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Hiv&/庄̭M{MҺ y}&K]OJ;T}}h]i6s$!<{Rp˱beZY7/N~w_W_U7\WʿL9O!_UV߼=c$?MqToNw ;;o~1INu(=2fvJ*Z^xDKe|,7þ@ֺO%/[ )|S Ʉr`p&=7Cd|^42SU d3Hی▊z)=eo?6 M[4wYjz|4Rq<_cSᔶk {J4N3.-%[ƶZ׆5 hI(kCT ~`ܳz+#3:[}md)$QߞO*ǵoAqJXE xfRtg $MoC/yi%? 5},[#iӟįkK:FZ)V2Z]<24sG ut8`A_.t4䓎:}X>Im]\\-Ckj:j: Q@ď(~'j+ҿh߇Z/+Y-|HɄr"ךF%ҌG|q>R_xSS#:uﵸA|1ik$O .}:Yzt}2k~N ~/)ceZ}~x Ӻ6]jיD>'^+yujW6Ƥm:G ?SqTPV+`_5Y" *Dlqԭj:/n@zm)nubpt1$~j-57j{a?|E~~:mrb<08tlMGvfyA#d $*~kxG][Z>>+v68_|Gs_ ¸:Ο5'B}nsJ-YىعƥxmZg ?+#qH|ݻ M?J-cV"-p*x-wkh'x7į_Qoorwgp+}k 5 i?i{_;w;7!M?=kbՙ#-#ZPWݟQۙ} t>|6߅Óce/ؠns>54/EC~M>5%05f7n-8q m=,g ioob1ZSV'TkF].އ}c_gGb+ljbg_T#­g º:=Z}k^Wcvϳ>58g_-iBX^1]en^lO| \q Ɵtk]Ś\~3"k|{ެk*(qOB6.ZKo/鬟Vo 7E=U1Z Wߴ__χllnx=vIp>_e=+*T"80 5R=VmfExO\4{ٴNQ= B } zlV6ZN}ݣ*TJjEKsq,D/oGviVtj78R"LUW?gs_BuL-|=DAoryv>l.MRww7ogo˵i>|scLW~՟?4?8-58O;*m&?g9ӚNU{U25\DqS{]bV/&+IVX.0A*=>+/boб9tOE|#E"~x ե7rޑXPW?h~^ ]G: ud{$^y"0e8< BϾ=ŏQeleO؄O"ݞ{+[wAg1JuSqMݛR7vw}5aYO}V 'KH|ݻM?+T ^_(Domkht;?6*@(iyc~״ I.|eR3t8=z+?i $[5~~|O uNե$֑r>`v{lȵ_MW/Sr/5}oZ/&)B-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏5_x6H鰰ϯ+Eb?/C[DT*xQEHn[ endstream endobj 5 0 obj<> endobj 6 0 obj<>/XObject<>/ProcSet[/PDF/Text/ImageC]>>>> endobj 8 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 10 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 12 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 14 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 15 0 obj<> endobj 17 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 19 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 21 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 23 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 25 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 27 0 obj<> endobj 28 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 29 0 obj<>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put 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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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primary )Tj 1 0 0 1 34.05 221.60001 Tm (care needs on admission to the home are within the following categories:\ Old age, not )Tj 1 0 0 1 34.05 207.01999 Tm (falling within any other category - Code OP Physical disability - Code P\ D The maximum )Tj 1 0 0 1 34.05 192.44 Tm (number of service users who can be accommodated is: 17)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 171.00998 m 315.25 171.00998 l S 1 1 1 RG 317.5 171.00998 m 346.54999 171.00998 l S 348.80002 171.00998 m 377.89999 171.00998 l S 380.14999 171.00998 m 409.20001 171.00998 l S 411.44998 171.00998 m 440.54999 171.00998 l S 442.80002 171.00998 m 471.89996 171.00998 l S 474.14996 171.00998 m 503.20001 171.00998 l S 505.44998 171.00998 m 534.54999 171.00998 l S 536.79999 171.00998 m 565.90002 171.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 182.42 m 568.10004 182.42 l S 28.99001 159.59 m 568.10004 159.59 l S 30.07001 183.5 m 30.07001 158.50998 l S 316.37 183.5 m 316.37 158.50998 l S 347.66998 183.5 m 347.66998 158.50998 l S 379.01999 183.5 m 379.01999 158.50998 l S 410.31998 183.5 m 410.31998 158.50998 l S 441.66998 183.5 m 441.66998 158.50998 l S 473.01999 183.5 m 473.01999 158.50998 l S 504.31998 183.5 m 504.31998 158.50998 l S 535.66998 183.5 m 535.66998 158.50998 l S 567.01996 183.5 m 567.01996 