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(4)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (1)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 (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 (White Lodge & St Helens 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 (15-17 Boscombe Spa Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Bournemouth)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Dorset)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (BH5 1AR)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 (01202395822)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 (01202569587)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 (wl-office@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 64.32 w 31.2 497.83 m 353.25 497.83 l S 0.001 w 1 1 1 RG 64.32 w 355.5 497.83 m 565.9 497.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 453.14 m 353.25 453.14 l S 0.001 w 1 1 1 RG 20.58 w 355.5 453.14 m 565.9 453.14 l S 0.001 w 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Higginson,Mrs )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 471.2 Tm (Carolin)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 448.36 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 448.36 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 425.54 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 425.54 Tm (54)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 406.59 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 363.14 m 564.47 363.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 375.68 m 567.8 375.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 352.86 m 567.8 352.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 398.52 m 567.8 398.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 375.68 m 567.8 375.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 352.86 m 567.8 352.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.02 m 567.8 330.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 399.59 m 30.07 328.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 376.76 m 298.32 328.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 353.93 m 432.52 328.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 399.59 m 566.72 328.95 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 382.33 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 359.5 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 359.5 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 336.67 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 336.67 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 307.95 m 297.25 307.95 l S 0.001 w 35.16 w 299.5 307.95 m 429.25 307.95 l S 0.001 w 35.16 w 431.5 307.95 m 565.9 307.95 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 326.65 m 568.1 326.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.24 m 568.1 289.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 327.73 m 30.07 288.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 327.73 m 298.37 288.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 327.73 m 430.37 288.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 327.73 m 567.02 288.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 310.46 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.89 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 310.46 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 310.46 Tm (54)Tj ET 0.95294 0.95294 0.95294 RG 57.99 w 32.32 237.62 m 564.77 237.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 246.04 m 567.8 246.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 268.86 m 567.8 268.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 246.04 m 568.1 246.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.63 m 568.1 208.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 269.94 m 30.07 207.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 269.94 m 566.72 207.55 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 252.68 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.85 Tm (One named person \(as known to the CSCI\) under the age of 65 may be accommodated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 215.27 Tm (to receive care.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 193.84 m 315.25 193.84 l S 0.001 w 1 1 1 RG 20.58 w 317.5 193.84 m 346.55 193.84 l S 0.001 w 20.58 w 348.8 193.84 m 377.9 193.84 l S 0.001 w 20.58 w 380.15 193.84 m 409.2 193.84 l S 0.001 w 20.58 w 411.45 193.84 m 440.55 193.84 l S 0.001 w 20.58 w 442.8 193.84 m 471.9 193.84 l S 0.001 w 20.58 w 474.15 193.84 m 503.2 193.84 l S 0.001 w 20.58 w 505.45 193.84 m 534.55 193.84 l S 0.001 w 20.58 w 536.8 193.84 m 565.9 193.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 205.25 m 568.1 205.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 182.42 m 568.1 182.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 206.33 m 30.07 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 206.33 m 316.37 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 206.33 m 347.67 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 206.33 m 379.02 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 206.33 m 410.32 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 206.33 m 441.67 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 206.33 m 473.02 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 206.33 m 504.32 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 206.33 m 535.67 181.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 206.33 m 567.02 181.34 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 189.07 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 170.54 m 565.9 170.54 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 160.92 m 568.1 160.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 162 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 162 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 180.17 m 568.1 180.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 160.92 m 568.1 160.92 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 30.07 181.25 m 30.07 159.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 181.25 m 567.02 159.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 166.99 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 166.99 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 147.74 Tm (White Lodge and St Helens House are adjoining properties with an extension that links )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 130.74 Tm (them on each level. The home is registered to accommodate fifty-four residents in the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 113.74 Tm (old age category. All residents have single bedrooms. The home is on sloping land and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 96.74 Tm (has four floors; lower ground, ground, first and second. There is a passenger lift. There )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 79.74 Tm (are pleasant well-maintained gardens at the rear of the property, but access is limited )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 62.74 Tm (by a steep path and steps.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 45.74 Tm ()Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 (The fees for the home range from 380 to 500 per week. Up to date details of fees )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (can be obtained from the home.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 428.82 w 31.2 519.67 m 580.26 519.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.21 m 582.46 735.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.14 m 582.46 304.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 736.28 m 30.07 303.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 736.28 m 581.38 303.