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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 453.92 m 164.46 453.92 l S 0.001 w 1 1 1 RG 90.9 w 166.71 453.92 m 580.25 453.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.34 m 582.46 407.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 406.27 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Grimsargh House Residential Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Preston Road )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Grimsargh)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Preston)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (Lancashire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 413.99 Tm (PR2 5JE)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 397.05 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 35.16 w 31.2 368.26 m 391.05 368.26 l S 0.001 w 1 1 1 RG 35.16 w 393.3 368.26 m 580.25 368.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 338.14 m 391.05 338.14 l S 0.001 w 1 1 1 RG 20.58 w 393.3 338.14 m 580.25 338.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 349.56 m 582.46 349.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.97 m 582.46 386.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 349.56 m 582.46 349.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 326.73 m 582.46 326.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 388.05 m 30.07 325.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 388.05 m 392.17 325.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 388.05 m 581.38 325.65 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 370.78 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 370.78 Tm (new service which has yet to )Tj ET /F1 12 Tf BT 1 0 0 1 396.14 356.2 Tm (be given a quality rating)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.37 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 295.42 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 278.42 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 261.42 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 227.42 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 227.42 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 227.42 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 227.42 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 227.42 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.42 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 193.42 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 158.94 m 315.25 158.94 l S 0.001 w 20.58 w 317.5 158.94 m 565.9 158.94 l S 0.001 w 1 1 1 RG 20.58 w 317.5 136.11 m 346.55 136.11 l S 0.001 w 20.58 w 348.8 136.11 m 377.9 136.11 l S 0.001 w 20.58 w 380.15 136.11 m 409.2 136.11 l S 0.001 w 20.58 w 411.45 136.11 m 440.55 136.11 l S 0.001 w 20.58 w 442.8 136.11 m 471.9 136.11 l S 0.001 w 20.58 w 474.15 136.11 m 503.2 136.11 l S 0.001 w 20.58 w 505.45 136.11 m 534.55 136.11 l S 0.001 w 20.58 w 536.8 136.11 m 565.9 136.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 147.52 m 568.1 147.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.35 m 568.1 170.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 147.52 m 568.1 147.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 124.69 m 568.1 124.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 171.43 m 30.07 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 171.43 m 316.37 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 148.6 m 347.67 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 148.6 m 379.02 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 148.6 m 410.32 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 148.6 m 441.67 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 148.6 m 473.02 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 148.6 m 504.32 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 148.6 m 535.67 123.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 171.43 m 567.02 123.62 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 154.17 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 154.17 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 131.34 Tm (Pauline Caulfield)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 131.34 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 131.34 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 131.34 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 131.34 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 131.34 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 131.34 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 131.34 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 131.34 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.11 m 267.21 716.11 l S 0.001 w 1 1 1 RG 90.9 w 269.46 716.11 m 563.65 716.11 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.12 m 267.21 658.12 l S 0.001 w 1 1 1 RG 20.58 w 269.46 658.12 m 563.65 658.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.29 m 267.21 635.29 l S 0.001 w 1 1 1 RG 20.58 w 269.46 635.29 m 563.65 635.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.46 m 267.21 612.46 l S 0.001 w 1 1 1 RG 20.58 w 269.46 612.46 m 563.65 612.46 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.63 m 267.21 589.63 l S 0.001 w 1 1 1 RG 20.58 w 269.46 589.63 m 563.65 589.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.22 m 565.85 578.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 577.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Grimsargh House Residential Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Preston Road )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Grimsargh)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Preston)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (Lancashire)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 676.18 Tm (PR2 5JE)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.35 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 653.35 Tm (01772651031)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.52 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 630.52 Tm (01772653994)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 607.69 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 607.69 Tm (info@grimsarghhouse.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.86 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 548.92 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 529.43 m 353.25 529.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 529.43 m 565.9 529.43 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 506.6 m 353.25 506.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 506.6 m 565.9 506.6 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.77 m 353.25 483.77 l S 0.001 w 1 1 1 RG 20.58 w 355.5 483.77 m 565.9 483.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 518.01 m 568.1 518.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 495.18 m 568.1 495.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 540.84 m 568.1 540.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.01 m 568.1 518.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 495.18 m 568.1 495.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.35 m 568.1 472.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 541.92 m 30.07 471.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 541.92 m 354.37 471.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 541.92 m 567.02 471.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 524.66 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 524.66 Tm (Stanner Manufacturing Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.83 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 501.83 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 479 Tm (28)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 460.05 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 440.56 m 565.6 440.56 l S 0.001 w 41.16 w 31.2 407.44 m 297.2 407.44 l S 0.001 w 20.58 w 299.45 417.73 m 565.6 417.73 l S 0.001 w 20.58 w 299.45 397.15 m 432.52 397.15 l S 0.001 w 20.58 w 432.52 397.15 m 565.6 397.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 451.98 m 567.8 451.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.74 m 567.8 385.