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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 (0)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 (18)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 (Edgelea Care Home Ltd)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 (14-16 Half Edge Lane )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Eccles)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Manchester)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (M30 9GJ)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 (01617890430)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 (01617896000)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 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provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Edgelea Care Home Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 423.61 Tm (37)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 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221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.13 m 568.1 140.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 245.19 m 30.07 139.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 245.19 m 566.72 139.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 205.1 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (with nursing - Code N To people of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.36 Tm (falling within any other category - Code OP Physical disability - Code PD The maximum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 146.78 Tm (number of people who can be accommodated is: 37)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 125.35 m 315.25 125.35 l S 0.001 w 1 1 1 RG 20.58 w 317.5 125.35 m 346.55 125.35 l S 0.001 w 20.58 w 348.8 125.35 m 377.9 125.35 l S 0.001 w 20.58 w 380.15 125.35 m 409.2 125.35 l S 0.001 w 20.58 w 411.45 125.35 m 440.55 125.35 l S 0.001 w 20.58 w 442.8 125.35 m 471.9 125.35 l S 0.001 w 20.58 w 474.15 125.35 m 503.2 125.35 l S 0.001 w 20.58 w 505.45 125.35 m 534.55 125.35 l S 0.001 w 20.58 w 536.8 125.35 m 565.9 125.35 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 136.76 m 568.1 136.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 113.93 m 568.1 113.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 137.84 m 30.07 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 137.84 m 316.37 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 137.84 m 347.67 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 137.84 m 379.02 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 137.84 m 410.32 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 137.84 m 441.67 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 137.84 m 473.02 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 137.84 m 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[] 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 30.07 112.76 m 30.07 91.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 112.76 m 567.02 91.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 98.5 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 98.5 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 79.25 Tm (Edgelea Nursing Home provides nursing and residential care for 37 older people or )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 62.24 Tm (people with physical diabilities. Accommodation within the home is situated on the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 45.24 Tm (ground, first and second floors in single and double rooms. There is car parking space )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 (18)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 30.07 610.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 610.77 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 28.99 611.85 m 568.1 611.85 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 (available at the front and the side of the home but this space is unsuitable for people )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (to sit out in. Roof space has been converted to a roof garden. There is a Statement of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (Purpose/Service User Guide, which is given to all prospective residents. This written )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (information explains the care service that is offered, who the owners and staff are, and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (what people can expect if they decide to live at the home. Information provided during )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (this visit showed that the fees for the home are three hundred and seventy three )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (pounds and eighty pence to four hundred and seventy six pounds and eighty pence per )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (week with added expenses for hairdressing, chiropody, toiletries, newspapers and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (outings. )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 (18)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 (This random inspection was carried out to check compliance with a Statutory )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (Requirement Notice issued on the 4th September 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (The inspection was carried out by two inspectors and took place on the 14th October )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (2009. During our visit we looked at a sample of people's care plans, we spoke to people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (living at the home, visitors and staff we also walked around the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (We saw that people were sat in the lounges and conservatory relaxing and some people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (were making cards with the activity organiser, people were nicely dressed, their hair was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (combed and most of the men were clean shaven.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (We saw a sample of people's care plans. All of the care plans had been renewed since the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (last inspection and we saw that they had worked hard to improve them, however they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (needed additional work to make them more detailed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (For example one person's care plan stated that they needed to use specialist equipment. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (The care plan did not tell us what this equipment was or how it was to be used. We saw )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (another care plan of a person who took all fluids and food via a feeding tube in their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (stomach \(PEG\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (Staff were able to tell us how to clean the PEG site but the care plan did not give any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (detailed information on how to do this. This detailed information is needed to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (that any risks to people were reduced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (They told us that care staff were responsible for cleaning PEG sites but that they did not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (rotate the PEG tube. This is done to make sure that it does not get stuck in the skin and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (cause infection, pain and discomfort to the person. This was a clinical task and was done )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (by one of the trained nurses.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (PEG sites are prone to infection if they are not cleaned correctly, all care staff should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (receive specialist training in how to clean PEG sites.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (They told us that one person's PEG site dressing had come loose and needed changing. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (The qualified nurse told us that she had asked the staff on duty the previous night to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (change this dressing but that it had not been done. The deputy manager should make )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (sure that all staff were made aware of their responsibilities regarding the care of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (people living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (We saw that original needs assessments had been taken out of the new care plans and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (had been stored in a separate file held in the ground floor office where they were still )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (available to staff. The needs assessment is an important document that should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (retained in the care plan for easy staff reference.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (The deputy manager and the nurse on duty told us that they wanted to get all the care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (plans onto the new format and then look at the detail in each one individually. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (recommended that they completed them one at a time with the person or their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (representatives to make sure that they were detailed and person-centred. This is to make )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 (18)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 (sure that care plans gave information about how the person wanted to be cared for. They )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (told us that they have employed an activity organiser and that they were going to take a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (life history from people to help them improve information in the care plans.)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 (We spoke to staff and found that they did have an awareness of people's individual needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (that was not reflected in the care plans. It was recommended that they focus on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (developing the care plans further to make them person-centred and to reflect staff's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (knowledge of how people were supported.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We saw one care plan where the person needed their drinks thickened to a custard )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (consistency. The care plan stated any signs of aspiration or coughing staff should give )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (five slaps. The deputy manager told us that this meant that staff should pat the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (on the back, they told us the information had been written by a member of staff from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (overseas who had used the wrong word. They should consider the interpretation of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (English when writing care plans to make sure that there were no misunderstandings )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (about how staff should respond to people's care needs.)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 saw that risks had been identified and that risk assessments had been written in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (relation to moving and handling and diabetes. We saw that where people had diabetes a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (record of blood monitoring had been kept. We saw one person's care plan gave )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (information to staff about what they should do if blood sugar levels dropped below a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (certain level. We saw that the person's blood sugar levels were being recorded twice a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (day.)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 (They told us that they have set up a new regime for diabetes. They told us that all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (trained staff have received training from the diabetes nurse. This means that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (competent to take blood sugar readings and to identify when a referral to the specialist )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (nurses was needed. They told us they had new equipment for testing blood sugars and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (they have agreed a system with the diabetes nurse where they email her the test results )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (and she will advise them of the action they need to take.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We saw that the quality of information in care plans varied. We looked at one person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (care plan and saw it gave staff good information on how to communicate with the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (for example, 'maintain eye contact and speak slowly'. We looked at another care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (that stated the person refused oral care but did not give any information about how to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (manage this situation.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (We saw that some people needed pressure area care but we did not see any 'body )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (mapping' tools. These are drawings of a body and are used to record where pressure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (sores were on the body and if they were healing or not. They must make sure that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (develop a clear method of monitoring pressure sores and recording any improvements or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (deterioration. We saw that one person had a 'turn chart'. This was a record of the times )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (staff had provided pressure area care/relief. We saw that staff should have provided relief )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (every 2 hours. We saw that they had not been fully completed and that there were gaps )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (in the record. This means that it was difficult to establish if the appropriate care was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (being given. We did not see staff providing pressure relief to the person when we were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (sat in the lounge. When questioned about pressure relief they told us they had not had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (time.)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 (We saw that a record of people's weight was kept on a chart in the ground floor office. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (This means that staff were able to identify if a person was loosing or gaining weight 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 (18)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 (seek support from health care professionals. They told us that they had made a referral )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (to the dietitian for one person who had been loosing weight.)