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;ூO}%\}$_jč5Gi$ff$ 9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 3 0 obj<> 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 20 0 obj<>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 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 /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 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 /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F2 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F2 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F2 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F2 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F2 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F2 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 /F2 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. 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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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+Y#B#B endstream endobj 25 0 obj<> endobj 26 0 obj<>/FontDescriptor 25 0 R/DW 1000>> endobj 27 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 28 0 obj<>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} 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 dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /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 /periodcentered 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 TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89999 86.00999 l S 474.14999 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 183 0 obj 2834 endobj 184 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91998 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 185 0 obj 5423 endobj 186 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13998 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81999 m 582.45996 245.81999 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14999 m 580.26001 182.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42999 m 582.45996 215.42999 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50999 m 30.07001 147.78 l S 581.38 216.50999 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 1 0 0 1 34.05 74.25 Tm (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure )Tj 1 0 0 1 34.05 59.67 Tm (that a valid prescription is obtained without due delay.)Tj 1 0 0 1 34.05 45.10001 Tm (\240)Tj ET endstream endobj 187 0 obj 1088 endobj 188 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 189 0 obj 4142 endobj 190 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 (8)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 331.67999 w 32.32001 512.10999 m 564.96997 512.10999 l S 1 1 1 RG 227.7 w 31.2 461.23999 m 91.05 461.23999 l S 93.3 461.23999 m 197.40001 461.23999 l S 199.64999 461.23999 m 289.44998 461.23999 l S 291.70001 461.23999 m 473.80002 461.23999 l S 476.04999 461.23999 m 566.10004 461.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 577.29999 m 30.07001 345.19 l S 567.21997 577.29999 m 567.21997 345.19 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.29999 576.21997 l S 92.17 577.29999 m 92.17 345.19 l S 198.51999 577.29999 m 198.51999 345.19 l S 290.57001 577.29999 m 290.57001 345.19 l S 474.91998 577.29999 m 474.91998 345.19 l S 28.99001 680.20001 m 568.40002 680.20001 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.40002 576.21997 l S 28.99001 346.26999 m 568.29999 346.26999 l S 30.07001 681.27997 m 30.07001 575.14001 l S 92.12 609.84998 m 92.12 575.14001 l S 198.51999 609.84998 m 198.51999 575.14001 l S 290.62 609.84998 m 290.62 575.14001 l S 475.01999 609.84998 m 475.01999 575.14001 l S 567.32001 681.27997 m 567.32001 575.14001 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 662.98999 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 644.57996 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 629.98999 Tm (been met.)Tj 1 0 0 1 95.57001 629.98999 Tm (\240 )Tj 1 0 0 1 104.02 629.98999 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 615.40997 Tm (Act 2000, )Tj 1 0 0 1 96.58 615.40997 Tm ( Regulations 2001 and the National Minimum Standards.)Tj /T1_0 10 Tf 1 0 0 1 31.2 597.58997 Tm (No.)Tj 1 0 0 1 96.10001 594.58997 Tm (Standard)Tj 1 0 0 1 202.5 594.58997 Tm (Regulation)Tj 1 0 0 1 294.60001 594.58997 Tm (Requirement)Tj 1 0 0 1 479 594.58997 Tm (Timescale for )Tj 1 0 0 1 479 582.45001 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 34.05 560.02997 Tm (1)Tj 1 0 0 1 96.15001 560.02997 Tm (1)Tj 1 0 0 1 202.5 560.02997 Tm (5A)Tj 1 0 0 1 294.54999 560.02997 Tm (People must have )Tj 1 0 0 1 294.54999 545.45996 Tm (information about the full )Tj 1 0 0 1 294.54999 530.88 Tm (range of fees and of any )Tj 1 0 0 1 294.54999 516.28998 Tm (differences in charges )Tj 1 0 0 1 294.54999 501.70999 Tm (between people who have )Tj 1 0 0 1 294.54999 487.13998 Tm (their care paid for, and those )Tj 1 0 0 1 294.54999 472.54999 Tm (who fund their own.)Tj 1 0 0 1 294.54999 457.97998 Tm (\240)Tj 1 0 0 1 294.54999 443.38998 