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0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Bethany Francis House)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (106 Cambridge Street )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (St Neots)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Cambridgeshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (PE19 1PL)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01480476868)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 603.22 Tm (01480473799)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 502.13 m 353.25 502.13 l S 0.001 w 1 1 1 RG 20.58 w 355.5 502.13 m 565.9 502.13 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 433.64 m 353.25 433.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 433.64 m 565.9 433.64 l S 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398.31 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (ADR Care Homes Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.52 Tm (Name of registered manager \(if applicable\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 451.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.86 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 428.86 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 406.04 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 406.04 Tm (34)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 387.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 343.64 m 564.47 343.64 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 333.36 m 567.8 333.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 379.02 m 567.8 379.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.18 m 567.8 356.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 333.36 m 567.8 333.36 l S 0.001 w [] 0 d [] 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[] 0 d [] 0 d 2.25 w 28.99 307.15 m 568.1 307.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.32 m 568.1 284.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 246.91 m 568.1 246.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 308.23 m 30.07 245.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 308.23 m 298.37 245.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 308.23 m 430.37 245.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 308.23 m 567.02 245.83 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 290.96 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 290.96 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 290.96 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.14 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.55 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 268.14 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 268.14 Tm (34)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 169.29 m 564.77 169.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 203.71 m 567.8 203.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 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1 34.05 120.95 Tm (falling within any other category - Code OP Dementia - Code DE)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 99.51 m 315.25 99.51 l S 0.001 w 1 1 1 RG 20.58 w 317.5 99.51 m 346.55 99.51 l S 0.001 w 20.58 w 348.8 99.51 m 377.9 99.51 l S 0.001 w 20.58 w 380.15 99.51 m 409.2 99.51 l S 0.001 w 20.58 w 411.45 99.51 m 440.55 99.51 l S 0.001 w 20.58 w 442.8 99.51 m 471.9 99.51 l S 0.001 w 20.58 w 474.15 99.51 m 503.2 99.51 l S 0.001 w 20.58 w 505.45 99.51 m 534.55 99.51 l S 0.001 w 20.58 w 536.8 99.51 m 565.9 99.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 110.93 m 568.1 110.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 88.1 m 568.1 88.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 112.01 m 30.07 87.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 112.01 m 316.37 87.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 112.01 m 347.67 87.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 112.01 m 379.02 87.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 112.01 m 410.32 87.02 l S 0.001 w [] 0 d [] 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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 (14)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 30.07 321.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 321.77 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 28.99 322.85 m 568.1 322.85 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 35.5 753.91 Tm (This home was sold in October 2008 to ADR care homes, who bought it as an ongoing )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (business. They own several other homes.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (Bethany Francis House is a listed building, set back from the main St Neots to )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (Cambridge road. It has large extensive gardens. It is a victorian property which has )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (been extended and provides spacious accommodation on two floors.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (The upper floor is accessed by a wide sweeping stair case at each end of the house. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (There is a lift available. The home can accommodate up to 34 people who fall into the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (category of older people, with or without dementia. There are three double rooms and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (28 single rooms. 21 have ensuite facilities. The first floor has two bathrooms with )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 566.91 Tm (hoists and toilets and two individual toilets and one shower room.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 549.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 532.91 Tm (There are attractive gardens and a number of the residents help with the garden. They )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 515.91 Tm (have hanging baskets and raised flower beds. The grounds are enclosed and their are )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 498.92 Tm (suitable seating areas.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 481.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 464.92 Tm (The home is situated just a few minutes walk from the market town of St Neots where )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 447.92 Tm (a range of shops and leisure facilties can be accessed. It is close to public transport; )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 430.92 Tm (the railway station and bus routes.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 413.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 396.92 Tm (A copy of the homes statement of purpose and service user guide are made available )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 379.92 Tm (by the home. The current inspection report is available in the hallway. The reader )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 362.92 Tm (should check what the current fees are for the service. At the last key inspection in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 345.92 Tm (January 2009 they were 358.00 to 550.00 a week. There are additional charges for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 328.92 Tm (personal items. )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 (14)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, The Care Quality Commission carried out an unannounced inspection of the home on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (the 19 January 2010. We last did a key inspection to the home on the 9 December 2009. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (The home had just appointed a new manager who had been in post for approximately )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (two and a half weeks. We were notified at the end of December 2009 that the manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (had been dismissed following an allegation of gross misconduct. This was fully )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (investigated by the home and the manager was dismissed on the 28 December 2009. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (were notified in writing. At the time of the managers dismissal the providers were on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (holiday.)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 received an anonymous complaint on the 23 December 2009 about poor care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (standards and insufficient numbers of staff employed at the home. The person making )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (the complaint suggested that a number of staff had recently left. We asked the home to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (respond to the complaint and also passed on our concerns to the local safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (team.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (The purpose of this unannounced inspection was to check that the home had adequate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (management arrangements in place and that there were sufficient staff on duty, with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (necessary skills and experience to meet the needs of people living in the home. We also )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (wanted to review the homes staff recruitment and selection procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (We did not look at the requirements made at the last key inspection because the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (providers had only recently received the draft inspection report. They have twenty eight )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (days to comment on the draft inspection report in terms of any factual inaccuracies. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (are planning to go back to do a further random inspection when we will look at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (outstanding requirements in full. Any further breeches identified may result in us taking )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (enforcement action against the home. We have sent the providers a warning letter and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (have requested an improvement plan.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (We received a written response from the operations manager to the complaint we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (received about the home on the 23 December. We were satisfied with the response, but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (some elements of the complaint and subsequent concerns received will be looked at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (under the local safeguarding adult procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (Current management arrangements)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (We arrived at the home and were met by the provider, Mrs Rudd and the newly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (appointed operations manager who has been in post since October 2009. They are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (providing day- to- day management in the home until a new manager is appointed. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (Interviews were being held that afternoon. The operations manager stated she will play a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (key part in appointing a manager as she has a specific care background. We have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (received a copy of her curriculum vitae.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (Mrs Rudd stated that there is a senior on every shift during a 24- hour period.)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 (Current Staffing situation)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (We looked at the staffing rotas. It was produced in a slightly different format and was )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 (14)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 (now colour coded to show the designation of staff on duty. It showed there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (sufficient staff on duty and numbers had increased to five staff in the morning. Four staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (were on in the afternoon and two staff at night. Over the last three to four weeks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (different rota formats had been produced giving an overall confusing picture of how many )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (staff were on duty at any one time. Despite assurances from the provider that staffing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (levels were being maintained, care staff stated that this was often not the case due to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (staff sickness and staff not turning up for work. The home employ one domestic and this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (person was off this week due to personal circumstances. The laundry person retired last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (month. There were no firm arrangements in place for covering their hours. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (management told us that care staff were picking up these duties as additional shifts )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (outside their normal working hours. This was not shown on the staffing rota. As a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (consequence of 'staffing shortages' staff we spoke to said they were working long shifts. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (They felt this could lead to mistakes being made. They said morale was low and several )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (staff had felt like leaving. This would exacerbate the problems the home are currently )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (facing. Care staff also told us they were doing additional tasks like laundry and cleaning )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (as part of their care shift. We were satisfied that a number of staff had worked at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (home for many years and were familiar with residents needs, compromised only but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (insufficient numbers of staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Recruitment)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (We looked at the homes recruitment procedure and audited 6 staff files. We were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (concerned that references are taken up but give very brief information and did not help )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (to determine if the candidate was suitable. For one person references from their last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (employer just confirmed employment dates. A second was a personal reference. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (person had their previous employment terminated and there was no record that this had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (been followed up. Details on the application forms were poor. There was no evidence that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (unsatisfactory criminal records checks had been followed up and in one instance the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (person had been employed with inadequate references and on the strength of a POVA )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (1st. We were concerned that the home were employing staff on the basis of need and not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (suitability.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Contact with GPs and Care issues)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Mrs Rudd stated that the home has contact with two surgeries and she has been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (reporting care issues regularly. It was recommended that the home would benefit from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (organizing a weekly in house surgery, with a visiting GP, so that residents could receive )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (regular ongoing monitoring advice and treatment. Mrs Rudd agreed that this would be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (beneficial and they stated that they would approach the surgeries to set this up.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Issues regarding pressure care for one resident were discussed and Mrs Rudd stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (district nurses had been involved in their skin pressure care and had been visiting her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (daily for a number of weeks. We were told no one else had pressure sores. One persons )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (skin had been identified as fragile and the home had provided them with an air flow )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (mattress. We raised a concern in respect of the under reporting of incidents. The home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (were not always notifying us of events affecting the safety and wellbeing of residents. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (asked to see a regulation 37 for one person who had sustained an injury after a fall. One )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (had been completed but did not include a date.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (We spoke about the prevention of falls and the home were not able to show us a clear )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (audit trail of who was at risk of falls, apart from individual risk assessments and accident )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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 338.34 w 31.2 616.05 m 580.26 616.05 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 28.99 445.76 m 582.46 445.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 444.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 444.68 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (records, there was no falls register and no contact had been made directly with the falls )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (prevention co-ordinator. We were concerned that a number of people were underweight )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (and the home were not able to tell us directly how many residents were on dietary )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (supplements or special diets. We asked if residents were being offered finger foods and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (were told yes in the evening. They were also being given chocolate. Management said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (how difficult it was to make a referral to a dietician and were not aware of the service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (being offered locally.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (We had been told that only one resident had pressure sores, but we looked at the diary )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (which had an entry from the previous month of a resident with pressure sores, we saw a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (daily entry for another resident who had a blistered heel.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (Quality Assurance)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (We asked about quality assurance and the home produced a survey they had completed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (in August 2009 which looked at participants satisfaction in a number of different areas )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (including health and personal care, environment, complaints, staffing and management. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (The Care Quality Commission has sent out surveys to people using the service and their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (relatives. And hope to have information back before the next planned, unannounced )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (inspection. The home are planning to hold relative/residents meetings within the next )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (couple of weeks and will complete an annual audit on their service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 427.69 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 1 175.95 427.69 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 195.54 w 31.2 318.73 m 580.26 318.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 417.63 m 582.46 417.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.84 m 582.46 219.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.7 m 30.07 218.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 418.7 m 581.38 218.76 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 401.44 Tm (The purpose of this inspection was to focus on areas of concern, and not to identify what )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (the home does well. We were satisfied that the providers have appointed a suitably )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 372.28 Tm (qualified operations manager. The staff and management were cooperative with the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 357.7 Tm (inspection process and were open to feedback.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (We met with the activities co-ordinator who stated that she is auditing the activities that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 313.96 Tm (need to be provided in the home to meet the capabilities and preferences of residents. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 299.38 Tm (Records of activities for each individual were seen and showed involvement in arts and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.8 Tm (crafts, singing and music. The activities co-ordinator stated that she is also developing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.22 Tm (one to one sessions for residents who are cared for mainly in bed. The activities )Tj ET /F1 12 Tf BT 1 0 0 1 522.45 270.22 Tm (co-)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm (ordinator)Tj ET /F1 12 Tf BT 1 0 0 1 89.16 255.64 Tm ( did state that her time for providing sessions can be eroded due to a lack of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (staffing and when personal care may be required)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 199.51 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 146.9 w 31.2 116 m 580.26 116 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 190.57 m 582.46 190.