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28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Langdale Residential Home)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 (6 Church Street )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Sapcote)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Leicestershire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (LE9 4FG)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01455274544)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (F/P01455274544)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 482.3 m 353.25 482.3 l S 0.001 w 1 1 1 RG 20.58 w 355.5 482.3 m 565.9 482.3 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 459.46 m 353.25 459.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 459.46 m 565.9 459.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.71 m 568.1 493.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 470.88 m 568.1 470.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.05 m 568.1 448.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 446.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 446.97 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Miss Neemat Kassam,Mrs Yasmin )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Nazir Kassam)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.52 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 477.52 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.7 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 454.7 Tm (27)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 435.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 392.3 m 564.47 392.3 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 427.67 m 567.8 427.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.85 m 567.8 404.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 382.02 m 567.8 382.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.18 m 567.8 359.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 428.75 m 30.07 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 405.92 m 298.32 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 383.09 m 432.52 358.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 428.75 m 566.72 358.11 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 411.49 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 388.66 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 388.66 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 365.83 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 365.83 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 344.39 m 297.25 344.39 l S 0.001 w 20.58 w 299.5 344.39 m 429.25 344.39 l S 0.001 w 20.58 w 431.5 344.39 m 565.9 344.39 l S 0.001 w 35.16 w 31.2 314.27 m 297.25 314.27 l S 0.001 w 35.16 w 299.5 314.27 m 429.25 314.27 l S 0.001 w 35.16 w 431.5 314.27 m 565.9 314.27 l S 0.001 w 35.16 w 31.2 276.86 m 297.25 276.86 l S 0.001 w 35.16 w 299.5 276.86 m 429.25 276.86 l S 0.001 w 35.16 w 431.5 276.86 m 565.9 276.86 l S 0.001 w 20.58 w 31.2 246.74 m 297.25 246.74 l S 0.001 w 20.58 w 299.5 246.74 m 429.25 246.74 l S 0.001 w 20.58 w 431.5 246.74 m 565.9 246.74 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.57 m 568.1 295.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.16 m 568.1 258.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 355.81 m 568.1 355.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.57 m 568.1 295.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.16 m 568.1 258.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.33 m 568.1 235.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 356.89 m 30.07 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 356.89 m 298.37 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 356.89 m 430.37 234.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 356.89 m 567.02 234.25 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 339.63 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 339.63 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.21 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 316.8 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 316.8 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.39 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 264.8 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 279.39 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 279.39 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.98 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 241.98 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 241.98 Tm (7)Tj ET 0.95294 0.95294 0.95294 RG 95.4 w 32.32 165.01 m 564.77 165.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 192.13 m 567.8 192.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.71 m 568.1 154.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.96 m 567.8 214.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.13 m 568.1 192.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.71 m 568.1 154.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 117.31 m 568.1 117.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 216.03 m 30.07 116.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 216.03 m 566.72 116.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 198.77 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (No person in category PD\(E\) to be admitted to the home when there are 7 persons of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.36 Tm (that category already accommodated within the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.53 Tm (No person to be admitted to the home in categories MD\(E\) or DE\(E\) when 5 persons in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 123.95 Tm (total of these categories/combined categories are already accommodated in the home.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 102.51 m 315.25 102.51 l S 0.001 w 1 1 1 RG 20.58 w 317.5 102.51 m 346.55 102.51 l S 0.001 w 20.58 w 348.8 102.51 m 377.9 102.51 l S 0.001 w 20.58 w 380.15 102.51 m 409.2 102.51 l S 0.001 w 20.58 w 411.45 102.51 m 440.55 102.51 l S 0.001 w 20.58 w 442.8 102.51 m 471.9 102.51 l S 0.001 w 20.58 w 474.15 102.51 m 503.2 102.51 l S 0.001 w 20.58 w 505.45 102.51 m 534.55 102.51 l S 0.001 w 20.58 w 536.8 102.51 m 565.9 102.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 113.93 m 568.1 113.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 91.1 m 568.1 91.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 115.01 m 30.07 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 115.01 m 316.37 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 115.01 m 347.67 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 115.01 m 379.02 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 115.01 m 410.32 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 115.01 m 441.67 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 115.01 m 473.02 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 115.01 m 504.32 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 115.01 m 535.67 90.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 115.01 m 567.02 90.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 97.75 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 97.75 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 97.75 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 97.75 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 97.75 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 97.75 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 97.75 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 97.75 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 97.75 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 (Langdale Residential Home offers accommodation for 27 Older Persons, and is situated )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (close to the centre of Sapcote, which offers local shops including a Post Office and local )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (supermarket. Views from part of the home overlook the local Church and countryside. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (Langdale Residential Home offers two lounges and one dining area to the ground floor, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (with bedrooms being sited on the ground and first floor. Access to the first floor is via )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (stairs, which has a chair lift and a passenger lift. The majority of bedrooms have )Tj ET /F1 12 Tf BT 1 0 0 1 527.96 668.91 Tm (en-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (suite)Tj ET /F1 12 Tf BT 1 0 0 1 64.51 651.91 Tm ( facilities, which consist of a wash hand basin and toilet. Bathroom and showering )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (facilities are located on both floors.