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 (We sat in the ground floor lounge when we arrived. We saw one person who needed all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (fluids thickened. We saw a member of staff helping them to eat their porridge we saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (that this was quite a thin consistency and the person was coughing quite a lot whilst )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (eating. We spoke to staff who told us that all liquids were thickened with two scoops of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (thickener unless they were told otherwise. We saw that when staff brought mid morning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (drinks they did not help this person to drink but left the drink on the table. By the time )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (staff came to help them the liquid had thickened too much to drink. This means that this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (person may not be getting enough to drink. They should make sure that they provided )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (the support people needed in relation to maintaining a good fluid intake and use fluid )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (balance charts to monitor that people were having enough to drink.)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 one person who looked withdrawn and upset. We saw a member of care staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (approach the person to ask if they were alright. The carer was sympathetic and kind and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (sat with the person talking to them and offering reassurance. There were activities going )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (on and the carer asked the person if they wanted to join in or to sit quietly and read. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (person chose to read and the carer went and got a newspaper.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (They told us that an activity organiser had been employed since the last inspection. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (saw people sat in the lounges making birthday cards. People told us that they play cards, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (do arts and crafts and bingo. One person told us"I liked the bingo yesterday" another said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ("there is much more going on these days" and "it is getting better now" another said "we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (have not been out yet but there is more going on".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We saw staff interacting with people, however they were very busy and did not have a lot )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (of time to spend with people on an individual basis. They should look at the staffing hours )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (based on the needs of the people living at the home to make sure they have enough staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (on duty at times of high activity.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We saw that some people needed support from staff to eat their meals. We saw that this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (was done in a sensitive way. We saw staff sitting beside the person they were not rushed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (and were able to enjoy their meal at their own pace. We saw that staff were talking to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (people during the meal and encouraging them to eat.)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 (The owner told us that they had plans to improve the roof terrace with new garden )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (furniture for next summer. This is so that people can sit outside and enjoy the nice )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (weather.)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 (We spoke to one person living at the home. They told us "I have not got any concerns at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (the moment but I know how to make a complaint, I would speak to the person in charge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (and tell them I was not happy" and "they did give me something when I arrived but I am )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (not sure where I have put it". We spoke to a visitor who told us "I would inform the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (manager if I was unhappy about the care".)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (We noticed that one person had a bruise on their left thumb. We looked at this person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (care plan and saw that care staff had reported to senior staff about the injury and had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (made an entry in the daily record when they noticed the bruise. However, the senior staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (had failed to follow up on the incident. We advised the deputy manager and the provider )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (that we would be making a referral to the safeguarding team at Salford City Council to )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 (18)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 (investigate this injury further.)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 (Any unexplained injury to a person must be reported and investigated using the local )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (safeguarding procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We saw that liquid soap and paper towels were provided throughout the building. We saw )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (that when staff were helping people with personal care they used protective clothing such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (as gloves and aprons. This helps to reduce any risks of infection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We walked around the home and saw that it was clean and tidy with no unpleasant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (odours. We spoke to one visitor who told us that there have been "a lot of improvements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (in the home in the past few months" and that "it is getting better". We saw that there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (were enough housekeeping staff on duty to keep the home clean and tidy.)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 (They have provided a small seating area for visitors at the entry to the home. This has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (tea and coffee making facilities so that people can sit with their visitors and enjoy a drink.)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 saw that some areas had been redecorated since the last inspection. They had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (replaced the floor covering in the conservatory with laminate flooring. This made the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (room look much cleaner and people told us that they liked the changes.)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 (We saw that the carpets in the lounges and communal areas had been replaced. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (made the areas much more comfortable and pleasant for people living at the home.)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 (We saw that some bedrooms were still not decorated. The owner told us that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (refurbishment programme should be completed by November 2009. They told us that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (they had ordered dining chairs so that people could sit at a table to eat their meals if they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (wanted to.)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 (The owner told us they planned to put dining tables in the conservatory and once the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (meals were finished this space could also be used for activities. This means that people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (will have the opportunity to move from their armchairs if they want to and will make )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (mealtimes a more social occasion.)