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(5)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (0)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for 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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Branthwaite Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Branthwaite Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Workington)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Cumbria)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (CA14 4SS)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (0190067111)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (0190068339)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Aspenframe Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Mrs )Tj ET /F1 12 Tf BT 1 0 0 1 59.76 469.27 Tm (Margaret Rose )Tj ET /F1 12 Tf BT 1 0 0 1 151.38 469.27 Tm (Visick)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (57)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 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429.25 245.79 l S 0.001 w 35.16 w 431.5 245.79 m 565.9 245.79 l S 0.001 w 20.58 w 31.2 215.66 m 297.25 215.66 l S 0.001 w 20.58 w 299.5 215.66 m 429.25 215.66 l S 0.001 w 20.58 w 431.5 215.66 m 565.9 215.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.08 m 568.1 227.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.9 m 568.1 301.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 264.49 m 568.1 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.08 m 568.1 227.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 204.25 m 568.1 204.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 203.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 203.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 203.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 203.17 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.55 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 308.55 Tm (57)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 308.55 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.71 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.14 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 285.71 Tm (57)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 285.71 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 248.3 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 233.73 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 248.3 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 248.3 Tm (57)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 210.9 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 210.9 Tm (57)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 210.9 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 116.31 w 32.32 123.47 m 564.77 123.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 161.04 m 567.8 161.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.88 m 567.8 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.04 m 568.1 161.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 65.32 m 568.1 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 184.95 m 30.07 64.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 184.95 m 566.72 64.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 167.69 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 144.86 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.28 Tm (with nursing - Code N To people of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 115.7 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.12 Tm (falling within any other category - Code OP Physical disability - Code PD Mental )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.54 Tm (disorder, excluding learning disability or dementia - Code MD Dementia - Code DE The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 71.96 Tm (maximum number of people who can be accommodated is: 57)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 50.53 m 315.25 50.53 l S 0.001 w 1 1 1 RG 20.58 w 317.5 50.53 m 346.55 50.53 l S 0.001 w 20.58 w 348.8 50.53 m 377.9 50.53 l S 0.001 w 20.58 w 380.15 50.53 m 409.2 50.53 l S 0.001 w 20.58 w 411.45 50.53 m 440.55 50.53 l S 0.001 w 20.58 w 442.8 50.53 m 471.9 50.53 l S 0.001 w 20.58 w 474.15 50.53 m 503.2 50.53 l S 0.001 w 20.58 w 505.45 50.53 m 534.55 50.53 l S 0.001 w 20.58 w 536.8 50.53 m 565.9 50.53 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 61.94 m 568.1 61.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 39.11 m 568.1 39.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 63.02 m 30.07 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 63.02 m 316.37 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 63.02 m 347.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 63.02 m 379.02 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 63.02 m 410.32 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 63.02 m 441.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 63.02 m 473.02 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 63.02 m 504.32 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 63.02 m 535.67 38.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 63.02 m 567.02 38.03 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 45.76 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 45.76 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 45.76 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 45.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 45.76 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 45.76 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 45.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 45.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 45.76 Tm (9)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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.85 m 568.1 509.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 753.91 Tm (Branthwaite Care Home is situated on the outskirts of Workington. The home is a care )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (home that can provide nursing care for 57 people in the above categories. There are )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (three distinct areas in the home - the general nursing unit, a memory care unit for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (people with dementia and the Harrington Unit that helps people who have complex )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (mental health needs including challenging behaviour. All of the bedrooms are single )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (occupancy and have en suite facilities. There are pleasant communal areas with a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (lounge/ conservatory at the front of the home and one smaller lounge at the other end )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (of the home. There is also a conservatory and dining room at the rear of the home. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (Outside, there are raised gardens by the rear conservatory, and to the front and side )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (of the home are paved areas. Information about the service is made available in a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (statement of purpose and service user guide that is on display in the foyer along with )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 566.91 Tm (inspection reports. The fees currently charged by the services range from 398 to )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 549.91 Tm (945 per week and this does not include personal toiletries, personal newspapers, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 532.91 Tm (magazines and )Tj ET /F1 12 Tf BT 1 0 0 1 130.39 532.91 Tm (hairdressing.)Tj ET /F1 12 Tf BT 1 0 0 1 208.6 532.91 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 515.91 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We made an unannounced visit to the home on the above date. We did not look at all of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (the National Minimum Standards on the day as this was a random inspection. The focus )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (of this random inspection was on the care provided in the 'Memory Care' unit and the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (Harrington unit. These parts of the home care for people with dementia and people with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (challenging behaviour. We left postal surveys in the home for people who live there and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (for staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (We met with people in both units and read people's individual files and some of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (written plans of care. We also checked on a range of documents related to how staff are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (recruited, deployed and trained. We checked on records of accidents, incidents and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (matters of adult safeguarding.)