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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 (Briarlea)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 (Badsey Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Evesham)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Worcestershire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (WR11 7PA)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 (01386830214)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 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 (Briarlea Care and Supported )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 500.36 Tm (Living Limited)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 (26)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 20.58 w 31.2 284.15 m 297.25 284.15 l S 0.001 w 20.58 w 299.5 284.15 m 429.25 284.15 l S 0.001 w 20.58 w 431.5 284.15 m 565.9 284.15 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 28.99 355.81 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 28.99 272.74 m 568.1 272.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 356.89 m 30.07 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 356.89 m 298.37 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 356.89 m 430.37 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 356.89 m 567.02 271.66 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 (18)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 339.63 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.21 Tm (category)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 (26)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.39 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 279.39 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 279.39 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 195.13 m 564.77 195.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 229.54 m 567.8 229.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 568.1 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.37 m 567.8 252.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.54 m 568.1 229.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 568.1 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 140.13 m 568.1 140.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 253.44 m 30.07 139.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 253.44 m 566.72 139.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 236.18 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (The maximum number of service users to be accommodated is 26.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.36 Tm (needs on admission to the home are within the following categories: Old age not falling )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 146.78 Tm (within any other category \(OP\) 26 Physical Disability \(PD\) 18 Dementia \(DE\) 18)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 125.35 m 315.25 125.35 l S 0.001 w 1 1 1 RG 20.58 w 317.5 125.35 m 346.55 125.35 l S 0.001 w 20.58 w 348.8 125.35 m 377.9 125.35 l S 0.001 w 20.58 w 380.15 125.35 m 409.2 125.35 l S 0.001 w 20.58 w 411.45 125.35 m 440.55 125.35 l S 0.001 w 20.58 w 442.8 125.35 m 471.9 125.35 l S 0.001 w 20.58 w 474.15 125.35 m 503.2 125.35 l S 0.001 w 20.58 w 505.45 125.35 m 534.55 125.35 l S 0.001 w 20.58 w 536.8 125.35 m 565.9 125.35 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 136.76 m 568.1 136.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 113.93 m 568.1 113.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 137.84 m 30.07 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 137.84 m 316.37 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 137.84 m 347.67 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 137.84 m 379.02 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 137.84 m 410.32 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 137.84 m 441.67 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 137.84 m 473.02 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 137.84 m 504.32 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 137.84 m 535.67 112.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 137.84 m 567.02 112.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 120.57 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 102.06 m 565.9 102.06 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 92.43 m 568.1 92.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 93.51 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 93.51 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 111.68 m 568.1 111.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.43 m 568.1 92.43 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 30.07 112.76 m 30.07 91.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 112.76 m 567.02 91.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 98.5 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 98.5 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 79.25 Tm (Briarlea provides residential accommodation and care for older people who may have a )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 62.24 Tm (physical disability and/or mental health needs associated with old age.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 45.24 Tm ()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 30.07 508.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 508.77 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 28.99 509.85 m 568.1 509.85 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 (It is owned by Briarlea Care and Supported Living Limited, which is a family owned )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (company, both directors of which are actively involved in the running of the home. The )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (home is situated just outside Evesham in a rural area with pleasant views over the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (local countryside. Apart from its road frontage the home is surrounded by a level )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (garden and orchards. The premises consist of a two-storey house. There are twenty )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (two single bedrooms and two double rooms. The majority of the single bedrooms have )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (en suite toilets. A passenger lift links the two floors of the home. There are two )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (communal lounges, a large sunlounge, a dining room, three communal bathrooms and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm (communal toilets.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm (Car parking is available at the side of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 569.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 552.16 Tm (For up to date details on the fees charged the reader should contact the provider )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 535.16 Tm (directly as this information was not included within the Service User's Guide at the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 518.16 Tm (time of our key inspection in July 2009.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (At the last inspection carried out in July 2009, we found areas of concern which could )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (have potentially placed people using the service at risk. As a result we made a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (requirements and set timescales for action by the registered persons. This unannounced )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (inspection, which was undertaken by one inspector, was to assess the actions taken and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (the home's compliance with these requirements.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (Following our last inspection we were informed by a director of the company that the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (outcome of the report was discussed and that they were 'maintaining a full review of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (practices' to see how they could 'improve the service and record keeping.' We were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (therefore confident that suitable improvement would have taken place to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (health, safety and welfare of people using the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (The registered manager and the deputy manager were on duty when we arrived at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (home. During our inspection a director of the company arrived. People assisted us in our )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (inspection and supplied us with the information we requested.