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 191.65 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 191.65 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 174.39 Tm (From our general observations and discussions with staff, residents and a visitor we were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 159.81 Tm (made aware of their concerns about staffing levels, staffing turnover and management. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (Staff expressed concern about raising issues with management because they stated they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm (feared for their jobs. This was discussed with the management team in relation to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (everyones responsibilities under safeguarding protocols. One relative said they had raised )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm (a number of recent concerns with management and they had dealt with their concerns. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (We looked at the complaints log and nothing had been recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (We revisited one bedroom which we found in a poor state at the last inspection. The )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 513.3 w 31.2 528.58 m 580.26 528.58 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 28.99 270.8 m 582.46 270.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 269.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 269.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (window pane remains cracked. There was still a malodorous smell detected in the room. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (The bed was dry and clean. An outstanding requirement about radiator covers had almost )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (been met and workmen were there on the day and planned to fit the last cover at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (weekend.)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 (As a result of this random inspection we will be making one requirement about staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (recruitment and selection. We will make a further requirement about staffing levels at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (home. There are seven outstanding requirements from the key inspection carried out on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (the 9 December 2010. These are not included on the report. There are a further three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (requirments carried over from the previous random inspection report. These have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (carried forward to this report.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (We expect the home to report any incident affecting the well-being and safety of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (residents at the home and to ensure that they properly record the number of falls, who's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (at risk and what steps they have taken to reduce the risk. We advised the home to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (contact Jenny Moran with the view of providing some safeguarding of vulnerable adults )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (training in-house.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm ()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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.74 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 254.74 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 238.74 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 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2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.23 m 568.3 318.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 132.02 m 568.3 132.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Care plans must reflect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (changes in residents needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (and agreed actions to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (taken to continue to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (those needs. Particular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (attention must be paid to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (reduction in falls. The home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (must evidence what actions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.52 Tm (they have taken and draw up )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.94 Tm (individual risk assessments. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (This is to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.2 Tm (residents have their needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.62 Tm (met and they are kept as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.04 Tm (safe as possible without )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.46 Tm (imposing on their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.88 Tm (independence. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.05 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 302.05 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 302.05 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (Records made when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.47 Tm (medicines are given to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.89 Tm (people must be accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.31 Tm (complete.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.15 Tm (This will demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 211.57 Tm (people receive the medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.99 Tm (prescribed for them.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 182.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.83 Tm (This requirement has not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.25 Tm (been met in full by the given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.67 Tm (timescale of 31/12/09)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 302.05 Tm (31/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 115.84 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 115.84 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 115.84 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.84 Tm (Where people are prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.26 Tm (medicines on a "when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 86.68 Tm (required" basis, there must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 72.1 Tm (be clear guidance in care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 57.52 Tm (plans of the circumstances )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 115.84 Tm (31/03/2010)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 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 154.8 w 31.2 603.84 m 91.05 603.84 l S 0.001 w 154.8 w 93.3 603.84 m 197.4 603.84 l S 0.001 w 154.8 w 199.65 603.84 m 289.45 603.84 l S 0.001 w 154.8 w 291.7 603.84 m 473.8 603.84 l S 0.001 w 154.8 w 476.05 603.84 m 566.1 603.84 l S 0.001 w 169.38 w 31.2 439.51 m 91.05 439.51 l S 0.001 w 169.38 w 93.3 439.51 m 197.4 439.51 l S 0.001 w 169.38 w 199.65 439.51 m 289.45 439.51 l S 0.001 w 169.38 w 291.7 439.51 m 473.8 439.51 l S 0.001 w 169.38 w 476.05 439.51 m 566.1 439.51 l S 0.001 w 198.54 w 31.2 253.29 m 91.05 253.29 l S 0.001 w 198.54 w 93.3 253.29 m 197.4 253.29 l S 0.001 w 198.54 w 199.65 253.29 m 289.45 253.29 l S 0.001 w 198.54 w 291.7 253.29 m 473.8 253.29 l S 0.001 w 198.54 w 476.05 253.29 m 566.1 253.29 l S 0.001 w 108.1 w 31.2 97.72 m 91.05 97.72 l S 0.001 w 108.1 w 93.3 97.72 m 197.4 97.72 l S 0.001 w 108.1 w 199.65 97.72 m 289.45 97.72 l S 0.001 w 108.1 w 291.7 97.72 m 473.8 97.72 l S 0.001 w 108.1 w 476.05 97.72 m 566.1 97.