158.50998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 166.23999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 147.70999 m 565.90002 147.70999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 138.09 m 568.10004 138.09 l S 30.07001 139.17 m 30.07001 34.72 l S 567.01996 139.17 m 567.01996 34.72 l S 28.99001 157.34 m 568.10004 157.34 l S 28.99001 138.09 m 568.10004 138.09 l S 28.99001 35.8 m 568.10004 35.8 l S 30.07001 158.42 m 30.07001 137.00998 l S 567.01996 158.42 m 567.01996 137.00998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 144.14999 Tm (Brief description of the )Tj 1 0 0 1 177.31 144.14999 Tm (care home)Tj 1 0 0 1 35.5 124.90001 Tm (Park Hills Nursing Home provides 24 hour nursing care and accommodation \ for up to )Tj 1 0 0 1 35.5 107.90001 Tm (17 people over the age of 65 years.)Tj 1 0 0 1 35.5 90.90001 Tm (\240)Tj 1 0 0 1 35.5 73.90001 Tm (Mrs Barbara Rogers is the registered owner and manager of the home.)Tj 1 0 0 1 35.5 56.90001 Tm (\240)Tj ET endstream endobj 239 0 obj 2616 endobj 240 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 19.36 w 10 M 0 j 0 J []0 d 28.35001 20.75 m 583.64996 20.75 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 491.54999 16.38 Tm (Page)Tj 2 Tr 1 0 0 1 522.07001 16.38 Tm (3)Tj 0 Tr 1 0 0 1 529.07001 16.38 Tm ( of )Tj 2 Tr 1 0 0 1 547.35999 16.38 Tm (11)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 776.71997 m 565.90002 776.71997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 767.10004 m 568.10004 767.10004 l S 30.07001 768.17999 m 30.07001 457.76999 l S 567.01996 768.17999 m 567.01996 457.76999 l S 28.99001 786.34998 m 568.10004 786.34998 l S 28.99001 767.10004 m 568.10004 767.10004 l S 28.99001 458.84998 m 568.10004 458.84998 l S 30.07001 787.42999 m 30.07001 766.01996 l S 567.01996 787.42999 m 567.01996 766.01996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 773.15997 Tm (Brief description of the )Tj 1 0 0 1 177.31 773.15997 Tm (care home)Tj 1 0 0 1 33.25 756.15997 Tm (The home is situated approximately one mile from Oldham town centre and \ is )Tj 1 0 0 1 33.25 739.15997 Tm (reasonably close to local amenities such as shops, pubs and local school\ s. Bus services )Tj 1 0 0 1 33.25 722.15997 Tm (are also available close by. The home is a Victorian property that has b\ een extended at )Tj 1 0 0 1 33.25 705.15997 Tm (the rear. Entrance to the home is by a purpose built ramp at the side of\ the building. )Tj 1 0 0 1 33.25 688.15997 Tm (Well-maintained gardens are available outside the property.)Tj 1 0 0 1 33.25 671.15997 Tm (\240)Tj 1 0 0 1 33.25 654.15997 Tm (The home provides 17 single bedrooms, on both the ground and first floor\ and the )Tj 1 0 0 1 33.25 637.15997 Tm (majority of these are south facing. A passenger lift and other aids, suc\ h as hoists are )Tj 1 0 0 1 33.25 620.15997 Tm (available. There are three bathrooms. On the ground floor there is a cho\ ice of a large )Tj 1 0 0 1 33.25 603.15997 Tm (lounge/dining room or a smaller quiet lounge.)Tj 1 0 0 1 33.25 586.15997 Tm (\240)Tj 1 0 0 1 33.25 569.15997 Tm (A copy of the home's last inspection report was available from the main \ entrance area )Tj 1 0 0 1 33.25 552.15997 Tm (of the home.)Tj 1 0 0 1 33.25 535.15997 Tm (\240)Tj 1 0 0 1 33.25 518.15997 Tm (The weekly fees ranged from \243445.65 to \243490.00 dependent on