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (MEDICATION - Requirements 3,4,5,6 and 7 in our previous report.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (A pharmacist inspector took part in the previous inspection and identified a number of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (shortfalls regarding the recording and management of medication. As a result of these )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (shortfalls we issued five requirements regarding different aspect of medication storage, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (recording and disposal.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (Medication in the home is administered from two trolleys one on the ground floor and one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (on the first floor. We found concerns within the trolley on the first floor and did not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (therefore view the trolley on the ground floor. These concerns resulted in a change to our )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (inspection plan.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (The previous report highlighted the need to maintain records to demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (medication is held at a safe temperature. We were told by the deputy manager that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (somebody was going to get a thermometer but that this did not happen. The deputy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (manager also told that somebody had planned to get one on their way home the day )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (beforehand. Following this random inspection we were informed, again by the deputy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (manager, that thermometers were obtained and that records had commenced.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (On the first MAR \(Medication Administration Record\) sheet we saw that somebody had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (recorded 'M' for an item on one occasion. This code means 'make available', this code is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (usually used in circumstances when stocks have run out. During our previous inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (we found that one member of staff had a signature resembling the letter 'M'. We were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (told that the person concerned no longer did that and that she had not been on duty that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (day anyway. Neither the manager or the deputy manager could account for why the code )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (was used as the medication was available. It was our intention to establish whether we )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (found any further occasions when this had happened however another sheet gave us a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (concern which we then needed to follow more carefully.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (The medication belonging to the resident concerned was held in a canvas bag within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (trolley.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (On viewing the 'dosette' box \(a system used by a chemist to pre pack medication in to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (sections marked with the day and time of administration\) we noted a drug that needs to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (be treated as a controlled drug. As a result this drug should have been stored more )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (securely. As the drug was within the dosette system the whole cassette needed to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (stored more securely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (The manager informed us that more of these drugs were held within a filing cabinet in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (office. On going to the office we discovered that a supply of drugs was not in the filing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (cabinet but was in a carrier bag under the manager's desk.)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 (The carrier bag contained 4 weeks worth of dosette cassettes as well as medications in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (their original boxes. The home had booked some medication in on the MAR sheet but the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (vast majority of this medication was not booked in. The controlled drugs register )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (contained no information about this drug whatsoever therefore it did not have the two )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (signatures needed to acknowledge medication as given.)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 (There was no date of opening on a box of medication found under the desk which had 7 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (tablets taken from it. The label on this box stated that staff were to administer one tablet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (from 'pk' \(the box within the carrier bag\) and one from 'box' \(the dosette cassette\). It )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (seemed highly likely that staff had carried this instruction out. However having done this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (would mean that staff had administered medication in excess of the dose prescribed by a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (medical practitioner. Both the registered manager and deputy confirmed that it appeared )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (the person concerned had received too much medication.)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 (We saw a list of medication supplied by the hospital when the person was admitted into )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (the home. The list did not contain the drug which should be treated as controlled however )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (medication was supplied by a hospital. In addition we saw that another drug on the list )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (either had a line through it or close to it which could of suggested that a medic had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (withdrawn the drug prior to discharge. It was confirmed during our visit that nobody had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (contacted the hospital to query these discrepancies.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (We audited a number of tablets that continued to be dispensed from the original boxes )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (and were not included within the dosette box. One drug was found to balance however, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (two did not. A box of painkiller contained two too many tablets when we audited these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (against the records held. The manager told us that although two members of staff had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (signed the medication in and recorded the number of tablets received they were not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (counted at that time to ensure the total was correct.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (We also noted that two members of staff had signed in a drug on the MAR sheet. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (However a third member of staff had noted that the MAR sheet contained a spelling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (mistake in relation to the name of the drug and made an amendment. Having a second )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (member of staff checking the MAR sheet should identify any recording errors.