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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 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 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 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 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 (Rendlesham Care Centre)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 (Rendlesham)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (1A Suffolk Drive )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Woodbridge)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Suffolk)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (IP12 2UL)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01394461630)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01394461699)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 494.83 m 353.25 494.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 494.83 m 565.9 494.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 464.71 m 353.25 464.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 464.71 m 565.9 464.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 441.89 m 353.25 441.89 l S 0.001 w 1 1 1 RG 20.58 w 355.5 441.89 m 565.9 441.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 430.47 m 568.1 430.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 429.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (Caring Homes Healthcare Group )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482.77 Tm (Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.95 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 459.95 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 437.11 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 437.11 Tm (60)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 418.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 374.73 m 564.47 374.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.1 m 567.8 410.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.61 m 567.8 341.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 411.17 m 30.07 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 388.34 m 298.32 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 365.51 m 432.52 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 411.17 m 566.72 340.53 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 393.91 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.08 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 371.08 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 348.25 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 348.25 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 326.82 m 297.25 326.82 l S 0.001 w 20.58 w 299.5 326.82 m 429.25 326.82 l S 0.001 w 20.58 w 431.5 326.82 m 565.9 326.82 l S 0.001 w 35.16 w 31.2 296.7 m 297.25 296.7 l S 0.001 w 35.16 w 299.5 296.7 m 429.25 296.7 l S 0.001 w 35.16 w 431.5 296.7 m 565.9 296.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 315.4 m 568.1 315.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 338.23 m 568.1 338.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 315.4 m 568.1 315.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 277.99 m 568.1 277.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 339.31 m 30.07 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 339.31 m 298.37 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 339.31 m 430.37 276.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 339.31 m 567.02 276.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 322.05 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 322.05 Tm (60)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 322.05 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.21 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.64 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 299.21 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 299.21 Tm (60)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 200.38 m 564.77 200.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 234.79 m 567.8 234.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.96 m 568.1 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.61 m 567.8 257.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.79 m 568.1 234.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.96 m 568.1 211.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 145.38 m 568.1 145.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 258.69 m 30.07 144.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 258.69 m 566.72 144.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 241.43 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 218.6 Tm (The maximum number of service users who can be accommodated is: 60)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.77 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 181.19 Tm (with Nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.61 Tm (care needs on admission to the service are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 152.03 Tm (falling within any other category - Code OP Dementia - Code DE)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 130.6 m 315.25 130.6 l S 0.001 w 1 1 1 RG 20.58 w 317.5 130.6 m 346.55 130.6 l S 0.001 w 20.58 w 348.8 130.6 m 377.9 130.6 l S 0.001 w 20.58 w 380.15 130.6 m 409.2 130.6 l S 0.001 w 20.58 w 411.45 130.6 m 440.55 130.6 l S 0.001 w 20.58 w 442.8 130.6 m 471.9 130.6 l S 0.001 w 20.58 w 474.15 130.6 m 503.2 130.6 l S 0.001 w 20.58 w 505.45 130.6 m 534.55 130.6 l S 0.001 w 20.58 w 536.8 130.6 m 565.9 130.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 142.01 m 568.1 142.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 119.18 m 568.1 119.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 143.09 m 30.07 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 143.09 m 316.37 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 143.09 m 347.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 143.09 m 379.02 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 143.09 m 410.32 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 143.09 m 441.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 143.09 m 473.02 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 143.09 m 504.32 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 143.09 m 535.67 118.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 143.09 m 567.02 118.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 125.82 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 107.31 m 565.9 107.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 97.68 m 568.1 97.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 98.76 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 98.76 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 116.93 m 568.1 116.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 97.68 m 568.1 97.68 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 30.07 118.01 m 30.07 96.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 118.01 m 567.02 96.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 103.75 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 103.75 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 84.5 Tm (Rendlesham Care Centre is part of Caring Homes Healthcare Group Limited and was )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 67.5 Tm (registered with Commission for Social care Inspection November 2008. The home )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 50.49 Tm (provides nursing care and support for up to sixty older people.)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 30.07 661.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 661.77 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 28.99 662.85 m 568.1 662.85 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 ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (The home is purpose built and is situated in the village of Rendlesham. There are two )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (floors in the home, each of which are furnished and decorated to a good standard.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (The fees for the home at the time of the last key inspection ranged from 810 to 950 )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (per week dependant on the care package that is provided.)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 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (The unannounced random inspection was undertaken by Regulation Inspector Julie Small )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (and Pharmacy Inspector Lawrie Allum, Wednesday 17th February 2010 from 09:10 to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (17:15. The reasons for the random inspection was as a result of safeguarding alerts that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (had been received, information received regarding complaints and concerns about the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (care provided at the home, the absence of the Registered Manager and a recent alleged )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (theft of medication from the home. The home's acting manager had informed the police )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (of the alleged theft of the medication, we were concerned about the safety of the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (that live at the home, regarding the home's medication procedures and processes.)