Tm (This was not assessed by the )Tj 1 0 0 1 294.54999 428.81998 Tm (Pharamcist Inspector on the )Tj 1 0 0 1 294.54999 414.22998 Tm (25/02/2010)Tj 1 0 0 1 294.54999 396.64999 Tm (\240)Tj 1 0 0 1 294.54999 382.07999 Tm (This is to help people plan )Tj 1 0 0 1 294.54999 367.48999 Tm (their finances and )Tj 1 0 0 1 294.54999 352.91998 Tm (understand the charges. )Tj 1 0 0 1 478.89999 560.02997 Tm (17/08/2009)Tj ET endstream endobj 191 0 obj 6679 endobj 192 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 (7)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 (8)Tj /T1_0 16 Tf 1 0 0 1 28.35001 770.26996 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 754.84998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 692.46997 m 564.96997 692.46997 l S 1 1 1 RG 20.58 w 31.2 649.82996 m 91.05 649.82996 l S 93.3 649.82996 m 197.40001 649.82996 l S 199.64998 649.82996 m 289.44998 649.82996 l S 291.70001 649.82996 m 473.80002 649.82996 l S 476.04999 649.82996 m 566.10004 649.82996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 662.32001 m 30.07001 637.33997 l S 567.21997 662.32001 m 567.21997 637.33997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.29999 661.23999 l S 92.17 662.32001 m 92.17 637.33997 l S 198.51999 662.32001 m 198.51999 637.33997 l S 290.57001 662.32001 m 290.57001 637.33997 l S 474.91998 662.32001 m 474.91998 637.33997 l S 28.99001 748.77997 m 568.40002 748.77997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.40002 661.23999 l S 28.99001 638.40997 m 568.29999 638.40997 l S 30.07001 749.85999 m 30.07001 660.16998 l S 92.12 694.87 m 92.12 660.16998 l S 198.51999 694.87 m 198.51999 660.16998 l S 290.62 694.87 m 290.62 660.16998 l S 475.01999 694.87 m 475.01999 660.16998 l S 567.32001 749.85999 m 567.32001 660.16998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 732.60004 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 715.01996 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 682.62 Tm (No.)Tj 1 0 0 1 96.10001 679.62 Tm (Standard)Tj 1 0 0 1 202.5 679.62 Tm (Regulation)Tj 1 0 0 1 294.60001 679.62 Tm (Requirement)Tj 1 0 0 1 479 679.62 Tm (Timescale for )Tj 1 0 0 1 479 667.46997 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 256.34 w 32.32001 470.62 m 564.96997 470.62 l S 1 1 1 RG 154.8 w 31.2 420.97998 m 91.05 420.97998 l S 93.3 420.97998 m 197.40001 420.97998 l S 199.64998 420.97998 m 289.44998 420.97998 l S 291.70001 420.97998 m 473.80002 420.97998 l S 476.04999 420.97998 m 566.10004 420.97998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 500.57999 m 30.07001 341.37 l S 567.21997 500.57999 m 567.21997 341.37 l S 28.99001 532.04999 m 568.40002 532.04999 l S 28.99001 499.5 m 568.29999 499.5 l S 92.17 500.57999 m 92.17 341.37 l S 198.51999 500.57999 m 198.51999 341.37 l S 290.57001 500.57999 m 290.57001 341.37 l S 474.91998 500.57999 m 474.91998 341.37 l S 28.99001 601.03998 m 568.40002 601.03998 l S 28.99001 532.04999 m 568.40002 532.04999 l S 28.99001 499.5 m 568.40002 499.5 l S 28.99001 342.44998 m 568.29999 342.44998 l S 30.07001 602.12 m 30.07001 498.41995 l S 92.12 533.13 m 92.12 498.41995 l S 198.51999 533.13 m 198.51999 498.41995 l S 290.62 533.13 m 290.62 498.41995 l S 475.01999 533.13 m 475.01999 498.41995 l S 567.32001 602.12 m 567.32001 498.41995 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 587.84998 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 567.84998 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 553.27997 Tm (Standards Act 2000, )Tj 1 0 0 1 166.31 553.27997 Tm (Regulations 2001 and the National Minimum Standards. The )Tj 1 0 0 1 34.05 538.70001 Tm (registered person\(s\) must do this within the timescales we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 520.88 Tm (No.)Tj 1 0 0 1 96.10001 517.88 Tm (Standard)Tj 1 0 0 1 202.5 517.88 Tm (Regulation)Tj 1 0 0 1 294.60001 517.88 Tm (Requirement)Tj 1 0 0 1 479 517.88 Tm (Timescale for )Tj 1 0 0 1 479 505.72998 Tm (action)Tj /TT0 12 Tf -444.94998 -22.41 Td ( )Tj 260.49997 -14.59 Td ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57001 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.59 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.57001 TD ( )Tj /T1_0 12 Tf 1 0 0 1 294.54999 392.82999 Tm (\240)Tj T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.59 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.56998 TD ( )Tj 184.35001 134.21997 Td ( )Tj ET 0.95294 0.95294 0.95294 RG 206.28 w 32.32001 216.67998 m 564.96997 216.67998 l S 1 1 1 RG 49.74001 w 31.2 206.11 m 91.05 206.11 l S 93.3 206.11 m 197.40001 206.11 l S 199.64998 206.11 m 566.10004 206.11 l S 64.32001 w 31.2 146.83 m 91.05 146.83 l S 93.3 146.83 m 197.40001 146.83 l S 199.64998 146.83 m 566.10004 146.83 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.12 m 568.29999 180.12 l S 30.07001 233.17998 m 30.07001 112.47 l S 567.21997 233.17998 m 567.21997 112.47 l S 28.99001 252.50998 m 568.40002 252.50998 l S 28.99001 232.10001 m 568.29999 232.10001 l S 92.17 233.17998 m 92.17 112.47 l S 198.51999 233.17998 m 198.51999 