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(2)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 Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 (Carr Bank House)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 (9-11 Heywood Street )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Bury)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Lancs)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (BL9 7EB)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 (01617977130)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 (01617631747)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 597.97 Tm (jocarrbank@btconnect.com)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 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 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 568.1 485.46 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 568.1 508.29 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 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 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 (Mrs Pauline Jones)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (14)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 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 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 351.68 m 297.25 351.68 l S 0.001 w 35.16 w 299.5 351.68 m 429.25 351.68 l S 0.001 w 35.16 w 431.5 351.68 m 565.9 351.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 331.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 95.4 w 32.32 262.65 m 564.77 262.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 289.77 m 567.8 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.37 m 568.1 252.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 312.61 m 567.8 312.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.77 m 568.1 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.37 m 568.1 252.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.96 m 568.1 214.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 313.68 m 30.07 213.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 313.68 m 566.72 213.88 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 296.42 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.59 Tm (The home is registered for a maximum of 14 service users, in the category of Adults )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 259.01 Tm (with Mental Disorder \(MD\) under 65 years of age.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 236.18 Tm (The service should employ a suitably qualified and experienced manager who is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 221.6 Tm (registered with the Commission for Social Care Inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 200.16 m 315.25 200.16 l S 0.001 w 1 1 1 RG 20.58 w 317.5 200.16 m 346.55 200.16 l S 0.001 w 20.58 w 348.8 200.16 m 377.9 200.16 l S 0.001 w 20.58 w 380.15 200.16 m 409.2 200.16 l S 0.001 w 20.58 w 411.45 200.16 m 440.55 200.16 l S 0.001 w 20.58 w 442.8 200.16 m 471.9 200.16 l S 0.001 w 20.58 w 474.15 200.16 m 503.2 200.16 l S 0.001 w 20.58 w 505.45 200.16 m 534.55 200.16 l S 0.001 w 20.58 w 536.8 200.16 m 565.9 200.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 211.58 m 568.1 211.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.75 m 568.1 188.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 212.66 m 30.07 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 212.66 m 316.37 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 212.66 m 347.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 212.66 m 379.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 212.66 m 410.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 212.66 m 441.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 212.66 m 473.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 212.66 m 504.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 212.66 m 535.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 212.66 m 567.02 187.67 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 195.4 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 195.4 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 195.4 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 176.88 m 565.9 176.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 167.25 m 568.1 167.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 168.33 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 168.33 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.5 m 568.1 186.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.25 m 568.1 167.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 187.58 m 30.07 166.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 187.58 m 567.02 166.17 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 173.32 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 173.32 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 154.07 Tm (Carr Bank House is a privately owned care home for 14 adults with mental health )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 137.07 Tm (needs. There has been no change in relation to the weekly fees. These are 365.00 )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 120.07 Tm (pounds per week. However this may vary depending on the person's level of assessed )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 103.07 Tm (need. The home is located in a residential area, close to Bury town centre, within easy )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 86.07 Tm (reach of buses and trams, shops, cafes, and other local amenities.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 69.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 52.06 Tm (The house consists of 2 adjoining properties that have been adapted to form a large )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 30.07 712.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 712.77 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 28.99 713.85 m 568.1 713.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (house. There is a small garden at the front and a large enclosed garden at the side. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (There are 12 single rooms and one double. Three bedrooms also have en-suite )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (facilities. There are 2 lounges, an activities room, and a dining room. )Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 \(The Care Quality Commission\) undertook a visit to the home to check if the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (requirements made from the last inspection of the 8/12/2009 had been complied with. 2 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (inspectors and 1 pharmacy inspector undertook the inspection visit. The pharmacy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (inspector was needed because of the serious concerns that were identified on the last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (inspection around the management of medicines. We spent 11 and 1/2 hours at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (home to check if the following had been actioned as required:)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 (Requirement: Care plans must detail the health and social care needs of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (We asked for the same care plans that we had looked at on the last inspection to see if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (any improvements had been made. We were shown 2 care plans that were in the process )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (of being rewritten. Whilst there had been some improvement in the information in 1 of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (them, it did not give enough information and detail to show how this persons' needs were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (to be fully met. This resident had been prescribed food supplements to help gain weight. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (There was nothing in the care plan to show that these had been prescribed and how often )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (they were to be given. A special diet had also been prescribed following his discharge )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (from hospital but we saw no detail, either in the care plan or in the kitchen, of the sort of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (foods to be provided. The other care plan that had been rewritten was not dated and not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (signed. Care records need to be dated and signed so that they show an accurate and up )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (to date record of the resident's condition at any one time. 2 other care plans that we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (looked at had not been updated since the last inspection. We asked to see the care plan )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (of one of the residents whom we identified on the last inspection as having some serious )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (problems. The manager told us that she was updating this care plan. We then asked if we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (could see the previous care plan but were told by the manager that it was not in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (home. We also, later on in the evening, asked the care assistant if there was yet a care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (plan in the home for this resident and were told that there was not. The requirement had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (not been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (Requirement: Staff must make sure that any risk to the health and safety of the residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (is identified and action taken to reduce or stop any identified hazard.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (From inspection of the care records that we looked at and observation of practices within )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (the home we saw that there were hazards that could cause a risk to the health and safety )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (of the residents and people working in, or visiting the home. 2 of the files that we looked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (at identified that the residents had unpredictable behaviour but there were no risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (assessments to reduce or manage the risks. 1 resident was at risk of self harm but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (despite a very recent incident occurring, no risk assessment was in place. Risk )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (assessments were not in place to show if it was safe for a resident to go out alone. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (Residents were smoking throughout the home including their bedrooms but there were no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (risk assessments for this hazard. Some of the hot radiators that were very close to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (residents' beds were not guarded. During the last inspection the manager was required to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (do a risk assessment for these until guards could be fitted. This had not been done. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (saw there was a risk asessment in a file that was initially completed on the 15/2/2008 )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (and the date had been changed to the 15/12/2009 however no changes had been made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (on the assessment in the last 12 months. The requirement had not been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (Requirement: A more varied menu must be provided that is nutritious and offers choice. )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 (Special diets must also be provided for.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (The food stocks were totally inadequate. We were so concerned about the lack of food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (within the home that we issued an immediate requirement document requiring the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (management to provide enough food by 7pm that evening so that the dietary needs of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (the residents could be met. We also took photographs to show the minimal food stocks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (that were available. The immediate requirement was met that evening. The menus )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (remain unchanged. There is very little choice of menu. Cereal or toast remains on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (menu for breakfast. No dessert is offered at lunch. We saw that 1 resident was eating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (beans on toast later than everybody else. This had been left in the oven to keep warm )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (and had solidified. Food was not being stored correctly. 1 meal of chips and minute steak )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (muffin had been plated up and put into the fridge whilst still hot. There was condensation )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (on the cling film covering it. 3 of the residents needed special diets for medical reasons )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (but we saw no evidence to show that they were being provided. The requirement had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Requirement: Protective clothing must be worn when preparing and serving food. We saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (the staff who were in the kitchen or preparing food wearing their everyday clothes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Staff continued to wear their own clothes with no protective clothing. We saw that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (throughout the day there was a steady stream of people entering the kitchen. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (requirement was not complied with.)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 (Requirements: All medicines must be stored safely and securely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (There must be an effective auditing process in place to ensure that managers are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (confident that medicines are being handled safely.)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 (Effective arrangements must be put in place at the home to ensure that all medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (records regarding receipt, administration and disposal are completed accurately.)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 (There must be effective systems in place to ensure staff that handle medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (trained in medicines handling and are competent to do so safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Effective arrangements must be put in place at the home to ensure that all medication is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (administered to residents in exact accordance with the prescriber's directions.)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 (During the inspection the specialist pharmacist inspector looked at how well medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (were handled to make sure that residents were being given their medicines properly. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (was because at the previous inspection we found that the systems of medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (management were unsafe.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (Very few improvements had been made to make sure that medicines were managed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (safely. One member of staff was responsible for managing medication on the day of our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (visit and she made sure that she kept the key on her at all times. An order for a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Controlled Drug Cupboard had been made since the last inspection, it had not yet arrived. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (It is a legal requirement to have one. The medicines containers in the storage baskets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (had been tidied up. The manager told us she had held staff meetings to talk about the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (importance of safe medicines handling.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (The storage arrangements for medication were unsafe. Currently prescribed medication )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 (was stored in a locked wooden cupboard. Medication which was waiting to be collected for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (destruction had been placed in open top crates on the floor of the staff office which was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (locked by means of a key pad. All staff had access to the office and residents came into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (the office to take their medication. There was no medication fridge available to store )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (medication which might need cold storage. During the inspection we found a bottle of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (liquid medication for epilepsy had been left in the kitchen. All residents and staff had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (access to the kitchen at all times.)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 (Records about medication administration were poor and did not always show exactly what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (medication had been given residents or the time it had been given. We looked at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Medication Administration Record sheets \(MARs\) for all residents from the previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (month. There were gaps on every record where staff had failed to sign to show if they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (had given or omitted medication. We compared the medication in the home with the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (records and found that on some occasions medication had been signed for as given but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (was still in the container. Or medication was not in the container and records had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (been signed to show it had been given. There were a number of alterations and crossings )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (out on the MARs making it difficult to tell if medication had been given or not. There were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (also symbols used on the records such as F, S ,O and stars which were not explained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (making it difficult to tell if medication had been given or not. During the inspection we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (saw staff give medication at a different time than was on the MARs but made no record of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (this time difference.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (The records about receipt of medication that had come into the home were poor and did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (not show that all medication was accounted for. The records for most medicines were so )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (poor that checks could not be made to find out if medication had been given as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (There was a record of medication to be returned to the pharmacy but it was not accurate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (as some medication which was in the crates awaiting collection for destruction had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (been recorded.)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 found that no changes had been made to the way medicines were ordered from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (doctor. The staff in the home still did not see what medication had been ordered by the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (GP.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (Other records about medication were still poor. No information recorded in the care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (for staff to follow about how to give medicines which were prescribed as a "variable dose" )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (or when medication was prescribed "when required". Some residents were given their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (medicines to look after when they were away from the home, but little or no information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (was recorded to show that it was safe for them to do so. We found records to show that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (residents did not want to look after their own medicine, but they were still given it to look )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (after. There were no records made of the medication which was given to residents to take )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (out or records of any checks done to see if they had taken their important medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (properly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (We found that residents were not always given their medication as prescribed or at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (time it was prescribed. At the last inspection concerns were expressed that one resident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (may not have been given their contraceptive pill properly. At this inspection we had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (similar concerns. This lady's health could be at risk if the pill is not taken regularly. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (found that medication which had been discontinued had been given on three occasions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (after it had been stopped. Medication such as Epilim syrup, which should be given twice )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)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 (daily, was not given at the times it was prescribed. On one of the MARs staff wrote that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (the 8 pm dose of medication was given at 1am the following day and 2 days later, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (morning dose of medication was given just before midnight. When medication is not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (taken properly residents' heath is placed at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We watched staff give medicines to some residents and we observed poor practice. Staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (placed the medication into their own hands and gave it to the residents in their hands. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (This is unhygienic; a medication pot should be used to minimize risk.)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 the manager for the policies and procedures about medicines. We were given )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (two policies about self medication but neither was being followed. There was a policy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (about homely remedies, to enable residents to be given medicines that could be brought )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (over the counter such as Paracetamol. However there was no stock of this type of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (Staff told us that they gave people their medication in envelopes and other unmarked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (containers to take out with them when they are away from home. This is very poor )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (practice as medication should not be removed from the packaging it is dispensed in, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (avoid getting it mixed up or people taking the wrong medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (The manager told us that she had not made any checks, audits, since the last inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (in December 2009 to find out if medication was being handled safely by the staff. She )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (also told us that staff had not received any medication training nor had their ability to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (handle medication safely checked since the December inspection despite serious concerns )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (that medication handling was unsafe. There was no evidence to show that some staff had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (ever had medication training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (None of the requirements made after the last inspection had been met. Residents' health )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (remains at risk of harm due to unsafe systems of medicines management.