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 719.02 Tm (This focused inspection was undertaken in order to view the home's progress towards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 704.44 Tm (meeting the requirements of the last key inspection which took place during September )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.86 Tm (2009 and determined the quality rating that this is a 0 star service, meaning that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 675.28 Tm (people who use the service experience poor quality outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 660.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.12 Tm (At the key inspection it was identified that the quality of daily life experienced by people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.54 Tm (living in the home, processes for staff employment, the standard of care practice and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.96 Tm (associated record keeping, infection control and the management of the home must be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.38 Tm (improved.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 573.22 Tm (This latest inspection took place over two days \(17 and 24 November 2009\) with both )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 558.64 Tm (visits being unannounced and both being carried out by 2 inspectors. The duration of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.06 Tm (inspection was 13 hours.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 529.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.9 Tm (The visit on 17 November 2009 included the carrying out of a Short Observational )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.32 Tm (Framework for Inspection \(SOFI\), because people with dementia and/or complex needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.74 Tm (and ways of communicating are not always able to reliably tell us about their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 471.16 Tm (experiences, we use this formal way to observe people and to help us understand their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 456.58 Tm (experience of life in the home. We observed up to five people for two hours and recorded )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 442 Tm (their experiences at regular intervals. This included their state of well being, and how )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 427.42 Tm (they interacted with staff members, other people who use services, and the environment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 398.26 Tm (At the end of the inspection visits feedback was given to the providers, describing our )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 383.68 Tm (findings, to enable them to develop and improve the service as necessary.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 369.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 354.52 Tm (During this inspection we identified serious concerns regarding the provision of care and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.94 Tm (the handling of medicines. Accordingly two Immediate Requirements for improvement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 325.36 Tm (were issued on 24 November 2009, and we made a referral for the safeguarding of all )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.78 Tm (residents to the local Social Services office.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 283.82 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 1 175.95 283.82 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 231.2 w 31.2 158.15 m 580.26 158.15 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 274.88 m 582.46 274.88 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 30.07 275.95 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 275.95 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 258.69 Tm (Residents are encouraged to maintain contact with the local community and visits by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.11 Tm (their friends and relatives are welcomed by the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 214.95 Tm (Staff are kind and considerate to the people in their care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 200.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 185.79 Tm (Staff have good relationships with the people living at the home and were seen to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 171.21 Tm (patient and encouraging.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 156.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 142.05 Tm (During the end of the morning of 17 November 2009, before lunch was served, residents )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 127.47 Tm (sat in the conservatory listening to music and during this period staff found some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.89 Tm (magazines for people to look at.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.73 Tm (There were reasonable levels of engagement whilst there were staff doing activities with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 69.15 Tm (people e.g. giving out magazines, putting on music and assisting residents with lunch.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.57 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 119.64 w 31.2 725.41 m 580.26 725.41 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 28.99 664.46 m 582.46 664.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 663.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 663.38 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Residents using wheelchairs were given the choice of staying in the wheelchair or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (transferring to a dining room chair.)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 meal was served to a table at a time so residents ate at the same time in a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (companionable manner.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (Staff explained to residents what was for lunch and encouraged them to eat and drink )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (independently.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 646.39 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 592.65 w 31.2 340 m 580.26 340 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 637.45 m 582.46 637.45 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 30.07 638.53 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 638.53 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 621.27 Tm (Care records)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 606.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 592.1 Tm (We examined records recently written for all people currently living at the home, and for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 577.53 Tm (5 of these people we examined care plans and other records in greater depth.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 548.36 Tm (We found that the standard of pre admission assessment is frequently poor, with only )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 533.78 Tm (minimal information being obtained in advance of the new resident arriving in the home, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 519.21 Tm (and some of this information was contradictory and thereby unhelpful in guiding staff in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 504.63 Tm (their work with the new residents. For example, for one person the pre admission )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 490.05 Tm (assessment provided contradictory information for a number of essential aspects, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 475.46 Tm (including the person's mental health and hearing ability, and thereby, when the person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 460.89 Tm (arrived in the home staff were without reliable information upon which to base their care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.3 Tm (of the person.