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 (They told us that three care staff attended moving and handling training and that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (were accessing more training. We spoke to some of the staff. One carer told us "I went )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (on moving and handling training last week". We saw staff using hoists, they worked in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (pairs and appeared to be using the equipment properly. We did see a recent accident )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (report where a persons feet had 'slipped through the footrest on the hoist causing them )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (to slip off the sling'. We recommended that refresher training in moving and handling be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (provided to all staff.)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 (They told us that the acting manager was off sick and they have appointed a deputy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (manager. We discussed the long term management arrangements with the owner and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (advised them that they must have a registered manager. They told us that they have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (interviewed two people but that they were not successful. They told us that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (advertising for a manager in the local newspaper and with employment agencies.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (The following requirements and recommendations were made during this inspection, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (other requirements and recommendations made at the last inspection were not looked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (during this visit.)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 (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 2.78 w 31.2 783.84 m 580.26 783.84 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 28.99 781.32 m 582.46 781.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 780.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 780.24 l S 0.001 w [] 0 d /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 763.25 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 1 175.95 763.25 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 210.12 w 31.2 647 m 580.26 647 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 753.18 m 582.46 753.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 540.82 m 582.46 540.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 754.26 m 30.07 539.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 754.26 m 581.38 539.74 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 737 Tm (We saw that new carpets had been fitted in communal areas and laminate flooring had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 722.42 Tm (been fitted to the conservatory. This had improved the environment for people living at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 707.84 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.68 Tm (They have provided a quiet area in the hallway with tea and coffee making facilities. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 664.1 Tm (means that people have an area where they can sit quietly with their visitors.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.94 Tm (We saw some staff helping people to eat their meals. We saw that this was done with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.36 Tm (sensitivity and respect. Staff sat with the person and talked to them whilst they were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.78 Tm (helping people eat. we saw that people were not rushed and were able to eat at their own )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.2 Tm (pace.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.04 Tm (We saw that they monitored people's weight and saw a record in the ground floor office. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.46 Tm (This means that any weight gain or loss was investigated with the dietitian.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 520.49 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 166.38 w 31.2 426.11 m 580.26 426.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 510.43 m 582.46 510.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.8 m 582.46 341.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 511.51 m 30.07 340.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 511.51 m 581.38 340.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 494.24 Tm (We saw that some people needed pressure area relief. We saw samples of turn charts )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.67 Tm (that should be completed each time the person was turned. We saw that one person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 465.08 Tm (needed 2 hourly changes to their position the turn chart in their room had not been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.51 Tm (completed. This means that it was not possible to see if they had been receiving the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.92 Tm (correct level of pressure area care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 406.77 Tm (Care plans should be more person centred and also give details about people's social and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 392.18 Tm (emotional care needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 363.02 Tm (They must appoint a manager who has the skills, knowledge and experience to manage )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.45 Tm (the home and they must apply to be registered with the commission.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 323.49 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 323.49 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 307.49 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 (18)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 169.38 w 31.2 491.53 m 91.05 491.53 l S 0.001 w 169.38 w 93.3 491.53 m 197.4 491.53 l S 0.001 w 169.38 w 199.65 491.53 m 289.45 491.53 l S 0.001 w 169.38 w 291.7 491.53 m 473.8 491.53 l S 0.001 w 169.38 w 476.05 491.53 m 566.1 491.53 l S 0.001 w 362.04 w 31.2 223.57 m 91.05 223.57 l S 0.001 w 362.04 w 93.3 223.57 m 197.4 223.57 l S 0.001 w 362.04 w 199.65 223.57 m 289.45 223.57 l S 0.001 w 362.04 w 291.7 223.57 m 473.8 223.57 l S 0.001 w 362.04 w 476.05 223.57 m 566.1 223.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 405.71 m 568.3 405.71 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 28.99 405.71 m 568.3 405.71 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 (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (All parts of the home to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (which service users have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (access are so far as possible )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (free from hazards to their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (safety.