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(6)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 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 (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 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 (Nightingale \(Gold Care Limited\))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 (218 - 220 Kettering Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Northampton)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Northants)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (NN1 4BN)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 (01604626272)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 (01604626272)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 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 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 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 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 (Gold Care Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (19)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 358.98 m 297.25 358.98 l S 0.001 w 20.58 w 299.5 358.98 m 429.25 358.98 l S 0.001 w 20.58 w 431.5 358.98 m 565.9 358.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 346.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 346.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 346.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 346.48 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (19)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 269.95 m 564.77 269.95 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 304.36 m 567.8 304.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 568.1 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.18 m 567.8 327.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.36 m 568.1 304.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 568.1 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.96 m 568.1 214.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 328.26 m 30.07 213.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 328.26 m 566.72 213.88 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 311 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 288.17 Tm (No person under 50 years of age who falls within the category DE may be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.59 Tm (accommodated in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 250.76 Tm (The home may continue to accommodate two named service users whose needs fall )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 236.18 Tm (within the category Mental Disorder over the age of 60 who were accommodated in the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 221.6 Tm (home prior to re-registration with CSCI.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 200.16 m 315.25 200.16 l S 0.001 w 1 1 1 RG 20.58 w 317.5 200.16 m 346.55 200.16 l S 0.001 w 20.58 w 348.8 200.16 m 377.9 200.16 l S 0.001 w 20.58 w 380.15 200.16 m 409.2 200.16 l S 0.001 w 20.58 w 411.45 200.16 m 440.55 200.16 l S 0.001 w 20.58 w 442.8 200.16 m 471.9 200.16 l S 0.001 w 20.58 w 474.15 200.16 m 503.2 200.16 l S 0.001 w 20.58 w 505.45 200.16 m 534.55 200.16 l S 0.001 w 20.58 w 536.8 200.16 m 565.9 200.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 211.58 m 568.1 211.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.75 m 568.1 188.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 212.66 m 30.07 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 212.66 m 316.37 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 212.66 m 347.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 212.66 m 379.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 212.66 m 410.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 212.66 m 441.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 212.66 m 473.02 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 212.66 m 504.32 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 212.66 m 535.67 187.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 212.66 m 567.02 187.67 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 195.4 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 195.4 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 195.4 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 195.4 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 195.4 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 195.4 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 176.88 m 565.9 176.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 167.25 m 568.1 167.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 168.33 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 168.33 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.5 m 568.1 186.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.25 m 568.1 167.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 187.58 m 30.07 166.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 187.58 m 567.02 166.17 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 173.32 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 173.32 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 154.07 Tm (Nightingale is a care home providing personal and nursing care for up to 19 older )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 137.07 Tm (people. The home can accomodate people from 50 years of age. The home is situated )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 120.07 Tm (close to the centre of Northampton overlooking the 'racecourse' park.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 103.07 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 86.07 Tm (The home comprises of a three-storey building, with off road parking to the rear of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 69.07 Tm (house, and an enclosed garden area. The original frontage of the house has been )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 52.06 Tm (retained so that the home blends in with others in the road.)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 644.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 644.77 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 28.99 645.85 m 568.1 645.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (There are two lounges a dining room and a conservatory. The majority of bedrooms )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (are single with one double. Some rooms have en-suite washbasins and toilets.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (Owing to the complex needs of residents in the home, fees are charged on an )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (individual assessed basis. Further information about current fees can be obtained from )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (the manager. )Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (Medication is blistered in to a Manrex monitored dosage system and also enters the home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (in original manufacturers packs as dispensed by the Pharmacy. The medication trolley )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (used would be locked when not in use and is secured to a wall in the office. An )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (appropriate clinical fridge is being used to store medicines that require cold storage. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (home are regularly monitoring and recording the maximum and minimum temperatures )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (to ensure the clinical stability of these medicines. A suitable controlled drugs cabinet is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (being used to store Temazepam tablets.)