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (ensuring that service users are in safe hands at all times or that they are supported by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (staff that have received the relevant training. Requirements have been made.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (RECORD KEEPING As described earlier in this report, there are a number of records that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (are not maintained at the home and are not kept up to date or accurate e.g. care plans, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (medication records and staff training records. A requirement has been made.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (SAFE WORKING PRACTICES We were shown around all areas of the home by the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (manager. During our tour a number of concerns were identified that related directly to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (the safety of service users and staff. These concerns included fire safety concerns: there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (was a pile of building rubbish directly outside one fire exit door and there was carpet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (blocking access to the door; another fire exit had a scatter mat in front of it creating a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (trip hazard; one internal fire door was not functional and others needed attention; in one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (service user bedroom their bed had been positioned so that the door was prevented from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (closing; throughout the home numerous bedroom and communal room fire doors were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (being held open with bins, chairs, ornaments; cupboard doors that were marked in one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (hallway to be kept locked at all times were found to be open and the manager advised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (that they are not usually kept locked, despite the instructions on the signs. Due to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (number of concerns, a referral was made to the local fire safety inspecting officer, who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (visited the home on the afternoon of this inspection and identified a number of fire safety )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (deficiencies. We were advised that he had found that good records were kept of fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (alarm tests and that all fire extinguishers were in date. The fire safety officer will follow )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (up with the home and monitor for compliance of the deficiency notice. The manager was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (not able to locate the annual fire risk assessment for the home, although she assured us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (it had been carried out.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (During our tour other health and safety hazards were noted and pointed out to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (manager \(in addition to infection control concerns that have been mentioned earlier in )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 586.2 w 31.2 492.13 m 580.26 492.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.9 m 582.46 197.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 196.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 196.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (this report\): there were a number of loose mats that presented trip hazards, although the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (manager told us she was aware that they should not be used; the cupboard used to store )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (substances hazardous to health \(COSHH\) was in the main hall and unlocked, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (manager told us that she was aware this should be kept locked. Although it took some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (time to locate the key, this was eventually found and the cupboard was locked. We asked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (the manager for copies of the required health and safety risk assessments for the home. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (We were told that these have not been carried out. The manager showed us a 'quality )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (assurance' package she had purchased in February this year. This package contained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (many health and safety risk assessment forms to be completed but to date these have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (not been put into practice. Requirements have been made relating to these concerns.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (The manager was also left a requirement to contact the local environmental health officer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (within 7 days for advice and guidance in meeting her legal responsibilities for health and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (safety. We made a referral to the local environmental health officer on the day following )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (our inspection and were advised that the manager had already made contact. Concerns )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (relating to the health and safety at work practices at the home will be followed up and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (monitored by the local environmental health office.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (NOTIFIABLE INCIDENTS Incidents brought to our attention prior to the day of this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (inspection had not been notified to us as required by the manager and a requirement has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (been made. During our visit we sampled the home's incident records and found that there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (were five incidents recorded that should have been notified to us without delay. In )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (discussion with the manager she told us that she was not aware that she had to notify us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (of events and asked for clarification. We explained that the events were set out in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (Care Homes Regulations and asked the manager if she had a copy. The manager advised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (us that she thought she had an old copy but wasn't sure where it was located and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (she did not refer to the regulations when managing the home. The manager was advised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (that copies of up to date regulations can be downloaded from the CQC website.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (MANAGEMENT AND ADMINISTRATION)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (A number of concerns identified during this inspection also relate specifically to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (management and administration of the home. As described above, the manager was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (fully aware of her legal responsibilities, e.g., amongst others, responsibilities under the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (Care Homes Regulations and responsibilities relating to fire safety and health and safety. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (There are no effective systems in place to identify and deal with risks to service users, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (staff or visitors, and risks, when identified, are not effectively addressed or monitored. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (The lack of a structured and effective system for staff induction and ongoing training and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (the lack of a system to monitor staff practices and assess that staff understand and are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (competent in skills needed to carry out their work, are also placing service users and staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (at risk. Requirements have been made relating to the overall management of the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 179.83 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 179.83 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 126.09 w 31.2 106.72 m 580.26 106.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 170.89 m 582.46 170.