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 453.06 m 30.07 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 430.23 m 298.32 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 453.06 m 566.72 384.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 435.79 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.96 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 412.96 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 392.38 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 392.38 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.66 m 297.25 363.66 l S 0.001 w 35.16 w 299.5 363.66 m 429.25 363.66 l S 0.001 w 35.16 w 431.5 363.66 m 565.9 363.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 382.36 m 568.1 382.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 344.95 m 568.1 344.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.44 m 30.07 343.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 383.44 m 298.37 343.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 383.44 m 430.37 343.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 383.44 m 567.02 343.88 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 366.18 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 351.6 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 366.18 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 366.18 Tm (28)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 313.16 m 565.6 313.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 301.75 m 567.8 301.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.58 m 567.8 324.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.75 m 568.1 301.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.6 m 568.1 220.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.66 m 30.07 219.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 325.66 m 566.72 219.52 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 308.39 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.56 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.98 Tm (only - Code PC To Service Users of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.4 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 34.05 241.82 Tm (falling within any other category - Code OP The maximum number of Service Users )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.24 Tm (who can be accommodated is: 28)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 205.81 m 315.25 205.81 l S 0.001 w 1 1 1 RG 20.58 w 317.5 205.81 m 346.55 205.81 l S 0.001 w 20.58 w 348.8 205.81 m 377.9 205.81 l S 0.001 w 20.58 w 380.15 205.81 m 409.2 205.81 l S 0.001 w 20.58 w 411.45 205.81 m 440.55 205.81 l S 0.001 w 20.58 w 442.8 205.81 m 471.9 205.81 l S 0.001 w 20.58 w 474.15 205.81 m 503.2 205.81 l S 0.001 w 20.58 w 505.45 205.81 m 534.55 205.81 l S 0.001 w 20.58 w 536.8 205.81 m 565.9 205.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 217.22 m 568.1 217.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 194.39 m 568.1 194.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 218.3 m 30.07 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 218.3 m 316.37 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 218.3 m 347.67 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 218.3 m 379.02 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 218.3 m 410.32 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 218.3 m 441.67 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 218.3 m 473.02 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 218.3 m 504.32 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 218.3 m 535.67 193.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 218.3 m 567.02 193.32 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 201.04 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 201.04 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 201.04 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 201.04 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 201.04 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 201.04 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 201.04 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 201.04 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 201.04 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 182.52 m 565.9 182.52 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 172.89 m 568.1 172.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 173.97 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 173.97 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.14 m 568.1 192.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 172.89 m 568.1 172.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 193.22 m 30.07 171.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 193.22 m 567.02 171.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 178.96 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 178.96 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 159.71 Tm (Grimsargh House is situated within extensive grounds in the village of Grimsargh. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 142.71 Tm (home is registered for 28 service users and provides personal care to older people both )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 125.71 Tm (male and female. The home is not purpose built and has three floors accessible by a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 108.71 Tm (lift. There is ample communal space with two conservatories as well as a large dining )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 91.71 Tm (room and lounge. The service provided is intended for service users who are fairly )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 74.71 Tm (dependent but do not require nursing care. The fees for the home range from 346 )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.15 m 568.1 758.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm (pounds to 390 pounds per week with additional costs for hairdressing toiletries and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (magazines.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (The reason for this inspection was to check that the 'excellent' 3 star rating given at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (the last key inspection is still valid and that nothing has changed. We looked at all the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (key standards. The findings of the random inspection suggest that there may be a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (change to the current 'excellent' 3 star rating at the home. In light of this we will )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (review our current inspection schedule and undertake a key inspection. Assessment, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (care planning and record keeping and recruitment and selection are the main areas of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (concern and need attention to ensure the safety of and appropriate care of residents. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (We will review our plans for Grimsargh house and may bring forward the key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (inspection to ensure that improvements have been made.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (We looked at the admission process for two residents. One resident had an assessment )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (completed by the home in place before admission. This helped staff to be aware of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (residents specific care needs and how to meet these. The other resident did not have a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (care assessment in place completed by either social services or by the home, even )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (though the inspection was several weeks after the resident was admitted. There was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (very limited information available on this resident with some admission information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (such as religion and marital state missing. The assessment and other admission details )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (are very important in order to provide appropriate and effective care to residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (We case tracked two residents. There were care records in place for one resident. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (There was a detailed assessment and risk assessments in place. These were reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (every month. However the care plan in place from these was very limited. Records did )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (not show how a resident needed support or how staff would do this. There was very )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (limited information about this residents agitation in the daily diary - simply that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (resident had been agitated. There was a behaviour diary where staff were supposed to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (record any issues/incidents. This was more detailed but was not always used. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (Sometimes incidents of agitation/aggression were recorded in the behaviour diary, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (sometimes in the daily report and sometimes not at all. Staff must record all incidents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (in detail explaining exactly what behaviour is occurring rather than stating 'agitated' or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm ('aggressive' in order to provide accurate information. The manager also needs to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (provide a strategy for managing the agitation/aggression detailing the form this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (agitation/aggression takes, how to manage it and ways of reducing it effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (The other resident did not have a care plan or any other information except individual )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (diary reports and an assessment which had been written two days before the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (inspection \(several weeks after admission\) . No care plan or risk assessments had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (been compiled from the assessment. A blank care plan was waiting to be completed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (but the manager said that the home had never completed care plans until 2 or 3 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (months after admission when they knew people better. She also said that short stay )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (residents did not have care plans. We explained the need to commence care plans )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (immediately on admission for permanent, and short stay residents, using information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (from the assessment and adding more information day by day as staff gained more )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (knowledge about residents.All residents must have a care plan, risk assessments and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (other relevant documents in place. There were some detailed entries relating to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (resident's care in her individual diary notes. This has given staff some information on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (the resident. Staff were reasonably aware of the care needs of this resident but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (detailed information must be recorded from admission to get a full picture of each )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (resident and so all people involved in a residents care have up to date written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (information.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (One resident was eating poorly on admission and was given a food supplement that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (the home had available. If there are concerns about a resident's nutritional intake, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (GP and if appropriate a dietician should be consulted, if appropriate the resident will be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (prescribed supplements. The home should not be giving supplements without a GP's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (involvement.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (The manager said that recently a resident wanted to go for a walk, staff felt that she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (was unsafe as she was unsteady so asked her to wait and went with her as soon as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (they had time. They felt that she should not go out unaccompanied. We advised the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (manager to carry out a risk assessment to see whether this was the case and to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (discuss this with her. Where a residents rights may be restricted, staff must look at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (resident's ability to make a decision about this and follow a 'best interests pathway' if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (the resident may not be able to make an informed decision about a particular issue.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (Residents have access to appropriate health services. There are visits when needed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (and from the GP and District Nurse's and records are kept of these. Records showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (involvement of the chiropodist, opticians and GP's.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (One of the residents case tracked had been involved in an accident/incident where )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (another resident had injured her. The home had not informed anyone of this incident. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (A report showed a similar incident where the case tracked resident had hit another )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (resident. It was not clear if injuries were sustained. Reports on residents do not seem )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (to be always described accurately so it is not always clear how serious the injury is. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (Where a resident is injured by another the home should inform social services of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (incident and of the actions the home has taken to reduce the risk of further injury so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (that residents are kept safe.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (Case tracked residents had not had any accident relating to falls. Other people had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (occasionally fallen in the home. The manager audited falls to see if any lessons could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (be learnt or accidents reduced if accidents/falls occurred.