the pa\ ckage of care )Tj 1 0 0 1 33.25 501.16995 Tm (required. Further details regarding fees and other information about the\ home are )Tj 1 0 0 1 33.25 484.16998 Tm (available from the manager. No additional charges are currently made.)Tj 1 0 0 1 33.25 467.16998 Tm (\240)Tj ET endstream endobj 241 0 obj 5683 endobj 242 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 19.36 w 10 M 0 j 0 J []0 d 28.35001 20.75 m 583.64996 20.75 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 491.54999 16.38 Tm (Page)Tj 2 Tr 1 0 0 1 522.07001 16.38 Tm (4)Tj 0 Tr 1 0 0 1 529.07001 16.38 Tm ( of )Tj 2 Tr 1 0 0 1 547.35999 16.38 Tm (11)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 691.52997 w 31.2 389.44 m 580.26001 389.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 736.32996 m 582.45996 736.32996 l S 28.99001 42.55 m 582.45996 42.55 l S 30.07001 737.40997 m 30.07001 41.47 l S 581.38 737.40997 m 581.38 41.47 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 720.14996 Tm (We carried out this visit to make sure medicines were being handled safe\ ly because )Tj 1 0 0 1 34.05 705.57001 Tm (concerns were found on our last inspection. The visit was carried out by\ a pharmacist )Tj 1 0 0 1 34.05 690.97998 Tm (inspector and it lasted six hours. We checked medicines records and medi\ cines stock and )Tj 1 0 0 1 34.05 676.40997 Tm (at the end of the visit we took some photocopies of the records because \ we found serious )Tj 1 0 0 1 34.05 661.82996 Tm (shortfalls in the way medicines were being handled that were placing the\ health and )Tj 1 0 0 1 34.05 647.23999 Tm (wellbeing of people at unnecessary risk.)Tj 1 0 0 1 34.05 632.65997 Tm (\240)Tj 1 0 0 1 34.05 618.08997 Tm (When we arrived at the home the senior nurse on duty said that the morni\ ng medicines )Tj 1 0 0 1 34.05 603.51001 Tm (had all been given out from approximately 7am, about one hour before bre\ akfast. When )Tj 1 0 0 1 34.05 588.91998 Tm (we checked the medicines records we found numerous medicines that needed\ to be given )Tj 1 0 0 1 34.05 574.33997 Tm (after food were signed as given before food at 7am. The medicines record\ s did not )Tj 1 0 0 1 34.05 559.76996 Tm (highlight any special warnings and medicines were not being given to peo\ ple at the best )Tj 1 0 0 1 34.05 545.17999 Tm (time to fit into their normal daily routine. We found medicines stock wa\ s poorly )Tj 1 0 0 1 34.05 530.60004 Tm (organised, numerous medicines were not labelled and some were not in the\ ir original )Tj 1 0 0 1 34.05 516.02997 Tm (packets so we could not be sure who they were prescribed for.)Tj 1 0 0 1 34.05 501.44998 Tm (\240)Tj 1 0 0 1 34.05 486.85999 Tm (When we tried to account for a sample of the medicines we found this imp\ ossible because )Tj 1 0 0 1 34.05 472.28998 Tm (there was no clear system of stock control in place. Medicines were not \ always properly )Tj 1 0 0 1 34.05 457.70001 Tm (recorded when received into the home and no records of medicines dispose\ d of had been )Tj 1 0 0 1 34.05 443.13 Tm (made for over a year. Medicines were not recorded when carried over each\ month so it )Tj 1 0 0 1 34.05 428.54999 Tm (was not possible to know how much stock was being held in the home. Of s\ erious )Tj 1 0 0 1 34.05 413.95999 Tm (concern was the routine practice of mixing different supplies of the sam\ e medicine )Tj 