112.47 l S 28.99001 322.07999 m 568.40002 322.07999 l S 28.99001 252.50998 m 568.40002 252.50998 l S 28.99001 232.10001 m 568.40002 232.10001 l S 28.99001 180.12 m 568.29999 180.12 l S 28.99001 113.54001 m 568.29999 113.54001 l S 30.07001 323.14999 m 30.07001 231.03 l S 92.17 253.58 m 92.17 231.03 l S 198.47 253.58 m 198.47 231.03 l S 567.32001 323.14999 m 567.32001 231.03 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 305.88998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 288.31 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 273.72998 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 259.14999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 238.33 Tm (No)Tj 1 0 0 1 96.15001 238.33 Tm (Refer to Standard)Tj 1 0 0 1 202.45 238.33 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 215.92 Tm (1)Tj 1 0 0 1 96.15001 215.92 Tm (9)Tj 1 0 0 1 202.5 215.92 Tm (There could be a lockable facility available in everyone's )Tj 1 0 0 1 202.5 201.34 Tm (room where medicated creams and ointments could be )Tj 1 0 0 1 202.5 186.75998 Tm (stored safely.)Tj 1 0 0 1 34.05 163.92999 Tm (2)Tj 1 0 0 1 96.15001 163.92999 Tm (9)Tj 1 0 0 1 202.5 163.92999 Tm (All changes made to a current prescriptions mid- cycle )Tj 1 0 0 1 202.5 149.34999 Tm (should be backed up with a re-issue of a new prescription )Tj 1 0 0 1 202.5 134.77 Tm (with the new directions. This ideally should be furnished by )Tj 1 0 0 1 202.5 120.19 Tm (the GP surgery within a few days.)Tj ET endstream endobj 193 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 0 194 0000000004 65535 f 0000000016 00000 n 0000000147 00000 n 0000092095 00000 n 0000000007 00001 f 0000092647 00000 n 0000092745 00000 n 0000000009 00001 f 0000092919 00000 n 0000000011 00001 f 0000093053 00000 n 0000000013 00001 f 0000093188 00000 n 0000000016 00001 f 0000093323 00000 n 0000093458 00000 n 0000000018 00001 f 0000093590 00000 n 0000000035 00001 f 0000093737 00000 n 0000093883 00000 n 0000099667 00000 n 0000099820 00000 n 0000134651 00000 n 0000134823 00000 n 0000140003 00000 n 0000140182 00000 n 0000140396 00000 n 0000140809 00000 n 0000183209 00000 n 0000183389 00000 n 0000183451 00000 n 0000183681 00000 n 0000183702 00000 n 0000184912 00000 n 0000000036 00001 f 0000000037 00001 f 0000000038 00001 f 0000000039 00001 f 0000000040 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222745 %%EOF 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 30 0 obj<> endobj 31 0 obj<> endobj 194 0 obj null endobj 195 0 obj<> endobj 196 0 obj<> endobj 197 0 obj 5441 endobj 198 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 1 0 0 1 34.05 74.25 Tm (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure )Tj 1 0 0 1 34.05 59.67 Tm (that a valid prescription is obtained without due delay.)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 199 0 obj 5442 endobj 200 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 1 0 0 1 34.05 74.25 Tm (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure )Tj 1 0 0 1 34.05 59.67 Tm (that a valid prescription is obtained without due delay.)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 201 0 obj 5443 endobj 202 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 1 0 0 1 34.05 74.25 Tm (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure )Tj 1 0 0 1 34.05 59.67 Tm (that a valid prescription is obtained without due delay.)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 203 0 obj 5444 endobj 204 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 1 0 0 1 34.05 74.25 Tm (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure )Tj 1 0 0 1 34.05 59.67 Tm (that a valid prescription is obtained without due delay.)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 205 0 obj 5266 endobj 206 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj 0 -14.58 TD (.)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 207 0 obj 5248 endobj 208 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13995 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. 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to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. 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The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 215 0 obj 5248 endobj 216 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13992 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT0 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 217 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0000226785 00000 n 8 1 0000226959 00000 n 10 1 0000227093 00000 n 12 1 0000227228 00000 n 30 2 0000227375 00000 n 0000227437 00000 n 194 24 0000227667 00000 n 0000227689 00000 n 0000228901 00000 n 0000229071 00000 n 0000229093 00000 n 0000234589 00000 n 0000234611 00000 n 0000240108 00000 n 0000240130 00000 n 0000245628 00000 n 0000245650 00000 n 0000251149 00000 n 0000251171 00000 n 0000256492 00000 n 0000256514 00000 n 0000261817 00000 n 0000261839 00000 n 0000266557 00000 n 0000266579 00000 n 0000275390 00000 n 0000275412 00000 