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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 453.92 m 164.46 453.92 l S 0.001 w 1 1 1 RG 90.9 w 166.71 453.92 m 580.25 453.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.34 m 582.46 407.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 406.27 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Ladybank)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (10a Ladybank )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Birch Hill)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Bracknell)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (Berkshire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 413.99 Tm (RG12 7HA)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 397.05 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 375.55 m 391.05 375.55 l S 0.001 w 1 1 1 RG 20.58 w 393.3 375.55 m 580.25 375.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 352.72 m 391.05 352.72 l S 0.001 w 1 1 1 RG 20.58 w 393.3 352.72 m 580.25 352.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.97 m 582.46 386.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.31 m 582.46 341.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 388.05 m 30.07 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 388.05 m 392.17 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 388.05 m 581.38 340.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 370.78 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 370.78 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.95 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 347.95 Tm (18/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 276 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 242 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 242 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 242 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 242 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 208 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 173.52 m 315.25 173.52 l S 0.001 w 20.58 w 317.5 173.52 m 565.9 173.52 l S 0.001 w 1 1 1 RG 20.58 w 317.5 150.69 m 346.55 150.69 l S 0.001 w 20.58 w 348.8 150.69 m 377.9 150.69 l S 0.001 w 20.58 w 380.15 150.69 m 409.2 150.69 l S 0.001 w 20.58 w 411.45 150.69 m 440.55 150.69 l S 0.001 w 20.58 w 442.8 150.69 m 471.9 150.69 l S 0.001 w 20.58 w 474.15 150.69 m 503.2 150.69 l S 0.001 w 20.58 w 505.45 150.69 m 534.55 150.69 l S 0.001 w 20.58 w 536.8 150.69 m 565.9 150.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.93 m 568.1 184.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.27 m 568.1 139.27 l S 0.001 w [] 0 d [] 0 d 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Tf BT 1 0 0 1 392.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 145.92 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.11 m 267.21 716.11 l S 0.001 w 1 1 1 RG 90.9 w 269.46 716.11 m 563.65 716.11 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.12 m 267.21 658.12 l S 0.001 w 1 1 1 RG 20.58 w 269.46 658.12 m 563.65 658.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.29 m 267.21 635.29 l S 0.001 w 1 1 1 RG 20.58 w 269.46 635.29 m 563.65 635.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.46 m 267.21 612.46 l S 0.001 w 1 1 1 RG 20.58 w 269.46 612.46 m 563.65 612.46 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.63 m 267.21 589.63 l S 0.001 w 1 1 1 RG 20.58 w 269.46 589.63 m 563.65 589.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.22 m 565.85 578.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 577.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Ladybank)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (10a Ladybank )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Birch Hill)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Bracknell)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (Berkshire)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 676.18 Tm (RG12 7HA)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.35 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 653.35 Tm (01344459791)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.52 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 607.69 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 607.69 Tm (ruth.halliday@bracknell-forest.gov.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.86 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 548.92 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 529.43 m 353.25 529.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 529.43 m 565.9 529.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 540.84 m 568.1 540.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.01 m 568.1 518.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 541.92 m 30.07 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the )Tj ET /F1 12 Tf BT 1 0 0 1 358.45 469.29 Tm (service)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 447.86 m 353.25 447.86 l S 0.001 w 1 1 1 RG 20.58 w 355.5 447.86 m 565.9 447.86 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 425.03 m 353.25 425.03 l S 0.001 w 1 1 1 RG 20.58 w 355.5 425.03 m 565.9 425.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 436.44 m 568.1 436.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 459.27 m 568.1 459.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 436.44 m 568.1 436.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 413.61 m 568.1 413.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 460.35 m 30.07 412.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 460.35 m 354.37 412.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 460.35 m 567.02 412.54 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 443.09 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 443.09 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 420.26 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 420.26 Tm (42)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 401.31 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 381.82 m 565.6 381.82 l S 0.001 w 41.16 w 31.2 348.7 m 297.2 348.7 l S 0.001 w 20.58 w 299.45 358.99 m 565.6 358.99 l S 0.001 w 20.58 w 299.45 338.41 m 432.52 338.41 l S 0.001 w 20.58 w 432.52 338.41 m 565.6 338.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 370.41 m 567.8 370.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 393.24 m 567.8 393.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.41 m 567.8 370.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327 m 567.8 327 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 394.32 m 30.07 325.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 371.49 m 298.32 325.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 394.32 m 566.72 325.92 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 377.05 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 354.22 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 354.22 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 333.64 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 333.64 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 304.92 m 297.25 304.92 l S 0.001 w 35.16 w 299.5 304.92 m 429.25 304.92 l S 0.001 w 35.16 w 431.5 304.92 m 565.9 304.92 l S 0.001 w 20.58 w 31.2 274.8 m 297.25 274.8 l S 0.001 w 20.58 w 299.5 274.8 m 429.25 274.8 l S 0.001 w 20.58 w 431.5 274.8 m 565.9 274.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 286.21 m 568.1 286.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 323.62 m 568.1 323.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.21 m 568.1 286.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.38 m 568.1 263.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 324.7 m 30.07 262.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 324.7 m 298.37 262.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 324.7 m 430.37 262.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 324.7 m 567.02 262.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 307.44 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 292.86 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 307.44 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 307.44 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.03 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 270.03 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 270.03 Tm (0)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 231.59 m 565.6 231.