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (Requirement: A complaints procedure must be in place and a copy supplied to every )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (resident and to any person acting on their behalf.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (We saw that the manager had started to copy the complaints procedure so that it could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (be given out to the residents at the home. It did not however have the correct )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (information in it. We then asked to see the Statement of Purpose and the Service User )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (Guide as we had been told previously that this had been updated. These documents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (should contain the Complaints Procedure. We asked 3 times to see these documents and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (then we were told that they were still on the computer and the computer was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (working. Requirement not complied with.)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 (Requirement: The unguarded radiators must be covered or low surface temperature )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (radiators fitted.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (The radiators had not been covered, however the time scale for action of the 29/01/2010 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (had not expired.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Requirement: The remaining bedrooms must be redecorated and refurbished.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Some bedrooms had been refurbished but not all, however the time scale for action of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (the 29/01/2010 had not expired.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Requirement: Adequate lighting must be provided.)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 requirement had not been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (Requirement: The lounge furniture must be thoroughly cleaned or replaced.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (The requirement had not been complied with.)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 (Requirement: The home must be kept secure.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (Throughout the day we saw that the front and back doors were left wide open on many )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (occasions. The requirement had not been complied with.)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 (Requirement: The shower tray must be fitted in the shower room.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (The tray had not been fitted. It remained in the protective covering. The requirement had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (not been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Requirement: The upstairs bathrooms must be redecorated and refurbished.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (The requirement had not been complied with.)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 (Requirement: People must smoke in the designated smoking area only and risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (assessments in relation to smoking must be undertaken.)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 saw residents smoking throughout most areas of the home. The requirement had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (Requirement: Adequate staff must be provided.)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 (The inadequate staffing levels remain unchanged. The requirement had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Requirement: Management must demonstrate to us that all staff are to be provided with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (all mandatory training and training specific to the needs of the residents.)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 (We were not shown any evidence of this. The requirement had not been complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (Requirement: The registered person must ensure that the care home is conducted in such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (a way as to promote and make proper provision for the health and welfare of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (residents.)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 (The care home is not conducted in such a way as to promote the health and wellbeing of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (the residents. The serious issues that we identified in relation to the medication system )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (and the failure to meet the requirements of the last inspection evidence this.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Requirement. Any incidents which may affect the well being of the residents must be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (reported to us.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (Management are required to send us notifications about any serious incidents that affect )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 192.54 w 31.2 688.96 m 580.26 688.96 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 28.99 591.56 m 582.46 591.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 590.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 590.48 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (the wellbeing of the residents. There have been 2 serious incidents that we have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (made aware of and neither have been reported to us.)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 (During the course of this inspection we seized copies of the daily report books. On further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (scrutiny of them we found that in 1 instance the staff were made aware of a serious )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (incident involving the safety and welfare of 1 of the residents but failed to seek timely )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (medical assistance. We also identified that according to the medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (sheet, 1 of the residents had not been given his medicines as regularly as he should have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (been. Shortly after the omission of his medications he was admitted to hospital having )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (had a fit/seizure. The fits occurred on 2 occasions following omissions of medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (These are of serious concern and have been reported as safeguarding incidents to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (local safeguarding adults coordinator.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 573.49 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 1 175.95 573.49 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 537.43 m 580.26 537.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 563.42 m 582.46 563.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 511.43 m 582.46 511.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 564.5 m 30.07 510.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 564.5 m 581.38 510.36 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm (The residents that we spoke to told us that they were happy and liked living there.