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 (We spoke to some of the staff and nurses on duty and to the manager and to one of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (nurses in depth. We also had information from a variety of other sources both before and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (after our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (We looked at the updated Statement of Purpose for the home. We discovered that some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (things related to the Harrington unit had yet to be developed. These include staff training )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (and therapeutic programmes of care. This Statement of Purpose and the brochure also )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (says that they can deal with challenging behaviour appropriately. We did not find enough )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (evidence on the day to show that this is being suitably managed. There was insufficient )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (evidence during the visit to show that the service promotes what they describe for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (Dementia Care unit - "this unit provides...a setting that is also designed to stimulate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (memories and senses." We judged that more work needs to be done so that service users )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (benefit from the design features of the unit.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (We looked at files related to the initial assessment of new people to the service. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (found that some files did not have full assessments of need and that some files lacked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (background details.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (We checked on a number of written care plans for people on the Harrington Unit. Some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (aspects of these and other care plans did have detailed assessments and actions to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (taken. However we discovered that there were weaknesses and gaps in some plans - )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (especially where people challenged the service.)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 (We discussed this with the manager and the nurse responsible for these specialised units. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (We saw at least one person who needed support with their personal care and were told )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (that specific directions for managing the symptoms of their dementia had not been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (written into the care plans and staff did not have clear guidance about how to deal with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (specific behaviours.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (On the day of our visit we did not see any member of staff who approached people in an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (inappropriate manner. We did have some information from a number of sources that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (indicated that people with dementia or challenging behaviour were sometimes not treated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (appropriately. A safeguarding referral was made by us and an investigation, led by Social )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (Service, is underway.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)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 (There was evidence to show that people do receive visits from health care practitioners )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (and that nurses on the unit do undertake nursing tasks. One person had a fairly urgent )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (chiropody need but the staff had not been able to source an urgent chiropody referral. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Nurses had tried to deal with this but they told us and the notes showed that they had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (been unable to do this as the person would not allow them to intervene. We looked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (another record where the notes showed a change in behaviour that might have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (related to a mental health need. There was no contingency plan in place for dealing with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (the behaviour.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We asked people in both of these specialist units about activities and we discovered that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (although there is an activities organiser employed \(and another person about to start as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (an activities person\) there is no special programmes available that help people with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (dementia or with other mental health or behavioural problems.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (The people on the Harrington Unit said they had nothing planned and didn't do much. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (Some people did do some chores around this unit but their record of activities showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (that they spent most of their time watching television. The Statement of Purpose says )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (that there are daily programmes for people on this unit but the senior staff told us they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (had not worked on these yet . There was no specific programme of activities for people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (with dementia but they did join in activities for people in the nursing care part of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (home where possible. We learnt of daily activities and entertainments in the main unit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (and people seemed to enjoy this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (On the day of the visit people were asking about the hairdresser. There had been a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (problem with this due to the weather. When we asked about taking people out to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (hairdresser we were told that access to transport was limited.Staff did try to help people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (with this after we had discussed this issue.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (There was no specific details of how the unit was managing a particular therapeutic )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (approach called 'Doll therapy' and we judged from speaking to staff that this was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (always managed appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Some life story work was being done and staff and users alike seemed to enjoy this. Not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (everyone had been involved in this life story work and there was only a few examples of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (co-ordinated reminiscence work going on in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (We saw people eating nicely presented meals and being given suitable choices at meal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (times. Some people have nutritional plans in place. Care plans do need to give more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (guidance to staff when people refuse meals or fluids or have behavioural issues around )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (eating and drinking.)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 (We checked on the records kept about complaints and safeguarding. We discovered that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (one person had made an allegation of assault and this had not been taken forward )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (appropriately. Instead there were written testimonies saying this person made unfounded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (allegations. This person's allegation had not been believed. This should have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (accepted and reported to external agencies in a timely manner that follows local )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (protocols.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (The manager completed her training as a trainer on safeguarding vulnerable people in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (2007. She holds regular sessions on this vital subject. We spoke to the manager and her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (deputy about safeguarding and they were fully aware of what was abusive but were not )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 (14)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 (confident when asked about what they would investigate themselves and what they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (would refer.