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (Staff are familiar with residents needs and residents are satisfied with the care and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (support they receive. We observed care at the home sitting in the lounge before and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (during lunch, where we could observe the dining room and when walking around the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (building. Staff were kind and helpful with residents. Staff were knocking on doors )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (before entering and were respectful and pleasant with residents. Staff interaction was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (good with a lot of non verbal communication, touching gently, smiling and eye contact )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (from staff. Residents were moved carefully and where possible supported to walk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (slowly and carefully rather than simply putting the resident into a wheelchair for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (speed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (Residents spoken to were complimentary about staff support and attitudes, said staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (were kind and willing to help and that they were happy in the home. Satisfactory and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (careful moving and handling were occurring the home. One resident who often had a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (short stay at the home was very complimentary about staff and said he enjoyed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (coming to Grimsargh house. A relative said how good the home was, she added "I can )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (relax knowing that he is safe and well cared for". Another resident said,"I am very )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (settled and happy here. I like my room and the staff are nice.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Most medication administration was satisfactory with clear entering of medication and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (disposal of medication, appropriate signing in most cases and storage of medication. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (However one resident's care records showed that on several occasions she spat out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (her medication but on all but one of these occasions it was signed as administered. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (The manager said that this may be because it was partially spat out and then taken, if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (this is so it is not good practice. Records need to be clear and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (At the pharmacy inspection in November 2008 one of the recommendations was for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ('when required' medication to have additional guidance to help make sure the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (medication is used appropriately. This guidance has not yet been included and should )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (be.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (Residents said there were some activities offered including bingo, jigsaws and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (exercises but they would like more indoor activities including board games. There are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (some trips out offered but these are more popular in the warmer weather. Routines in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (the home are quite flexible and residents spoken to said that they can choose when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (they get up and go to bed and whether they want to join in activities. One resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (said, "It suits me here." Another resident added, "We are very comfortable.")Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (The lunchtime meal was observed. This looked hot and was well presented. Special )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (diets are provided as needed. The menu was seen which showed a varied diet was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (offered. A resident said, "The food is lovely and I like it here." another resident added, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm ("The food is very nice, always good".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (Relatives said they are always made welcome in the home and staff encourage people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (to visit. All current residents are White English or Irish and are nominally Christian or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (have no religious persuasion. Residents who want to can see the ministers of their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (choice. Residents spoken to said they knew who to complain to if they had any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (concerns. There have been no complaints to the home since the last inspection but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (some concerns were made anonymously about care of residents to social services. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (manager said that these were checked by a representative from social services but the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (representative was satisfied that staff were providing appropriate care. Residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (spoken to said they were happy and that staff listen to them. They added that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (could talk to staff if they were not happy about something.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (Some staff have received safeguarding adults training and have an understanding of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (the action to be taken if they are alerted to a safeguarding issue. Other newer staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (still need to have this training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (We toured the home and found the environment comfortable, homely, clean and tidy. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (Residents said the home was comfortable and homely. The home was clean and fresh )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (smelling.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (Aids and adaptations are in place to help residents get about more easily and to be as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (safe and as independent as they can be.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (A lot of the staff have worked in the home for several years and there is only a small )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (staff turnover. Having a stable staff team ensures that staff are familiar with residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (and their care needs and residents know the people caring for them. Staff rotas )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (showed sufficient staff on duty doing the inspection. Residents spoken to felt that )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (there were sufficient numbers of staff on duty to provide care when they wanted it. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (There are usually four care staff on duty in a morning and three care staff in an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (afternoon with two waking and a sleep in staff at night.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (Staff recruitment records were checked. The records of three members of staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (checked. The application form did not show a complete work history for any applicant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (checked, showing only more recent employment and either only the year of change of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (employment or no dates of employment changes. The reason for leaving previous jobs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (was not recorded either. All prospective staff should provide a complete working )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (history from first job to present job with dates including the month and year of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (changes of employment to reduce the risk of employing anyone who should not work )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (with vulnerable people. The manager should also show that she knows the reason )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (prospective staff left any jobs working with vulnerable adults and has explored any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (gaps in the employment history of prospective members of staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (All staff had PoVA checks before commencing employment and CRB checks soon after. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (This helps to reduce the risk of unsuitable people working with vulnerable adults. Two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (staff files showed two written references in place but one only showed one reference. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (The manager said that the member of staff had two references but she could not find )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (one of them. References must be available on inspections so it is clear that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (recruitment and selection of staff is carried out safely. The relationship between the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (applicant and referee was not clear on some references. This information should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (recorded so that the home can evaluate the usefulness of the reference.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (Most care staff employed have completed National Vocational Qualification \(NVQ\) level )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (2 training and some of them are starting NVQ level 3 training soon. NVQ's are national )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (awards in care that enable staff to gain up to date skills and knowledge about current )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (care practice.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (Staff training records were seen. Records seen showed that there was a variety of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (training available to staff. Staff spoken to said they had completed food hygiene/safety )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (in catering, COSHH training, infection control, basic first aid and health and safety. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (home changed ownership in 2007. Staff said they felt the change of ownership had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (been positive for the home. Staff spoken to said they feel well supported by the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (manager who was promoted internally and was previously the deputy manager. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (has been the manager of the home since August 2008 and has started the leadership )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (and management award which is a national award which provides skills and knowledge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (to managers and senior staff in running a service effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (The manager has applied to the commission to become the registered manager of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (home as required by the care homes legislation. The manager advised us that she had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (not been involved in any of the management of the home until the previous manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (left and was still familiarising herself with the paperwork. There are several areas need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (urgent attention and improvement, these include assessment, care planning and risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (assessment and staff recruitment and selection. If this had been a key inspection these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (issues would have affected the rating of the home. Systems are in place for quality )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (assurance. There are some staff meetings and residents meetings and the manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (wants to make these more frequent. The owners visit the home at least monthly. they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (look around the home and speak to staff and residents and complete a report about )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (the quality of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 134.22 w 31.2 745.42 m 563.65 745.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 677.18 m 565.85 677.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 676.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 676.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (Staff training ensuring the home remains safe is in place with staff having regular fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (safety and moving and handling training. The fire safety information is up to date. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (fire risk assessment is in place and there are regular fire alarm and emergency light )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (checks and health and safety checks are in place and records kept.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (Record keeping on care records and medication practice and record keeping need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (improvement. There are regular regulation 26 visits and reports are completed on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (these visits.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 659.11 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 659.11 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 239.28 w 31.2 528.28 m 563.65 528.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 649.05 m 565.85 649.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.52 m 565.85 407.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 650.13 m 30.07 406.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 650.13 m 564.78 406.44 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (The residents in this home are well cared for. We observed staff chatting to residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (frequently. Staff were cheerful and friendly as they went about their duties and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (residents said how happy they were in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (Residents health needs are well met, district nurses visit if needed. Residents said they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm (are very happy in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (Routines in the home are flexible and residents spoken to said that they can choose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.22 Tm (when they get up and go to bed and whether the activities they want to do. Meals are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.64 Tm (varied and well presented. Residents said they like the meals.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 487.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.48 Tm (Residents said staff listen to them and act on any concerns. They said that if anything )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.9 Tm (bothers them they tell staff. The home is clean, tidy and homely making Grimsargh )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.32 Tm (House a pleasant, comfortable place to live.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 414.16 Tm (Staff said they receive a lot of training. This increases staff skills and knowledge. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 387.2 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 314.23 w 31.2 220.02 m 563.65 220.02 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 378.26 m 565.85 378.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 565.85 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 379.34 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 379.34 m 564.78 60.