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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 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 (Abbey Grange)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 (47 Venns Lane )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Hereford)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Herefordshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (HR1 1DT)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 (01432271519)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 (01432271519)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 597.97 Tm (ubheedave@yahoo.co.uk)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 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 482.3 m 353.25 482.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 482.3 m 565.9 482.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 459.46 m 353.25 459.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 459.46 m 565.9 459.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 446.97 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Mrs Aileen Ubhee,Mr Bissessur )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Ubhee)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 477.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 454.7 Tm (29)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 435.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 392.3 m 564.47 392.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 427.67 m 567.8 427.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 428.75 m 30.07 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 405.92 m 298.32 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 383.09 m 432.52 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 428.75 m 566.72 358.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 411.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 388.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 388.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 365.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 365.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 344.39 m 297.25 344.39 l S 0.001 w 20.58 w 299.5 344.39 m 429.25 344.39 l S 0.001 w 20.58 w 431.5 344.39 m 565.9 344.39 l S 0.001 w 35.16 w 31.2 314.27 m 297.25 314.27 l S 0.001 w 35.16 w 299.5 314.27 m 429.25 314.27 l S 0.001 w 35.16 w 431.5 314.27 m 565.9 314.27 l S 0.001 w 35.16 w 31.2 276.86 m 297.25 276.86 l S 0.001 w 35.16 w 299.5 276.86 m 429.25 276.86 l S 0.001 w 35.16 w 431.5 276.86 m 565.9 276.86 l S 0.001 w 20.58 w 31.2 246.74 m 297.25 246.74 l S 0.001 w 20.58 w 299.5 246.74 m 429.25 246.74 l S 0.001 w 20.58 w 431.5 246.74 m 565.9 246.74 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.57 m 568.1 295.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.16 m 568.1 258.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 355.81 m 568.1 355.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.57 m 568.1 295.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.16 m 568.1 258.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.33 m 568.1 235.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 356.89 m 30.07 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 356.89 m 298.37 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 356.89 m 430.37 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 356.89 m 567.02 234.25 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 339.63 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 339.63 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.21 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 316.8 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 316.8 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.39 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 264.8 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 279.39 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 279.39 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.98 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 241.98 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 241.98 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 80.82 w 32.32 172.29 m 564.77 172.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 192.13 m 567.8 192.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.29 m 568.1 169.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.96 m 567.8 214.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.13 m 568.1 192.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.29 m 568.1 169.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 131.88 m 568.1 131.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 216.03 m 30.07 130.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 216.03 m 566.72 130.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 198.77 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (All residents must be at least 50 years of age on admission.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 153.11 Tm (That Mr Ubhee works a minimum of 30 hours a week at Abbey Grange in order to fulfil )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.53 Tm (his responsibilities as the Care Manager.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 117.1 m 315.25 117.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 117.1 m 346.55 117.1 l S 0.001 w 20.58 w 348.8 117.1 m 377.9 117.1 l S 0.001 w 20.58 w 380.15 117.1 m 409.2 117.1 l S 0.001 w 20.58 w 411.45 117.1 m 440.55 117.1 l S 0.001 w 20.58 w 442.8 117.1 m 471.9 117.1 l S 0.001 w 20.58 w 474.15 117.1 m 503.2 117.1 l S 0.001 w 20.58 w 505.45 117.1 m 534.55 117.1 l S 0.001 w 20.58 w 536.8 117.1 m 565.9 117.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 128.51 m 568.1 128.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 105.68 m 568.1 105.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 129.59 m 30.07 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 129.59 m 316.37 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 129.59 m 347.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 129.59 m 379.02 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 129.59 m 410.32 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 129.59 m 441.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 129.59 m 473.02 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 129.59 m 504.32 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 129.59 m 535.67 104.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 129.59 m 567.02 104.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 112.32 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 112.32 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 112.32 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 112.32 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 112.32 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 112.32 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 112.32 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 112.32 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 112.32 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 93.81 m 565.9 93.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 84.18 m 568.1 84.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 85.26 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 85.26 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.43 m 568.1 103.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 84.18 m 568.1 84.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 104.51 m 30.07 83.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 104.51 m 567.02 83.