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 220.18 m 567.8 220.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 153.61 m 568.1 153.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 243.01 m 567.8 243.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.18 m 568.1 220.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 153.61 m 568.1 153.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.78 m 568.1 130.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 244.09 m 30.07 129.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 244.09 m 566.72 129.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 226.82 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.99 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 189.41 Tm (home with nursing - \(N\) to service users of the following gender: Either Whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 174.83 Tm (care needs on admission to the home are within the following categories: Old age- not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 160.25 Tm (falling within any other category \(OP\) Physical disability \(PD\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 137.42 Tm (The maximum number of service users to be accommodated is 42. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 115.99 m 315.25 115.99 l S 0.001 w 1 1 1 RG 20.58 w 317.5 115.99 m 346.55 115.99 l S 0.001 w 20.58 w 348.8 115.99 m 377.9 115.99 l S 0.001 w 20.58 w 380.15 115.99 m 409.2 115.99 l S 0.001 w 20.58 w 411.45 115.99 m 440.55 115.99 l S 0.001 w 20.58 w 442.8 115.99 m 471.9 115.99 l S 0.001 w 20.58 w 474.15 115.99 m 503.2 115.99 l S 0.001 w 20.58 w 505.45 115.99 m 534.55 115.99 l S 0.001 w 20.58 w 536.8 115.99 m 565.9 115.99 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 127.4 m 568.1 127.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 104.57 m 568.1 104.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 128.48 m 30.07 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 128.48 m 316.37 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 128.48 m 347.67 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 128.48 m 379.02 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 128.48 m 410.32 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 128.48 m 441.67 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 128.48 m 473.02 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 128.48 m 504.32 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 128.48 m 535.67 103.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 128.48 m 567.02 103.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 111.22 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 111.22 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 111.22 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 111.22 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 111.22 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 111.22 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 111.22 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 111.22 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 111.22 Tm (8)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 621.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 621.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 622.15 m 568.1 622.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 781.22 Tm (Ladybank incorporates long term residential and short term intermediate care )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 764.22 Tm (resources on the same site. The home refers to the residential side as 'Ladybank' and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 747.22 Tm (to the intermediate care side as 'The Bridgewell Centre'. Ladybank residential side )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 730.22 Tm (provides personal care and support to up to twenty three people aged 65 years and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 713.22 Tm (over, with the accommodation divided into three units. The Bridgewell Centre provides )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 696.22 Tm (intermediate care to up to nineteen people aged 18 years and over, with the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 679.22 Tm (accommodation divided into two units.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 662.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 645.22 Tm (The home is situated close to South Hill Park, local shops and amenities are within a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 628.22 Tm (short walking distance.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 606.72 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (The purpose of this random inspection visit was to assess the home's compliance with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (requirements made at the last key inspection on the 17th and 18th September 2008.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (In order to assess compliance, the home's amended statement of purpose, amended )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (service users' guide, care plans, staff recruitment records, staff induction records and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (health and safety check sheets were all sampled. Other evidence was obtained from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (discussions with the registered manager for the home, the manager of the Bridgewell )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (Centre and from discussions with service users and members of staff on duty.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (Choice of Home outcome group: At the last key inspection three requirements and one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (recommendation were made under this outcome group.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (Requirement number one required that the home's statement of purpose be reviewed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (On the 5th January 2009, CSCI were provided with a copy of the home's revised )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (statement of purpose. This document includes all items required of The Care Homes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (Regulations, is well written and easy to understand. The statement of purpose gives a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (clear picture of all services offered at the home, together with an easy to understand )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (explanation of the organisation and structure for the whole service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (Requirement number two required that the home's service users' guide be reviewed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (This requirement has been almost met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (The manager has done as much as she can at this stage and the new service users' )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (guide covers the majority of items required. The new service users' guide is, again, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (extremely well written and easy to understand, a copy has been provided to all service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (users. The manager is awaiting final pieces of information from Bracknell Forest )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (Borough Council \(i.e. information relating to fee breakdowns plus the results of service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (user surveys\) before being able to meet this requirement in full. The manager advised )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (the inspector that, as soon as the additional information is received, she will add it to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (the service users' guide and produce the final version, copies will then be given to all )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (service users, provided to new service users and a copy sent to CSCI to demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (full compliance with the requirement.