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (A copy of the last inspection report was available at 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 (Previous concerns were evidenced during a visit by Debbie Williams \(Regulation )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (Inspector\) on a Key Inspection on 15th April 2009 and by Denise Clarke \(Pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (Inspector\) on a random Inspection on 17th July 2009. A code B was issued and evidence )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (taken due to failings in regulation 13\(2\) in making arrangements for the recording, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (handling, safekeeping, safe administration and disposal of medicines received into the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (care home. A statutory requirement notice has been issued to the home in breach of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (regulation 13\(2\).)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (The reason for the pharmacist Inspection visit on 4th August 2009 was due to concerns )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (raised regarding an incident involving the overdose of insulin adminstered by a care staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (member. In addition to generally assess the medication management system was in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (place to safeguard the health and welfare of people living in the service. A code B was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (issued and evidence taken in view of the seriousness of this Insulin incident. Feedback )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (was provided and the outcome of this inspection is as follows:)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 GP previously faxed a copy on 17th July 2009 of the changes to the insulin dosage )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (\(units\) for a person living in the service and increased the morning Insulin dosage from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (30 units to 32 units. The evening insulin dosage remains at 14 units. The GP informed the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (home, to contact the surgery if the blood sugar level exceeds a certain limit. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (medicine chart stated 'as directed by your prescriber'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (On the 18th July 2009 the administration of the morning dosage was correct however the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (administration of the evening dosage was incorrect; the morning higher dosage \(before )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (the increased changes\) was incorrectly adminstered and the incorrect dosage found )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (recorded on the Insulin Administration Record \(IAR\) sheet.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (The next day a staff member noticed the error by the incorrect units entered on the IAR )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (sheet, and immediately informed management of this incident accordingly. We found that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (this was a one off error as previous records indicated a consistency in adminstration of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (the correct dosages of insulin. However we found that there was no comprehensive )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (insulin administration policy only a brief insulin policy for self medication was made )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (available. The IAR sheets indicated occasional sudden increase in blood sugar levels. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (was possibly due to poor hygiene practices which was also confirmed by the District )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (Nurse on duty. Staff did not properly clean the hands of people living in the service )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (before taking blood glucose samples.This policy did not provide staff guidance on this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (subject.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (The policy had no guidance on the recording of information from telephone, fax or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (mesages received from the GP's and other healthcare professionals with regards to any )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (changes to medication and their dosages.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (We found inappropriate records. The corrections to units have been made by staff writing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (the changes in insulin dosages on the IAR sheet without detailed confirmation of which )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (staff made this entry, the time, date and which GP had made this request. Staff regularly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (relied on this IAR sheet without consulting care plans or faxed information.)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 (Staff did not always put their policy into practice. Care plans indicated Staff do not always )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 (contact the surgery when the blood sugar level was beyond the agreed limit as requested )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (by the GP's. There was gaps or lack of information in the professional visitors record, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (medical notes and daily notes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The staff previously handling Insulin have undergone Administration of Insulin training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (and were also assessed by the Leicestershire County and Rutland NHS Primary Care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (Trust. We looked at the records of training and found that most of the staff were not due )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (for review until 2010.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (However the record of training for one staff member involved in the Insulin overdose )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (incident was found to be overdue. Their date of next review was in Sept 2007. No further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (documentation was provided by the home of their review or training or assessment that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (has been under taken to date.)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 (The Management consultancy have recently undertaken drug assessment of all the care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (staff. One staff member was found not washing their hands and had a tendency to rush )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (with medication. They were reminded to take more time when adminstering medicines. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (All the care staff except one member of staff is not allowed to handle or adminster )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (medicines or insulin in the care home. The management consultancy team have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (undertaken this role to safeguard the health and welfare of people living in the home. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Regular checks of medication administration were not made by the home to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (people living in the service received medicines correctly. However we were informed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (the Management Consultancy are installing a checking system to ensure that all the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (medicines are administered as prescribed at all times,to maintain the improved level of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (medicine management which has now been put in place. The sample audits undertaken )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (indicated that the medicines are administered and staff followed instructions as the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (doctor prescribed. However there was gaps in the MAR chart for Insulin when staff and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (District nurses have not signed the MAR chart but the IAR chart has been signed and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (completed.)