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 362.07 Tm (Staff must assess residents or have information on residents about their care and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.49 Tm (support needs before admitting a resident to the home, so they can care for residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 332.91 Tm (effectively)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.75 Tm (Care plans, risk assessments and other relevant information must be in place )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.17 Tm (otherwise information about a residents care may be missed or forgotten or may not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.59 Tm (be passed on appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 245.43 Tm (Staff need to involve the resident and other professionals when deciding about care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.85 Tm (issues, so that issues are discussed and decisions are clear to everyone.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 216.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 201.69 Tm (Medication management should be looked at so that residents are given their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.11 Tm (medication hygienically and it is correctly recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.95 Tm (Prospective staff need to have a full working history so that staff are aware of their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 143.37 Tm (past work experience and can identify any gaps in employment. Two written )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 128.79 Tm (references need to be in place before the person starts working at the home and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.21 Tm (available for checking at inspection. This makes it less likely that people who should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.63 Tm (not work with vulnerable residents can gain employment in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 70.47 Tm (All staff should have training on safeguarding adults so staff know how to protect )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 31.2 803.74 m 563.65 803.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 793.82 m 565.85 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 792.75 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (residents well. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 777.76 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 777.76 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 761.76 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 769.89 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 671.79 m 566.2 671.79 l S 0.001 w 30.3 w 31.2 619.8 m 91 619.8 l S 0.001 w 30.3 w 93.25 619.8 m 197.4 619.8 l S 0.001 w 30.3 w 199.65 619.8 m 289.5 619.8 l S 0.001 w 30.3 w 291.75 619.8 m 473.9 619.8 l S 0.001 w 30.3 w 476.15 619.8 m 566.2 619.8 l S 0.001 w 1 1 1 RG 20.58 w 31.2 592.11 m 91.05 592.11 l S 0.001 w 20.58 w 93.3 592.11 m 197.4 592.11 l S 0.001 w 20.58 w 199.65 592.11 m 289.45 592.11 l S 0.001 w 20.58 w 291.7 592.11 m 473.8 592.11 l S 0.001 w 20.58 w 476.05 592.11 m 566.1 592.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 604.6 m 30.07 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 604.6 m 567.22 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.3 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 604.6 m 92.17 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 604.6 m 198.52 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 604.6 m 290.57 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 604.6 m 474.92 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 707.5 m 568.4 707.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.4 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 580.69 m 568.3 580.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 708.58 m 30.07 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 637.15 m 92.12 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 637.15 m 198.52 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 637.15 m 290.62 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 637.15 m 475.02 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 708.58 m 567.32 602.45 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 690.3 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 671.88 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 657.3 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 657.3 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 657.3 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.72 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 642.72 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 624.9 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 621.9 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 621.9 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 621.9 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 621.9 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 609.75 Tm (action)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 594.97 m 566.2 594.97 l S 0.001 w 30.3 w 31.2 544.2 m 91 544.2 l S 0.001 w 30.3 w 93.25 544.2 m 197.4 544.2 l S 0.001 w 30.3 w 199.65 544.2 m 289.5 544.2 l S 0.001 w 30.3 w 291.75 544.2 m 473.9 544.2 l S 0.001 w 30.3 w 476.15 544.2 m 566.2 544.2 l S 0.001 w 1 1 1 RG 125.64 w 31.2 463.98 m 91.05 463.98 l S 0.001 w 125.64 w 93.3 463.98 m 197.4 463.98 l S 0.001 w 125.64 w 199.65 463.98 m 289.45 463.98 l S 0.001 w 125.64 w 291.7 463.98 m 473.8 463.98 l S 0.001 w 125.64 w 476.05 463.98 m 566.1 463.98 l S 0.001 w 169.38 w 31.2 314.22 m 91.05 314.22 l S 0.001 w 169.38 w 93.3 314.22 m 197.4 314.22 l S 0.001 w 169.38 w 199.65 314.22 m 289.45 314.22 l S 0.001 w 169.38 w 291.7 314.22 m 473.8 314.22 l S 0.001 w 169.38 w 476.05 314.22 m 566.1 314.22 l S 0.001 w 154.8 w 31.2 149.88 m 91.05 149.88 l S 0.001 w 154.8 w 93.3 149.88 m 197.4 149.88 l S 0.001 w 154.8 w 199.65 149.88 m 289.45 149.88 l S 0.001 w 154.8 w 291.7 149.88 m 473.8 149.88 l S 0.001 w 154.8 w 476.05 149.88 m 566.1 149.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 400.04 m 568.3 400.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.41 m 568.3 228.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.04 m 568.3 400.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.41 m 568.3 228.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 71.36 m 568.3 71.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 581.7 Tm (Regulations 2001 and the National Minimum Standards. 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(residents needs and know )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.68 Tm (that they can meet them.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 511.74 Tm (23/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 383.85 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 383.85 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 383.85 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.85 Tm (All residents must have a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.27 Tm (care plan, risk assessments )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.69 Tm (and other relevant )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.11 Tm (documents completed by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.53 Tm (home looking at all areas of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.95 Tm (care)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 278.79 Tm (so that staff have up to date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.21 Tm (accurate written information )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 249.63 Tm (in place so that nothing is )Tj ET /F1 12 Tf BT 1 0 0 1 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Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (0845 015 0120)Tj ET /F1 20 Tf BT 1 0 0 1 308.99 448.23 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 336.71 448.23 Tm (0191 233 3323)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (0845 015 2255)Tj ET /F1 20 Tf BT 1 0 0 1 311.31 416.57 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 339.03 416.57 Tm (0191 233 3588)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.csci.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. 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