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (The above findings indicate that there has been insufficient progress in meeting the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (requirements of the previous inspection and in providing a safe system for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (management of medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (Due to the seriousness of the shortfalls we decided to issue immediate requirements )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (regarding medication. The immediate requirements gave the service 48 hours to improve )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (however we expected action in relation to some of the shortfalls without any delay in )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 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 (order to safeguard the well being of people living in the care home.)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 (A director of the company who was present during the inspection took our concerns very )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (seriously and gave verbal assurance that matters would be investigated. We were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (informed the following day that a medical practitioner was requested and visited the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (home to carry out a full review of the person's medication to ensure that it was correct.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (CARE PLANNING AND RISK ASSESSMENTS - Requirements 1 and 2 in our previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (report.)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 (We looked over three care plans and risk assessments during this random inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (We have previously had concerns about the lack of care plans in relation to people who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (were newly or recently admitted into the home. During this visit we viewed the care plan )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (devised regarding somebody who was admitted nine days beforehand. We found a care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (plan to be in place which gave staff initial guidance regarding the care to be delivered. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (We saw evidence of risk assessments having taken place in areas such as nutrition and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (moving and handling. As the levels of risk identified were low the amount of detail on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (these assessments was not extensive. A list of medication prescribed and possible side )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (effects was on file.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (We viewed another file which also contained a care plan and some risk assessments. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (During our last inspection we had some concerns about the documentation held regarding )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (a resident who was a diabetic. We saw some improvement in that it was clearer how the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (diabetes was to be managed. We saw that care plans were reviewed on a monthly basis )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (however on reading the daily records we identified some areas of identified care need )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (whereby the care plan did not reflect these changes such as a pressure sore on an ankle )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (identified by a chiropodist and the use of medication to manage bowels. We did not see )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (any guidance for staff in relation to either of these care needs.)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 (We noted a couple of incidents involving residents in a shared bedroom however it was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (not clear what if any strategies were put in place to manage this. We saw no evidence )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (that other professionals were informed of these events in order to ensure that people are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (safe.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (Risk assessments were in place regarding nutrition and skin care. We saw records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (following somebody falling on a couple of occasions during November 2009. No falls risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (assessment was in place or any instructions regarding moving and handling this person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (The above shortfalls were discussed with the deputy manager at the time of our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (The above findings show some progress in meeting the requirements from the previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (inspection but further action needs to be taken to ensure that care plans and risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (assessments are fully up to date.)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 (SAFE SYSTEMS TO IDENTIFY HAZARDS - Requirement 8 in our previous report.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (At the start of this inspection we viewed some communal areas of the home to assess )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (compliance with our requirement to ensure that all parts of the home, accessible to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (people living there, are free from hazards.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 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 (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 (We were not able to see one bathroom as it was in use when we were having a look )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (around the home. We did however find another bathroom to be clean and tidy. We did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (not see any cleaning materials within that bathroom or within a toilet which was viewed. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (In addition, we did not see any toiletries belonging to residents within these areas. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (indicates that products are now stored more safely.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (During our previous inspection we were informed that no systems were in place to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (monitor hot water temperatures and therefore safeguard people from the risk of scalding. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (In addition we were told that no systems were in place to ensure that windows restrictors )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (were functioning correctly. As part of this visit we requested records to demonstrate that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (systems were now in place.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (A record of bath temperatures was seen in the first floor bathroom. This showed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (residents are bathed in water varying between 35 and 39 degrees Centigrade. As this is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (the temperature of water once cooled by staff systems also need to be in place to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (that water is not too hot at the point of delivery. We were previously informed that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (thermostatic controls are fitted to baths however, as these are not fail safe, systems )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (need to be in place to monitor temperatures. A written record showed that routine checks )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (commenced prior to the date for compliance set within the previous key inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (report. At the time of this inspection the checking system introduced had not included the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (first floor bathroom which is used or, a bathroom which is not used.