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm (The residents are able to please themselves about how they spend their day.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 491.11 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 438.5 w 31.2 261.8 m 580.26 261.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 482.17 m 582.46 482.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 483.25 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 483.25 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 465.99 Tm (The majority of the requirements from the last inspection remain outstanding. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.41 Tm (manager and provider must address the requirements. These were issues in relation to:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 422.25 Tm (Care plans that still do not give enough information about the current and changing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 407.67 Tm (needs of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 393.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 378.51 Tm (Medical assistance must be summoned immediately when there is a risk to the health and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 363.93 Tm (welfare of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 349.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.77 Tm (The absence of risk assessments in relation to the hazards that could cause a risk to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.19 Tm (health and safety of the residents and people working in or visiting the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 291.03 Tm (The lack of training for the staff in areas such as challenging behaviour, medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 276.45 Tm (management and the management of clinical and mental health conditions.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 261.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.29 Tm (The environment, which remains poor in the majority of areas.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.13 Tm (In addition the manager and provider need to ensure that: The menus improve. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.55 Tm (menus offer very little choice of food. The meals are not varied and balanced. Some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 188.97 Tm (special diets are not catered for.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (Infection control procedures need to be adhered to, especially in the food preparation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (areas. This will help to prevent or reduce the spread of infection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (All areas of medication handling are unsafe. Good quality policies and procedures must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm (in place to help staff handle medicines safely. Medication must be stored safely and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (securely at all times and in appropriate cabinets which meet current legislation. Records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (about all aspects of medication must be clear and accurate to show that medication is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (given properly and can all be accounted for. Details about how to give medication )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 294.6 w 31.2 637.92 m 580.26 637.92 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 28.99 489.5 m 582.46 489.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 488.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 488.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (prescribed as "when required" or as a variable dose must be recorded so staff can give )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (medicines safely and consistently. Full assessments of risk must be recorded for people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (who look after some or all of their own medication some or all of the time. The unsafe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (practice of giving people medicines to take out in envelopes and other unlabeled )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (containers must stop at once. All medication must be given as prescribed: this includes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (giving medication at the correct times and in the correct doses. Staff who handle )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (medication must be properly trained and must be assessed as competent to administer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (medication safely. Unsafe medication practices put residents' health and wellbeing at risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (from harm.)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 (Management must make sure that a complaints procedure is in place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (residents know who to complain to and to assure them that their concerns will be listened )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (to. Enough staff must be provided at all times so that the assessed needs of the residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (are met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (The management must ensure the security of the residents and staff within the home.)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 (Management must ensure that the residents and staff do not smoke in non designated )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (smoking areas. It is a fire risk and is not in accordance with the law.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 473.44 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 473.44 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 457.44 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)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 (5)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 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 125.64 w 31.2 513.4 m 91.05 513.4 l S 0.001 w 125.64 w 93.3 513.4 m 197.4 513.4 l S 0.001 w 125.64 w 199.65 513.4 m 289.45 513.4 l S 0.001 w 125.64 w 291.7 513.4 m 473.8 513.4 l S 0.001 w 125.64 w 476.05 513.4 m 566.1 513.4 l S 0.001 w 140.22 w 31.2 378.22 m 91.05 378.22 l S 0.001 w 140.22 w 93.3 378.22 m 197.4 378.22 l S 0.001 w 140.22 w 199.65 378.22 m 289.45 378.22 l S 0.001 w 140.22 w 291.7 378.22 m 473.8 378.22 l S 0.001 w 140.22 w 476.05 378.22 m 566.1 378.22 l S 0.001 w 140.22 w 31.2 235.75 m 91.05 235.75 l S 0.001 w 140.22 w 93.3 235.75 m 197.4 235.75 l S 0.001 w 140.22 w 199.65 235.75 m 289.45 235.75 l S 0.001 w 140.22 w 291.7 235.75 m 473.8 235.75 l S 0.001 w 140.22 w 476.05 235.75 m 566.1 235.75 l S 0.001 w 120.84 w 31.2 102.97 m 91.05 102.97 l S 0.001 w 120.84 w 93.3 102.97 m 197.4 102.97 l S 0.001 w 120.84 w 199.65 102.97 m 289.45 102.97 l S 0.001 w 120.84 w 291.7 102.97 m 473.8 102.97 l S 0.001 w 120.84 w 476.05 102.97 m 566.1 102.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 449.45 m 568.3 449.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 306.98 m 568.3 306.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.51 m 568.3 164.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.45 m 568.3 449.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 306.98 m 568.3 306.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.51 m 568.3 164.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 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 34.05 645.7 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 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 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 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Care plans must detail the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (health and social care needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (of the residents. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.84 Tm (So that the current and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.26 Tm (changing health and social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.68 Tm (care needs of the residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.1 Tm (can be met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 433.27 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 433.27 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 433.27 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.27 Tm (Information recorded on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.69 Tm (care plan should reflect the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.11 Tm (current and changing needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.53 Tm (of people. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 357.37 Tm (Without this information )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 342.79 Tm (there is no assurance their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.21 Tm (needs and wishes will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.63 Tm (met. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 433.27 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 290.8 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 290.8 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 290.8 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.8 Tm (Staff must make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.22 Tm (any risk to the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.64 Tm (safety of the residents is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.06 Tm (identified and action taken to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.48 Tm (reduce or stop any identified )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.9 Tm (hazard. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.74 Tm (To ensure the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.16 Tm (safety of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 290.8 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 148.33 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 148.33 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 148.33 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.33 Tm (Comprehensive risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.75 Tm (assessments need to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.17 Tm (reviewed and updated )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.59 Tm (ensuring information is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 90.01 Tm (accurate. Where additional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.43 Tm (concerns have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.85 Tm (identified these too should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 46.27 Tm (included.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 148.33 Tm (30/09/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 78.9 w 31.2 641.79 m 91.05 641.79 l S 0.001 w 78.9 w 93.3 641.79 m 197.4 641.79 l S 0.001 w 78.9 w 199.65 641.79 m 289.45 641.79 l S 0.001 w 78.9 w 291.7 641.79 m 473.8 641.79 l S 0.001 w 78.9 w 476.05 641.79 m 566.1 641.79 l S 0.001 w 140.22 w 31.2 529.98 m 91.05 529.98 l S 0.001 w 140.22 w 93.3 529.98 m 197.4 529.98 l S 0.001 w 140.22 w 199.65 529.98 m 289.45 529.98 l S 0.001 w 140.22 w 291.7 529.98 m 473.8 529.98 l S 0.001 w 140.22 w 476.05 529.98 m 566.1 529.98 l S 0.001 w 96.48 w 31.2 409.39 m 91.05 409.39 l S 0.001 w 96.48 w 93.3 409.39 m 197.4 409.39 l S 0.001 w 96.48 w 199.65 409.39 m 289.45 409.39 l S 0.001 w 96.48 w 291.7 409.39 m 473.8 409.39 l S 0.001 w 96.48 w 476.05 409.39 m 566.1 409.39 l S 0.001 w 154.8 w 31.2 281.49 m 91.05 281.49 l S 0.001 w 154.8 w 93.3 281.49 m 197.4 281.49 l S 0.001 w 154.8 w 199.65 281.49 m 289.45 281.49 l S 0.001 w 154.8 w 291.7 281.49 m 473.8 281.49 l S 0.001 w 154.8 w 476.05 281.49 m 566.1 281.49 l S 0.001 w 158.17 w 31.2 122.76 m 91.05 122.76 l S 0.001 w 158.17 w 93.3 122.76 m 197.4 122.76 l S 0.001 w 158.17 w 199.65 122.76 m 289.45 122.76 l S 0.001 w 158.17 w 291.7 122.76 m 473.8 122.76 l S 0.001 w 158.17 w 476.05 122.76 m 566.1 122.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 601.22 m 568.3 601.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 458.75 m 568.3 458.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 360.02 m 568.3 360.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.97 m 568.3 202.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.22 m 568.3 601.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 458.75 m 568.3 458.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 360.02 m 568.3 360.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.97 m 568.3 202.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (Providing staff with )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (information about the level )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (of support required so that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 610.11 Tm (people are kept safe.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 585.03 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 585.03 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 585.03 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.03 Tm (A more varied menu must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.46 Tm (provided that is nutritious )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm (and offers choice. Special )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (diets must also be provided )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (for.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (To ensure that the dietary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (and cultural needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (residents are met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 585.03 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 442.57 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 442.57 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 442.57 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.57 Tm (Protective clothing must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.98 Tm (worn when preparing and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.4 Tm (serving food.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (To help prevent/reduce the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (spread of infection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 442.57 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.83 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 343.83 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 343.83 Tm (12\(1\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.83 Tm (Accurate records must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 329.26 Tm (maintained with regards to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.67 Tm (peoples dietary needs as well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 300.1 Tm (as accurate monitoring of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.52 Tm (their weight ensuring they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.93 Tm (are supported fully and their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.36 Tm (health and well being is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.77 Tm (maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 343.83 Tm (30/08/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 186.79 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 186.79 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 186.79 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.79 Tm (Effective arrangements must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.21 Tm (be put in place at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.63 Tm (to ensure that all medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.04 Tm (records regarding receipt, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.46 Tm (administration and disposal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.89 Tm (are completed accurately. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.72 Tm (So that medicines can be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 67.14 Tm (fully accounted for to prevent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.56 Tm (mishandling. Records must )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 186.79 Tm (22/12/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (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 (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 61.32 w 31.2 650.59 m 91.05 650.59 l S 0.001 w 61.32 w 93.3 650.59 m 197.4 650.59 l S 0.001 w 61.32 w 199.65 650.59 m 289.45 650.59 l S 0.001 w 61.32 w 291.7 650.59 m 473.8 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31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (their behalf.