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 (During the inspection we tracked the care of four people who lived at the home, this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (included viewing their care records, such as care plans. We toured the building and we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (spoke with seven people who lived at the home, eight staff members and two visitors to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (The acting manager was present at the time of the inspection and it was noted that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (were receptive to the inspection process and they provided us with the requested )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (information promptly and in an open manner. The home's registered manager had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (absent from the home since October 2009 and since this time there had been two )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (different acting managers who undertook the managerial responsibilities of the home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (The home's responsible individual had kept us informed of the management )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (arrangements. The current acting manager told us that they had planned to remain at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (the home until permanent management arrangements were in place.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (The acting manager told us that they were due to have two weeks annual leave )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (commencing the week after the inspection and that for the first week the acting deputy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (manager would be managing the home and that for the second week the home would be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (managed by the area manager. They told us that the current deputy manager was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (leaving the week of the inspection and their role would be covered by a senior nurse, who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (would be acting up in the position until the post was filled.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (At the time of the inspection there were thirty one people who lived at the home and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (there were two people admitted on the day. On the ground floor was Oak 1, in which )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (thirteen nursing and residential people lived. Oak 1 was staffed by one nurse \(who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (worked between Oak 1 and Oak 2\) and two members of care staff \(one of whom was a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (senior carer\), however, at the time of the inspection the acting manager told us that a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (carer was on sick leave and a carer that was working on the first floor was also )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (supporting people on Oak 1. Oak 2 was also on the ground floor where nine people who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (needed nursing care lived, this was staffed by two carers. Nine people, four of whom )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (needed nursing care and five residential care. The first floor was staffed by one nurse and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (two carers, one of the carers worked between the first floor and Oak 1 at the time of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (It was noted that the staffing levels of the home may need to be reviewed, it was not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (clear if the staffing levels or the ways that staff were deployed were not sufficient. During )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (our tour of the building it was noted that a carer was not seen until 11.45. The acting )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (manager told us that they would have been assisting people with their personal care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (needs.)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 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 (We observed a person in their dressing gown wandering around the unit that they lived in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (at 10:00am. They asked the nurse what time it was and what time lunch was. The nurse )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (answered the person and told them what time lunch was and asked if they had breakfast. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The person said that they had not and the nurse gave them a hot drink and a plate of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (biscuits. We saw the person a further two times during the morning of the inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (wandering around the unit in their dressing gown, they looked anxious, they told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (they could not find their bedroom and we helped them to find it. We viewed the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (care records and it stated that there was a risk of the person wandering into people's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (bedrooms, that they had been aggressive to people and that they required monitoring to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (ensure that they and the other people were safeguarded. However, we observed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (they were wandering around the unit and there were no staff present to support them or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (observe their well being. Later in the day we observed that the person had got dressed.)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 looked into the dining room of Oak 2 during the morning and there were several )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (people sat at dining tables and again no staff were present, it was not clear if they had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (already eaten breakfast or if they were waiting for it.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (We walked past a person's bedroom and they called to us and gestured that they needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (to go to the toilet, again no care staff were present to attend to their needs. We found a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (staff member and advised them that the person needed support.)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 (A person was walking up and down the corridor and they asked us where the toilet was, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (which we found with them and we showed them how the light automatically came on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (when they went into the toilet. There were no staff present to assist the person to find )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (the toilet.)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 (The acting manager told us that a full time activities coordinator worked at the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (however, they were on leave at the time of the inspection. They told us about the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (activities that were provided and that the care staff provided activities, such as games, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (when the coordinator was not present. We observed several puzzles and games around )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (the home for people to use and there was an activities room on the first floor. During the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (inspection a hairdresser was observed to style people's hair. There were no further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (activities provided on the day of the inspection. Televisions were on and music was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (playing in various rooms, however, no one was observed to be showing an interest in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (them. When we had seen care staff working on the units they were busy and rushing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (around attending to people's personal care needs. We did not observe that people's social )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (and intellectual needs were met on the day of the inspection.)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 (The records of four people that were viewed showed that they were provided with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (activities, such as church services, coffee afternoons and singing. Two people that were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (spoken with told us that there were activities provided, such as games and outings when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (the weather was better and one person told us that they helped the activities coordinator )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (with a shop in the home, which provided sweets and 'things that people forget to buy'.)