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 171.97 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 171.97 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (On arrival at the home we were introduced to one service user who sat and chatted with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (us for a while. During our conversation he expressed his satisfaction with the home, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (accommodation and the care and support he receives. He was very complimentary about )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (all the staff and told us that the manager is 'a kind, caring and loving person.' Other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (service users spoken with were all also happy at the home. Comments made to us by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (service users included: 'we are like one big family, this is our home', 'the girls are all so )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (cheerful and helpful', 'nothing is too much trouble', 'the food is lovely' and 'I am lucky my )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (family found this home for me.' One relative was visiting the home while we were there )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 31.2 696.24 m 580.26 696.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.14 m 582.46 606.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 605.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 605.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (and made the time to speak with us, the relative told us how happy she was with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (service provided by the home, how grateful they were to the manager and all the staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (and how happy they were with the care and support provided to their relative.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Local social and health care professionals consistently report that the service users they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (visit at the home are all very happy to be there and are complimentary about the staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (and the care they receive, as are their relatives.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (On the day of this inspection all interactions observed between the staff and service users )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (were caring and respectful, there was a happy, family atmosphere and service users were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (treated with dignity and seen to be included in the everyday decisions that were being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (made.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 588.07 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 355.92 w 31.2 398.92 m 580.26 398.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 578.01 m 582.46 578.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.84 m 582.46 219.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 579.08 m 30.07 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 579.08 m 581.38 218.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm (Systems must be put in place, and followed, to protect and promote the health, safety )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm (and welfare of service users and staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (The specific needs of each service user must be fully assessed, by people with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (appropriate training, experience and qualifications, and care plans must contain details of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (how those needs are to be met, in the way the service user prefers.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (The handling of medicines must be done in a safe way.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.6 Tm (Current staff training needs to be improved and an effective and a structured staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.02 Tm (training and development programme must be developed and implemented. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 401.44 Tm (programme must include methods to assess and monitor that the home has, at all times, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (a suitably skilled, competent and experienced staff team that is able to meet the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 372.28 Tm (any service users living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.12 Tm (An effective, and ongoing system must be developed, and put into practice, to identify )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (and deal with risks to service users and staff and ensure that any risks identified are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.96 Tm (effectively managed. Any staff with the responsibility of identifying and managing risks )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.38 Tm (must be suitably experienced, trained and competent.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (The health, safety and welfare of service users is not being protected and the home is not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm (being effectively managed. In line with our enforcement policy a management review )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (meeting will be held and decisions will be made about the action CQC will take. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (action may include enforcement action.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 201.52 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 201.52 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 185.52 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 456.95 w 31.2 271.02 m 91.05 271.02 l S 0.001 w 456.95 w 93.3 271.02 m 197.4 271.02 l S 0.001 w 456.95 w 199.65 271.02 m 289.45 271.02 l S 0.001 w 456.95 w 291.7 271.02 m 473.8 271.02 l S 0.001 w 456.95 w 476.05 271.02 m 566.1 271.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (The registered person must, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (after consultation with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (service user or their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (representative, prepare a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (written care plan as to how )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.54 Tm (the service user's needs in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.96 Tm (respect of their health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 382.38 Tm (welfare are to be met. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 367.8 Tm (registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 353.22 Tm (ensure that care plans are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.64 Tm (sufficiently detailed in order )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.06 Tm (that staff are aware of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.48 Tm (actions to be taken to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.9 Tm (that all aspects of the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.32 Tm (user's health, personal and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 265.74 Tm (social care needs and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 251.16 Tm (preferences are fully met and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 236.58 Tm (must ensure that the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 222 Tm (plan is signed by the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.42 Tm (user, or their representative, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.84 Tm (in order to indicate that they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.26 Tm (are in agreement with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 163.68 Tm (plan. The care plan must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.1 Tm (kept under review and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.52 Tm (updated whenever the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.94 Tm (service user's needs change )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 105.36 Tm (and/or new problems arise.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 87.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.2 Tm (So that service users can be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 58.62 Tm (confident that their health, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 44.04 Tm (personal and social care )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (05/01/2010)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 75.9 w 31.2 645.73 m 91.05 645.73 l S 0.001 w 75.9 w 93.3 645.73 m 197.4 645.73 l S 0.001 w 75.9 w 199.65 645.73 m 289.45 645.73 l S 0.001 w 75.9 w 291.7 645.73 m 473.8 645.73 l S 0.001 w 75.9 w 476.05 645.73 m 566.1 645.73 l S 0.001 w 358.92 w 31.2 426.08 m 91.05 426.08 l S 0.001 w 358.92 w 93.3 426.08 m 197.4 426.08 l S 0.001 w 358.92 w 199.65 426.08 m 289.45 426.08 l S 0.001 w 358.92 w 291.7 426.08 m 473.8 426.08 l S 0.001 w 358.92 w 476.05 426.08 m 566.1 426.08 l S 0.001 w 200.69 w 31.2 144.02 m 91.05 144.02 l S 0.001 w 200.69 w 93.3 144.02 m 197.4 144.02 l S 0.001 w 200.69 w 199.65 144.02 m 289.45 144.02 l S 0.001 w 200.69 w 291.7 144.02 m 473.8 144.02 l S 0.001 w 200.69 w 476.05 144.02 m 566.1 144.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 606.66 m 568.3 606.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 245.49 m 568.3 245.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.66 m 568.3 606.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 245.49 m 568.3 245.