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 650.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 636.28 Tm (So that people know how to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm (complain and action is taken )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (to listen to their concerns.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 582.03 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 582.03 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 582.03 Tm (18\(1\)13\(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.03 Tm (Arrangements should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm (made for staff complete )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (Safeguarding training in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (relation to the local authority )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (procedure so that they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (aware of the procedure to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (follow ensuring people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (kept safe.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 582.03 Tm (30/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.98 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 424.98 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 424.98 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.98 Tm (Each of the bathrooms are in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.4 Tm (need of redecoration and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.83 Tm (refurbishment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (so that they provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.08 Tm (comfortable, safe and clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.51 Tm (facilities for people to use. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 424.98 Tm (30/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.67 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 311.67 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 311.67 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.67 Tm (The sunken floor in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.1 Tm (downstairs shower room )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.52 Tm (need attention)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.35 Tm (so that people are not placed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.77 Tm (at risk and further damage to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.2 Tm (the property is prevented.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 311.67 Tm (30/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.37 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 198.37 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 198.37 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.37 Tm (Adequate lighting must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.79 Tm (provided.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 166.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.63 Tm (To ensure that the residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.04 Tm (are able to live in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.46 Tm (comfortable and homely. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.89 Tm (surroundings.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 198.37 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.06 Tm (21)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 85.06 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 85.06 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 85.06 Tm (The lounge furniture must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.47 Tm (thoroughly cleaned or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 55.9 Tm (replaced.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 85.06 Tm (04/01/2010)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 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Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.2 Tm (The remaining bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.61 Tm (must be redecorated and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.03 Tm (refurbished.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (For the well being and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (comfort of the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 614.2 Tm (29/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 515.47 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 515.47 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 515.47 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.47 Tm (The home must be kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.89 Tm (secure.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (To protect the residents and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.14 Tm (staff from harm)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 515.47 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.32 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 431.32 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 431.32 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 431.32 Tm (Risk assessments must be in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.73 Tm (place for those radiators that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.15 Tm (are close to the residents' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.58 Tm (beds.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.42 Tm (To reduce the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.83 Tm (accidental burning)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 431.32 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.01 Tm (25)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 318.01 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 318.01 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 318.01 Tm (Each of the bathrooms are in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 303.42 Tm (need of redecoration and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 288.85 Tm (refurbishment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.68 Tm (so that they provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 242.1 Tm (comfortable, safe and clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.52 Tm (facilities for people to use. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 318.01 Tm (30/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 204.7 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 204.7 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 204.7 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 204.7 Tm (The sunken floor in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 190.12 Tm (downstairs shower room )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 175.54 Tm (need attention)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.38 Tm (so that people are not placed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.79 Tm (at risk and further damage to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 114.21 Tm (the property is prevented.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 204.7 Tm (30/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.39 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 91.39 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 91.39 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 91.39 Tm (The unguarded radiators )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 76.81 Tm (must be covered or low )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 62.22 Tm (surface temperature )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 47.65 Tm (radiators fitted. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 91.39 Tm (29/01/2010)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (17)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 (22)Tj ET 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418.