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (Recommendation number one was for each service user to be provided with a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (statement of terms and conditions with the home. Recommendations are taken from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (the best practice described in the National Minimum Standards \(NMS\). In January )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (2009, CSCI were sent a copy of the draft terms and conditions document. The draft )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (document was well set out and clearly described and explained the rights and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (obligations of both the home and the service user. Although not a requirement, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (manager has worked hard towards meeting this recommendation and this work is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (almost complete. The manager is awaiting information relating to individual fee )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (breakdowns, and needs to include costs \(if any\) of additional services provided or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (offered and also needs to add the room numbers for individual service users. Once )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (these final details are added this recommendation will have been met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (For all three documents described above the manager has obviously taken a lot of care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (in ensuring that the documents make clear the differences between the services )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (provided on Ladybank \(residential care side\) and those provided by The Bridgewell )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (Centre \(intermediate care side\). The inspector was advised that staff have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (involved in the development of these documents and are aware of and understand the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (content. Together the documents clearly explain the organisational structure of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (home, clarify lines of accountability and explain how the two, very different, sides of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (the home fit together under the one registration. This extensive work also contributes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (towards meeting one of the requirements made at the last inspection under the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (Management and Administration outcome group. The manager and all staff involved )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (are congratulated on the success of this work.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (The final versions of the service users' guide and the statement of terms and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (conditions will be assessed at the next key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (The third requirement made under this section was that the home must make sure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (that needs assessment are carried out for all service users admitted to the home. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (concerns raised at that inspection only related to service users admitted to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (Bridgewell Centre. This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (Two files were sampled on the day of this inspection for two service users who had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (been very recently admitted to the Bridgewell Centre. Both files contained in depth and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (full needs assessments, which had been completed on the day of admission to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (home. These assessments took into account and included external health )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (professionals' assessments that had been provided to the home prior to the person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (being admitted.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (Health and Personal Care outcome group: At the last key inspection one requirement )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (was made under this outcome group, that the home must ensure that all service users )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (have a written plan as to how their health, personal and social care needs will be met. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (The concerns raised at that inspection only related to service users admitted to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (Bridgewell Centre. This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (Two files were sampled on the day of this inspection for two service users who had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (been recently admitted to the Bridgewell Centre. The two care plans sampled were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (based on the pre admission assessments and had been drawn up shortly after each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (service user's admission to the home and included appropriate risk assessments. It )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (was positive to note that all staff involved in the care of the service users on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (Bridgewell Centre \(e.g. care workers, registered nurses, physiotherapists, occupational )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (therapists, speech and language therapists etc\) participate in the drawing up, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (maintenance and documentation of the care plans. These care plans set out the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (actions which need to be taken by care staff and therapists to meet the health, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (personal and intermediate care needs of the service users, together with actions for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (staff to take to reduce any identified risks. The daily notes demonstrated that any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (changes or new concerns are promptly acted upon and information added to the care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (plan without delay. Both care plans had been signed by the service users to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (demonstrate their involvement and agreement to the contents.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (The manager of the Bridgewell Centre also explained that the care plans in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (Bridgewell Centre are now kept in each service user's room so that service users are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (fully involved in the planning and maintenance of their plan. Two service users spoken )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (with confirmed that they felt fully involved in the care planning process and that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (also felt that the staff asked for and consulted with them when making changes or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (amendments. The registered manager explained that she is currently consulting with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (the service users in the Ladybank residential side, with a view to adopting the same )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (system there.