n 0000278301 00000 n 0000278323 00000 n 0000283626 00000 n trailer <]/Prev 222745 >> startxref 287166 %%EOF 12 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 30 0 obj<> endobj 31 0 obj<> endobj 218 0 obj<> endobj 219 0 obj<> endobj 220 0 obj 5277 endobj 221 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13992 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT1 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 222 0 obj 5278 endobj 223 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13992 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT1 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 224 0 obj 4122 endobj 225 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13992 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 34.05 301.29999 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.57001 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 34.05 205.48 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT1 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 226 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 12 1 0000287968 00000 n 30 2 0000288127 00000 n 0000288189 00000 n 218 9 0000288419 00000 n 0000289631 00000 n 0000289801 00000 n 0000289823 00000 n 0000295155 00000 n 0000295177 00000 n 0000300510 00000 n 0000300532 00000 n 0000304709 00000 n trailer <<2474e4fd31ce9f45a045de98d9904cfa>]/Prev 287166 >> startxref 308249 %%EOF 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 17 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 19 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 21 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 30 0 obj<> endobj 31 0 obj<> endobj 227 0 obj<> endobj 228 0 obj<> endobj 229 0 obj 5311 endobj 230 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 231 0 obj 5312 endobj 232 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 233 0 obj 5314 endobj 234 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 235 0 obj 5315 endobj 236 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 237 0 obj 5317 endobj 238 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 239 0 obj 5318 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 (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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 241 0 obj 5319 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 243 0 obj 5320 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 (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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 245 0 obj 5322 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 (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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 247 0 obj 5323 endobj 248 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 249 0 obj 5324 endobj 250 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 251 0 obj 5326 endobj 252 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 253 0 obj 5328 endobj 254 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 255 0 obj 5329 endobj 256 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 257 0 obj 5331 endobj 258 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 259 0 obj 5333 endobj 260 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 261 0 obj 5334 endobj 262 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 263 0 obj 5335 endobj 264 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 265 0 obj 5337 endobj 266 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 267 0 obj 5338 endobj 268 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 269 0 obj 5340 endobj 270 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 271 0 obj 5341 endobj 272 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 273 0 obj 5343 endobj 274 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 275 0 obj 5344 endobj 276 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 277 0 obj 5346 endobj 278 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 279 0 obj 5347 endobj 280 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 281 0 obj 5348 endobj 282 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 283 0 obj 5349 endobj 284 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 285 0 obj 5351 endobj 286 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 287 0 obj 5352 endobj 288 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 289 0 obj 5354 endobj 290 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 291 0 obj 5356 endobj 292 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 293 0 obj 5357 endobj 294 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 295 0 obj 5358 endobj 296 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 297 0 obj 5360 endobj 298 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 299 0 obj 5361 endobj 300 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 301 0 obj 5363 endobj 302 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 303 0 obj 5365 endobj 304 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 305 0 obj 5367 