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 275.87 m 568.3 275.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.14 m 568.3 177.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 78.41 m 568.3 78.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 630.38 m 568.3 630.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.65 m 568.3 531.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.34 m 568.3 418.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 275.87 m 568.3 275.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.14 m 568.3 177.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 78.41 m 568.3 78.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 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 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (To reduce the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (accidental burning. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 614.2 Tm (28)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 614.2 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 614.2 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.2 Tm (The shower tray must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.61 Tm (fitted in the shower room.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm (To ensure that the residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (are provided with a safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (showering facility.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 614.2 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 515.47 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 515.47 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 515.47 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.47 Tm (The upstairs bathrooms must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.89 Tm (be redecorated and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.3 Tm (refurbished.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.14 Tm (So that they provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.57 Tm (comfortable, safe and clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.98 Tm (facilities for people to use.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 515.47 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.15 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 402.15 Tm (28)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 402.15 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.15 Tm (People must smoke in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.58 Tm (designated smoking area )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.99 Tm (only and risk assessments in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.42 Tm (relation to smoking must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.83 Tm (undertaken. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.67 Tm (To reduce the risk of fire and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.1 Tm (protect the health and safety )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.52 Tm (of the people in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 402.15 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 259.68 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 259.68 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 259.68 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.68 Tm (Rotas should be kept under )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 245.1 Tm (review )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.95 Tm (ensuring that sufficient )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.37 Tm (staffing are provided to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.79 Tm (the needs of the service. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 259.68 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 160.96 Tm (32)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 160.96 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 160.96 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 160.96 Tm (Adequate staff must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 146.38 Tm (provided.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 114.21 Tm (To ensure that the assessed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.64 Tm (needs of the residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 85.06 Tm (met at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 160.96 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 62.22 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 62.22 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 62.22 Tm (18\(1\)\(a\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 62.22 Tm (Staffing levels should be kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 47.65 Tm (under review ensuring staff )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 62.22 Tm (30/08/2008)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (18)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 (22)Tj ET 0.75294 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656.85 Tm (numbers at times which best )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (meet the needs of people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 567.46 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 567.46 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 567.46 Tm (19schedule 2)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.46 Tm (All relevant information and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (checks needs to be in place )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (before staff commence any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (work at the home ensuring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (people are not placed at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 567.46 Tm (30/08/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.14 Tm (35)Tj ET /F1 12 Tf BT 1 0 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(Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (evidencing the appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (action has been taken.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 614.2 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 614.2 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 614.2 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.2 Tm (Any incidents which may )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.61 Tm (affect the well being of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 585.03 Tm (residents must be reported )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.46 Tm (to us.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (To show that the appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (action has been taken.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 614.2 Tm (04/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.89 Tm (43)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 500.89 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 500.89 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.89 Tm (Any incidents, which occur )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.3 Tm (that may affect the )Tj ET /F1 12 Tf BT 1 0 0 1 414.97 486.3 Tm (well-)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.73 Tm (being)Tj ET /F1 12 Tf BT 1 0 0 1 327.53 471.73 Tm ( of people, must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.14 Tm (reported to the CSCI in line )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.57 Tm (with Regulation 37.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.4 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 500.89 Tm (30/09/2008)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 47 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 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742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 52 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 53 0 obj<> endobj 54 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 55 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 25 0 obj<> endobj 56 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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