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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All risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.82 Tm (health and safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.25 Tm (users must be clearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.67 Tm (detailed in their care plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.08 Tm (and documented risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.5 Tm (assessments carried out. 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keeping )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 190.82 Tm (complete and accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 176.24 Tm (records of all medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 161.65 Tm (given to people; ensuring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.07 Tm (that people are given their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 132.49 Tm (medicines at the prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 117.92 Tm (dose and frequency; )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 103.33 Tm (providing care plans that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 88.75 Tm (include detailed information )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 74.18 Tm (and instructions to staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 59.6 Tm (when to give medicines )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 278.3 Tm (05/12/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 271.44 w 31.2 547.97 m 91.05 547.97 l S 0.001 w 271.44 w 93.3 547.97 m 197.4 547.97 l S 0.001 w 271.44 w 199.65 547.97 m 289.45 547.97 l S 0.001 w 271.44 w 291.7 547.97 m 473.8 547.97 l S 0.001 w 271.44 w 476.05 547.97 m 566.1 547.97 l S 0.001 w 198.54 w 31.2 310.73 m 91.05 310.73 l S 0.001 w 198.54 w 93.3 310.73 m 197.4 310.73 l S 0.001 w 198.54 w 199.65 310.73 m 289.45 310.73 l S 0.001 w 198.54 w 291.7 310.73 m 473.8 310.73 l S 0.001 w 198.54 w 476.05 310.73 m 566.1 310.73 l S 0.001 w 165.53 w 31.2 126.44 m 91.05 126.44 l S 0.001 w 165.53 w 93.3 126.44 m 197.4 126.44 l S 0.001 w 165.53 w 199.65 126.44 m 289.45 126.44 l S 0.001 w 165.53 w 291.7 126.44 m 473.8 126.44 l S 0.001 w 165.53 w 476.05 126.44 m 566.1 126.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 411.12 m 568.3 411.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.33 m 568.3 210.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 411.12 m 568.3 411.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.33 m 568.3 210.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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Tm (times available for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.2 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 333.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.04 Tm (So that service users' rights )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.45 Tm (and best interests are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.88 Tm (safeguarded by the home's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.3 Tm (record keeping, policies and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 260.71 Tm (procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 467.83 Tm (05/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.88 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 237.88 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 237.88 Tm (24A)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 237.88 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.3 Tm (produce a plan setting out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 208.73 Tm (the methods by which, and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.15 Tm (the timetable to which, the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 179.57 Tm (registered person intends to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.99 Tm (improve the services in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.4 Tm (care home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 132.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.25 Tm (So that the service users and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 103.67 Tm (staff can be confident that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.08 Tm (their health, safety and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 74.5 Tm (welfare is promoted and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 59.92 Tm (protected.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 237.88 Tm (19/12/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm 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The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (protected.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.79 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 648.79 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 648.79 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 648.79 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.22 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.64 Tm (to prevent infection, toxic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 605.05 Tm (conditions and the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.47 Tm (infection at the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.32 Tm (So that the service users and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.73 Tm (staff can be confident that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.16 Tm (their health, safety and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.58 Tm (welfare is promoted and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (protected.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (05/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.17 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 477.17 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 477.17 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.17 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.58 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.01 Tm (for the training of the staff in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.42 Tm (first aid and make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.85 Tm (a qualified first aider is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.27 Tm (available at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 386.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.11 Tm (So that the service users and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 357.52 Tm (staff can be confident that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 342.95 Tm (their health, safety and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.36 Tm (welfare is promoted and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.79 Tm (protected.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 477.17 Tm (05/01/2010)Tj ET 0.95294 0.95294 0.95294 RG 154.29 w 32.32 209.62 m 564.97 209.62 l S 0.001 w 1 1 1 RG 64.32 w 31.2 165.76 m 91.05 165.76 l S 0.001 w 64.32 w 93.3 165.76 m 197.4 165.76 l S 0.001 w 64.32 w 199.65 165.76 m 566.1 165.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 200.12 m 30.07 131.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 200.12 m 567.22 131.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.45 m 568.4 219.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.04 m 568.3 199.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 200.12 m 92.17 131.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 200.12 m 198.52 131.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.02 m 568.4 289.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.45 m 568.4 219.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.04 m 568.4 199.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 132.48 m 568.3 132.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 290.09 m 30.07 197.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 220.52 m 92.17 197.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 220.52 m 198.47 197.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 290.09 m 567.32 197.97 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 272.83 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 255.25 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 240.67 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 34.05 226.09 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 205.27 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 205.27 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 205.27 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.86 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 182.86 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 182.86 Tm (A cabinet that meets the requirements of the Misuse of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 168.28 Tm (Drugs \(Safe Custody\) Regulations 1973 should be obtained )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 153.7 Tm (so that any Controlled Drugs that are prescribed in the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 139.12 Tm (future can be stored in a way that meets the law.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes 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678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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