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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Hill Ash House)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 (Hill Ash House)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Ledbury Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Dymock)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Glos)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (GL18 2DB)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 (01531892980)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 (01531890767)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 1 279.71 580.39 Tm (mpearce@ehguk.com)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 494.83 m 353.25 494.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 494.83 m 565.9 494.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 464.71 m 353.25 464.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 464.71 m 565.9 464.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 441.89 m 353.25 441.89 l S 0.001 w 1 1 1 RG 20.58 w 355.5 441.89 m 565.9 441.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 430.47 m 568.1 430.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 429.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (European Healthcare Operations )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482.77 Tm (Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.95 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 459.95 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 437.11 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 437.11 Tm (36)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 418.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 374.73 m 564.47 374.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.1 m 567.8 410.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.61 m 567.8 341.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 411.17 m 30.07 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 388.34 m 298.32 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 365.51 m 432.52 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 411.17 m 566.72 340.53 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 393.91 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.08 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 371.08 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 348.25 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 348.25 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 319.52 m 297.25 319.52 l S 0.001 w 35.16 w 299.5 319.52 m 429.25 319.52 l S 0.001 w 35.16 w 431.5 319.52 m 565.9 319.52 l S 0.001 w 35.16 w 31.2 282.11 m 297.25 282.11 l S 0.001 w 35.16 w 299.5 282.11 m 429.25 282.11 l S 0.001 w 35.16 w 431.5 282.11 m 565.9 282.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 300.82 m 568.1 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 338.23 m 568.1 338.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 300.82 m 568.1 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.41 m 568.1 263.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 339.31 m 30.07 262.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 339.31 m 298.37 262.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 339.31 m 430.37 262.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 339.31 m 567.02 262.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 322.05 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 307.46 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 322.05 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 322.05 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.64 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.05 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 284.64 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 284.64 Tm (36)Tj ET 0.95294 0.95294 0.95294 RG 176.55 w 32.32 152.51 m 564.77 152.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 220.21 m 567.8 220.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.38 m 568.1 197.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.8 m 568.1 130.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 243.04 m 567.8 243.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.21 m 568.1 220.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.38 m 568.1 197.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.8 m 568.1 130.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 64.24 m 568.1 64.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 244.11 m 30.07 63.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 244.11 m 566.72 63.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 226.85 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 204.02 Tm (The maximum number of service users who can be accommodated is 36)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 181.19 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.61 Tm (only _ Code\(PC\) to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 152.03 Tm (admission to the home are within the following category: Old Age not falling within any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 137.45 Tm (other category.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.62 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 100.04 Tm (with Nursing - Code N to service users of either gender whose primary care needs on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.46 Tm (admission to the home are within the following category: Old age not falling within any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 70.88 Tm (other category \(Code OP\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 50.57 m 315.25 50.57 l S 0.001 w 1 1 1 RG 20.58 w 317.5 50.57 m 346.55 50.57 l S 0.001 w 20.58 w 348.8 50.57 m 377.9 50.57 l S 0.001 w 20.58 w 380.15 50.57 m 409.2 50.57 l S 0.001 w 20.58 w 411.45 50.57 m 440.55 50.57 l S 0.001 w 20.58 w 442.8 50.57 m 471.9 50.57 l S 0.001 w 20.58 w 474.15 50.57 m 503.2 50.57 l S 0.001 w 20.58 w 505.45 50.57 m 534.55 50.57 l S 0.001 w 20.58 w 536.8 50.57 m 565.9 50.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 61.99 m 568.1 61.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 39.15 m 568.1 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 63.06 m 30.07 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 63.06 m 316.37 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 63.06 m 347.67 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 63.06 m 379.02 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 63.06 m 410.32 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 63.06 m 441.67 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 63.06 m 473.02 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 63.06 m 504.32 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 63.06 m 535.67 38.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 63.06 m 567.02 38.08 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 45.8 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 45.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 45.8 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 45.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 45.8 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 45.8 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 45.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 45.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 45.8 Tm (9)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 (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 30.07 576.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 576.77 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 28.99 577.85 m 568.1 577.85 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 (Hill Ash House is an extended Grade 2 building, set in its own extensive grounds. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (Following a change in the homes registration it now offers personal care only to older )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (people. There are ample communal rooms and bedrooms are single with ensuite )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (facilities. A shaft lift offers access to the upper floors. Specialised equipment is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (provided to meet differing needs and external health care professionals such as the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (GP, Dentist Chiropodist are contacted as required. There are extensive grounds that )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (can be enjoyed by the residents in the milder weather. The local bus stops in the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (village of Dymock, which on foot is some distance from the home. Information about )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (current fees was not obtained during this inspection. Copies of the homes Statement )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (of Purpose and Service Users Guide are displayed in the main entrance to the home.