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 525.32 m 568.3 525.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.69 m 568.3 353.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.9 m 568.3 152.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 525.32 m 568.3 525.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.69 m 568.3 353.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.9 m 568.3 152.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (they are used and staff must )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (follow this guidance.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 636.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm (This will protect people from )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (harm and ensure medication )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (is not given inappropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 563.38 Tm (This requirement has not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 548.79 Tm (been met in full by the given )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 534.22 Tm (timescale of 31/12/09)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 509.14 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 509.14 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 509.14 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (Medicines must be given to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (people in accordance with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (the prescriber's instructions.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (This will ensure people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (receive their medicines as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (intended by the prescriber.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.49 Tm (This requirement has not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.92 Tm (been met in full by the given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.33 Tm (timescale of 31/12/09)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 509.14 Tm (31/03/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 337.51 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 337.51 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 337.51 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (The home must demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (how residents choices are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (promoted in relation to all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm (aspects of the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 279.18 Tm (Routines of daily living must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.61 Tm (reflect the wishes of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.02 Tm (residents and not be driven )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.45 Tm (by the staffing culture. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.29 Tm (This is to ensure the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.71 Tm (matches the cultural, social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.13 Tm (and dietary needs and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.54 Tm (wishes of residents. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 337.51 Tm (30/01/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.71 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 136.71 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 136.71 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.71 Tm (The home must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.14 Tm (maintained to high standards )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.56 Tm (of cleanliness and adequate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.97 Tm (arrangements in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78.39 Tm (control the spread of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 63.81 Tm (infection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 46.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 136.71 Tm (30/01/2010)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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 32.16 w 31.2 665.16 m 91.05 665.16 l S 0.001 w 32.16 w 93.3 665.16 m 197.4 665.16 l S 0.001 w 32.16 w 199.65 665.16 m 289.45 665.16 l S 0.001 w 32.16 w 291.7 665.16 m 473.8 665.16 l S 0.001 w 32.16 w 476.05 665.16 m 566.1 665.16 l S 0.001 w 242.28 w 31.2 525.7 m 91.05 525.7 l S 0.001 w 242.28 w 93.3 525.7 m 197.4 525.7 l S 0.001 w 242.28 w 199.65 525.7 m 289.45 525.7 l S 0.001 w 242.28 w 291.7 525.7 m 473.8 525.7 l S 0.001 w 242.28 w 476.05 525.7 m 566.1 525.7 l S 0.001 w 198.54 w 31.2 303.04 m 91.05 303.04 l S 0.001 w 198.54 w 93.3 303.04 m 197.4 303.04 l S 0.001 w 198.54 w 199.65 303.04 m 289.45 303.04 l S 0.001 w 198.54 w 291.7 303.04 m 473.8 303.04 l S 0.001 w 198.54 w 476.05 303.04 m 566.1 303.04 l S 0.001 w 157.84 w 31.2 122.6 m 91.05 122.6 l S 0.001 w 157.84 w 93.3 122.6 m 197.4 122.6 l S 0.001 w 157.84 w 199.65 122.6 m 289.45 122.6 l S 0.001 w 157.84 w 291.7 122.6 m 473.8 122.6 l S 0.001 w 157.84 w 476.05 122.6 m 566.1 122.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 647.96 m 568.3 647.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 568.3 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.64 m 568.3 202.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 647.96 m 568.3 647.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 568.3 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.64 m 568.3 202.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (This is to ensure residents )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (are safe.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.78 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 631.78 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 631.78 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.78 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (their staff are suitably )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (qualified, competent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (experienced. The home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (have a clear audit trail of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (staff's training and induction )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (received. Training records in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.72 Tm (themselves are insufficient. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.14 Tm (The home must evaluate the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.55 Tm (effectiveness of the training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.98 Tm (provided.