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.68 Tm (Unecessary risks must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.1 Tm (identified with the use of risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.52 Tm (assessments and actions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm (taken to eliminate those risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (to people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 389.53 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 389.53 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 389.53 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.53 Tm (Unless it is impracticle to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.95 Tm (carry out such consultation )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 (after consultation with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (service user or a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.63 Tm (representative of his prepare )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (a written plan 'the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.47 Tm (user plan' as to how the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.89 Tm (service users needs in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.31 Tm (respect to his health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.73 Tm (welfare are to be met. The )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.15 Tm (regiastered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.57 Tm (make the service users plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.99 Tm (available to the service user )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.41 Tm (keep the service users plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.83 Tm (under review where )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156.25 Tm (appropriate and unless it is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.67 Tm (impractical to do so carry out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.09 Tm (such consultation with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.51 Tm (servicew user or a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 97.93 Tm (representative of his revise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.35 Tm (the service users plan and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.77 Tm (notify the service user of any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.19 Tm (such revision.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 389.53 Tm (30/09/2009)Tj ET 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384.18 m 91.05 384.18 l S 0.001 w 373.5 w 93.3 384.18 m 197.4 384.18 l S 0.001 w 373.5 w 199.65 384.18 m 289.45 384.18 l S 0.001 w 373.5 w 291.7 384.18 m 473.8 384.18 l S 0.001 w 373.5 w 476.05 384.18 m 566.1 384.18 l S 0.001 w 151.51 w 31.2 119.43 m 91.05 119.43 l S 0.001 w 151.51 w 93.3 119.43 m 197.4 119.43 l S 0.001 w 151.51 w 199.65 119.43 m 289.45 119.43 l S 0.001 w 151.51 w 291.7 119.43 m 473.8 119.43 l S 0.001 w 151.51 w 476.05 119.43 m 566.1 119.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 572.06 m 568.3 572.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.31 m 568.3 196.31 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 28.99 572.06 m 568.3 572.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.31 m 568.3 196.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (Each person living at the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (home must have a care plan )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (that clearly identifies their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 610.11 Tm (care needs any identified )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 595.53 Tm (risks and the action required )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 580.96 Tm (to meet them. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 555.88 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 555.88 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 555.88 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.88 Tm (Unless it is impractical to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.29 Tm (carry out such consultation )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm (the registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (after consultation with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm (service user or a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.98 Tm (representative of his prepare )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm (a written plan as to how the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (person's needs in respect of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (health and welfare are to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (met. The plan must be kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (under review, where )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm (appropriate and unless it is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (impracticable to carry out )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm (such consultation, after )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (consultation with the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (user or a representative of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (his revise the service user's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm (plan and notify the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.43 Tm (user of any such revision.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.27 Tm (Care plans must contain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.7 Tm (sufficient detail on all aspects )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (of a person's care needs to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm (enable staff to offer )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.96 Tm (appropriate support.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 555.88 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.13 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 180.13 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 180.13 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.54 Tm (ensure that the care home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.96 Tm (conducted so as to promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.38 Tm (and make proper provision )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.81 Tm (for the health and welfare of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.22 Tm (service users to make proper )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.64 Tm (provision for the care and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.07 Tm (where appropriate treatment )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.49 Tm (education and supervision of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 48.9 Tm (service users. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 180.13 Tm (30/09/2009)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 (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 727.68 w 32.32 420.26 m 564.97 420.26 l S 0.001 w 1 1 1 RG 154.8 w 31.2 603.84 m 91.05 603.84 l S 0.001 w 154.8 w 93.3 603.84 m 197.4 603.84 l S 0.001 w 154.8 w 199.65 603.84 m 289.45 603.84 l S 0.001 w 154.8 w 291.7 603.84 m 473.8 603.84 l S 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d 2.25 w 30.07 683.45 m 30.07 53.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 53.09 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 53.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 53.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 53.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 53.09 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 28.99 525.32 m 568.3 525.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.11 m 568.3 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.64 m 568.3 196.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 54.17 m 568.3 54.17 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 (person shall make suitable )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (the care home is conducted )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (in a manner which respects )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (the privacy and dignity of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (service users )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (They must make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (the people's health and social )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (care needs are fully met. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 509.14 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 509.14 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 509.14 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (make sure that medication is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (managed in a safe and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (appropriate manner to make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (sure prople are kept safe. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (In order to make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (people receive their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (medication as prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (they must make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (medication records are kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.76 Tm (up to date and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 509.14 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 322.92 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 322.92 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 322.92 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (ensure that any complaint )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (made is fully investigated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.61 Tm (All complaints must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.02 Tm (recorded to show that they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.45 Tm (have been dealt with in line )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm (with the home's policies and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.29 Tm (procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 322.92 Tm (17/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.46 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 180.46 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 180.46 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.46 Tm (unecessary risks to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.88 Tm (health and safety of service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 151.29 Tm (users are identified and so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (far as possible eliminated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.56 Tm (Equipment used by people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.97 Tm (living at the home must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.39 Tm (kept in good repair to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.81 Tm (minimise the risks of harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 180.46 Tm (28/09/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for 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 (18)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 213.12 w 31.2 574.68 m 91.05 574.68 l S 0.001 w 213.12 w 93.3 574.68 m 197.4 574.68 l S 0.001 w 213.12 w 199.65 574.68 m 289.45 574.68 l S 0.001 w 213.12 w 291.7 574.68 m 473.8 574.68 l S 0.001 w 213.12 w 476.05 574.68 m 566.1 574.68 l S 0.001 w 271.44 w 31.2 330.15 m 91.05 330.15 l S 0.001 w 271.44 w 93.3 330.15 m 197.4 330.15 l S 0.001 w 271.44 w 199.65 330.15 m 289.45 330.15 l S 0.001 w 271.44 w 291.7 330.15 m 473.8 330.15 l S 0.001 w 271.44 w 476.05 330.15 m 566.1 330.15 l S 0.001 w 148.51 w 31.2 117.93 m 91.05 117.93 l S 0.001 w 148.51 w 93.3 117.93 m 197.4 117.93 l S 0.001 w 148.51 w 199.65 117.93 m 289.45 117.93 l S 0.001 w 148.51 w 291.7 117.93 m 473.8 117.93 l S 0.001 w 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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 34.05 666.18 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 666.18 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.18 Tm (There must be adequate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (sitting, recreational and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (dining space provided )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.45 Tm (seperately from the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.86 Tm (users private )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 593.28 Tm (accommodation.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.13 Tm (Advice must be taken from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.54 Tm (the local fire officer with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 531.97 Tm (regard to having a dining )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.39 Tm (table placed in the corridor )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.8 Tm (outside the lift to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.23 Tm (people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.64 Tm (have a safe environment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (21/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.82 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 450.82 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 450.82 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (make suitable arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (to prevent infection, toxic )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (conditions and the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (infection at the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (There must be suitable risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.76 Tm (assessments and actions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.17 Tm (taken to prevent infection )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.6 Tm (and toxic conditions at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.02 Tm (service. Actions must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.43 Tm (taken regarding improving )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.86 Tm (the cleaning schedules at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.27 Tm (service. All areas that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.7 Tm (unclean must be improved to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.12 Tm (reduce risks and improve the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.54 Tm (environment so that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.96 Tm (are not put at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 450.82 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 177.13 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 177.13 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 177.13 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.13 Tm (The owner must make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.54 Tm (that there are enough staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (to meet people's needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.81 Tm (Staffing levels must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.22 Tm (reviewed regarding the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.64 Tm (necessary resources and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.07 Tm (hours needed for developing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.49 Tm (and providing activities and )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 177.13 Tm (05/10/2009)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 (18)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 119.64 w 31.2 621.42 m 91.05 621.42 l S 0.001 w 119.64 w 93.3 621.42 m 197.4 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301.37 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 28.99 560.48 m 568.3 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.37 m 568.3 301.37 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 [] 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/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 (for the ongoing cleaning of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (the service. They must )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (assess the dependencies of )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (the people at the service and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (how they measure the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (ongoing staffing levels to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (meet the needs of the people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (living there.