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (Complaints and Protection outcome group: At the last key inspection one requirement )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (was made under this outcome group, that the home must ensure that all staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (employed to work at the home understand and comply with the home's whistle )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (blowing policy and the procedures in place for safeguarding adults. This requirement )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (Prompt action was taken to address this requirement, within seven days of the last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (inspection all staff had been given copies of the home's whistle blowing policy as a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (reminder and had been required to sign to say they had read and understood the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (contents. Since then, with the support and involvement of the safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (coordinator for Bracknell Forest Council, all staff have attended refresher safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (training. This refresher training is also included in all staff members' personal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (development plans. Whistle blowing and safeguarding training is included in any new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (staff's induction programme.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (In addition, safeguarding adults is now a mandatory agenda item at the staff meetings )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (held every two months at the home. The manager advised that this gives the staff the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (opportunity to raise any general questions they may have and makes sure that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (training staff have received is reinforced. A copy of the safeguarding adults flow )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (charts, from the Bracknell Forest safeguarding procedure, has been laminated and is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (kept by the entrance to the home and is easily accessible to all staff, service users and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (visitors.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (Staffing outcome group: At the last key inspection three requirements were made )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (under this outcome group relating to staff recruitment and induction training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (One requirement was that all people involved in recruitment must be aware of and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (adhere to the requirements of the Care Homes Regulations. This requirement has been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (The file of the one member of staff recruited since the last inspection was sampled and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (found to be in order. The manager had personally ensured that all required information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (had been obtained prior to offering the person a position at the home and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (demonstrated a good understanding of the regulations and her own responsibility in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (the procedure.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (The second requirement was that all staff files for staff employed since 26 July 2004 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (should be checked to ensure that they contained all the correct information and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (documents. This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (One of the files that had been sampled and found to be incorrect at the last inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (was re sampled on this visit. Evidence was seen that staff from the human resources )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (department of Bracknell Forest Council had checked the file and the manager had then )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (carried out her own check, with the required information, where possible, now in place. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (The manager confirmed that all files for staff employed since 2004 had been checked )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (and discrepancies rectified. However, the evidence seen indicated that there may be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (some areas of the regulations that need to be discussed and clarified with staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (involved in recruitment, e.g. a clearer method of establishing that they have obtained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (a full employment history and that any gaps are explained in writing; clear guidance )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (needs to be developed on what steps staff are expected to take when trying to verify )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (applicants' reasons for leaving previous employment working with vulnerable adults )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (and actions staff should take to attempt to obtain references from the last place an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (applicant worked with vulnerable adults, especially when this may have been a number )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (of years in the past.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (The third requirement made under this outcome group was that the home must obtain )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (confirmation, in writing, from employers other than the registered provider \(e.g. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (agency staff\) that the agency has obtained all the required information and documents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (set out in the Care Homes Regulations. This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (Following the last inspection, the situation regarding details of staff recruitment for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (staff employed directly by the local PCT but working at the Bridgewell Centre was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (clarified with the legal department of CSCI. It was determined that regulations require )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (that the home should hold the same information for these staff as they do for agency )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (staff, as they are employed by someone other than the registered provider.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (The home now hold detailed information sheets for all agency and PCT staff that are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (working, or have worked at the home. The agencies and PCT have provided written )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (confirmation for each individual, confirming that they have carried out all required )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (checks and obtained all the required documentation. These sheets were sampled and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (all were seen to be in order. Each separate sheet also contained a recent photograph )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (of the person in question and the forms had been signed by the person in charge of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (the home at the time of the person's first shift to evidence that they had checked the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (form and the photograph. The manager also advised that all employers, other than the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (registered provider, had been advised that no person will be allowed to work at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (home without this written confirmation being in place.