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 417.14 Tm (For another person the pre admission assessment states the person has heart disease for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.57 Tm (which no treatment is ongoing, but the risk assessment written only 9 days later states )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.98 Tm ("Has a history of heart conditions, ensure X receives the care required for these )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 373.4 Tm (conditions". The care plan provides no further information to assist staff in this aspect.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 344.24 Tm (For both these people, it appears probable that on their arrival in the home, staff did not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 329.67 Tm (have enough information about their needs and circumstances to ensure they were able )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.08 Tm (to properly care for them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.92 Tm (The key inspection of September 2009 identified significant weaknesses in care planning, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm (invariably because the plans were reviewed only annually, so failed to reflect recent )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (changes in need and circumstance. Accordingly the home has decided to change the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm (format of care plans and work is currently ongoing to transfer all care plans to the new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm (format. However, during this process it nonetheless remains necessary for staff to have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (available to them accurate and up to date information about the people in their care, but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (for some of the people whose records we examined this was not the case.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm (For example, the care plan of a person with serious wounds which receive the attentions )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (of a visiting District Nurse does not describe the wounds, nor the necessity for staff of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (home to administer pain controlling medicines shortly in advance of the planned arrival of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (the nurse, so that the pain incurred by treatment is minimised. The medicine record of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (this person also omits reference to the Controlled Drug which staff of the home told us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (has been prescribed for this purpose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (For a different person there is no care plan reference to the pain control which was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (prescribed following a recent fall, and although daily records frequently describe the )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 (person as being in great pain, sometimes shouting and crying with the severity of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (discomfort, from examination of records and discussion with the managers and senior )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (care staff, it appears that the prescribed medicines were never received into the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (and thereby have not been administered to relieve the pain.)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 (Daily records are frequently unclear, conflicting and thereby unreliable e.g. for one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (person on consecutive dates there was frequently no information recorded, except to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (state that person was asleep, although one entry indicates concern that the resident may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (not be eating adequately, and is therefore to receive nutritional supplements. A record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (written some days later briefly states that the person has lost body weight during the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (past month, and therefore should receive a nutritional supplement with a record of each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (occasion this is given, but the records fail to address this and provide no further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (information in these regards.)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 (Medicines)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 (We examined recent and current medicine administration records \(MARs\) and identified a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (high level of concern.)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 (At the time of our visits 46 people were living in the home. The MARs of 30 of these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (people indicated that the home had recently failed to accurately administer to them all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (their prescribed medicines. For example, a person prescribed to receive an antibiotic 4 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (times each day never received it more than 3 times a day, and sometimes received it )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (only twice a day. The MAR of a person prescribed pain control bore incorrect directions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (for the dose, and the managers and senior care staff were unable to confirm what the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (dose administered on each occasion had been.)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 (One person was prescribed a medicine to be taken once a week, on the same day each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (week, but records showed the medicine had been administered on 14 and 17 November )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (2009. At our request the managers investigated this matter and later wrote to us stating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (that the record had been incorrect, and the person had not received the medicine on both )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (occasions.)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 (There were many occasions when staff had failed to sign the MAR to confirm that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (medicines had been prescribed as directed. On these occasions the box on the form was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (left blank, providing no indication for the reason for non administration e.g. the medicine )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (might have been purposefully withheld, refused or not needed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (For a recently admitted resident the pre admission assessment states the person is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (allergic to Penicillin but the MAR provides no allergy information with the box on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (medicine chart left blank.)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 (For many people a variable dose of medicine has been prescribed e.g. Give 1 or 2 tablets. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (In such circumstances staff must on each occasion record the dose actually given, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (ensure the home can properly account for all medicines received and used. MARs in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (current use frequently omitted this essential information, which also means there is no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (record of the amount of the medicine most usually found to be helpful to the resident.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Complaints)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 (The daily records of a female resident included a recent statement that she had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (disturbed by a male resident who had entered her room during the night.)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 incident should have been dealt with as a complaint, with records kept of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (investigation and outcome, and care records demonstrating that the home has reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (the care of the male resident, to ensure the protection of other people living in the home.)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 (However, until we drew the attention of the managers to the incident they had not been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (aware of it, so no investigation had taken place.)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 (Environment)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (On the first day of the inspection a number of concerns were apparent.)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 (We saw that on many treads of each flight of the main staircase there were holes, from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (the recent removal of the stair lift. These holes presented a significant trip hazard.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (We also saw that on the lower ground floor there was a fire exit door displaying a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (handwritten notice 'Danger, Men working overhead, falling debris, do not use'. However, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (the door could be easily opened because it was not locked and the alarm was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (operational. The door led to the rear garden but the narrow route went under scaffolding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (pipes and past piles of builders debris.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (On the top floor of the home we saw two baths with attached shower hoses, which could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (be placed into the bath water, and thereby presented a risk of cross infection to later )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (users of the bath, because bath water from earlier users could be inadvertently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (discharged into the fresh bath water.)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 (These matters were made known to the managers and when we returned on 24 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (November 2009 we saw that the scaffolding had been removed and the carpet holes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (made good. The shower hose of one bath had been removed, but the shower head of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (other bath was unchanged, so continued to present a risk of cross infection.)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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Daily Life)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (We carried out a Short Observational Framework for Inspection \(SOFI\) and in so doing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (observed five residents in the main lounge and dining room. The two hour period included )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (part of lunchtime.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Overall residents were mainly in a passive state of being. When people were observed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (be in positive state of being this was related to staff interactions. There were reasonable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (levels of engagement while staff were doing activities with people such as giving them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (magazines, putting on music and during lunch. At the times when there was no activity )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (from staff residents became more passive and there were lower or no levels of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (engagement.)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 (Residents started to sit and wait for lunch, with many brought to the tables by staff from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (12pm although the meal was not served until 12.30.)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 (One resident was seen to rearrange the crockery and cutlery that had been laid by staff )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 148.8 w 31.2 710.83 m 580.26 710.83 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 28.99 635.3 m 582.46 635.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 634.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 634.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (and another put out the serviettes for lunch. We feel that more could be done to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (encourage residents who are interested to participate in the daily living activities in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Residents were not given any choice of squash by staff. Glasses of juice were just put on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (the tables. We noted that two people asked for a different flavour of squash and feel that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (if others had the ability to request an alternative they may have done so.)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 (Residents were not given any choice of meal at lunchtime and we saw one member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (staff standing over residents to assist them to eat instead of sitting down next to them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 619.24 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 619.24 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 603.24 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (16)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 198.54 w 31.2 476.95 m 91.05 476.95 l S 0.001 w 198.54 w 93.3 476.95 m 197.4 476.95 l S 0.001 w 198.54 w 199.65 476.95 m 289.45 476.95 l S 0.001 w 198.54 w 291.7 476.95 m 473.8 476.95 l S 0.001 w 198.54 w 476.05 476.95 m 566.1 476.95 l S 0.001 w 198.54 w 31.2 276.16 m 91.05 276.16 l S 0.001 w 198.54 w 93.3 276.16 m 197.4 276.16 l S 0.001 w 198.54 w 199.65 276.16 m 289.45 276.16 l S 0.001 w 198.54 w 291.7 276.16 m 473.8 276.16 l S 0.001 w 198.54 w 476.05 276.16 m 566.1 276.16 l S 0.001 w 132.09 w 31.2 108.6 m 91.05 108.6 l S 0.001 w 132.09 w 93.3 108.6 m 197.4 108.6 l S 0.001 w 132.09 w 199.65 108.6 m 289.45 108.6 l S 0.001 w 132.09 w 291.7 108.6 m 473.8 108.6 l S 0.001 w 132.09 w 476.05 108.6 m 566.1 108.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 376.55 m 568.3 376.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 175.76 m 568.3 175.76 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 28.99 376.55 m 568.3 376.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 175.76 m 568.3 175.76 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 (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (not provide accommodation )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (to a service user unless the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (needs of the person have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (been assessed and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (registered person has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (obtained a copy of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (assessment. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm (To ensure that the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (able to properly meet the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (needs of the prospective )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.2 Tm (resident. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 360.37 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 360.37 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.37 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (prepare a written plan as to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (how the service users needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.63 Tm (in respect of his health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (welfare are to be met. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.89 Tm (This plan must include all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.31 Tm (relevant information and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.73 Tm (instruction to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.15 Tm (staff have available to them )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.57 Tm (the information they need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.99 Tm (provide consistent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 182.41 Tm (appropriate care. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 360.37 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.58 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 159.58 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 159.58 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.58 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145 Tm (so far as is practicable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.42 Tm (enable service users to make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.84 Tm (decision with respect to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.26 Tm (care they are to receive and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.68 Tm (their health and welfare. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.1 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.52 Tm (This means that )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 159.58 Tm (22/10/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (16)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 207.12 w 31.2 577.68 m 91.05 577.68 l S 0.001 w 207.12 w 93.3 577.68 m 197.4 577.68 l S 0.001 w 207.12 w 199.65 577.68 m 289.45 577.68 l S 0.001 w 207.12 w 291.7 577.68 m 473.8 577.68 l S 0.001 w 207.12 w 476.05 577.68 m 566.1 577.68 l S 0.001 w 198.54 w 31.2 372.61 m 91.05 372.61 l S 0.001 w 198.54 w 93.3 372.61 m 197.4 372.61 l S 0.001 w 198.54 w 199.65 372.61 m 289.45 372.61 l S 0.001 w 198.54 w 291.7 372.61 m 473.8 372.61 l S 0.001 w 198.54 w 476.05 372.61 m 566.1 372.61 l S 0.001 w 227.41 w 31.2 157.38 m 91.05 157.38 l S 0.001 w 227.41 w 93.3 157.38 m 197.4 157.38 l S 0.001 w 227.41 w 199.65 157.38 m 289.45 157.38 l S 0.001 w 227.41 w 291.7 157.38 m 473.8 157.38 l S 0.001 w 227.41 w 476.05 157.38 m 566.1 157.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 473 m 568.3 473 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.21 m 568.3 272.21 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 28.99 473 m 568.3 473 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.21 m 568.3 272.21 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 1 292.3 671.43 Tm (arrangements for end of life )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (care, including considerations )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (regarding resuscitation, shall )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (be properly supported by a )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (written policy and procedure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (which reflects and includes )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (the associated legal aspects.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.64 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.05 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 496.48 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 481.89 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 456.82 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 456.82 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 456.82 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (for the recording, handling, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.08 Tm (safekeeping, self )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.49 Tm (administration and disposal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.92 Tm (of medicines received into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.33 Tm (the care home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (This means that an accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (record must be kept of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm (ordering, receipt, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.43 Tm (administration and stock )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 278.86 Tm (levels of Controlled Drugs. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 456.82 Tm (23/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.02 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 256.02 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 256.02 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (ensure that there is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (appropriate provision for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.29 Tm (social interests and activities )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.71 Tm (of service users, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.54 Tm (to minimise the distress and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.96 Tm (anxiety that boredom may )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.38 Tm (lead to.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.22 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.64 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.07 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.49 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.9 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 256.02 Tm (22/10/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (16)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 17.58 w 31.2 672.46 m 91.05 672.46 l S 0.001 w 17.58 w 93.3 672.46 m 197.4 672.46 l S 0.001 w 17.58 w 199.65 672.46 m 289.45 672.46 l S 0.001 w 17.58 w 291.7 672.46 m 473.8 672.46 l S 0.001 w 17.58 w 476.05 672.46 m 566.1 672.46 l S 0.001 w 256.86 w 31.2 532.98 m 91.05 532.98 l S 0.001 w 256.86 w 93.3 532.98 m 197.4 532.98 l S 0.001 w 256.86 w 199.65 532.98 m 289.45 532.98 l S 0.001 w 256.86 w 291.7 532.98 m 473.8 532.98 l S 0.001 w 256.86 w 476.05 532.98 m 566.1 532.98 l S 0.001 w 227.7 w 31.2 288.45 m 91.05 288.45 l S 0.001 w 227.7 w 93.3 288.45 m 197.4 288.45 l S 0.001 w 227.7 w 199.65 288.45 m 289.45 288.45 l S 0.001 w 227.7 w 291.7 288.45 m 473.8 288.45 l S 0.001 w 227.7 w 476.05 288.45 m 566.1 288.45 l S 0.001 w 128.68 w 31.2 108.01 m 91.05 108.01 l S 0.001 w 128.68 w 93.3 108.01 m 197.4 108.01 l S 0.001 w 128.68 w 199.65 108.01 m 289.45 108.01 l S 0.001 w 128.68 w 291.7 108.01 m 473.8 108.01 l S 0.001 w 128.68 w 476.05 108.01 m 566.1 108.