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 90.25 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 90.25 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 71 Tm (Abbey Grange is situated in a residential area on the outskirts of Hereford city. There )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 53.99 Tm (is a parking area at the front of the home and local buses pass within easy reach. The )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 (10)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 (original part of the premises has been adapted for its current use. It carries a listed )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (building status. This places some restriction for making desired alterations. The original )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (building has been extended to provide additional, purpose-built accommodation. The )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (home is registered to provide care to 29 people who are over 50 years of age and who )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (have needs arising from old age, dementia or mental disorder. Information about the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (service is displayed in the main entrance hall of the home. A copy of the most recent )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (inspection report is also displayed. A schedule of fees is available from the home. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (Additional charges are made for hairdressing, transport, escort, chiropody, toiletries )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (and newspapers.)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 (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We did this inspection because of information we received telling us that a recently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (appointed manager had left the home. We wanted to check what the management and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (staffing arrangements were and to check that risks at the home had not increased.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (We went to the home with two staff from Herefordshire Council who wanted to make )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (their own checks of the service. We jointly explained the reason for the visit to Mr Ubhee )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (and that it had been decided to visit at the same time to avoid multiple visits by different )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (agencies, especially as we would all be looking at similar issues.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (We identified during the inspection that the moving and handling assessment for a person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (living at the home had not been updated following advice given by a physiotherapist on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (12/10/09. The manager, Mr Ubhee, checked the person's file and confirmed that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (most recent moving and handling assessment was done by him in April 2009. Information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (written by a member of staff in the daily notes on 12/10/09 included information that at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (times a handling belt should be used and that at times she should be assisted by two )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (staff. This information was not included in the April 2009 moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (assessment. This means that the person's care plan has not been updated to include new )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (information about how to manage her mobility safely. We also saw a sheet in the front of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (their file headed 'mobilising', this was blank and did not specify what information should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (be recorded on it.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (We asked Mr Ubhee about how the moving and handling needs of people moving to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (home would be assessed. He explained that he asks the GP for help and gave us the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (example \(above\) where a physiotherapist had been to the home. He also said that he )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (uses a company 'as and when required' to help him with this. Mr Ubhee subsequently )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (confirmed that he is the person at the home responsible for doing moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (assessments. He said that he and/or a person's key worker does these. Staff from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (Herefordshire Council who were also at the home asked him if he had done moving and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (handling training and he said that he had, although it was due for updating. He told us )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (that his last moving and handling training was last year and that he did that at Y Plas, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (home in Swansea. \(Y PLas is owned by Endless Care Ltd, a company Mr Ubhee is a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (director of\). Another member of staff from Herefordshire Council asked what level of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (training this was \(ie was it 'awareness training or assessor training?\) and he said it was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm ('awareness' training. We are concerned that people at the home may not have had their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (moving and handling needs assessed by staff with the training necessary for this task. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (We are also concerned that neither Mr Ubhee nor staff working at the home have done )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (such training.)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 (On the day of the inspection there was roast lamb or faggots for lunch. We saw a list in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (kitchen showing people had chosen which they wanted. We looked briefly at the food )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (stocks but did not do a detailed check; however we noted that the dry food store and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (freezers had quite a lot in them. The cook told us she has done food hygiene training and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (is booked on a more in depth course soon.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (Since our last key inspection an incident had occurred when a person had left the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (unnoticed and was found later in Hereford; she had fallen and broken her arm. This was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (investigated under multi-agency safeguarding arrnagements. During this inspection we )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 (10)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 (asked Mr Ubhee for a copy of his internal investigation into what happened. He gave us a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (brief handwritten note which provided no evidence that he had carried out an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (investigation into what happened. It was evident that Mr Ubhee had not obtained robust )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (information about the events of that day. However, he assured us that all external doors )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (are now alarmed to make sure staff know if someone has gone out who may not be safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (if alone.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (Staff from Herefordshire Council asked Mr Ubhee if the door alarms are tested - he said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (no. He explained that they rely on the fact that doors get used so they would know if an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (alarm is not working. We queried this and asked surely if staff go out through the doors )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (they turn the alarm off? Otherwise staff would have to go and check whenever a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (colleague opened a door. He said they do check if the alarms work but confirmed he has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (no records to evidence this. At one point during the inspection, we and Herefordshire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (Council staff found a door where the alarm was not turned on.