endobj 306 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 307 0 obj 5368 endobj 308 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 309 0 obj 5370 endobj 310 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 311 0 obj 5372 endobj 312 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 313 0 obj 5374 endobj 314 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 315 0 obj 5376 endobj 316 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 317 0 obj 5377 endobj 318 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 319 0 obj 5379 endobj 320 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 321 0 obj 5381 endobj 322 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 323 0 obj 5384 endobj 324 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 325 0 obj 5386 endobj 326 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 327 0 obj 5388 endobj 328 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 329 0 obj 5390 endobj 330 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 331 0 obj 5392 endobj 332 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 333 0 obj 5394 endobj 334 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 335 0 obj 5395 endobj 336 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 337 0 obj 5397 endobj 338 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 339 0 obj 5400 endobj 340 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 341 0 obj 5401 endobj 342 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 343 0 obj 5403 endobj 344 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 345 0 obj 5405 endobj 346 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 347 0 obj 5408 endobj 348 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 349 0 obj 5409 endobj 350 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 351 0 obj 5411 endobj 352 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 353 0 obj 5413 endobj 354 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 355 0 obj 5415 endobj 356 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 357 0 obj 5416 endobj 358 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 359 0 obj 5418 endobj 360 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 361 0 obj 5420 endobj 362 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 363 0 obj 5422 endobj 364 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 365 0 obj 5423 endobj 366 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 367 0 obj 5425 endobj 368 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj 1 0 0 1 34.05 471.16 Tm (controlled drugs cabinet.)Tj /TT0 12 Tf ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 369 0 obj 5386 endobj 370 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 1 0 0 1 34.05 485.73999 Tm (recorded in to the register. These ampoules were not used but were being\ stored in the )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 371 0 obj 5286 endobj 372 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj 0 -14.57999 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 373 0 obj 4898 endobj 374 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 0 -14.57999 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf ( \ )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 34.05 213.82004 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.57001 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 34.05 118.00005 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT2 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 375 0 obj<> endobj 376 0 obj<> endobj 377 0 obj 5303 endobj 378 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 379 0 obj 5304 endobj 380 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 381 0 obj 5305 endobj 382 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 383 0 obj 5306 endobj 384 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 385 0 obj 5307 endobj 386 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 387 0 obj 5308 endobj 388 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 389 0 obj 5309 endobj 390 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 391 0 obj 5310 endobj 392 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 393 0 obj 5311 endobj 394 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 395 0 obj 5312 endobj 396 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 397 0 obj 5313 endobj 398 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 399 0 obj 5314 endobj 400 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj 1 0 0 1 34.05 500.31998 Tm (the issue that a controlled drug had entered the premises and had not be\ en legally )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 401 0 obj 5239 endobj 402 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj /TT0 12 Tf 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 403 0 obj 5245 endobj 404 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 405 0 obj 5246 endobj 406 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 407 0 obj 5247 endobj 408 