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 (The home had not contacted the GP when a person living in the service had refused there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (medication for more than a week. The home had not made reference to the care plan as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (stated in their policy, particularly if a medicine is not given to a person living in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (service on a regular basis. The person had refused their calcium supplement for nine days )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (in a row. We were informed that the GP is reviewing their medication and are now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (awaiting a response.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (One person living in the service was administered a food supplement. There was refusals )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (and several entries stating that this was not available and none were recently supplied )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (from the pharmacy. We queried this and were informed that the home ran out of this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (food supplement as this was for a short course. However the home had not contacted the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (GP to review whether another short course of food supplement was to be made or to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (confirm the end of this course.We were informed that they have gained weight and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (feeling better although no recent weight has been recorded.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (The Home has contacted the GP who was satsfied that the person living in the service )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (was now eating well as the managment consultancy now assisted the person to eat )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (rather than 'finger feed' themselves. The GP has now reviewed the patient and re-issued )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (this supplement for another month.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (The home has not put into practice their policy of reviewing medication every six months )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 352.92 w 31.2 608.77 m 580.26 608.77 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 28.99 431.18 m 582.46 431.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 430.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 430.1 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (for each person living in the service. We were informed by the management consultancy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (that the main GP has agreed to provide a twice weekly check and also will be available )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (when required.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The medicine fridge inside the walk-in cupboard needed defrosting, however the current )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (temperature was 8 degrees celsius. There was no monitoring of the external temperature )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (in the walk-in cupboard. However the home had recently purchased a max-min )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (thermometer which was installed during the inspection. There was bare central heating )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (pipes running through the cupboard and the home later confirmed a reading of 27.7 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (degrees celsius which was unsuitable for storage of medicines. We were informed the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (home would action to insulate the pipes and make appropriate ventilation to enable the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (external temperature to be below 25 degrees celsius to store medicines safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (All external preparations for creams and ointments have been removed from bathrooms )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (and other unsecured areas. The management consultancy have discarded all preparations )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (that had been shared and which were applied to several people living in the service, or )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (with no date of opening, or expired. All medicines for disposal have been documented, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (recorded and returned to the pharmacy.)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 (The home has not put into practice their policy of checking the completed prescriptions )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (against what the home has ordered before sending them to the pharmacy to supply the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (home. The management consultant has informed us that she will personally book them in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (and has requested current medication records from the GP's for all the people living in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (the service.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 413.11 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 1 175.95 413.11 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 391.63 m 580.26 391.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 403.05 m 582.46 403.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 380.21 m 582.46 380.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 404.12 m 30.07 379.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 404.12 m 581.38 379.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 386.86 Tm (The management consultant have overhauled the medication management system.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 359.89 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 331.13 m 580.26 331.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 349.83 m 582.46 349.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 312.42 m 582.46 312.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 350.91 m 30.07 311.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 350.91 m 581.38 311.34 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 333.64 Tm (To continue to improve and maintain the consistency in medication management to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.07 Tm (safeguard the health and safety of the people living in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 294.11 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 294.11 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 278.11 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (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 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 169.38 w 31.2 491.53 m 91.05 491.53 l S 0.001 w 169.38 w 93.3 491.53 m 197.4 491.53 l S 0.001 w 169.38 w 199.65 491.53 m 289.45 491.53 l S 0.001 w 169.38 w 291.7 491.53 m 473.8 491.53 l S 0.001 w 169.38 w 476.05 491.53 m 566.1 491.53 l S 0.001 w 154.8 w 31.2 327.19 m 91.05 327.19 l S 0.001 w 154.8 w 93.3 327.19 m 197.4 327.19 l S 0.001 w 154.8 w 199.65 327.19 m 289.45 327.19 l S 0.001 w 154.8 w 291.7 327.19 m 473.8 327.19 l S 0.001 w 154.8 w 476.05 327.19 m 566.1 327.19 l S 0.001 w 204.99 w 31.2 145.04 m 91.05 145.04 l S 0.001 w 204.99 w 93.3 145.04 m 197.4 145.04 l S 0.001 w 204.99 w 199.65 145.04 m 289.45 145.04 l S 0.001 w 204.99 w 291.7 145.04 m 473.8 145.04 l S 0.001 w 204.99 w 476.05 145.04 m 566.1 145.04 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 405.71 m 568.3 405.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 248.66 m 568.3 248.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 405.71 m 568.3 405.