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 568.3 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.48 m 568.3 173.48 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 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 568.3 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.48 m 568.3 173.48 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 1 292.3 671.43 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.35 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 646.35 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 646.35 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 646.35 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.78 Tm (ensure that food is provided )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (to meet the needs of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (users, at appropriate times )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (and of a sufficiently )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (appetising standard, as to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (encourage residents to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (accept adequate nutrition )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (and enhance their quality of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (life by enjoyment of food. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 646.35 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.24 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 387.24 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 387.24 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.24 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.67 Tm (make arrangements, by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.08 Tm (training staff or other )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.51 Tm (measures, to prevent service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.92 Tm (users being harmed or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.35 Tm (suffering abuse or being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.77 Tm (placed at risk of harm or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (abuse. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.02 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.45 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.87 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.71 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 387.24 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.29 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 157.29 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 157.29 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.29 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.71 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.13 Tm (to prevent infection, toxic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.56 Tm (conditions and the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.97 Tm (infection at the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.82 Tm (This means that a policy and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.24 Tm (procedure for the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 157.29 Tm (22/10/2009)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 Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (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 (16)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 192.54 w 31.2 584.97 m 91.05 584.97 l S 0.001 w 192.54 w 93.3 584.97 m 197.4 584.97 l S 0.001 w 192.54 w 199.65 584.97 m 289.45 584.97 l S 0.001 w 192.54 w 291.7 584.97 m 473.8 584.97 l S 0.001 w 192.54 w 476.05 584.97 m 566.1 584.97 l S 0.001 w 198.54 w 31.2 387.18 m 91.05 387.18 l S 0.001 w 198.54 w 93.3 387.18 m 197.4 387.18 l S 0.001 w 198.54 w 199.65 387.18 m 289.45 387.18 l S 0.001 w 198.54 w 291.7 387.18 m 473.8 387.18 l S 0.001 w 198.54 w 476.05 387.18 m 566.1 387.18 l S 0.001 w 213.12 w 31.2 179.1 m 91.05 179.1 l S 0.001 w 213.12 w 93.3 179.1 m 197.4 179.1 l S 0.001 w 213.12 w 199.65 179.1 m 289.45 179.1 l S 0.001 w 213.12 w 291.7 179.1 m 473.8 179.1 l S 0.001 w 213.12 w 476.05 179.1 m 566.1 179.1 l S 0.001 w 26.62 w 31.2 56.99 m 91.05 56.99 l S 0.001 w 26.62 w 93.3 56.99 m 197.4 56.99 l S 0.001 w 26.62 w 199.65 56.99 m 289.45 56.99 l S 0.001 w 26.62 w 291.7 56.99 m 473.8 56.99 l S 0.001 w 26.62 w 476.05 56.99 m 566.1 56.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 487.58 m 568.3 487.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.79 m 568.3 286.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 71.42 m 568.3 71.42 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 28.99 487.58 m 568.3 487.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.79 m 568.3 286.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 71.42 m 568.3 71.42 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 1 292.3 671.43 Tm (management of commodes )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (must be developed and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (implemented, to provide )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (staff with clear guidance on )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (the particular control of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (infection methods.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 525.64 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 511.05 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 496.48 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 471.39 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 471.39 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 471.39 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (give notice to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.23 Tm (Commission without delay of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.65 Tm (the occurrence of any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.08 Tm (allegation of misconduct by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.49 Tm (any person who works at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.92 Tm (care home, and of any event )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.33 Tm (in the care home which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.76 Tm (adversely affects the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.17 Tm (wellbeing or safety of any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.6 Tm (service user.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.43 Tm (.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 471.39 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.61 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 270.61 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 270.61 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (Records of investigation, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (assessment and outcome )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (should be promptly recorded )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (with regard to all accidents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.29 Tm (involving residents of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.71 Tm (home, to ensure that risks of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.13 Tm (recurrence are minimised.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.96 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.38 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.81 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.22 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.64 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.07 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 270.61 Tm (22/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 55.24 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 55.24 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 55.24 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 55.24 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 55.24 Tm (22/10/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 271.11 w 32.32 648.54 m 564.97 648.54 l S 0.001 w 1 1 1 RG 169.38 w 31.2 596.55 m 91.05 596.55 l S 0.001 w 169.38 w 93.3 596.55 m 197.4 596.55 l S 0.001 w 169.38 w 199.65 596.55 m 289.45 596.55 l S 0.001 w 169.38 w 291.7 596.55 m 473.8 596.55 l S 0.001 w 169.38 w 476.05 596.55 m 566.1 596.