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (The record showed a shower delivering water in excess of the maximum temperature )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (recommended by the Health and Safety Executive. Although the record showed that the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (temperature was 'adjusted' we had some concerns about the possibility of people, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (especially residents, increasing the water temperature by the use of a red button on each )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (shower. A director of the company informed us that, as a result of our findings, he had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (contacted a plumper to see what could be done to reduce the risk further. A generic risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (assessment was in place but it failed to show any measures to reduce the risk other than )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (bringing the issue to the attention of staff.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (One bathroom on the first floor continues to be out of use. The bath does not have a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (hoist fitted overhead and therefore the service has assessed this room as unsuitable for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (people with limited mobility. This bathroom is carpeted which, as previously highlighted, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (is not recommended for infection control purposes.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (We pointed out to the manager a potential trip hazard with the carpet grip on the entry to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (one toilet. This needed to receive attention to prevent an accident.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (A record had commenced regarding the routine checking of window restrictors. During )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (July 2009 some windows, without catches, were identified as part of this check. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (record showed that the manager was informed and that the windows in question were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ('fixed'. We checked a couple of these and found that they had a restrictor in place.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Following our random visit in April 2008 we wrote in our report that 'wardrobes were free )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (standing; it is recommended that wardrobes be secured to prevent accidental toppling'. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (When we visited in July 2009 we found that wardrobes remained unsecured and therefore )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (we concluded that they continued to remain at risk of toppling over. After our inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (in July we were told that brackets had been purchased to carry out this task. During this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (visit we saw some wardrobes which were secured however we discovered one which was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (not. By the end of this random visit we were told by the registered manager that this )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 31.2 747.28 m 580.26 747.28 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 28.99 708.2 m 582.46 708.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 707.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 707.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (wardrobe was also now secured to a wall.)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 above findings indicate that progress has been made in addressing safety issues in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (the home but further action needs to be taken to ensure that these are always managed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (reliably.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 690.13 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 1 175.95 690.13 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 108.06 w 31.2 624.91 m 580.26 624.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 680.07 m 582.46 680.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 569.76 m 582.46 569.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.14 m 30.07 568.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 681.14 m 581.38 568.68 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 663.88 Tm (The focus of this inspection was to check if requirements had been met. As reported )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 649.3 Tm (above serious concerns were identified regarding medication resulting in the immediate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 634.72 Tm (requirements. As a result of these findings we will carry out further inspection visits in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.14 Tm (the future. Because of this, we did not look at many aspects of the service and may not, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.56 Tm (therefore, have identified positive things about the home. The next key inspection will )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (provide us with the chance to look at the broader picture of the service at the home and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (what it is like for people who live there.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 549.43 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 498.8 m 580.26 498.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 539.37 m 582.46 539.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 458.22 m 582.46 458.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 540.45 m 30.07 457.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 540.45 m 581.38 457.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 523.18 Tm (The home does not manage medication safely and immediate improvements are needed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.61 Tm (to safeguard people from risks to their wellbeing. Further improvements are needed to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.02 Tm (the care planning and risk assessment records to ensure they are accurate and up to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.45 Tm (date. Improvements have taken place regarding having safe systems in place to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 464.86 Tm (people live in a safe environment but these need to be managed more reliably. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 439.91 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 439.91 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 423.91 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 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 614.37 w 32.32 371.89 m 564.97 371.89 l S 0.001 w 1 1 1 RG 198.54 w 31.2 476.95 m 91.05 476.95 l S 0.001 w 198.54 w 93.3 476.95 m 197.4 476.95 l S 0.001 w 198.54 w 199.65 476.95 m 289.45 476.95 l S 0.001 w 198.54 w 291.7 476.95 m 473.8 476.95 l S 0.001 w 198.54 w 476.05 476.95 m 566.1 476.95 l S 0.001 w 154.8 w 31.2 298.03 m 91.05 298.03 l S 0.001 w 154.8 w 93.3 298.03 m 197.4 298.03 l S 0.001 w 154.8 w 199.65 298.03 m 289.45 298.03 l S 0.001 w 154.8 w 291.7 298.03 m 473.8 298.03 l S 0.001 w 154.8 w 476.05 298.03 m 566.1 298.03 l S 0.001 w 154.8 w 31.2 140.98 m 91.05 140.98 l S 0.001 w 154.8 w 93.3 140.98 m 197.4 140.98 l S 0.001 w 154.8 w 199.65 140.98 m 289.45 140.98 l S 0.001 w 154.8 w 291.7 140.98 m 473.8 140.98 l S 0.001 w 154.8 w 476.05 140.98 m 566.1 140.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 376.55 m 568.3 376.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.51 m 568.3 219.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 61.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 61.38 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 61.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 61.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 61.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 61.38 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 28.99 376.55 m 568.3 376.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.51 m 568.3 219.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.46 m 568.3 62.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Regulation 15 \(1\) and \(2\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (Care plans must be in place )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (for each person using the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (service detailing how needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (in respect of health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (welfare are to be met. Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (plans must be kept under )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (review and revised to reflect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.52 Tm (changing needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (receive appropriate and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.2 Tm (consistant care.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 360.37 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 360.37 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.37 Tm (Regulation 13 \(4\).)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (Risk assessments must be in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (place which fully take into )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.63 Tm (account unnecessary risks to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.05 Tm (the health, safety and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.47 Tm (welfare of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.31 Tm (This is to ensure that risks to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.73 Tm (people are minimised as far )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.15 Tm (as reasonably practical.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 360.37 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.32 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 203.32 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 203.32 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.32 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.74 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.16 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.58 Tm (medication is stored securely )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145 Tm (at the correct temperature )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.42 Tm (recommended by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.84 Tm (manufacturer. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.68 Tm (This is to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.1 Tm (medication is held safely.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 203.32 Tm (31/08/2009)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 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 183.96 w 31.2 589.27 m 91.05 589.27 l S 0.001 w 183.96 w 93.3 589.27 m 197.4 589.27 l S 0.001 w 183.96 w 199.65 589.27 m 289.45 589.27 l S 0.001 w 183.96 w 291.7 589.27 m 473.8 589.27 l S 0.001 w 183.96 w 476.05 589.27 m 566.1 589.27 l S 0.001 w 329.76 w 31.2 330.15 m 91.05 330.15 l S 0.001 w 329.76 w 93.3 330.15 m 197.4 330.15 l S 0.001 w 329.76 w 199.65 330.15 m 289.45 330.15 l S 0.001 w 329.76 w 291.7 330.15 m 473.8 330.15 l S 0.001 w 329.76 w 476.05 330.15 m 566.1 330.15 l S 0.001 w 119.35 w 31.2 103.35 m 91.05 103.35 l S 0.001 w 119.35 w 93.3 103.35 m 197.4 103.35 l S 0.001 w 119.35 w 199.65 103.35 m 289.45 103.35 l S 0.001 w 119.35 w 291.7 103.35 m 473.8 103.35 l S 0.001 w 119.35 w 476.05 103.35 m 566.1 103.35 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 496.16 m 568.3 496.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.15 m 568.3 164.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 496.16 m 568.3 496.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.15 m 568.3 164.15 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 (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 666.18 Tm (9)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 (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 651.6 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.03 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 622.45 Tm (there are procedures for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.86 Tm (safe disposal of unwanted )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 593.28 Tm (medication in order that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 578.71 Tm (medication is safely and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 564.13 Tm (correctly disposed of.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 531.97 Tm (So that safe system are in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.39 Tm (place and people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.8 Tm (protected.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 666.18 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.98 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 479.98 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 479.98 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.82 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 436.23 Tm (medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.65 Tm (records are accurately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.08 Tm (maintained; that the reasons )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.49 Tm (for non-administration of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.92 Tm (medication are recorded by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.33 Tm (the timely entry on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.76 Tm (medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.17 Tm (record; that the meaning of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.6 Tm (any codes are clearly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 305.02 Tm (explained on each record; )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.43 Tm (and that the person )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.86 Tm (administering the medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.27 Tm (completes the medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 246.7 Tm (administartion record in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.12 Tm (respect of each person at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.54 Tm (time of administration.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 185.38 Tm (To ensure that medication is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.79 Tm (managed safely.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 479.98 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 147.96 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 147.96 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 147.96 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.96 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.38 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.81 Tm (care plans include detailed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.22 Tm (information and instructions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.64 Tm (for staff in respect of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 75.07 Tm (administration and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.49 Tm (management of medicines, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 45.9 Tm (including the reasons to give )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 147.96 Tm (31/08/2009)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 526.89 w 32.32 520.66 m 564.97 520.66 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 154.8 w 31.2 490.54 m 91.05 490.54 l S 0.001 w 154.8 w 93.3 490.54 m 197.4 490.54 l S 0.001 w 154.8 w 199.65 490.54 m 289.45 490.54 l S 0.001 w 154.8 w 291.7 490.54 m 473.8 490.54 l S 0.001 w 154.8 w 476.05 490.54 m 566.1 490.54 l S 0.001 w 154.8 w 31.2 333.48 m 91.05 333.48 l S 0.001 w 154.8 w 93.3 333.48 m 197.4 333.48 l S 0.001 w 154.8 w 199.65 333.48 m 289.45 333.48 l S 0.001 w 154.8 w 291.7 333.48 m 473.8 333.48 l S 0.001 w 154.8 w 476.05 333.48 m 566.1 333.48 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 28.99 412.01 m 568.3 412.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 253.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 253.88 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 92.17 253.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 253.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 253.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 253.88 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 28.99 412.01 m 568.3 412.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 254.96 m 568.3 254.96 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 (medicines on an as and when )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (required basis.)