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 248.66 m 568.3 248.66 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 (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (People moving into the home )Tj ET /F1 12 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BT 1 0 0 1 294.55 360.37 Tm (and experience to meet the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (specialist needs of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.05 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.47 Tm (with dementia or mental )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.89 Tm (health have their specialist )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.31 Tm (needs met.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 389.53 Tm (26/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 232.48 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 232.48 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 232.48 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.48 Tm (People living at Langdale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.9 Tm (House must have a plan of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.32 Tm (care based on a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.74 Tm (comprehensive needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.16 Tm (assessment. The care plan )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.58 Tm (must set out in detail the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145 Tm (action which needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.42 Tm (taken by staff to meet all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.84 Tm (aspects of health, personal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 101.26 Tm (and social care needs. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.1 Tm (This will ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.52 Tm (living at Langdale House )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 232.48 Tm (30/05/2009)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm 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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 (have their needs met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.35 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 646.35 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 646.35 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 646.35 Tm (Care records must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.78 Tm (reflective of peoples )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.2 Tm (changing needs. A record )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.61 Tm (must be kept of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.03 Tm (wellbeing or otherwise, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.46 Tm (events of the day and care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.88 Tm (provided for people living at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.29 Tm (the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 512.14 Tm (This is to keep people living )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.55 Tm (at the home safe from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 646.35 Tm (20/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.73 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 474.73 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 474.73 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.73 Tm (People must be given the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 460.14 Tm (opportunity for stimulation )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.57 Tm (through recreational and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 430.98 Tm (social activities. Staff must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.4 Tm (receive the training they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.83 Tm (require to provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.24 Tm (meaningful activity for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.67 Tm (people with dementia.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.51 Tm (This is to ensure people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.92 Tm (living at Langdale House )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.35 Tm (have a fulfilled lifestyle. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 474.73 Tm (05/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 288.52 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 288.52 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 288.52 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 288.52 Tm (Routines of daily living must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 273.93 Tm (be made flexible in order to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.36 Tm (meet individual needs and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 244.77 Tm (preferences.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 227.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.62 Tm (This is to ensure that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.04 Tm (able to make decisions about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.46 Tm (the care they receive.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 288.52 Tm (22/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 160.63 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 160.63 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 160.63 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 160.63 Tm (People living at langdale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 146.04 Tm (House must be given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 131.46 Tm (opportunities to excersise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 116.89 Tm (choice. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.72 Tm (This is to ensure that choice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.14 Tm (and autonmy are promoted. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 160.63 Tm (15/05/2009)Tj ET 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2.25 w 28.99 254.96 m 568.3 254.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.65 m 568.3 141.65 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 34.05 666.18 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 666.18 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.18 Tm (National and local )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (safeguarding policies and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (procedures must be adhered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.45 Tm (to and staff must receive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.86 Tm (training in this area.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.71 Tm (This is to protect people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.13 Tm (living at Langdale House )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.54 Tm (from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.72 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 523.72 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 523.72 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (Staff must receive training in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (caring for people with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (dementia and safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (management of challenging )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (behaviour.