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 (Audits were carried out for two people prescribed Temazepam tablets \( controlled drug\) )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (at the home and showed all records and current stock holdings to be correct.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (3 x adrenaline ampoule's 1mg/1ml exp 08/07/10 in white box in cupboard. A protocol for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (its use was not seen at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (A signature checklist was in place with the current medication administration records )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (\(mars\) to confirm the nurses signatures. Fourteen out of the 15 people who use the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (service had a medication profile and a photographic identification page. The nurse on )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (duty stated the person who did not have these pages because she was new at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (The timings of doses given were handwritten by the home on the computer generated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (mars. M=morning, N/Lunch =lunchtime dose, T=Teatime and B/Night = Bed-time dose. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (The nurse stated that morning round would start from 8.30 and finish at 9.30; lunch-time )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (round would start at 12.30 and finish at 1; tea-time round would start at 530 and finish )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (at 6;Bed-time medication round would start between 8.00-9.00 and finish at 9.30 ish.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (A person prescribed lorazepam 1mg tablets at a dose of 0.5-1mg three times a day, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (when required \(prn\). The records showed that the nurses are marking what dose was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (given. There was no supporting information available as to why the individual nurses )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (selected these doses at these times of day.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (A resident was prescribed promazine 25mg/5ml syrup at a dose of 2.5mls three times a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (day, prn. This was recorded on the mars, as regularly given at teatime and bedtime. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (When asked about why this is given like this, the nurse said "would give if agitated and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (restless". This person was also prescribed Zopiclone \( a sleeping tablet\) 3.75 mg at night. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (There was no information available in the care plan which related behavioural or sleeping )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (issues.)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 (For another person taking Promazine liquid at a dose of 5 ml three times a day as a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (regular dose, there was gap on for the bed-time dose for 23/05/09. The nurse said )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm ("supposed didn't need".)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 (Lorazepam 1mg tablets was prescribed for a person , no tablets were supplied in this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (month but a dose was given on 23/05/09 at 1830. No explanation noted as to why this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (had been given and if it was from a balance remaining from previous supplies. The same )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (person is also prescribed Promazine 25mg/5ml at a dose of 5mls to be given three times )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (a day . This had been given regularly except on 25/05/09 20.00 where there was a gap )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (on the mar.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (In addition to the two above medicines which could cause drowsiness as a side effect the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (person was prescribed temazepam 10mg at night. On the morning of inspection it was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (noted that this person was very drowsy. The manager was asked about this resident and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (he explained porridge was offered to him at 8.30 AM but he did not want. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (stated that "the Lorazepam was administered for his mental health condition when he is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (agitated and angry". "He is also an insulin dependant diabetic". "So we give this to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (relaxed so can take other medicines and diet". He said "this person would have a care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (plan around his blood sugars 3 times a day checking. He said " if we need to, will do care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (plan around his medication as well. ")Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (Further evidence was seen that the home are not accurately accounting for medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (and using unaccounted carried forward balances, as a person prescribed a dose of senna )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (tablets , the mar stated none supplied but regular doses were given at tea-time from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (18th may 2009 until 25 th May 2009.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (For a person who is prescribed Haloperidol 10mg/5ml 0.5 ml twice a day there had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ("prn" handwritten on to the mar . This was not given during 18th May -26th May 2009. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (No quantity checked on the current mar sheets but have 40/100ml in a bottle dispensed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (on 29/11/2008 by local Pharmacy.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (Lactulose prn was not given and no supplies checked in but have 250/500mls in stock. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Lorazepam 1mg prn to be taken three times a day, none checked in on the current mars )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (but have 3 boxes containing 24.5 tablets in total.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (One of the boxes of the above Lorazepam contained a foil strip that has been cut from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (the manufacturers original, it does not show expiry date, nor the name of product only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (can see " 1mg tablets and PL 17521/0060". On discussion with the manager he could not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (explain why there was a half tablet for this person.)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 (It was noted that a person did not receive any Paracetamol liquid he was prescribed on a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ("prn" basis during the current medication cycle. I asked the manager about how do they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (know he is in pain ? He replied "just by touching him and watching if he is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (uncomfortable"- this is not in his care plan. He stated that this person " would not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (complain". The current paracetamol stock holding was dispensed 21/03/08 which I asked )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (to be removed as it was not sure if it was now out of date.)