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.29 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 544.29 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 544.29 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (not employ people to work in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (the home unless he has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (obtained the information and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (documents specified in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.39 Tm (paragraphs 1-7 of schedule )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.82 Tm (2.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (To ensure the safety of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (people living at the home a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.49 Tm (robust recruitment procedure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.92 Tm (must be adhered to at all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.33 Tm (times. There must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.76 Tm (evidence that thorough )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.17 Tm (safety checks have been )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.6 Tm (undertaken before anybody )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.02 Tm (is offered work. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 544.29 Tm (21/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.18 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 285.18 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 285.18 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.18 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.61 Tm (make sure that staff have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.02 Tm (the appropriate training for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.45 Tm (the work they are to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.87 Tm (perform.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 194.71 Tm (Staffing levels must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.13 Tm (reviewed to 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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 28.99 335.78 m 568.3 335.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.15 m 568.3 164.15 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 (not pay money belonging to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (service users into a bank )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (account unless the account is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (in the name of the service )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (user to which the money )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 598.53 Tm (belongs and the account is )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 583.96 Tm (not used by the registered )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 569.38 Tm (person in connection with )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 554.79 Tm (carrying on the management )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 540.22 Tm (of the care home. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 519.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 505.05 Tm (There must be clear financial )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 490.48 Tm (care plans and up to date )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 475.89 Tm (policies relating to the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 461.32 Tm (management of the monies )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 446.73 Tm (held on behalf of the people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 432.15 Tm (who live at the service. )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 417.58 Tm (People should be supported )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 402.99 Tm (with various options that )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 388.42 Tm (meet their individual needs )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 373.83 Tm (or advised as to how they )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 359.26 Tm (can support them with their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 344.67 Tm (financial needs.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.6 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 319.6 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 319.6 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.6 Tm (The registered person shall )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.02 Tm (ensure that people working )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.43 Tm (in the home are apprpriately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.86 Tm (supervised.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.7 Tm (In line with the home's policy )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 229.12 Tm (and procedure staff must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.54 Tm (recive supervision. This must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.96 Tm (include night staff to make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.38 Tm (sure that good care practices )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.79 Tm (are used.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 319.6 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 147.96 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 147.96 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 147.96 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (The registered person after )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (consulting with the fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm (authority shall make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (adequate precautions against )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm (the risk of fire including the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm (provision of suitable fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.49 Tm (equipment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 147.96 Tm (28/09/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 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 (15)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 (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 166.05 w 32.32 701.08 m 564.97 701.08 l S 0.001 w 1 1 1 RG 64.32 w 31.2 649.09 m 91.05 649.09 l S 0.001 w 64.32 w 93.3 649.09 m 197.4 649.09 l S 0.001 w 64.32 w 199.65 649.09 m 289.45 649.09 l S 0.001 w 64.32 w 291.7 649.09 m 473.8 649.09 l S 0.001 w 64.32 w 476.05 649.09 m 566.1 649.09 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 614.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 614.72 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 92.17 614.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 614.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 614.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 614.72 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 28.99 615.8 m 568.3 615.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (Staff practices at the home )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (must not compromise )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 624.7 Tm (people's health and safety.)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 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 (18)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 555.86 w 32.32 320.86 m 564.97 320.86 l S 0.001 w 1 1 1 RG 154.8 w 31.2 420.98 m 91.05 420.98 l S 0.001 w 154.8 w 93.3 420.98 m 197.4 420.98 l S 0.001 w 154.8 w 199.65 420.98 m 289.45 420.98 l S 0.001 w 154.8 w 291.7 420.98 m 473.8 420.98 l S 0.001 w 154.8 w 476.05 420.98 m 566.1 420.98 l S 0.001 w 169.38 w 31.2 256.64 m 91.05 256.64 l S 0.001 w 169.38 w 93.3 256.64 m 197.4 256.64 l S 0.001 w 169.38 w 199.65 256.64 m 289.45 256.64 l S 0.001 w 169.38 w 291.7 256.64 m 473.8 256.64 l S 0.001 w 169.38 w 476.05 256.64 m 566.1 256.64 l S 0.001 w 125.64 w 31.2 106.88 m 91.05 106.88 l S 0.001 w 125.64 w 93.3 106.88 m 197.4 106.88 l S 0.001 w 125.64 w 199.65 106.88 m 289.45 106.88 l S 0.001 w 125.64 w 291.7 106.88 m 473.8 106.88 l S 0.001 w 125.64 w 476.05 106.88 m 566.1 106.