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (Management and Administration outcome group: At the last key inspection four )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (requirements and one recommendation were made under this outcome group.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (The first requirement was that the provider needed to review and clarify the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (organisation and management of the home. This requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (Following the last inspection the provider, Bracknell Forest Borough Council, worked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (with other stakeholders involved, \(e.g. East Berkshire PCT\) and reviewed, clarified and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (agreed the organisational structure of the home. This structure is now described in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (new statement of purpose and service users' guide as discussed earlier in this report. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (Staff spoken with during this visit had a good understanding of how the home is run )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (and managed and it was reported that there is now more integration between the two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (different staff groups.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (The second requirement made at the last inspection under this outcome group was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (that a quality assurance and monitoring system must be implemented to cover both )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (sides of the home. The manager described the changes that have been made to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (previous systems. The practice of asking all service users admitted to the Bridgewell )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (Centre to complete an 'end of stay' survey will continue, with the forms being returned )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 688.26 w 31.2 468.4 m 563.65 468.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 123.14 m 565.85 123.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 122.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 122.07 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (to the provider so that the quality of the intermediate care services can be monitored )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (and survey forms for all service users and visitors will continue to be available at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (entrance to the home. The manager has now developed an additional survey form that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (will be used once a year to give the manager a 'snapshot' view of the whole home. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (plan is that on one day \(planned for this July\) all service users resident at the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (will be asked to complete the survey form. The manager will then correlate all the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (forms returned and develop an action plan to address any areas for improvement that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (may be identified. The manager also explained that she hopes to be able to identify if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (service users receiving care on one side, report a different experience from those )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (receiving care on the other side, i.e. differences between the residential care side and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (the intermediate care side. This requirement has been met and the inspector will )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (sample the correlation of the surveys and the resultant action plan at the next key )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (The third requirement made at the last inspection under this outcome group was for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (the home to implement a system to monitor that staff take appropriate action when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (any risks to the health, safety and welfare of service users are identified. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (requirement was made as a result of findings at the last inspection: risk assessments )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (seen in care plans on the Bridgewell Centre identified risks but no actions to reduce )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (that risk being documented, plus some health and safety checklists seen e.g. fridge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (temperatures on the units had been recorded daily but, where the temperatures were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (too high, no action had been taken. The manager advised that, following the last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (inspection, the purpose and process of risk assessment had been reviewed with all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (staff. Individual risk assessments for service users on the Bridgewell Centre are now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (monitored by the lead nurse on that side as part of the ongoing monitoring of care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (plans. Fridge temperature checklists on two of the units were sampled during this visit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (and they were seen to be up to date with all recorded temperatures being within )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (acceptable limits. However, at present there is no system in place for the manager to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (sample, monitor and document that routine health and safety checks of the premises )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (and equipment are being carried out and that action is taken when risks are identified. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (This requirement has been mostly met in that risk assessments specific to individual )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (service users are being closely monitored. But the requirement will be left open and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (reassessed at the next key inspection when a system has been introduced that enables )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (the manager to monitor that tasks delegated to other members of the staff team for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (routine health and safety checks of the premises and equipment are being carried out, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (can be sampled.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (At the last inspection it was identified that a number of incidents that should have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (been notified to CSCI, had not been and a requirement was made. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (advised that she had discussed this with all staff on both sides of the home. Since that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (time notifications have been sent by the home to CSCI, as required, and this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (requirement has been met.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (At the last inspection a recommendation was made for the home to review the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (telephone system, which currently has two unconnected telephone numbers for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (different sides. The manager advised that work to introduce a new, integrated system )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (is underway and it is expected this work will be completed later this year.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 105.07 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 105.07 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 30.98 w 31.2 79.52 m 563.65 79.52 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 96.13 m 565.85 96.