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (The training also includes discussions on privacy, dignity and respect. The sessions last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (for two and and a half hours. A number of people \(approximately 22 staff members\) had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (not attended this training. This included the deputy and other nurses who may have to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (make urgent safeguarding referrals. Some people had not had training in this since 2007 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (despite the fact that the local arrangements for managing safeguarding had changed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Staff told us that people did not attend this as they were not paid for training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We had received a complaint about the service and had passed this on to the company )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (and this was in the process of being dealt with when we made our random visit and a full )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (report received shortly after the visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (The home was reasonably tidy and clean during our visit. Part of the 'Memory Care' unit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (and the entire Harrington Unit is a new build and the environment is of a high standard.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (We had been told by various people that staffing levels were poor at times. We had a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (complaint about this and the company looked at this. Their initial investigation found that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (around the holiday period there had been staff shortages. We discovered that on one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (particular night there were only two nurses and two staff to care for all the residents. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (two carers on duty were very new to the service and they had insufficient training and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (induction. We were concerned that these levels of staffing might compromise people's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (safety - especially when there were issues with behaviour management on the specialist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (units when it would be difficult for staff to manage two units.)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 (We checked on recruitments and we judged that the manager followed the company )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (procedures correctly. We do, however, recommend that the manager and the company )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (look towards an initial supervision session with anyone who has anything of note on their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (background checks.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We asked for a copy of the most up to date training plan. The manager gave us a copy of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (recent training that she had arranged. The training she had offered since she came into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (post was varied and covered a lot of subjects. She did tell us that not all of the training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (had been delivered and that some in-house courses were poorly attended.This plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (concluded in November 2009 and she had as yet not prepared a new training plan.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (Staff had told us that they had not received training in certain areas and that training was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (never paid for and people often had to do this on their days off. Senior staff told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (some training had not taken place due to problems related to the weather and also said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (that a number of sessions were poorly attended. The fact that training days are not paid )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (may mean that a number of staff feel unable or unwilling to attend.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We looked at the records for people who worked during some of the Christmas shifts that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (were understaffed. We could not find induction records for some staff. Those records we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (saw did not contain all the information that is expected at induction. We were told that a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (new induction programme was being introduced.Two new carers had not received any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (training but worked in the home when the home was understaffed. There were a number )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (of people who had no manual handling training recorded but were helping people to move )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (around the home on the day.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 440.4 w 31.2 565.03 m 580.26 565.03 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 28.99 343.7 m 582.46 343.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 342.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 342.62 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (We were told that nurses do keep their clinical practice up to date but there was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (insufficient evidence produced on the day to show recent clinical supervision. We checked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (on a number of files at random and one had no evidence at all of training, supervision or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (development and other files had significant gaps. There was no evidence in the home to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (show what external training events they had attended. At least three nurses had received )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (no core training in the home \(on subjects like safeguarding, manual handling or fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (safety\) since their initial induction.)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 (We looked at numbers of people undertaking National Vocational Qualifications in Care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (and this was high but we judged that staff undertaking this might be at a disadvantage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (as some of them had not attended the training that backs up this qualification.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Some training on offer lasted for only two and a half hours. These short training sessions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (were often on complex matters like safe manual handling and on protecting people from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (harm. A number of the courses on offer lasted for longer but again poor attendance was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (evident. For example there is an obvious need for everyone who might work in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (specialist units to have full training on challenging behaviour. A day long course was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (offered in November but only four staff and the manager attended. Only around twenty )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (people had attended food safety training. A number of people had not attended fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (training or drills and the manager said that they had not given new starters two drills in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (the first month of their employment. Some staff who are left in charge of the home have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (not attended fire training or drills and would have to deal with managing a fire situation.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (The home has problems in relation to staff development and training and although we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (only looked at a few supervision sessions we were told by the manager that supervision )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (where people could discuss problems, report any abuse and ask for training that would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (meet their needs was not up to date. We saw some supervision that lacked detail; we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (saw some where people had had their job role clarified after working in the home for a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (number of weeks. We saw that some nurses had not attended training or fire drills but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (there were no supervision records that looked at why they did not attend. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 325.63 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 1 175.95 325.63 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 271.89 w 31.2 179.62 m 580.26 179.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 316.69 m 582.46 316.69 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 30.07 317.77 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 317.77 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 300.51 Tm (The service writes some very detailed assessments and care plans about some aspects of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.92 Tm (some peoples' care needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (A number of people told us they were satisfied or happy living in the home and that staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (treated them well.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (The home provides entertainments and activities that are suitable for some people in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (service and people are encouraged to participate as much as possible. They have taken )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (on another activities organiser to help with this.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (Well presented and good quality food was on offer on the day.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (The two specialist units are newly built and they provide a safe and comfortable )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (environment for people with complex needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (We saw a number of very comfortable and personalised bedrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (The manager follows the company's procedures when recruiting staff and new recruits )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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 31.2 747.28 m 580.26 747.28 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 28.99 708.2 m 582.46 708.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 707.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 707.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (have suitable background checks completed.)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 (Staff are encouraged to register for National Vocational Qualifications.)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 (A varied training plan was on offer in the last year.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 690.13 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 574.62 w 31.2 391.63 m 580.26 391.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 680.07 m 582.46 680.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.19 m 582.46 103.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.14 m 30.07 102.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 681.14 m 581.38 102.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 663.88 Tm (The service needs to be clear about the purpose of the Harrington Unit and the Statement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.3 Tm (of Purpose needs to reflect the level of specialism that this unit and the dementia care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm ('Memory Care' unit can provide.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm (The manager must make sure she has all the relevant information needed to care for a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (new resident. This is important for all areas of the home but is vital when admitting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (people to the Harrington unit who may have complex or challenging behaviour. No one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm (should be admitted without full information of needs and risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (The manager and her deputy agreed that they needed to continue to refine and develop )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (care plans for everyone in the home but that they especially needed to include more )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (guidance where people challenge the service or where people with dementia need specific )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (levels of support.)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 (We want the manager to make sure that there are suitable contingency plans in place )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm (that will address either mental or physical health care needs. We also want more focused )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.6 Tm (nutritional planning to be in place especially where people may have issues around this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.02 Tm (that is part of their mental health needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 401.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (We want the home to have specific plans in place for activities that will suit groups and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 372.28 Tm (individuals with specific mental health needs.)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 (We need the company to ensure that staff at all levels have suitable training on what )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (constitutes abuse and on how to report such matters and, where appropriate to their role, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.96 Tm (understand how to manage allegations of this nature.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm (This service needs to be suitably staffed at all times. We want the company to look at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (issues of recruitment and retention and to make sure that there are ongoing risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm (assessments in place so that specific staffing levels are maintained in the different areas )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (of the home. This needs to be done to protect both residents and staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.9 Tm (New members of staff need inducted into their job roles and all staff need to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.32 Tm (supervised, trained and mentored.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 182.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.16 Tm (All staff need training in manual handling techniques or updates to existing training. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.58 Tm (Checks on competence need to be undertaken.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 139 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 124.42 Tm (All staff need to attend fire safety training and fire drills and instructions. These need to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.84 Tm (be done at intervals that relate to their role, experience and the times they work.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 84.89 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 84.89 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 68.89 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 (14)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 (14)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 198.54 w 31.2 400.23 m 91.05 400.23 l S 0.001 w 198.54 w 93.3 400.23 m 197.4 400.23 l S 0.001 w 198.54 w 199.65 400.23 m 289.45 400.23 l S 0.001 w 198.54 w 291.7 400.23 m 473.8 400.23 l S 0.001 w 198.54 w 476.05 400.23 m 566.1 400.23 l S 0.001 w 227.7 w 31.2 184.86 m 91.05 184.86 l S 0.001 w 227.7 w 93.3 184.86 m 197.4 184.86 l S 0.001 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215.05 Tm (with legislation and to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.48 Tm (that safe manual handling is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.9 Tm (carried out and that both )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.32 Tm (staff and residents are kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.74 Tm (as safe as possible.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 334.7 Tm (12/03/2010)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 (14)Tj 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(people whose mental health needs may lead to problems )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 584.47 Tm (with maintaining good levels of nutrition and hydration.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.64 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.64 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.64 Tm (It is recommended that the company discuss with staff any )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 547.05 Tm (matters of note that arise during background checks of new )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.47 Tm (recruits and that this is recorded as part of ongoing )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.9 Tm (supervision and development.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 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(General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put 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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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