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 509.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 509.66 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 92.17 509.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 509.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 509.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 509.66 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 28.99 510.74 m 568.3 510.74 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 1 292.3 671.43 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (to prevent infection, toxic )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (conditions and the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (infection at the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (Compliance with this )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (requirement was not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (assessed during this Random )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (Inspection; it will be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (assessed at the next Key )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 519.64 Tm (Inspection.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 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 (14)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 (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 472.29 w 32.32 510.39 m 564.97 510.39 l S 0.001 w 1 1 1 RG 169.38 w 31.2 575.43 m 91.05 575.43 l S 0.001 w 169.38 w 93.3 575.43 m 197.4 575.43 l S 0.001 w 169.38 w 199.65 575.43 m 289.45 575.43 l S 0.001 w 169.38 w 291.7 575.43 m 473.8 575.43 l S 0.001 w 169.38 w 476.05 575.43 m 566.1 575.43 l S 0.001 w 213.12 w 31.2 381.93 m 91.05 381.93 l S 0.001 w 213.12 w 93.3 381.93 m 197.4 381.93 l S 0.001 w 213.12 w 199.65 381.93 m 289.45 381.93 l S 0.001 w 213.12 w 291.7 381.93 m 473.8 381.93 l S 0.001 w 213.12 w 476.05 381.93 m 566.1 381.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 489.61 m 568.3 489.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 662.32 m 30.07 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 273.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.61 m 568.3 489.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.24 m 568.3 274.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.06 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 645.06 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 645.06 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 645.06 Tm (Action must be taken to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 630.48 Tm (ensure records are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.9 Tm (sufficiently clear to provide a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 601.32 Tm (reliable description of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.74 Tm (circumstances of each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.16 Tm (resident, and thereby )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 557.58 Tm (provide evidence that each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543 Tm (person is receiving the care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 528.42 Tm (they need.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 510.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 496.26 Tm (.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 645.06 Tm (02/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 473.43 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 473.43 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 473.43 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.43 Tm (The registered person shall)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.85 Tm (make suitable arrangements)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.27 Tm (for the recording, handling,)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.69 Tm (safekeeping, self)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 415.11 Tm (administration and disposal)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 400.53 Tm (of medicines received into)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.95 Tm (the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.37 Tm (This means)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 353.79 Tm (that an accurate record)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.21 Tm (must be kept of the)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.63 Tm (ordering, receipt, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.05 Tm (administration and stock)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.47 Tm (levels)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 473.43 Tm (02/12/2009)Tj ET 0.95294 0.95294 0.95294 RG 192.07 w 32.32 139.71 m 564.97 139.71 l S 0.001 w 1 1 1 RG 92.78 w 31.2 88.94 m 91.05 88.94 l S 0.001 w 92.78 w 93.3 88.94 m 197.4 88.94 l S 0.001 w 92.78 w 199.65 88.94 m 289.45 88.94 l S 0.001 w 92.78 w 291.7 88.94 m 473.8 88.94 l S 0.001 w 92.78 w 476.05 88.94 m 566.1 88.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 137.53 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 137.53 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.01 m 568.4 169.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 136.46 m 568.3 136.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 137.53 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 137.53 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 137.53 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 137.53 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 237.99 m 568.4 237.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.01 m 568.4 169.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 136.46 m 568.4 136.46 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 30.07 239.07 m 30.07 135.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 170.08 m 92.12 135.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 170.08 m 198.52 135.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 170.08 m 290.62 135.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 170.08 m 475.02 135.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 239.07 m 567.32 135.38 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 224.81 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 204.81 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.23 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 190.23 Tm (Regulations 2001 and the National Minimum Standards. 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BT 1 0 0 1 34.05 176.35 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.77 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 147.19 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 126.37 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 126.37 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 126.37 Tm (Good Practice Recommendations)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 Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 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689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 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 40 0 obj<> endobj 41 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 42 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 21 0 obj<> endobj 43 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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