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 342.45 m 568.3 342.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.82 m 568.3 170.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 500.58 m 30.07 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.45 m 568.3 342.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.82 m 568.3 170.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.93 m 568.3 42.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 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 34.05 567.85 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 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (To make sure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (receive the appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (healthcare.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.99 Tm (They must make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm (they develop a method of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm (monitoring pressure sores )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.26 Tm (and recording any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (improvements or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.1 Tm (deterioration. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (30/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.27 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 326.27 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 326.27 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.27 Tm (In order to make surre )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.68 Tm (people living in the home are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.11 Tm (kept safe at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.95 Tm (They must make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.37 Tm (the correct consistency is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.79 Tm (achieved for those people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.21 Tm (who require thicked fulids )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.63 Tm (and food this is to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.04 Tm (the risk of aspiration is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.46 Tm (minimised.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 326.27 Tm (30/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.63 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 154.63 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 154.63 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 154.63 Tm (To make sure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 140.05 Tm (living at the home are kept )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.47 Tm (safe from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.32 Tm (Any unexplained injury to a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.74 Tm (person must be reported and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 64.15 Tm (investigated using the local )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 49.58 Tm (safeguarding procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 154.63 Tm (30/11/2009)Tj ET endstream endobj 38 0 obj<>/ProcSet 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(These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.88 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 34.05 705.3 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 684.48 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 684.48 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 684.48 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 662.07 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 662.07 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 662.07 Tm (The needs assessment is an important document that )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 647.49 Tm (should be retained in the care plan for staff reference.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 624.66 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 624.66 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 624.66 Tm (They should use fluid balance charts to monitor that people )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 610.08 Tm (were having enough to drink. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.25 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 587.25 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 587.25 Tm (They should make sure that turn charts were completed in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 572.67 Tm (line with the care plans to show that pressure area care is )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 558.09 Tm (being provided.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 535.26 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 535.26 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 535.26 Tm (They should consider the use language when wrting care )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 520.68 Tm (plans to make sure that there are no misunderstandings. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 497.85 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 497.85 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 497.85 Tm (It was recommended that they focus on developing the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.27 Tm (care plans further to make them person-centred and to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 468.69 Tm (reflect staff's knowledge of how people were supported. We )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 454.11 Tm (recommended that they complete the new care plans with )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 439.53 Tm (the person or their representatives.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.7 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 416.7 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 416.7 Tm (The deputy manager should make sure that all staff were )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 402.12 Tm (reminded of their responsibilities regarding the care of the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 387.54 Tm (people living at the home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 364.71 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 364.71 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 364.71 Tm (They should look at the staffing hours based on the needs )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 350.13 Tm (of the people living at the home to make sure they have )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 335.55 Tm (enough staff on duty at times of high activity.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 312.72 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 312.72 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 312.72 Tm (All staff should receive refresher training in moving and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 298.14 Tm (handling.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 275.31 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 275.31 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 275.31 Tm (To make sure they have the appropriate skills and )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 260.73 Tm (knowledge, all care staff should receive specialist training )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 246.15 Tm (in how to clean PEG sites.)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for 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 (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)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 (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 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 26.14 758.22 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. 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All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put 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put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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