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 (A person was prescribed to take fortisip in the morning and there was no signature on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (mar to stated she had this on the day of inspection. The nurse explained " she will have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (at 11.00am I am giving her a cup of tea this morning and she is having her break fast". )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Observation in the dining area showed that this person with assistance ate her breakfast. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (A male carer was dealing with her in a respectful and gentle manner. This person was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (using clear words to verbally communicate but the male carer and a housekeeper were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (engaging in conversation with her. The nurse was seen to administer medication one at a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (time but was bulk signing the mar sheets after wards.While she is handing out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (medication she does not take charts with her but the rooms are just off the hall. It was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (observed that she gave out medicines in a respectful way. She also asked a resident if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (she required her pain relief before deblistering from supply. She washed and dried hands )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (in between giving out medicines to different service users.)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 (Sudocreme cream was prescribed to be applied prn for a resident . The acting manager )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 571.62 w 31.2 499.42 m 580.26 499.42 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 28.99 212.48 m 582.46 212.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 211.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 211.4 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (stated carers apply creams and dressings under nurses instructions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (The acting manager caries out medication audits by mainly checks on the monitored )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (dosage systems and Temazepam bottles.)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 (Medication that is no longer needed is returned to approved waste company. Two staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (check and countersign what is returned and the record in the returns book.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (Evidence from previous monthly mar sheets:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (For someone taking Haloperidol tablets, the mars showed the home did carry forward )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (balances on this occasion. Lorazepam audit trail from 29th Dec 08 until 26 may 09 shows )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (62 tablets should be in stock. This was not carried forward on to the current mar.)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 (For a resident transferring to another care home the medicines were handed over to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (relatives on the day of leaving and records were only made for the temazepam tablets.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Other observations at the home during this inspection:)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 (A person who uses the services was walking up and down the corridor with just his socks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (on when the floor was wet. The acting manager was asked about his shoes. He said his )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (slippers were wet from the wet accident and were just being washed. Daily reports for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (this person stated 24/05/09 Fall; 23/05/09 scratch on ear and bruised elbow. This person )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (had not seen a GP regarding this fall.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (10.00 am It was noted X was asleep in wheelchair in middle room/dining area with a half )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (eaten jam sandwich stuck on his front. There was no one tending to him. The acting )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (manager informed me that X was brought down stairs for 9.00-930am.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (AT 10.06 am X had a warm mug of tea sitting on his lap. This was warm to touch and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (decided could scold and removed from his lap and told the nurse. She said "is ok now ".I )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (requested the manager to come to X he then explained that X is very independent and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (would not like a beaker with a straw. This was said next to X.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (Two other people who use the services were in the room. one \(Y\) of them refused his )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (medication. The other \(Z\) person tried to encourage him by touching his foot .Y threaten )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (Z with a fist and aggressive body language. The nurse and acting manager had left the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (room.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 194.41 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 1 175.95 194.41 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 140.67 w 31.2 114.01 m 580.26 114.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 185.47 m 582.46 185.47 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 30.07 186.55 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 186.55 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm (Medication is stored securely and appropriately at the home. A suitable controlled drugs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm (cabinet is being used to store Temazepam tablets. Audits were carried out for two people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (prescribed Temazepam tablets \( controlled drug\) at the home and showed all records and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (current stock holdings to be correct.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (It was observed that the nurse gave out medicines in a respectful way. She also asked a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (person if she required her pain relief before deblistering from supply. She washed and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (dried hands in between giving out medicines to different people.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm ()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 (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 761.85 m 580.26 761.85 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 28.99 737.36 m 582.46 737.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 736.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 736.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Medication that is no longer needed is returned to approved waste company. Two staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (check and countersign what is returned and the record in the returns book.