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 97.21 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 97.21 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 79.95 Tm (The management and staff team at Ladybank have all demonstrated a strong )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 134.22 w 31.2 745.42 m 563.65 745.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 677.18 m 565.85 677.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 676.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 676.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (commitment to working together to meet the requirements made at the last inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (and to improving the quality and consistency of the services provided to all service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (users.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (This work has resulted in a number of changes in the way the home runs and the way )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (the staff work, all in a relatively short space of time. The management are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (congratulated on the way they have introduced these change and all staff at the home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (are congratulated on the way they have accepted these changes and then worked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (together as a team to implement the new systems and the new ways of working.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 659.11 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 283.02 w 31.2 506.41 m 563.65 506.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 649.05 m 565.85 649.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 363.78 m 565.85 363.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 650.13 m 30.07 362.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 650.13 m 564.78 362.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 632.86 Tm (In order to fully meet requirements made at the last key inspection the work on the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (new service users' guide needs to be completed by adding information on: the relevant )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (qualifications and experience of the registered provider, manager and staff; the service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (users' views of the home; details of the total fee payable for the services provided by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (the home and the arrangements for the payment of that fee plus the arrangements in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm (place for charging and paying for any additional services not included in the fee. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (new system in place for quality assurance monitoring of risk assessments needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (expanded and include a system for the manager to monitor that tasks, delegated to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.22 Tm (other members of the staff team for routine health and safety checks of the premises )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.64 Tm (and equipment, are being carried out and that appropriate steps are taken to protect )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 487.06 Tm (service users from any identified risk of harm or injury.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.9 Tm (In order to meet the recommendations made at the last key inspection, the new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.32 Tm (statement of terms and conditions document, provided to individual service users, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.74 Tm (needs to include details of: the room to be occupied; fees payable and by whom )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 414.16 Tm (\(service user, local or health authority, relative or another\) plus additional services to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.58 Tm (be paid for over and above those included in the fees. The planned introduction of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385 Tm (new telephone system will enable callers to contact and speak to the registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.42 Tm (manager of the home by only calling one number.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 345.47 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 345.47 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 329.47 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 81.9 w 31.2 699.43 m 566.2 699.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 741.5 m 568.4 741.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 742.58 m 30.07 658.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.48 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 725.32 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 707.74 Tm (These requirements were set at the last inspection. They may not have been looked at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.16 Tm (during this inspection, as a )Tj ET /F1 12 Tf BT 1 0 0 1 201.54 693.16 Tm (random inspection is short and focussed. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.58 Tm (person must take the necessary action to comply with these requirements within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 664 Tm (timescales set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 641.08 m 91 641.08 l S 0.001 w 30.3 w 93.25 641.08 m 197.4 641.08 l S 0.001 w 30.3 w 199.65 641.08 m 289.5 641.08 l S 0.001 w 30.3 w 291.75 641.08 m 473.9 641.08 l S 0.001 w 30.3 w 476.15 641.08 m 566.2 641.08 l S 0.001 w 1 1 1 RG 358.92 w 31.2 444.22 m 91.05 444.22 l S 0.001 w 358.92 w 93.3 444.22 m 197.4 444.22 l S 0.001 w 358.92 w 199.65 444.22 m 289.45 444.22 l S 0.001 w 358.92 w 291.7 444.22 m 473.8 444.22 l S 0.001 w 358.92 w 476.05 444.22 m 566.1 444.22 l S 0.001 w 200.73 w 31.2 162.14 m 91.05 162.14 l S 0.001 w 200.73 w 93.3 162.14 m 197.4 162.14 l S 0.001 w 200.73 w 199.65 162.14 m 289.45 162.14 l S 0.001 w 200.73 w 291.7 162.14 m 473.8 162.14 l S 0.001 w 200.73 w 476.05 162.14 m 566.1 162.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 624.8 m 568.4 624.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 658.43 m 92.12 262.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 658.43 m 290.62 262.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 658.43 m 475.02 262.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.63 m 568.3 263.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 657.35 m 568.4 657.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 624.8 m 568.3 624.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.63 m 568.3 263.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 658.43 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 625.88 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 658.43 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 625.88 m 290.57 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 625.88 m 474.92 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 658.43 m 567.32 59.57 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 643.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 643.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 643.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 643.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 643.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 631.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 608.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 608.