1 0 0 1 34.05 399.38998 Tm (together, this is very dangerous and can lead to serious mistakes.)Tj 1 0 0 1 34.05 384.80002 Tm (\240)Tj 1 0 0 1 34.05 370.22998 Tm (We found numerous old medicines for people that no longer lived in the h\ ome. One )Tj 1 0 0 1 34.05 355.63998 Tm (medicine we found was eight years out of date and was not labelled and a\ nother person's )Tj 1 0 0 1 34.05 341.07001 Tm (injections had not been properly disposed of even though they had died o\ ver a year ago. )Tj 1 0 0 1 34.05 326.47998 Tm (We found old scruffy eye drops in the fridge that were not prescribed to\ anyone in the )Tj 1 0 0 1 34.05 311.89999 Tm (home and the fridge temperature was not being checked to make sure it wa\ s correct. We )Tj 1 0 0 1 34.05 297.32999 Tm (also saw one liquid medicine being given to a person that was two days o\ ut of date. We )Tj 1 0 0 1 34.05 282.73999 Tm (found a very dirty tablet crusher that had fresh powder in it along with\ old crusty powder, )Tj 1 0 0 1 34.05 268.16998 Tm (the nurse on duty said she did not know who was having their tablets cru\ shed and we )Tj 1 0 0 1 34.05 253.59 Tm (found no evidence of this in the records we looked at at. We found the r\ ecords of creams )Tj 1 0 0 1 34.05 239.00998 Tm (and nutritional supplements were not always complete so we could not be \ sure they were )Tj 1 0 0 1 34.05 224.42998 Tm (being used properly.)Tj 1 0 0 1 34.05 209.84999 Tm (\240)Tj 1 0 0 1 34.05 195.25998 Tm (Medicines stock was being shared between residents even though this is a\ gainst the law )Tj 1 0 0 1 34.05 180.67999 Tm (and we found some medicines were not being recorded as given even though\ they were )Tj 1 0 0 1 34.05 166.10001 Tm (in stock and appeared to be in use. We also found several examples of me\ dicines being )Tj 1 0 0 1 34.05 151.51999 Tm (out of stock for a number of days, this showed the ordering system was n\ ot well )Tj 1 0 0 1 34.05 136.95 Tm (organised. We saw some old oxygen cylinders in the store room but the nu\ rse on duty )Tj 1 0 0 1 34.05 122.36 Tm (said nobody was prescribed them, these should not be kept as stock and s\ hould only be )Tj 1 0 0 1 34.05 107.79001 Tm (used for the person they are prescribed for.)Tj 1 0 0 1 34.05 93.21001 Tm (\240)Tj 1 0 0 1 34.05 78.63 Tm (We checked how controlled drugs \(medicines that can be misused\) were h\ andled. The )Tj 1 0 0 1 34.05 64.04001 Tm (cupboard used for storing them did not meet the requirements of the law \ because it was )Tj 1 0 0 1 34.05 49.47 Tm (not properly attached to the wall. A special register was used for makin\ g records and )Tj ET endstream endobj 243 0 obj 4367 endobj 244 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 19.36 w 10 M 0 j 0 J []0 d 28.35001 20.75 m 583.64996 20.75 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 491.54999 16.38 Tm (Page)Tj 2 Tr 1 0 0 1 522.07001 16.38 Tm (5)Tj 0 Tr 1 0 0 1 529.07001 16.38 Tm ( of )Tj 2 Tr 1 0 0 1 547.35999 16.38 Tm (11)Tj ET 1 1 1 RG 148.8 w 31.2 710.82996 m 580.26001 710.82996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 786.34998 m 582.45996 786.34998 l S 28.99001 635.29999 m 582.45996 635.29999 l S 30.07001 787.42999 m 30.07001 634.21997 l S 581.38 787.42999 m 581.38 634.21997 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (these were usually properly witnessed. We found one controlled drug