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.29 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 253.86 w 31.2 581.17 m 580.26 581.17 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 709.22 m 582.46 709.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.11 m 582.46 453.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.3 m 30.07 452.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 710.3 m 581.38 452.04 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 693.04 Tm (The home would need keep accurate accounts of all medicines prescribed for their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.46 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 663.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.3 Tm (Each person who is prescribed an anti psychotic for a when required basis would need a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm (specific care plan on when this is administered and managed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm (The home need to ensure that there are systems in place to ensure that all when )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (required medication is given to the individual person in a way that best suits that person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (needs and is care planned.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.24 Tm (Ensure that the timings of each medication avoids anyone having a second dose of their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.66 Tm (medication within a four hour of the last dose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 518.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 503.5 Tm (The home should ensure that people who use their services have regular medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.92 Tm (reviews by their GP or Psychiatrists. This is to ensure that medication that is no longer )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 474.34 Tm (needed is removed from that persons regime or adjustmets can be made if side-effects )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.76 Tm (are being experienced.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 434.8 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 434.8 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 418.8 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 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134.23 m 568.3 134.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 560.03 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 560.03 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 560.03 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.03 Tm (Individual plans of care must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 545.46 Tm (detail peoples current care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.88 Tm (needs and be updated as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 516.29 Tm (people's needs change.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.14 Tm (To make sure that staff have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.55 Tm (the information that they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.98 Tm (need to care for people in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.39 Tm (the right way.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 560.03 Tm (14/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 417.57 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 417.57 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 417.57 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 417.57 Tm (The current manager must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.98 Tm (apply for registration with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 388.4 Tm (the Commission for Social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 373.83 Tm (Care Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.67 Tm (To ensure accountability for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.08 Tm (complying with national )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.51 Tm (standards of care.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 417.57 Tm (14/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.67 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 289.67 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 289.67 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.67 Tm (The home must audit and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.1 Tm (evaluate the quality of care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 260.52 Tm (and services being provided )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 245.93 Tm (and act on any areas for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 231.35 Tm (improvement identified. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.2 Tm (To make sure that the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 184.62 Tm (is providing a high quality of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.04 Tm (care and service that meets )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.46 Tm (the needs and aspirations of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 140.88 Tm (the people who live there.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 289.67 Tm (14/04/2009)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 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 340.49 w 32.32 428.55 m 564.97 428.55 l S 0.001 w 1 1 1 RG 140.22 w 31.2 428.27 m 91.05 428.27 l S 0.001 w 140.22 w 93.3 428.27 m 197.4 428.27 l S 0.001 w 140.22 w 199.65 428.27 m 289.45 428.27 l S 0.001 w 140.22 w 291.7 428.27 m 473.8 428.27 l S 0.001 w 140.22 w 476.05 428.27 m 566.1 428.27 l S 0.001 w 96.48 w 31.2 307.67 m 91.05 307.67 l S 0.001 w 96.48 w 93.3 307.67 m 197.4 307.67 l S 0.001 w 96.48 w 199.65 307.67 m 289.45 307.67 l S 0.001 w 96.48 w 291.7 307.67 m 473.8 307.67 l S 0.001 w 96.48 w 476.05 307.67 m 566.1 307.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 357.03 m 568.3 357.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 500.58 m 30.07 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 257.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.03 m 568.3 357.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.3 m 568.3 258.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 567.85 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (When medication is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (prescribed on a when reuired )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (basis there must be clear )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.58 Tm (guidance and record keeping )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.99 Tm (for their use.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 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12 Tf BT 1 0 0 1 202.5 117.19 Tm (the tinings on the medication administration records to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 102.61 Tm (ensure that a delayed round can not cause a potential over )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 88.03 Tm (dose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 65.2 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 65.2 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 65.2 Tm (All residents to have a regular medication review by a GP )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 50.62 Tm (or Psychiatrist.)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 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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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