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm ()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 (At this random inspection one of our \(the Care Quality Commission\) pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (inspectors examined some of the arrangements for the handling of medicines following )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (some concerns found at the last key inspection in January 2009. We looked at some )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (stocks and storage arrangements for medicines and various records about medication. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (We saw how staff administered some medicines and we talked to some people living in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (the home. We spoke to the manager designate, deputy manager and two carers who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (were trained and authorised to handle medicines. The inspection took place during a five )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (hour period on a Thursday \(4th June 2009\). We gave full feedback to the manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (designate about the medication issues we found on the following day. We thank the staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (for their assistance during our visit and the positive way in which they approached this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (At the time of this inspection no people living in the home were assessed as able to self )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (medicate and look after their medicines so they were totally dependent on the staff for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (this part of their care. Certain carers who had specific training were responsible for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (handling and administering all medicines for people living in the home. Staff told us that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (sometimes people have been helped to look after their medicines if they wished to and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (where an assessment showed this was safe. Some staff were doing more in depth )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (training about the safe handling of medicines and the manager designate said she was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (trying to find further training. As noted at the last inspection this has been a challenge for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (staff who have taken on this as a new responsibility following the home changing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (registration to a care home providing personal care. The staff we spoke to clearly took )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (these responsibilities seriously.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (During the course of our inspection we saw that staff gave medicines to people living in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (the home within an acceptable period of the time shown on the medicine directions and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (followed safe procedures. We saw that at lunchtime some people were still in the dining )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (room when a member of staff came to give them some medicines. They had finished their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (lunch and many were enjoying a cup of tea or coffee. We discussed with the manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (designate about finding out about each person's choice about how they wanted their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (medicines and if they felt it respected their dignity and privacy to have their medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (administered in public in the dining room at a meal time. Staff told us they would not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (administer medicines such as inhalers or eye drops at a meal time. Special consideration )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (is needed for any medicines that have to be given before food. We also discussed with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (staff the need to be very careful to make sure that for medicines containing paracetamol )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (there is always a minimum of four hours between each dose so as to avoid risks of toxic )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (effects. The printed times on the medicine charts often showed just a four hour interval. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (Staff told us they generally complete the morning medicines by 9.30am so anyone having )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (a dose of paracetamol at this time and due for another dose at lunchtime should not have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (this until 1.30pm rather than 12 noon as printed on the charts. On the day of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (inspection a carer began giving the lunch medicines at 12.45pm. Staff told us about one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (person where night staff gave the morning paracetamol dose earlier as this person was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (awake. This helped to space the doses more evenly throughout the day so giving a better )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (effect from the medicine. Two staff administered the morning medicines, the time when a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (lot of medicines were given. Two medicine trolleys were used all of which has helped to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (give the medicines more promptly. One person we spoke to confirmed that staff always )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (give him/her their medicines.)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 ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (There were arrangements for keeping records about medication received, administered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (and leaving the home or disposed of \(as no longer needed\) for each person in the home. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Accurate, clear and complete records about medication are very important in a care home )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (so that people are not at risk from mistakes with their medicines and so that there is a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (full account of the medicines the home is responsible for on behalf of the people living )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (there. We looked at some of the medicine records and were concerned to find that these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (were not always kept to a good standard. For example we found that although generally )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (staff signed the medicine charts when a medicine was administered there were a number )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (of gaps on the records so it was not possible to tell if the person had had their medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (correctly. In one case we saw that the tablet was missing from the pack for the day and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (time when there was a gap on the chart; this could possibly \(but not necessarily\) indicate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (the medicine was given. In another case the medicine chart had not been signed since )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (18th May 2009 against some eye drops; there was an unopened bottle of these drops in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (the fridge and another opened bottle in the medicine trolley. Staff were not sure if this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (person should be having this treatment. There was nothing in the care plans about this. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (The senior carer said she would contact the doctor to find out. It was not always possible )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (to see how much of a medicine people had received where a variable dose \(one or two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (tablets for example\) was prescribed. We did see other records where this was done )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (properly. One handwritten record did not include the strength of one of the tablets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (\(available in at least three different strengths\). This was despite two staff signing as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (checking the entry. The directions for some medicines were not always clear on the labels )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (or medicine charts and sometimes included instructions like 'as directed'. Some directions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (for eye drops did not state if these were for use in the left, right or both eyes. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (records for one person showed that staff were signing as instilling two different artificial )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (tear drop products at 10pm each evening; this was probably not a suitable way to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (using these drops. Some charts had details of medicines printed that were no longer in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (use. The medicine charts were printed by the pharmacy each month and staff told us )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (they complete the proper forms to ask the pharmacy to update the charts but this does )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (not always happen. The allergy section on a number of medicine charts was blank. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (dose of a certain medicine \(where there were regular changes following a blood test\) was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (only taken over phone and not confirmed in writing as specified by the National Patient )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Safety Agency. Staff were not aware of this so we left further information for them to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (follow up.)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 (We looked in some care plans to see what further guidance was included to staff to help )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (with making decisions about using medicines that were prescribed to use 'when required' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (or with a variable dose. Although there was a section for medication this did not provide )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (this sort of information. We also looked for some people with more specific health needs )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (to see what the care plan included. We found that the information was not always specific )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (enough and sometimes did not even include use of the medicines. For example no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (mention about using a laxative in a care plan for continence or a care plan about skin )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (care included 'creamed' without specifying what creams.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (During the inspection we identified that two medicines for one person were not in stock. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Staff had taken appropriate action to deal with this. Records for another person show that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (staff had administered some doses of a laxative that was not prescribed nor included in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (the list of medicines the staff can give as a homely remedy without a prescription. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (particular medicine is supposed to be used regularly and not taken as odd doses 'when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (required'.)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 (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 484.14 w 31.2 543.16 m 580.26 543.16 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 28.99 299.96 m 582.46 299.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 298.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 298.88 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Our checks of the controlled medicines record book showed that there were anomalies on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (some pages \(8,10,11,12\) that needed further investigation in order to clarify what was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (recorded. The acting manager told us when we pointed some of these out that she was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (aware of some of the reasons.)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 looked at the storage arrangements provided for medicines and found there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (some matters that needed attention. The lock on one cupboard needed repairing as the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (key could not be removed from the lock so the medicines in this cupboard could not be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (secured. Staff told us the door to the office was kept locked. One of the medicine trolleys )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (kept in a public area was not clamped to the wall when not in use.There were two new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (clamps but these needed fitting. The controlled drug cupboard needed securing to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (wall with rag or rawl bolts in order to comply with the appropriate regulations. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (cupboard must be used only for storing controlled medicines; we found some loose )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (blisters of tablets and some other items other than medicines presumably put in here for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (safe keeping. There was a special fridge for keeping medicines and records showed this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (was running at the right temperature. We noted that all eye drops were kept in the fridge )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (but this is only necessary for a very few items where the manufacturer will specifically )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (state this. Generally eye drops are best stored at room temperature as this is more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (comfortable when the drops are instilled. The drops must be used within 28 days of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (opening to prevent risks from contamination. We saw that the bottles in use had an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (opening date so that staff knew when to change the drops. Records of the temperature in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (the room medicines were stored in showed that this was within a safe range.)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 (Some staff showed us various records about audits for medicines that they carry out. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (discussed ways of improving these audit checks by considering combining some records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (and to always include the actions taken as a result of the findings from the audit in order )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (to make improvements. The pharmacy supplied many medicines in special packs that last )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (for four weeks and make checks easy to see that the medicines have been taken from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (pack on the right day and time. When medicines are not packed in these monitored dose )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (system packs it is good practice to write the date on any of these containers when they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (are first used. This makes it possible to see the stock is used within defined periods and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (also to allow counts of the stock remaining as a check that all the medicines can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (accounted for and indicating if people have been given the right dose. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 281.89 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 1 175.95 281.89 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 231.25 m 580.26 231.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 271.83 m 582.46 271.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.68 m 582.46 190.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 272.9 m 30.07 189.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 272.9 m 581.38 189.6 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 255.64 Tm (We saw safe practices followed when medicines were administered to people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.06 Tm (home. With one exception the medicines people needed were all available within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.48 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 211.9 Tm (During the afternoon a number of people enjoyed some music entertainment and were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.32 Tm (joining in with the singing of favourite songs. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 170.35 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 117.74 w 31.2 101.42 m 580.26 101.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 161.41 m 582.46 161.41 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 30.07 162.49 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 162.49 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 145.23 Tm (Improve the medicine records to make sure these are always accurate, clear and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 130.65 Tm (complete. There must be no gaps on medicine charts for any medication that is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 116.07 Tm (administered regularly. The chart must be signed as soon as the medicines are seen as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 101.49 Tm (taken or a standard code used to explain missed doses. The actual dose of medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.91 Tm (given must be recorded where a variable dose is prescribed. Directions on eye drops )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 72.33 Tm (must state which eye\(s\). Staff must mark the administration charts to be quite clear if a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 57.75 Tm (medicine is no longer in use and press the pharmacy to make sure that the printed )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 367.5 w 31.2 601.47 m 580.26 601.47 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 28.99 416.6 m 582.46 416.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 415.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 415.52 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (medicine charts they provide are kept up to date with the information provided by the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (home. Arrange to include appropriate information in the allergy box on the medicine )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (charts \(even if this is 'none known'\) as this indicates this important matter has been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (considered. Dose changes of warfarin to be confirmed in writing in accordance with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (guidance published by the National Patient Safety Agency. Further written information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (must be provided to guide staff about the use of medicines that are prescribed to use )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ('when required' or 'as directed' or with a variable dose. Consideration of the requirements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (of the Mental Capacity Act 2005 must be included. Care plans could usefully include )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (information about people's choices about how and when they want to take their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (medicines. Always keep accurate and complete records in the controlled medicine record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (book. Repair the broken lock on one of the medicine cupboards and arrange to fix the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (special medicine trolley clamps already purchased so that these trolleys can be secured )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (when not in use. Replace the fixing screws inside the controlled medicine cupboard with )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (rag or rawl bolts. Review and improve the medication audits to make them more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (effective. Record the actions taken to address any shortfalls found by the audit process )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (so as to protect people living in the home from risk of mistakes with medicines. Write the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (date on medicine containers when they are first used to help with proper stock rotation )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (as advised by the manufacturer or pharmacy and to help with more effective audit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (checks. Arrange to review the homely remedy protocols as some medicines included may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (not be appropriate and make sure staff only use those medicines included within the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (protocol.)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 (Please note, outstanding statutory requirements 1 to 5 listed below were not followed up )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (at this specialist medication inspection so are still listed. These will be checked as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (properly actioned at a future inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 400.54 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 400.54 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 384.54 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 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12 Tf BT 1 0 0 1 292.3 671.43 Tm (Not inspected at random )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (inspection on 4th June 2009 )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (but will be checked as )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 627.7 Tm (properly actioned at a future )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 613.11 Tm (inspection.)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 /F1 16 Tf 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662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 227.7 w 31.2 385.65 m 91.05 385.65 l S 0.001 w 227.7 w 93.3 385.65 m 197.4 385.65 l S 0.001 w 227.7 w 199.65 385.65 m 289.45 385.65 l S 0.001 w 227.7 w 291.7 385.65 m 473.8 385.65 l S 0.001 w 227.7 w 476.05 385.65 m 566.1 385.65 l S 0.001 w 140.22 w 31.2 199.44 m 91.05 199.44 l S 0.001 w 140.22 w 93.3 199.44 m 197.4 199.44 l S 0.001 w 140.22 w 199.65 199.44 m 289.45 199.44 l S 0.001 w 140.22 w 291.7 199.44 m 473.8 199.44 l S 0.001 w 140.22 w 476.05 199.44 m 566.1 199.44 l S 0.001 w 84.53 w 31.2 84.82 m 91.05 84.82 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0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.67 m 568.3 270.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 128.21 m 568.3 128.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 484.44 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 484.44 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.44 Tm (Make arrangements to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.86 Tm (improve the storage )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.28 Tm (arrangements for medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.7 Tm (so as to reflect current)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.12 Tm (legislation and best practice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.54 Tm (guidance. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.38 Tm (This is to make sure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.8 Tm (shortfalls about medicine )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.22 Tm (storage identified at this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.64 Tm (inspection are corrected so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.06 Tm (that all medicines are always )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.48 Tm (stored safely and do not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.9 Tm (present a risk to anyone in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.32 Tm (the home. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (05/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 254.49 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 254.49 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 254.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254.49 Tm (Always keep accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 239.91 Tm (complete records in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 225.33 Tm (controlled drug record book. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.17 Tm (This is to help make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.59 Tm (that all these medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.01 Tm (properly accounted for and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.43 Tm (people have received the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.85 Tm (correct doses. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 254.49 Tm (05/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.02 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 112.02 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 112.02 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.02 Tm (Always keep accurate, clear )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 97.44 Tm (and complete records about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 82.86 Tm (any medication kept in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.28 Tm (home and)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 53.7 Tm (administered to people who )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 112.02 Tm (05/07/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 629.84 w 32.32 469.18 m 564.97 469.18 l S 0.001 w 1 1 1 RG 198.54 w 31.2 584.41 m 91.05 584.41 l S 0.001 w 198.54 w 93.3 584.41 m 197.4 584.41 l S 0.001 w 198.54 w 199.65 584.41 m 289.45 584.41 l S 0.001 w 198.54 w 291.7 584.41 m 473.8 584.41 l S 0.001 w 198.54 w 476.05 584.41 m 566.1 584.41 l S 0.001 w 329.76 w 31.2 318.02 m 91.05 318.02 l S 0.001 w 329.76 w 93.3 318.02 m 197.4 318.02 l S 0.001 w 329.76 w 199.65 318.02 m 289.45 318.02 l S 0.001 w 329.76 w 291.7 318.02 m 473.8 318.02 l S 0.001 w 329.76 w 476.05 318.02 m 566.1 318.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 484.02 m 568.3 484.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 150.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 150.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 150.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 150.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 150.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 150.93 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 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.02 m 568.3 484.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.01 m 568.3 152.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 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 34.05 753.16 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 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (live in the home. \(This )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (particularly refers to the )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 644.72 Tm (shortfalls identified in the)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 630.14 Tm (report\). )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 609.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 594.97 Tm (This is to help make sure all )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 580.4 Tm (medicines are accounted for, )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 565.82 Tm (that people receive their )Tj ET /F1 12 Tf BT 1 0 0 1 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294.55 365.77 Tm (date and detailed written )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 351.2 Tm (guidance available to staff on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 336.61 Tm (how to reach decisions to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.04 Tm (administer the medicine and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 307.45 Tm (at a particular dose, taking )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 292.88 Tm (into account the provisions of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 278.3 Tm (the Mental Capacity Act )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 263.71 Tm (2005. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.13 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 231.55 Tm (This will help to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 216.98 Tm (people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 202.4 Tm (receive the correct amounts )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 187.82 Tm (of medication in a consistent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 173.24 Tm (way in line with planned )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 158.65 Tm 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Tm (action taken to address any shortfalls identified. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.78 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 642.78 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.78 Tm (Review the storage of eye drops in the fridge and change )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 628.21 Tm (this in accordance with information provided by the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 613.63 Tm (manufacturers. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.79 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 590.79 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 590.79 Tm (Care plans should reflect what choices people who live in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 576.22 Tm (the home were given and have made about how their )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.64 Tm (medicines are administered and their consent to the way in )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 547.05 Tm (which staff administer their medicines. \(This particularly )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.47 Tm (relates to the administration of some medicines during )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.9 Tm (meal times and in a public area.\) )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 495.07 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 495.07 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 495.07 Tm (Review the medicines included in the homely remedy )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 480.48 Tm (protocols so as to reflect current best practice guidance.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.65 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 457.65 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 457.65 Tm (Arrange to use the standard yellow anticoagulant record )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 443.08 Tm (book and for dose changes of anticoagulants to be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 428.49 Tm (confirmed in writing by the prescriber as detailed in Patient )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 413.92 Tm (Safety Alert 18 from the National Patient Safety Agency. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.08 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 391.08 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 391.08 Tm (Make arrangements so that all staff write the date on any )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 376.51 Tm (containers of medicines when they are first opened to use. )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 361.92 Tm (This helps with good stock rotation in accordance with the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 347.35 Tm (manufacturers' or good practice directions and with audit )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 332.77 Tm (checks that the right amount of medicines are in stock. )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 BT 1 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0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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