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 1 0 0 1 34.05 514.90002 Tm (yet to be highlighted from a manager's audit. But none of the nursing st\ aff had flagged )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 409 0 obj 5146 endobj 410 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 411 0 obj 5175 endobj 412 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 413 0 obj 5176 endobj 414 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 415 0 obj 5177 endobj 416 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 417 0 obj 5178 endobj 418 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 1 0 0 1 34.05 529.47998 Tm (not record when two ampoules of Diamorphine 10mgs had entered the home. \ This had )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 419 0 obj 5084 endobj 420 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 421 0 obj 5113 endobj 422 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 423 0 obj 5114 endobj 424 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 425 0 obj 5115 endobj 426 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 427 0 obj 5116 endobj 428 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj 1 0 0 1 34.05 544.06 Tm (recording as legally required. For another person who was no longer aliv\ e, the home did )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 429 0 obj 5012 endobj 430 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 431 0 obj 5046 endobj 432 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 433 0 obj 5047 endobj 434 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 435 0 obj 5053 endobj 436 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 437 0 obj 5054 endobj 438 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.05 558.64001 Tm (the premises, showed that the home for two people were storing, administ\ ering and )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 439 0 obj 4959 endobj 440 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 441 0 obj 4960 endobj 442 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj 1 0 0 1 34.05 573.21997 Tm (Audits carried out by the CQC Pharmacist inspector on all controlled dru\ g medicines on)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 443 0 obj 4843 endobj 444 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 445 0 obj 4938 endobj 446 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 447 0 obj 5116 endobj 448 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this could have been because there was a change made by the \ doctor. She explained that)Tj ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT1 12 Tf T* ( )Tj /TT2 12 Tf ( \ )Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT3 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 449 0 obj<> endobj 450 0 obj<> endobj 451 0 obj 5059 endobj 452 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT4 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 453 0 obj 5158 endobj 454 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT1 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT4 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 455 0 obj 5284 endobj 456 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT1 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT4 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 457 0 obj 5380 endobj 458 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj 1 0 0 1 34.05 587.79999 Tm (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT1 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT0 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf T* ( )Tj /TT1 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 500.31998 Tm 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 1 0 0 1 34.05 456.57999 Tm (\240)Tj 1 0 0 1 34.05 442 Tm (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 1 0 0 1 34.05 427.41998 Tm (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 1 0 0 1 34.05 412.84 Tm (could have been because there was a change made by the doctor. She expla\ ined that )Tj 1 0 0 1 34.05 398.25998 Tm (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 1 0 0 1 34.05 383.67999 Tm (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 1 0 0 1 34.05 369.10001 Tm (\240)Tj 1 0 0 1 34.05 354.51999 Tm (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 1 0 0 1 34.05 339.94 Tm (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 1 0 0 1 34.05 325.35999 Tm (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 1 0 0 1 34.05 310.78 Tm (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 1 0 0 1 34.05 296.20001 Tm (\240)Tj 1 0 0 1 34.05 281.62 Tm (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 1 0 0 1 34.05 267.04001 Tm (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 1 0 0 1 34.05 252.45998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 225.48999 Tm (What the care home)Tj 1 0 0 1 175.95 225.48999 Tm (does well:)Tj ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 199.23999 Tm (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 1 