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 (Staff that were spoken with told us that they did not feel that there was sufficient staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (that worked at the home. They told us that they were very busy and when people needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (assistance from two carers, this left no care staff to attend to other people's needs. Two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (people that were spoken with told us that the care staff were available when they needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (them and that the care staff always treated them with respect, this was confirmed in our )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (observations during the day. Staff interacted with people in a caring, respectful and )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 (professional manner. All people that were spoken with during the inspection told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (the staff were respectful and kind. A visitor that was spoken with told us that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (happy with the care provided by the home but were not sure that there was enough staff. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (They said that they did not know what the staffing ratio should be in a residential home.)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 (Three people told us that they had been supported with their personal care by a carer of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (a different gender. They told us that they had no issues with this and that the carer was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (gentle and ensured that their dignity and privacy was respected. However, none could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (remember if they had been given the choice. We viewed the care records of four people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (and there was no reference to people being asked for their preferences regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (gender of the carers that support them with their personal care. We spoke with the acting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (manager and said that they may wish to consider providing people with a choice, to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (ensure that their preferences and diverse needs were met and to take into account their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (personal history, for example if the person had been subject to assaults or domestic )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (abuse in their lives.)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 care plans of four people were viewed and each held a needs assessment, risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (assessments, which identified the possible risks in their daily living and methods of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (minimising the risks, and a care plan, which identified how their needs were to be met. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Whilst it was positive to note that one of the care plans was detailed and clearly showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (the support that the person required and preferred to meet their needs. The other three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (care plans did not include all the information that the staff that cared for them needed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (ensure that they were appropriately safeguarded and that their needs and preferences )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (were met.)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 (One person's care plan stated that they may need paracetamol to alleviate pain when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (they walked, however, it did not state the amount and how often. The assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (daily skills stated that they were a 'good weight and build', which did not clearly explain )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (what a good weight and build was and how the judgement was made. On one page of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (assessment of daily skills it stated that the person could communicate their choices and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (another said that they had issues with communicating their needs and choices. It was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (noted from the weight charts and care records that the person had lost weight and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (their food intake should be monitored. We viewed the food intake records and they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (showed what the person had eaten for example, trifle and the record was ticked, it did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (not state how much they had eaten, so the record did not provide clear information of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (person's diet.)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 (A person's falls risk assessment stated that there was no risk of falls, the record was last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (reviewed October 2009. However, a body chart in the person's care records showed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (they had fallen December 2009 and the risk assessments had not been updated to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (identify and address the risks.)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 (A person's care plan stated that they may become anxious and stated that one to one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (staffing should be provided to support them at times of anxiety. However, we noted that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (the staffing levels on the day of the inspection would not allow for the one to one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (support.)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 (Two people's care records stated that they were diabetic and the care plans detailed how )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (their blood sugar levels were to be checked. One care plan stated that the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (required a 'high calorie diet' and should eat 'little and often'. The care plans did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (clearly explain what little and often was. The care plans did not specify the types of food )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 (that the people could and could not eat and how their diabetes was managed, for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (example with medication. The care plans also did not identify the changes in behaviour )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (that staff should be aware of relating to their condition and methods of ensuring their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (well being. The diet monitoring sheets were viewed and did not specify the amount of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (food that the people had eaten and if it was sufficient.)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 (The care records of a person that were viewed identified that the person had lost weight, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (the records had been updated and stated that the person's dentures were too big for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (their gums and that they should be provided with a liquidised diet. It was not clear what )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (actions had been taken to ensure the person's dignity with assistance provided to obtain )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (dentures that fit, methods of assisting the person to maintain a healthy weight and how )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (they could be assisted to eat their meals, rather than being liquidised.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (Two people's records showed that they had lost weight, their care records did not identify )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (how they could be supported to eat, other than 'encourage to sit at the table'. There was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (no reference to if the loss of appetite linked with their dementia, how staff could make )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (meal times enjoyable, how they could provide for example 'finger foods' to encourage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (them to eat and investigations for their loss of appetite.)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 (Two people's pre-admission needs assessments stated that they had been diagnosed with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (dementia. There was no further mention of their diagnosis in their care plan, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (identified the care that they required to support them with their condition, for example, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (how they communicated and made choices.