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (During the inspection Mr Ubhee asked how to make a referral to the POVA list \(this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (related to an incident earlier in the year when he had said he would refer an ex member )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (of staff to the list. He had not done anything about this. We explained to him where he )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (could find this information on the internet.)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 (We noted that the door to the cellar steps was locked for safety and a health and safety )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (poster was displayed on wall opposite the kitchen. The building felt warm and we saw a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (cleaner coming in and out of rooms during the morning. The door to the laundry was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (locked to make sure people with dementia living at the home do not have access to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (cleaning materials \(such as bleach\) which could harm them.)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 (Outside we noted that there was still no gate fitted to limit access from the garden to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (front of the property. We know that Herefordshire Council have asked for this to be done. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (This is to enable people to go outside in the garden but be safe from the risk from traffic )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (or getting lost if it is unsafe for them to go out alone.)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 (Parts of the grounds have items of equipment, furniture and building rubble in them. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (None of these were immediately in the way of paths but looked untidy and could pose a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (When we arrived at 7:50am we saw two staff within a few moments. One told us that she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (had started at 7.30am and was the team leader for the morning. She told us that there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (had been two waking staff over night and one person sleeping in. She went on to tell us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (that she was the team leader that morning with three other carers, a cook and a cleaner. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (She also told us Mr Ubhee was expected and he arrived at 8am.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (We saw a staff rota which showed that this was the level of staffing planned for the week. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (However, the names of staff on duty that day did not fully match the rota. Later, Mr )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Ubhee explained that this was due to a team leader not being able to come to work and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (arranging to swop shifts. We noted that the information about the hours being worked by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Mr Ubhee did not match what he told us. In discussion Mr Ubhee said Mrs Ubhee worked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (at the home the day before \(Tuesday 06/10/09\) and that he was the cook. We pointed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (out that rota does not show this and also does not show that the team leaders shifts had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (changed. Mr Ubhee said he had not had time to change the rota. We emphasised that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (rota must show what actual staffing is \(including hours that he and Mrs Ubhee work\).)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm ()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 (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 265.44 w 31.2 652.51 m 580.26 652.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.66 m 582.46 518.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 517.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 517.58 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Mr Ubhee told us he might make the new team leader deputy or that he may give this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (post to a current team leader. It is important for any person given this responsibility to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (be suitably trained and experienced. We looked at the training records for the team )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (leaders and saw that each of them had done recent training in mandatory topics.)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 spoke to Mr Ubhee about why he had advertised the acting manager's job while she )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (was still working at the home. Mr Ubhee said she had done some good things at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (home but kept telling him she was going to leave. He said that she did not sit down with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (him and tell him what was wrong and confirmed that he advertised the job while she was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (still working at the home because of this. Mr Ubhee explained to us that she was named )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (in the recently submitted improvement plan as the person dealing with improvements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (because he had not had time to amend it before sending it to us by the deadline.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (We asked Mr Ubhee about staff being able to deal with problems with the building if he )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (isn't there eg if one of the stairlift breaks down. Mr Ubhee said staff have names and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (numbers of firms and can do this. I asked if they had to get consent from him and he )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (said no. Later we asked a member of staff who said she would phone the owners first to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (get their agreement.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.59 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 1 175.95 500.59 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 464.53 m 580.26 464.53 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.52 m 582.46 490.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 438.54 m 582.46 438.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 491.6 m 30.07 437.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 491.6 m 581.38 437.46 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm (This information is detailed in the report of our most recent key inspection in May 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (This report is available on our website. We will update this information when we do our )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 445.18 Tm (next key inspection in November 2009.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 418.21 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 122.64 w 31.2 345.7 m 580.26 345.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 408.15 m 582.46 408.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 283.26 m 582.46 283.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 409.23 m 30.07 282.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 409.23 m 581.38 282.18 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 391.96 Tm (This information is detailed in the report of our most recent key inspection in May 2009. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.39 Tm (This report is available on our website. We will update this information when we do our )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.8 Tm (next key inspection in November 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (We made three new requirements \(about safe moving and handling\) as a result of this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.07 Tm (inspection but did not check what action had been taken in respect of requirements made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.48 Tm (following our key inspection in May. We will be doing this at the full key inspection later in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.9 Tm (November when we will also look again at other issues described in this report.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 264.95 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 264.95 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 248.95 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 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 (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 742.58 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 615.67 m 564.97 615.67 l S 0.001 w 1 1 1 RG 20.58 w 31.2 564.8 m 91.05 564.8 l S 0.001 w 20.58 w 93.3 564.8 m 197.4 564.8 l S 0.001 w 20.58 w 199.65 564.8 m 289.45 564.8 l S 0.001 w 20.58 w 291.7 564.8 m 473.8 564.8 l S 0.001 w 20.58 w 476.05 564.8 m 566.1 564.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 552.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.39 m 568.3 553.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 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 (10)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 687.66 w 32.32 402.7 m 564.97 402.7 l S 0.001 w 1 1 1 RG 198.54 w 31.2 560.85 m 91.05 560.85 l S 0.001 w 198.54 w 93.3 560.85 m 197.4 560.85 l S 0.001 w 198.54 w 199.65 560.85 m 289.45 560.85 l S 0.001 w 198.54 w 291.7 560.85 m 473.8 560.85 l S 0.001 w 198.54 w 476.05 560.85 m 566.1 560.85 l S 0.001 w 198.54 w 31.2 360.06 m 91.05 360.06 l S 0.001 w 198.54 w 93.3 360.06 m 197.4 360.06 l S 0.001 w 198.54 w 199.65 360.06 m 289.45 360.06 l S 0.001 w 198.54 w 291.7 360.06 m 473.8 360.06 l S 0.001 w 198.54 w 476.05 360.06 m 566.1 360.06 l S 0.001 w 198.54 w 31.2 159.27 m 91.05 159.27 l S 0.001 w 198.54 w 93.3 159.27 m 197.4 159.27 l S 0.001 w 198.54 w 199.65 159.27 m 289.45 159.27 l S 0.001 w 198.54 w 291.7 159.27 m 473.8 159.27 l S 0.001 w 198.54 w 476.05 159.27 m 566.1 159.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 460.45 m 568.3 460.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.67 m 568.3 259.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 662.32 m 30.07 57.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 57.8 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 57.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 57.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 57.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 57.8 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 28.99 460.45 m 568.3 460.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.67 m 568.3 259.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 58.88 m 568.3 58.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.06 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 645.06 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 645.06 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 645.06 Tm (Regulation 14\(2\) \(a\), \(b\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 630.48 Tm (You must arrange for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.9 Tm (moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 601.32 Tm (assessment for \(person\) to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.74 Tm (be revised. 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mobility to have a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.95 Tm (moving and handling )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.37 Tm (assessment done by a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.79 Tm (person who has been trained )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 342.21 Tm (to do so.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.05 Tm (To make sure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.47 Tm (have their moving and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.89 Tm (handling needs dealt with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 266.31 Tm (safely and comfortably.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 444.27 Tm (11/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 243.48 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 243.48 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 243.48 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.48 Tm (Regulation 18\(1\)\(c\)Any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.9 Tm (person carrying out moving )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.32 Tm (and handling assessments )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.74 Tm (for people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.16 Tm (must do training for this at a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.58 Tm (level that provides them with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 156 Tm (the necessary knowledge to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.42 Tm (do so. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.26 Tm (To make sure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.68 Tm (have their moving and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 80.1 Tm (handling needs dealt with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 65.52 Tm (safely and comfortably.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 243.48 Tm (11/11/2009)Tj ET endstream endobj 21 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 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/F1 12 Tf BT 1 0 0 1 34.05 718.04 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 34.05 703.46 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 703.46 Tm (Regulations 2001 and the National Minimum Standards. 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d 2.25 w 198.52 517.59 m 198.52 492.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.48 m 568.4 606.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 536.91 m 568.4 536.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 516.51 m 568.4 516.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.68 m 568.3 493.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 607.56 m 30.07 515.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 537.99 m 92.17 515.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 537.99 m 198.47 515.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 607.56 m 567.32 515.43 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 590.29 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 572.72 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 558.14 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 34.05 543.55 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 522.73 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 522.73 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 522.73 Tm (Good Practice Recommendations)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (10)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 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[] 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. 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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. 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The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 27 0 obj<> endobj 28 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 29 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 17 0 obj<> endobj 30 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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