had \ not been given )Tj 1 0 0 1 31.8 760.83997 Tm (to a person correctly on two occasions because staff had forgotten to gi\ ve it to them )Tj 1 0 0 1 31.8 746.26001 Tm (which could have caused them to suffer pain.)Tj 1 0 0 1 31.8 731.66998 Tm (\240)Tj 1 0 0 1 31.8 717.08997 Tm (We looked at how the medicines were checked and audited and found no for\ mal systems )Tj 1 0 0 1 31.8 702.51996 Tm (in place. The mistakes we found and the general poor organisation of the\ medicines had )Tj 1 0 0 1 31.8 687.92999 Tm (not been identified by the manager and action was not being taken to mak\ e the )Tj 1 0 0 1 31.8 673.34998 Tm (necessary improvements. The competence of the current nursing staff is a\ serious )Tj 1 0 0 1 31.8 658.77997 Tm (concern because we found poor practice in the administration, the record\ keeping and )Tj 1 0 0 1 31.8 644.20001 Tm (storage of medicines. )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 617.22998 Tm (What the care home)Tj 1 0 0 1 175.95 617.22998 Tm (does well:)Tj ET 1 1 1 RG 20.58 w 31.2 595.75 m 580.26001 595.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 607.15997 m 582.45996 607.15997 l S 28.99001 584.33997 m 582.45996 584.33997 l S 30.07001 608.23999 m 30.07001 583.26001 l S 581.38 608.23999 m 581.38 583.26001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 590.97998 Tm (We found no significant examples of good practice when handling medicine\ s.)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 564.01996 Tm (What they could do better:)Tj ET 1 1 1 RG 268.44 w 31.2 418.60999 m 580.26001 418.60999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 553.95001 m 582.45996 553.95001 l S 28.99001 283.25998 m 582.45996 283.25998 l S 30.07001 555.02997 m 30.07001 282.17999 l S 581.38 555.02997 m 581.38 282.17999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 537.76996 Tm (Medicines must be given to people 'as prescribed' because receiving medi\ cines at the )Tj 1 0 0 1 34.05 523.17999 Tm (wrong time, wrong dose or not at all can seriously affect a person's hea\ lth and wellbeing.)Tj 1 0 0 1 34.05 508.60999 Tm (\240)Tj 1 0 0 1 34.05 494.01999 Tm (Accurate records of all medicines received into the home, given to peopl\ e and disposed of )Tj 1 0 0 1 34.05 479.44998 Tm (must be kept so that all medicines can be fully accounted for.)Tj 1 0 0 1 34.05 464.85999 Tm (\240)Tj 1 0 0 1 34.05 450.28998 Tm (Controlled drugs must be stored in a cupboard that meets the requirement\ s of the law to )Tj 1 0 0 1 34.05 435.70001 Tm (help prevent mishandling and misuse.)Tj 1 0 0 1 34.05 421.13 Tm (\240)Tj 1 0 0 1 34.05 406.54999 Tm (Medicines must be properly disposed of when no longer required and shoul\ d only be used )Tj 1 0 0 1 34.05 391.95999 Tm (when they are within their expiry date to help make sure they are safely\ used.)Tj 1 0 0 1 34.05 377.38998 Tm (\240)Tj 1 0 0 1 34.05 362.80002 Tm (Suitable procedures for the auditing of medicines and checking of staff \ competence )Tj 1 0 0 1 34.05 348.22998 Tm (should be put in place to help make sure medicines are handled safely by\ adequately )Tj 1 0 0 1 34.05 333.63998 Tm (skilled staff.)Tj 1 0 0 1 34.05 319.07001 Tm (\240)Tj 1 0 0 1 34.05 304.47998 Tm (Medicines must be properly labelled at all times and should not be share\ d between people )Tj 1 0 0 1 34.05 289.89999 Tm (because this is