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.82 Tm (This is to ensure that staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.23 Tm (have the neccessary skills to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.65 Tm (meet the requirements of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.08 Tm (job.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 631.78 Tm (30/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.24 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 387.24 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 387.24 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.24 Tm (The staffing rotas must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.67 Tm (comply with schedule 4, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.08 Tm (which states that the duty )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.51 Tm (rota must include the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.92 Tm (position staff hold, the work )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.35 Tm (they perform and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.77 Tm (number of hours they work.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.61 Tm (This is to ensure that there is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.02 Tm (a clear audit trail and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.45 Tm (home are able to clearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.87 Tm (evidence that care hours are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.29 Tm (sufficiently covered.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 387.24 Tm (30/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 186.46 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 186.46 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 186.46 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.46 Tm (The home must be free from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.88 Tm (hazards. Unguarded )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.29 Tm (radiators must be covered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.71 Tm (and hot water temperatures )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.13 Tm (regulated so they do not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.56 Tm (exceed 43 degrees. This was )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.97 Tm (a previous requirement but )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.39 Tm (the home have taken steps )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.82 Tm (to minimise the hazards but )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 55.24 Tm (have not eliminated them.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 186.46 Tm (30/11/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 151.47 w 32.32 708.36 m 564.97 708.36 l S 0.001 w 1 1 1 RG 49.74 w 31.2 656.38 m 91.05 656.38 l S 0.001 w 49.74 w 93.3 656.38 m 197.4 656.38 l S 0.001 w 49.74 w 199.65 656.38 m 289.45 656.38 l S 0.001 w 49.74 w 291.7 656.38 m 473.8 656.38 l S 0.001 w 49.74 w 476.05 656.38 m 566.1 656.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 629.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 630.38 m 568.3 630.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 668.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 653.85 Tm (This is to ensure residents )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 639.28 Tm (are fully protected. )Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 442.55 w 32.32 377.52 m 564.97 377.52 l S 0.001 w 1 1 1 RG 198.54 w 31.2 399.11 m 91.05 399.11 l S 0.001 w 198.54 w 93.3 399.11 m 197.4 399.11 l S 0.001 w 198.54 w 199.65 399.11 m 289.45 399.11 l S 0.001 w 198.54 w 291.7 399.11 m 473.8 399.11 l S 0.001 w 198.54 w 476.05 399.11 m 566.1 399.11 l S 0.001 w 140.22 w 31.2 227.48 m 91.05 227.48 l S 0.001 w 140.22 w 93.3 227.48 m 197.4 227.48 l S 0.001 w 140.22 w 199.65 227.48 m 289.45 227.48 l S 0.001 w 140.22 w 291.7 227.48 m 473.8 227.48 l S 0.001 w 140.22 w 476.05 227.48 m 566.1 227.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 298.71 m 568.3 298.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 500.58 m 30.07 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 155.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 298.71 m 568.3 298.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.24 m 568.3 156.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 567.85 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (The home must have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (sufficient care staff on duty )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (to meet the assessed needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.58 Tm (of the residents. The home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.99 Tm (must employ sufficient )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.42 Tm (numbers of domestic and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.83 Tm (catering staff.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (This is to ensure residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.1 Tm (care needs are met. And to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.52 Tm (ensure the home meets the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.93 Tm (standards relating to food, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.36 Tm (meals, nutrition and hygiene. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (10/02/2010)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.52 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 282.52 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 282.52 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.52 Tm (Staff must not be employed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.95 Tm (at the home until all the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.37 Tm (required information is in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.79 Tm (place regarding their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.21 Tm (suitability for employment.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.04 Tm (This is to ensure people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.46 Tm (using the service are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.88 Tm (properly protected. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 282.52 Tm (10/02/2010)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 110.55 w 32.32 728.83 m 564.97 728.83 l S 0.001 w 1 1 1 RG 20.58 w 31.2 684.97 m 91.05 684.97 l S 0.001 w 20.58 w 93.3 684.97 m 197.4 684.97 l S 0.001 w 20.58 w 199.65 684.97 m 566.1 684.97 l S 0.001 w [] 0 d 2.25 w 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BT 1 0 0 1 34.05 752.59 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.01 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 34.05 723.42 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf 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S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. The material )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 140.28 Tm (should be acknowledged as CQC copyright, with the title and date of publication of the )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 122.78 Tm (document specified.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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. 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