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (A person's records showed that they used a catheter to manage their continence. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (care plan stated that the bag should be checked for urine volumes, there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (reference to the amount of urine that staff should be checking for and what actions to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (take. The plan stated that the bag should be changed every three days, there was no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (reference to who changed the bag and how and what days they were to be changed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (There were no records of when the bag had been changed. There was one record of a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (catheter change, which was dated 6th November 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (One person's care records stated that their partner was in hospital and that the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (had refused to accept this. The acting manager told us that their partner had since died, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (this was not identified in the care plan and there was no reference to how the person was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (supported with their loss and how staff communicated or did not communicate their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (partner's whereabouts to them and the amounts of distress that this could cause to a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (person with dementia.)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 (A person that lived at the home and their relative told us that they had been consulted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (with about their care plan and that their preferences had been listened to. Two people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (told us that they did not know if they had a care plan, they told us that the staff always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (knew what they wanted and supported them in the ways that they preferred.)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 (Staff that were spoken with told us that the nurses completed the daily notes for each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (person. We asked the care staff how they recorded their observations of people's well )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (being throughout each day, they told us that they passed the information to a nurse, who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (then recorded it in the daily notes. We spoke with a nurse who confirmed that this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (the way that the records were completed and that they recorded in the daily notes 'when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (we have time'. We spoke with the acting manager and they told us that the care staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (previously made records in people's daily notes, however, people's relatives had )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 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 (complained that the care staff were completing records in the communal areas of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (home. The acting manager told us that the nurses currently completed the notes to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (ensure that they were accountable for each shift. We suggested that they consider this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (practice due to the accuracy of records, such as the information being recorded by a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (person other that the person who had made the observations.)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 (People were provided with a clean, tidy and well maintained environment to live in. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (environment was designed in a way that supported people with dementia, for example )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (each person's bedroom door held a picture of something that had meaning to them, such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (as a photograph of the person when they were younger or a picture of a hobby, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (assisted them to identify their bedroom. There were also memory boxes next to each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (bedroom door which further helped people to recognise their bedroom.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (People that were spoken with were complimentary about the standard of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (environment. Two people were visited in their bedrooms and they confirmed that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (had personalised their bedroom, such as with items of personal memorabilia.)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 noted an offensive odour near to a person's bedroom, we pointed this out to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (acting manager, who agreed that the smell was present. They assured us that they would )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (address the issue.)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 laundry was viewed, which held two washing machines and two drying machines. It )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (was noted that the laundry was clean and tidy and provided hand washing facilities which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (minimised the risks of cross infection.)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 (Cross infection was further minimised by the hand wash facilities, such as hand wash )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (liquid and disposable paper towels in each toilet and bathroom. Staff wore protective )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (clothing and gloves when supporting people with personal care and handling food.)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 (Two members of kitchen staff were spoken with and they told us that they were informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (of people's dietary needs by the home's nursing and care staff. They showed us the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (menu, which was a rolling menu that had been provided by the organisation. We asked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (how people's preferences were met with the menu, for example if people that lived at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (home had said that they wanted specific item on the menu and if people could make )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (decisions about the menu in resident's meetings. They told us that the menu could be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (amended. They told us that people chose what they wanted to eat the day before and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (that they could request an alternative meal if they did not want what was on the menu.)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 (Three people that were spoken with told us that the food was good at the home, one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (person said 'well we don't get rubbish'. Two people told us that they did not think that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (they had a choice of meals, but said that they always enjoyed them.)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 (We spoke with the maintenance staff member, who was undertaking their monthly room )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (checks. They told us that they were responsible for ensuring that they checked that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (nurse call bells were in working order and that the water temperatures in each bedroom )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (were at a safe level to ensure that people were not at risk of scalds. They told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (they also routinely checked the fire alarm system to ensure that people were safeguarded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (in case of a fire and the health and safety of the building and equipment, including wheel )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (chairs.)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 home's incident and accident reports were viewed and the acting manager explained )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 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 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 (that they routinely monitored and reviewed them. Each form held a section that showed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (that people's representatives had been informed of issues.)