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 608.62 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 608.62 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.04 Tm (produce a service users )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 579.46 Tm (guide that reflects the entire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 564.88 Tm (service provided at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 550.3 Tm (Ladybank, including all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 535.72 Tm (matters listed in Regulation 5 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.14 Tm (\(1\) of the Care Homes )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.56 Tm (Regulations 2001, as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.98 Tm (amended by The care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.4 Tm (Standards Act 2000 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.82 Tm (\(Establishments and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.24 Tm (Agencies\) \(Miscellaneous )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.66 Tm (Amendments\) Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 419.08 Tm (2006.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.5 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 386.92 Tm (In order that prospective )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.34 Tm (service users have the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 357.76 Tm (information they need to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.18 Tm (make an informed choice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.6 Tm (about moving to the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.02 Tm (and that existing service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.44 Tm (users are aware of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.86 Tm (services provided by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.28 Tm (Ladybank.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 608.62 Tm (18/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.45 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 247.45 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 247.45 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.45 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.87 Tm (implement a monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.29 Tm (system for the whole home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.71 Tm (to ensure that any risks )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.13 Tm (identified to the health, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.55 Tm (safety and welfare of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.97 Tm (service users are promptly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.39 Tm (addressed. \(This requirement )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.81 Tm (also refers to Standards 7 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 116.23 Tm (and 8.\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.07 Tm (In order that the health, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.49 Tm (safety and welfare of service )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 247.45 Tm (18/10/2008)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 31.2 796.45 m 91.05 796.45 l S 0.001 w 32.16 w 93.3 796.45 m 197.4 796.45 l S 0.001 w 32.16 w 199.65 796.45 m 289.45 796.45 l S 0.001 w 32.16 w 291.7 796.45 m 473.8 796.45 l S 0.001 w 32.16 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day we visited this )Tj ET /F1 12 Tf BT 1 0 0 1 493.86 727.32 Tm (care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.74 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.7 m 91 688.7 l S 0.001 w 30.3 w 93.25 688.7 m 197.4 688.7 l S 0.001 w 30.3 w 199.65 688.7 m 289.5 688.7 l S 0.001 w 30.3 w 291.75 688.7 m 473.9 688.7 l S 0.001 w 30.3 w 476.15 688.7 m 566.2 688.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.97 m 568.4 704.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.42 m 568.4 672.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.05 m 30.07 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.05 m 92.12 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.05 m 198.52 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.05 m 290.62 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.05 m 475.02 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.05 m 567.32 671.35 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 690.8 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 690.8 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 690.8 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 690.8 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 690.8 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 678.65 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 617.26 m 566.2 617.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.05 m 568.4 652.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.13 m 30.07 583.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.13 m 567.32 583.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 635.86 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 162.09 603.7 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 314.21 603.7 Tm (2001 and the National Minimum 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(Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 567.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 567.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 555.03 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 493.64 m 566.2 493.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 528.43 m 568.4 528.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.51 m 30.07 459.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 529.51 m 567.32 459.98 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 512.24 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 494.66 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 480.08 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 34.05 465.5 Tm (improving their service.)Tj ET 0.99608 0.9451 0.76078 RG 18.15 w 31.2 447.53 m 91.05 447.53 l S 0.001 w 18.15 w 93.3 447.53 m 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[] 0 d /F1 10 Tf BT 1 0 0 1 34.05 443.56 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 443.56 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 443.56 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.15 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 421.15 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 421.15 Tm (It is recommended that each service user is provided with a )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 406.57 Tm (statement of terms and conditions with the home, as set )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 391.99 Tm (out in national minimum standard 2. \(Brought forward from )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 377.41 Tm (key inspection of 18/09/08.\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 354.58 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 354.58 Tm (32)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 354.58 Tm (It is recommended that the provider reviews the telephone )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 340 Tm (system at the home to enable calls to be directed to the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 325.42 Tm (registered manager, whichever telephone number is dialled )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 310.84 Tm (by the caller. \(Brought forward from key inspection of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 296.26 Tm (18/09/08.\))Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Reader Information)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 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 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 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 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (0845 015 0120)Tj ET /F1 20 Tf BT 1 0 0 1 308.99 448.23 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 336.71 448.23 Tm (0191 233 3323)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (0845 015 2255)Tj ET /F1 20 Tf BT 1 0 0 1 311.31 416.57 Tm (or)Tj ET /F1 20 Tf BT 1 0 0 1 339.03 416.57 Tm (0191 233 3588)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.csci.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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 dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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