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(0)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)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 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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 (Northfield Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (2a Roebuck Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Sheffield)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (South Yorkshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (S6 3GP)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 (01142687827)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01142679591)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 1 279.71 597.97 Tm (northfield@palmsrow.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 575.14 Tm (www.palmsrow.co.uk)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Palms Row Health Care Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (63)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 351.68 m 297.25 351.68 l S 0.001 w 35.16 w 299.5 351.68 m 429.25 351.68 l S 0.001 w 35.16 w 431.5 351.68 m 565.9 351.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 332.98 m 568.1 332.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 331.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 331.9 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.63 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (63)Tj ET 0.95294 0.95294 0.95294 RG 43.41 w 32.32 288.65 m 564.77 288.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 289.77 m 567.8 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 312.61 m 567.8 312.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.77 m 568.1 289.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 568.1 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 313.68 m 30.07 265.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 313.68 m 566.72 265.87 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 296.42 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.59 Tm (The service may admit persons between the ages of 60 to 65 years.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 252.15 m 315.25 252.15 l S 0.001 w 1 1 1 RG 20.58 w 317.5 252.15 m 346.55 252.15 l S 0.001 w 20.58 w 348.8 252.15 m 377.9 252.15 l S 0.001 w 20.58 w 380.15 252.15 m 409.2 252.15 l S 0.001 w 20.58 w 411.45 252.15 m 440.55 252.15 l S 0.001 w 20.58 w 442.8 252.15 m 471.9 252.15 l S 0.001 w 20.58 w 474.15 252.15 m 503.2 252.15 l S 0.001 w 20.58 w 505.45 252.15 m 534.55 252.15 l S 0.001 w 20.58 w 536.8 252.15 m 565.9 252.15 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 263.57 m 568.1 263.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 240.74 m 568.1 240.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 264.65 m 30.07 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 264.65 m 316.37 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 264.65 m 347.67 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 264.65 m 379.02 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 264.65 m 410.32 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 264.65 m 441.67 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 264.65 m 473.02 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 264.65 m 504.32 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 264.65 m 535.67 239.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 264.65 m 567.02 239.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 247.38 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 228.87 m 565.9 228.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 219.24 m 568.1 219.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.32 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.32 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.49 m 568.1 238.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.24 m 568.1 219.24 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 30.07 239.57 m 30.07 218.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 239.57 m 567.02 218.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 225.3 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 225.3 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 206.05 Tm (Northfield is a care home providing personal and nursing care. Accommodation is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 189.05 Tm (provided for 63 people. The home is owned by Palms Row Health Care and is situated )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 172.05 Tm (in the residential area of Crookesmoor. It is close to the main bus route and is a short )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 155.05 Tm (walk away from the Upperthorpe shopping area. The home is purpose built with )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 138.05 Tm (accommodation provided on two floors, which are accessed, by a lift. There is a garden )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 121.06 Tm (area that is safe and private for people to enjoy. The grounds are accessible and well )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 104.06 Tm (laid out, the garden sitting areas are attractive and well maintained. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 87.06 Tm (confirmed that the weekly range of fees charged for accommodation and care was )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 70.06 Tm (from 373-649 Additional charges are made for services such as chiropody, )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 53.06 Tm (newspapers and hairdressing. Further information about the home can be obtained by )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 (9)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 30.07 712.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 712.77 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 28.99 713.85 m 568.1 713.85 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 (contacting the Manager. The inspection reports are available in the entrance to the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 71.32 739.16 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)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 (The reason for this inspection visit was to follow up progress made against medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (concerns identified at the last full inspection in August 2009. A pharmacist inspector )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (spent eight hours in the home looking at medication storage and handling arrangements, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (the current month's medication administration record charts \(MARs\), selected care files )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (and the medication policy and procedure documents. He also observed and spoke to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (two nurses who were giving medicines to people during the morning. Verbal feedback )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (was given during the visit to the manager and deputy manager. The outcome is as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (follows. Multiple gaps and errors on the MARs together with discrepancies in the amount )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (of medication held indicate that people living in the home may not always be given their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (prescribed medication correctly. Medication administration processes seen during the visit )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (did not follow current professional best practice guidance. Medication storage and record )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (keeping arrangements must be improved to ensure that staff know medicines are safe to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (use when needed.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (A total of 30 MARs were examined for completeness and accuracy. Six MARs contained )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (entries lacking clear administration instructions and nine MARs contained significant gaps )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (in the administration records. Six MARs failed to record the quantity of medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (received or brought forward at the beginning of the month. Six MARs contained )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (inadequate information about the use of prescribed skincare products and four MARs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (contained unclear information about nutritional supplement use. Five MARs contained a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (total of 12 hand written entries or amendments which lacked the necessary information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (for staff to be able to follow the changes safely. Very little information about when and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (why the changes were made could be found, for example, one person's record of warfarin )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (dose was not always signed or dated nor did it make reference to the doctor authorising )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (the change. Most of the hand written entries had been not checked for accuracy. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (Together, these gaps and errors in record keeping indicate that it is not possible to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm (sure that medication is always given correctly to people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (The way medicines were seen to be given to people did not follow best practice guidance )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (nor were good hygiene principles upheld. Nursing staff were reminded of this during the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (visit and agreed to change their practice to ensure medicines were given safely and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (records made in a timely and accurate way. People who wish to look after and take their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (own medicines are supported in doing this. The arrangements for how one person kept )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (their own medicines was reviewed and changed during the visit to improve safety for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (others living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (The home's medication storage arrangements mean that medication trolleys are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm (accessible in public areas of the home. Whilst not ideal, the design and use of space )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (within the home mean this situation cannot easily be changed. We were told that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (consideration is now being given to identifying more secure storage areas for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (medication trolleys. The temperature of the public areas is maintained for the comfort )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (and wellbeing of people living in the home. The temperature inside the medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (storage trolleys and cupboards should be monitored to ensure medication is kept at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (temperature recommended by the manufacturer. All medication must be stored securely )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (at the recommended temperature so that staff know it is safe to use when needed. As )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (stated above, the quantity of medication brought forward from the previous month is not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (consistently recorded on the new MAR. This makes it difficult to know whether medicines )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (are given correctly and whether the correct amounts remain each month. For example, )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (eight containers of medication were checked to see whether the actual amount remaining )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (tallied with the predicted amount calculated from the quantity received and number of )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 (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 148.8 w 31.2 710.83 m 580.26 710.83 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 28.99 635.3 m 582.46 635.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 634.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 634.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (doses given according to the MARs. In five cases too many doses were left and in one )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (other case too few. This indicates that medication may not always be given correctly and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (that record keeping in the home is not sufficiently accurate. The date when medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (with a short in-use shelf life is first opened was missing from four of six liquid medicine )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (containers and from all of the skincare products checked. If staff do not know when such )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (products were first opened then they do not know that they are still safe to use.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (The home's medication policy and procedures documents had not been reviewed for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (some time. They should now be updated in line with current professional best practice )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (guidance. This will help ensure all staff know exactly what is expected of them when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (handling and administering medication.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 617.23 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 1 175.95 617.23 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 588.46 m 580.26 588.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 607.16 m 582.46 607.16 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 30.07 608.24 m 30.07 568.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 608.24 m 581.38 568.68 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 590.98 Tm (The home is willing to support people who wish to look after and take their own )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.4 Tm (medicines themselves.)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 49.74 w 31.2 513.38 m 580.26 513.38 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 28.99 487.38 m 582.46 487.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 540.45 m 30.07 486.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 540.45 m 581.38 486.3 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 523.18 Tm (Some aspects of medication storage, handling, record-keeping and administration )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.61 Tm (practice need to be improved. Since the inspection, we have been told that steps are )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.02 Tm (being taken to address this.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 469.07 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 469.07 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 453.07 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 16 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 (9)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 215.04 w 32.32 570.43 m 564.97 570.43 l S 0.001 w 1 1 1 RG 111.06 w 31.2 519.57 m 91.05 519.57 l S 0.001 w 111.06 w 93.3 519.57 m 197.4 519.57 l S 0.001 w 111.06 w 199.65 519.57 m 289.45 519.57 l S 0.001 w 111.06 w 291.7 519.57 m 473.8 519.57 l S 0.001 w 111.06 w 476.05 519.57 m 566.1 519.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 577.3 m 30.07 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 461.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.91 m 568.3 462.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 560.03 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 560.03 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 560.03 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.03 Tm (There must be sufficient )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 545.46 Tm (numbers of competent and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.88 Tm (experienced staff on duty at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 516.29 Tm (all times. Previous time scale )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 501.71 Tm (01/07/07 not met)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 487.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 560.03 Tm (10/05/2008)Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 555.86 w 32.32 320.86 m 564.97 320.86 l S 0.001 w 1 1 1 RG 169.38 w 31.2 413.68 m 91.05 413.68 l S 0.001 w 169.38 w 93.3 413.68 m 197.4 413.68 l S 0.001 w 169.38 w 199.65 413.68 m 289.45 413.68 l S 0.001 w 169.38 w 291.7 413.68 m 473.8 413.68 l S 0.001 w 169.38 w 476.05 413.68 m 566.1 413.68 l S 0.001 w 125.64 w 31.2 263.92 m 91.05 263.92 l S 0.001 w 125.64 w 93.3 263.92 m 197.4 263.92 l S 0.001 w 125.64 w 199.65 263.92 m 289.45 263.92 l S 0.001 w 125.64 w 291.7 263.92 m 473.8 263.92 l S 0.001 w 125.64 w 476.05 263.92 m 566.1 263.92 l S 0.001 w 154.8 w 31.2 121.46 m 91.05 121.46 l S 0.001 w 154.8 w 93.3 121.46 m 197.4 121.46 l S 0.001 w 154.8 w 199.65 121.46 m 289.45 121.46 l S 0.001 w 154.8 w 291.7 121.46 m 473.8 121.46 l S 0.001 w 154.8 w 476.05 121.46 m 566.1 121.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 327.87 m 568.3 327.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.98 m 568.3 199.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 500.58 m 30.07 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 41.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.87 m 568.3 327.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.98 m 568.3 199.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.93 m 568.3 42.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 533.13 m 92.12 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 533.13 m 198.52 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 533.13 m 290.62 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 533.13 m 475.02 498.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 602.12 m 567.32 498.42 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 587.85 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 567.85 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 553.28 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 553.28 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.32 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 483.32 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.32 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.32 Tm (Arrangements must be put in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.73 Tm (place to ensure that all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.15 Tm (medication is correctly )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.58 Tm (admininistered according to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.99 Tm (the prescriber's directions.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm (This will help to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.26 Tm (people's health and well )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (being are maintained )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.1 Tm (through the use of prescribed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.52 Tm (medicines. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 483.32 Tm (30/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.68 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 311.68 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 311.68 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.68 Tm (All medication must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.11 Tm (stored securely at the correct )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.52 Tm (temperature recommended )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.95 Tm (by the manufacturer.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.79 Tm (Staff will then know )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.21 Tm (medicines are safe to use )Tj ET /F1 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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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/W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /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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