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 home's complaints records were viewed, which showed the complaints that had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (received, investigations that had taken place, the responses made to the complainants )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (and any actions that had been taken in response to the complaints.)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 (It was decided to involve a pharmacist inspector following the possible theft of medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (from the home that was reported to the police by the home's acting manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (The service had responded to recent medication issues by introducing forms to record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (several processes including: to record staff responsible for handling medication on each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (shift, the movement of medication between storage locations of cupboard and trolley and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (identifying any issues during the handling and recording of medication. Also introduced )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (was the recording in the Controlled Drugs \(CD\) register of selected CDs classified as not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (legally requiring this registration, such as codeine phosphate 15mg tablets. Additional )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (medicines trolleys had recently been delivered to the home, one for the upper floor and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (one for the lower floor, and are pending introduction for selected residents stated as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (requiring less nursing support. Whereas the reasons for introducing increased )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (accountability for the control of medication is appreciated this did add significantly to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (medication handling process. Our concern is that if staff who are aware of these changes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (are finding it necessary to be occasionally prompted with the new additional processes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (then continuity of the processes will be affected if and when temporary staff are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (employed or even regular staff who are less familiar with the additional processes. Under )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (these circumstances the accountability for medicines control will resort back to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (statutory medication records. This will require ongoing assessment by the home's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (management as to the effectiveness of these new additional controls.)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 (Where documented protocols were in place providing information for residents prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (medication where the prescriber's direction required further decision by staff, such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ('when required' or 'as needed' or offering a choice of dosage such as 1 or 2 tablets, then )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (they were detailed, of a high standard and at the point of use with the medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (administration record \(MAR\) charts. However, there were three occasions when such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (documented protocols were not provided, for example, lorazepam 1mg tablets-one to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (taken when agitated; this required the nurses interpretation of the signs of agitation )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (requiring treatment, how soon to repeat a dose if the symptoms did not resolve, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (maximum occasions that doses may be repeated, when and what action to be taken if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (symptoms were not resolved, and signs pertaining to the treatment that should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (observed that are specific to the resident that may require further attention.)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 (In most cases the MAR charts provided adequate information to support the audit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (process. However, on occasions audit to indicate that medication was being administered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (in accordance with the prescriber's direction was not possible for the following reasons: )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (no record was made on twenty four occasions for doses taken orally to indicate whether a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (dose was administered or omitted; where a dosage range was prescribed the dose given )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (was not recorded on six occasions; the administration of items prescribed for external use )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (such as creams, ointments and dressings were usually not recorded on the MAR charts )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (and when administration was recorded on a secondary record kept in a resident's room or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (care plan then administration was indicated by a tick and therefore lacked accountability; )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (the administration of dietary supplements was not recorded; on three occasions the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (quantity remaining from the previous MAR chart was not recorded as being carried )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 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 1 1 1 RG 454.98 w 31.2 557.73 m 580.26 557.73 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 28.99 329.12 m 582.46 329.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 328.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 328.04 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (forward to the current chart.)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 (Where documentation facilitated the audit of medication the following discrepancies were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (found: on four occasions doses remained in the monitored dosage packs but signed as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (being given; the MAR records indicated there was a surplus of four haloperidol 500 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (microgram capsules which suggests either doses being recorded as being given when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (omitted or incorrect quantity entered as being received.)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 (A resident on the upper floor was prescribed finasteride tablets that require handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (precautions by both women and men due to the risk of foetal abnormalities. Staff were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (unaware of this risk and although this was stated on the patient information leaflet inside )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the medicine pack, duty of care was not being met by warning as to handling precautions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (on either the medication records or the pack label.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (The cold storage of medicines was provided by means of a dedicated lockable medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (fridge on both floors. Records were made each day showing that the maximum and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (minimum temperatures were maintained within the required limits of 2 to 80C and the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (daily recording process was followed by resetting the fridges' integrated )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (maximum/minimum thermometers, however, that on the lower floor was unable to reset )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (the minimum temperature resulting in this record being carried forward and preventing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (an accurate reading over the following day.)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 (For convenience some medicines for external use, usually for application to the skin, were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (kept on open shelves in the bathroom of unlocked residents rooms. For the protection of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (residents and visitors who may be confused, especially those residents diagnosed with a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (dementia, all products with potential for harm must be stored in a lockable facility.)