illegal and is unsafe.)Tj 1 0 0 1 28.35001 264.94998 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 264.94998 Tm (is taking )Tj 1 0 0 1 28.35001 248.95 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 245 0 obj 5824 endobj 246 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 19.36 w 10 M 0 j 0 J []0 d 28.35001 20.75 m 583.64996 20.75 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj 0 Tr 1 0 0 1 491.54999 16.38 Tm (Page)Tj 2 Tr 1 0 0 1 522.07001 16.38 Tm (6)Tj 0 Tr 1 0 0 1 529.07001 16.38 Tm ( of )Tj 2 Tr 1 0 0 1 547.35999 16.38 Tm (11)Tj ET 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.70001 m 564.96997 752.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 753.82996 m 568.29999 753.82996 l S 26.14 773.07996 m 568.29999 773.07996 l S 26.14 753.82996 m 568.29999 753.82996 l S 26.14 734.57996 m 568.29999 734.57996 l S 27.22 774.14996 m 27.22 733.5 l S 423.22 754.90002 m 423.22 733.5 l S 468.22 754.90002 m 468.22 733.5 l S 495.22 754.90002 m 495.22 733.5 l S 540.21997 754.90002 m 540.21997 733.5 l S 567.21997 774.14996 m 567.21997 733.5 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 759.88995 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 740.63995 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 742.57996 Tm <0035>Tj /T1_0 12 Tf 1 0 0 1 501.75 740.63995 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 546.75 742.57996 Tm <0085>Tj ET 0.95294 0.95294 0.95294 RG 635.40002 w 32.32001 361.38 m 564.96997 361.38 l S 1 1 1 RG 344.34 w 31.2 404.04999 m 91.05 404.04999 l S 93.3 404.04999 m 197.40001 404.04999 l S 199.64998 404.04999 m 289.44998 404.04999 l S 291.70001 404.04999 m 473.80002 404.04999 l S 476.04999 404.04999 m 566.10004 404.04999 l S 187.08 w 31.2 136.09 m 91.05 136.09 l S 93.3 136.09 m 197.40001 136.09 l S 199.64998 136.09 m 289.44998 136.09 l S 291.70001 136.09 m 473.80002 136.09 l S 476.04999 136.09 m 566.10004 136.09 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 230.75998 m 568.29999 230.75998 l S 30.07001 578.41998 m 30.07001 40.35001 l S 567.21997 578.41998 m 567.21997 40.35001 l S 28.99001 609.90002 m 568.40002 609.90002 l S 28.99001 577.33997 m 568.29999 577.33997 l S 92.17 578.41998 m 92.17 40.35001 l S 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the Care Standards\ )Tj 1 0 0 1 34.05 616.53998 Tm (Act 2000, )Tj 1 0 0 1 96.58 616.53998 Tm ( Regulations 2001 and the National Minimum Standards.)Tj /T1_0 10 Tf 1 0 0 1 31.2 598.71997 Tm (No.)Tj 1 0 0 1 96.10001 595.71997 Tm (Standard)Tj 1 0 0 1 202.5 595.71997 Tm (Regulation)Tj 1 0 0 1 294.60001 595.71997 Tm (Requirement)Tj 1 0 0 1 479 595.71997 Tm (Timescale for )Tj 1 0 0 1 479 583.57001 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 34.05 561.15997 Tm (1)Tj 1 0 0 1 96.15001 561.15997 Tm (7)Tj 1 0 0 1 202.5 561.15997 Tm (15)Tj 1 0 0 1 294.54999 561.15997 Tm (Care plans must always )Tj 1 0 0 1 294.54999 546.58002 Tm (clearly detail all the needs )Tj 1 0 0 1 294.54999 532 Tm (and support requirements of )Tj 1 0 0 1 294.54999 517.41998 Tm (people who use the service )Tj 1 0 0 1 294.54999 502.84 Tm (and how those needs are to )Tj 1 0 0 1 294.54999 488.25998 Tm (be met These needs must be )Tj 1 0 0 1 294.54999 473.67999 Tm (regularly reviewed, and the )Tj 1 0 0 1 294.54999 459.10001 Tm (outcomes 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