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (living at Langdale House are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (protected form harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 523.72 Tm (29/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.24 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 381.24 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 381.24 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (Staff must respond )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (appropriately to any incident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (of suspected abuse and must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (follow safeguarding adults )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (policies and procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.77 Tm (This is to protect people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.18 Tm (living at the home from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.61 Tm (harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 381.24 Tm (20/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 238.77 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 238.77 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 238.77 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.77 Tm (Specialist equipment must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.2 Tm (fit for use and properly risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.62 Tm (assessed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.46 Tm (This is to promote safety for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.88 Tm (people living at Langdale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.29 Tm (House)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 238.77 Tm (22/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.46 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 125.46 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 125.46 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.46 Tm (Staff must be trained and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.89 Tm (competent in order to meet )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.31 Tm (peoples needs. In particular, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.72 Tm (caring for people with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 67.14 Tm (dementia and challenging )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.56 Tm (behaviour. Moving and )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 125.46 Tm (31/03/2009)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 669.36 w 32.32 449.42 m 564.97 449.42 l S 0.001 w 1 1 1 RG 111.06 w 31.2 625.72 m 91.05 625.72 l S 0.001 w 111.06 w 93.3 625.72 m 197.4 625.72 l S 0.001 w 111.06 w 199.65 625.72 m 289.45 625.72 l S 0.001 w 111.06 w 291.7 625.72 m 473.8 625.72 l S 0.001 w 111.06 w 476.05 625.72 m 566.1 625.72 l S 0.001 w 169.38 w 31.2 483.24 m 91.05 483.24 l S 0.001 w 169.38 w 93.3 483.24 m 197.4 483.24 l S 0.001 w 169.38 w 199.65 483.24 m 289.45 483.24 l S 0.001 w 169.38 w 291.7 483.24 m 473.8 483.24 l S 0.001 w 169.38 w 476.05 483.24 m 566.1 483.24 l S 0.001 w 125.64 w 31.2 333.48 m 91.05 333.48 l S 0.001 w 125.64 w 93.3 333.48 m 197.4 333.48 l S 0.001 w 125.64 w 199.65 333.48 m 289.45 333.48 l S 0.001 w 125.64 w 291.7 333.48 m 473.8 333.48 l S 0.001 w 125.64 w 476.05 333.48 m 566.1 333.48 l S 0.001 w 154.8 w 31.2 191.01 m 91.05 191.01 l S 0.001 w 154.8 w 93.3 191.01 m 197.4 191.01 l S 0.001 w 154.8 w 199.65 191.01 m 289.45 191.01 l S 0.001 w 154.8 w 291.7 191.01 m 473.8 191.01 l S 0.001 w 154.8 w 476.05 191.01 m 566.1 191.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.43 m 568.3 397.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.54 m 568.3 269.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 111.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 111.41 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 92.17 111.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 111.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 111.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 111.41 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 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.43 m 568.3 397.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.54 m 568.3 269.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 112.49 m 568.3 112.49 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 (handling and safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (vulnerable adults. )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 is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (living at the home have their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (needs met and are kept safe )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (People working at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (must be appropriately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (supervised to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (care practice adheres to safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (policies and procedures)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (living at the home receive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (the care that meets their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (needs and are kept safe from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (20/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.24 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 381.24 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 381.24 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (A manager must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (appointed to manage the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (home effectively.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.92 Tm (Langdale House must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.35 Tm (managed in the best )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.77 Tm (interests of people living )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.18 Tm (there.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 381.24 Tm (26/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.35 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 253.35 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 253.35 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.35 Tm (People living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.77 Tm (must have their moving and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 224.2 Tm (handling needs risk assessed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.62 Tm (by a person trained to do so. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.04 Tm (Staff must use appropriate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.46 Tm (and safe moving and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.88 Tm (handling techniques. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.71 Tm (This is to keep people living )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.14 Tm (at the home safe from harm.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 253.35 Tm (20/03/2009)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 /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 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 213.12 w 31.2 392.94 m 91.05 392.94 l S 0.001 w 213.12 w 93.3 392.94 m 197.4 392.94 l S 0.001 w 213.12 w 199.65 392.94 m 289.45 392.94 l S 0.001 w 213.12 w 291.7 392.94 m 473.8 392.94 l S 0.001 w 213.12 w 476.05 392.94 m 566.1 392.94 l S 0.001 w 241.58 w 31.2 163.34 m 91.05 163.34 l S 0.001 w 241.58 w 93.3 163.34 m 197.4 163.34 l S 0.001 w 241.58 w 199.65 163.34 m 289.45 163.34 l S 0.001 w 241.58 w 291.7 163.34 m 473.8 163.34 l S 0.001 w 241.58 w 476.05 163.34 m 566.1 163.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 285.26 m 568.3 285.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 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Staff are made aware of the acceptable )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 651.03 Tm (temperature range of medicines to be stored at room )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 636.46 Tm (temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 613.63 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 613.63 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 613.63 Tm (The policies and procedures relating to the handling of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 599.04 Tm (medication should be reviewed and updated in line with the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 584.47 Tm (guidance from the Royal Pharmaceutical Society document )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 569.89 Tm ('The Handling of medicines in Social Care settings' )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 555.3 Tm (published 2007.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.47 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 532.47 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.47 Tm (To action that the walk-in cupboard does not exceed above )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 517.9 Tm (the acceptable external temperature range of 25 degrees )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 503.32 Tm (celsius to appropriately store medicines)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 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 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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