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 resident on the lower floor was self administering ibuprofen gel, which is an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (application available for purchase without prescription and was being supplied by a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (relative. To provide the complete profile of treatment this is to be suitably documented )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (on the resident's MAR chart and the resident's GP informed.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 311.05 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 1 175.95 311.05 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 260.41 m 580.26 260.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 300.98 m 582.46 300.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.84 m 582.46 219.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 302.06 m 30.07 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 302.06 m 581.38 218.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm (The home provides a clean, comfortable, well maintained and attractively decorated and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (furbished environment to live in.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (The interaction between staff and people that lived at the home was caring, respectful )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (and professional.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 199.51 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 146.9 w 31.2 116 m 580.26 116 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 190.57 m 582.46 190.57 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 30.07 191.65 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 191.65 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm (The care records should identify the specific care and support that each person requires )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (and prefers to ensure that they are safeguarded and that their needs are appropriately )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (met. The care plans and risk assessments should be regularly reviewed to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm (people's changing needs are met and monitored. People's dietary needs should be met )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (and their weight loss and methods of eating should be monitored and regularly reviewed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (It is recommended that the staffing arrangements be reviewed to ensure that people's )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (needs are met and that they are safeguarded, for example where one to one support is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (identified in people's care plans.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 25 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 1 1 1 RG 265.44 w 31.2 652.51 m 580.26 652.51 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 28.99 518.66 m 582.46 518.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 517.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 517.58 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 (Most medication meets storage requirements and generally the medication records are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (able to indicate that administration is in accordance with the prescriber's directions. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Where the decision to administer a medicine requires further direction, for example, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ('when required', most have printed protocols kept with the medicines records to assist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (staff in this decision. Medicines administration record \(MAR\) charts for each resident are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (usually preceded by a sheet providing clear identification and reference information that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (is relevant to their treatment.)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 (Although medicines are generally stored correctly with attention to stock control, lockable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (facilities are required for those kept in resident's rooms. Attention is required to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (that all medicine records are kept accurately and completely to facilitate audit. Some )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (medicines where the decision to administer requires further direction, for example, 'when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (required', require printed protocols to be kept with the medicines records to assist staff. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (In order to meet a duty of care to avoid risk to persons handling medication, documented )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (indication of handling precautions is required at the point of use. Additional recording )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (processes recently introduced to improve the accountability for medication should be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (reviewed to provide for compliance.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 502.6 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 502.6 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 486.6 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 27 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 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 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 /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 111.06 w 31.2 443.97 m 91.05 443.97 l S 0.001 w 111.06 w 93.3 443.97 m 197.4 443.97 l S 0.001 w 111.06 w 199.65 443.97 m 289.45 443.97 l S 0.001 w 111.06 w 291.7 443.97 m 473.8 443.97 l S 0.001 w 111.06 w 476.05 443.97 m 566.1 443.97 l S 0.001 w 140.22 w 31.2 316.08 m 91.05 316.08 l S 0.001 w 140.22 w 93.3 316.08 m 197.4 316.08 l S 0.001 w 140.22 w 199.65 316.08 m 289.45 316.08 l S 0.001 w 140.22 w 291.7 316.08 m 473.8 316.08 l S 0.001 w 140.22 w 476.05 316.08 m 566.1 316.08 l S 0.001 w 125.64 w 31.2 180.9 m 91.05 180.9 l S 0.001 w 125.64 w 93.3 180.9 m 197.4 180.9 l S 0.001 w 125.64 w 199.65 180.9 m 289.45 180.9 l S 0.001 w 125.64 w 291.7 180.9 m 473.8 180.9 l S 0.001 w 125.64 w 476.05 180.9 m 566.1 180.9 l S 0.001 w 73.28 w 31.2 79.19 m 91.05 79.19 l S 0.001 w 73.28 w 93.3 79.19 m 197.4 79.19 l S 0.001 w 73.28 w 199.65 79.19 m 289.45 79.19 l S 0.001 w 73.28 w 291.7 79.19 m 473.8 79.19 l S 0.001 w 73.28 w 476.05 79.19 m 566.1 79.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.32 m 568.3 387.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.85 m 568.3 244.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 116.96 m 568.3 116.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 387.32 m 568.3 387.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.85 m 568.3 244.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 116.96 m 568.3 116.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. 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met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (10/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.13 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 371.13 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 371.13 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.13 Tm (People's care plans must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.55 Tm (identify the arrangements for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.97 Tm (the care and support that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (people require and prefer to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.81 Tm (meet their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.65 Tm (To ensure that people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 266.07 Tm (safeguarded and that their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 251.49 Tm (needs are appropriately met)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 371.13 Tm (10/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.66 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 228.66 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 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Tm (To repair the thermometer reset function of the lower floor )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 304.75 Tm (medicine fridge.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 281.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 281.92 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 281.92 Tm (To monitor the recently introduced additional medicines )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 267.34 Tm (controls processes and review their effectiveness.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.51 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 244.51 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 244.51 Tm (It is recommended that the staffing levels be reviewed to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 229.93 Tm (ensure that people's needs are met.)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 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(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. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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