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 (To ensure that staff are )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (aware of medication )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (prescribed any the reason )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (why it is prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (The service must make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (arrangements to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (records are kept of all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (medicines received, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (administered and leaving the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (home or disposed of. )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 (To ensure that safe systems )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (are in place.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (31/08/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 395.83 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 395.83 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 395.83 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 395.83 Tm (Regulation 13 \(4\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (Systems must be in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (ensure that all parts of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (home accessable to people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (living in the home are free )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (from hazards.)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 (To ensure the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.18 Tm (safety of people using the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.61 Tm (service.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 395.83 Tm (31/08/2009)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /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 702.86 w 32.32 396.23 m 564.97 396.23 l S 0.001 w 1 1 1 RG 154.8 w 31.2 583.84 m 91.05 583.84 l S 0.001 w 154.8 w 93.3 583.84 m 197.4 583.84 l S 0.001 w 154.8 w 199.65 583.84 m 289.45 583.84 l S 0.001 w 154.8 w 291.7 583.84 m 473.8 583.84 l S 0.001 w 154.8 w 476.05 583.84 m 566.1 583.84 l S 0.001 w 183.96 w 31.2 412.21 m 91.05 412.21 l S 0.001 w 183.96 w 93.3 412.21 m 197.4 412.21 l S 0.001 w 183.96 w 199.65 412.21 m 289.45 412.21 l S 0.001 w 183.96 w 291.7 412.21 m 473.8 412.21 l S 0.001 w 183.96 w 476.05 412.21 m 566.1 412.21 l S 0.001 w 274.31 w 31.2 180.83 m 91.05 180.83 l S 0.001 w 274.31 w 93.3 180.83 m 197.4 180.83 l S 0.001 w 274.31 w 199.65 180.83 m 289.45 180.83 l S 0.001 w 274.31 w 291.7 180.83 m 473.8 180.83 l S 0.001 w 274.31 w 476.05 180.83 m 566.1 180.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 505.32 m 568.3 505.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.11 m 568.3 319.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 663.45 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 663.45 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 694.92 m 568.4 694.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.37 m 568.3 662.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 663.45 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 663.45 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 663.45 m 290.57 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 663.45 m 474.92 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 749.91 m 568.4 749.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 694.92 m 568.4 694.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.37 m 568.4 662.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 505.32 m 568.3 505.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.11 m 568.3 319.11 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 30.07 750.99 m 30.07 661.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 696 m 92.12 661.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 696 m 198.52 661.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 696 m 290.62 661.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 696 m 475.02 661.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 750.99 m 567.32 661.29 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 733.72 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 34.05 716.15 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 34.05 701.57 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 683.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 680.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 680.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 680.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 680.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 668.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.18 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 646.18 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 646.18 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 646.18 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 631.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.03 Tm (All medication must be given )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 602.45 Tm (as prescribed by a medical )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 587.86 Tm (practitioner. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.71 Tm (To ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.13 Tm (received the correct )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.54 Tm (medication as prescribed by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.96 Tm (a medical practitioner.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 646.18 Tm (28/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 489.14 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 489.14 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 489.14 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 489.14 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.98 Tm (Records regarding medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.39 Tm (to be dispensed must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 430.82 Tm (accurate and up to date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.23 Tm (regarding the medication and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.65 Tm (the dose prescribed by a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.08 Tm (medical practitioner. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 354.92 Tm (To ensure that safe systems )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.33 Tm (are in place to protect people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.76 Tm (using the service. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 489.14 Tm (28/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.92 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 302.92 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 302.92 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.92 Tm (Regulation 13 \(2\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 288.35 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 273.77 Tm (Medication received into the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.18 Tm (care home must be booked )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 244.6 Tm (in and held securely at all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.02 Tm (times. Medication which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 215.45 Tm (needs to be treated as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 200.87 Tm ('controlled' needs to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.29 Tm (securely held as required by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 171.71 Tm (the Misuse of Drugs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.13 Tm (Regulations \(Safe Custody )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 142.54 Tm (1973\), the Misuse of Drugs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.96 Tm (Act 1971 and as in guidance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.39 Tm (issued by the Royal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.81 Tm (Pharmaceutical Society of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.22 Tm (Great Britain. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.06 Tm (To ensure that systems are )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 302.92 Tm (28/11/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 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10 Tf BT 1 0 0 1 34.05 386.2 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 386.2 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 386.2 Tm (Good Practice Recommendations)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf 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 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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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