0 0 1 34.05 184.65999 Tm (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 1 0 0 1 34.05 170.09 Tm (kept on the premises.)Tj 1 0 0 1 34.05 155.50998 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr 1 0 0 1 28.35001 128.53999 Tm (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 103.42 Tm (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 1 0 0 1 34.05 88.83 Tm (\240)Tj /TT4 12 Tf 0 -14.56999 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 459 0 obj 5135 endobj 460 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT1 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT1 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66003 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT4 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 461 0 obj 5255 endobj 462 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT1 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT1 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /TT0 12 Tf (There was some confusion relating to whether a person had taken his Movi\ col sachets on)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66003 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT4 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 463 0 obj 5254 endobj 464 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT1 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT1 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /TT0 12 Tf (There was some confusion relating to whether a person had taken his Movi\ col sachets on)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66003 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT4 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 465 0 obj 5359 endobj 466 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT1 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT1 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /TT0 12 Tf (There was some confusion relating to whether a person had taken his Movi\ col sachets on)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66003 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT4 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 467 0 obj 4663 endobj 468 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 56.69 w 10 M 0 j 0 J []0 d 22.95 30.75999 m 580.60004 30.75999 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 44.38 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 732.34998 cm /Im0 Do Q 0 0 0 RG 0.5 w BT /T1_1 36 Tf 2 Tr 1 0 0 1 72.25 655.76996 Tm (Random )Tj 1 0 0 1 233.67998 655.76996 Tm (inspection report)Tj ET 0.75294 0.75294 0.75294 RG 17 w 22.95 610.54999 m 580.60004 610.54999 l S 0 0 0 RG 0.5 w BT /T1_1 24 Tf 1 0 0 1 28.35001 568.19 Tm (Care homes for older people)Tj ET 0.95294 0.95294 0.95294 RG 96.15001 w 32.32001 503.37 m 579.13 503.37 l S 1 1 1 RG 20.58 w 166.70999 542.27997 m 580.25 542.27997 l S 73.32001 w 166.70999 493.07999 m 580.25 493.07999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 553.69 m 582.45996 553.69 l S 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 455.28998 m 582.45996 455.28998 l S 30.07001 554.76996 m 30.07001 454.22 l S 165.58 554.76996 m 165.58 454.22 l S 581.38 554.76996 m 581.38 454.22 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 537.51001 Tm (Name:)Tj 1 0 0 1 169.56 537.51001 Tm (Polebrook Nursing & Residential Home)Tj 1 0 0 1 34.05 514.67999 Tm (Address:)Tj 1 0 0 1 169.56 514.67999 Tm (Morgans Close )Tj 1 0 0 1 169.56 497.10001 Tm (Polebrook)Tj 1 0 0 1 169.56 479.51999 Tm (Cambridgeshire)Tj 1 0 0 1 169.56 461.94 Tm (PE8 5LU)Tj 0 0 0 RG 0.5 w /T1_1 8 Tf 2 Tr 1 0 0 1 28.35001 445 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 423.5 m 391.04999 423.5 l S 1 1 1 RG 393.30002 423.5 m 580.25 423.5 l S 0.95294 0.95294 0.95294 RG 31.2 400.66998 m 391.04999 400.66998 l S 1 1 1 RG 393.30002 400.66998 m 580.25 400.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 412.09 m 582.45996 412.09 l S 28.99001 434.91998 m 582.45996 434.91998 l S 28.99001 412.09 m 582.45996 412.09 l S 28.99001 389.25998 m 582.45996 389.25998 l S 30.07001 436 m 30.07001 388.17999 l S 392.16998 436 m 392.16998 388.17999 l S 581.38 436 m 581.38 388.17999 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 418.72998 Tm (The quality rating for this care home is:)Tj 1 0 0 1 396.13998 418.72998 Tm (two star good service)Tj 1 0 0 1 34.05 395.89999 Tm (The rating was made on:)Tj 1 0 0 1 396.13998 395.89999 Tm (20/04/2009)Tj 1 0 0 1 28.35001 357.94998 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is meeting )Tj 1 0 0 1 28.35001 340.94998 Tm (the needs of the people who use it. We give a quality rating following a\ full review of the )Tj 1 0 0 1 28.35001 323.94998 Tm (service. We call this review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.94998 Tm (This is a report of a )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 289.94998 Tm (random)Tj 1 0 0 1 200.47 289.94998 Tm (inspection)Tj 0 Tr 1 0 0 1 261.38 289.94998 Tm ( of this care home. A )Tj 1 0 0 1 392.12 289.94998 Tm (random inspection is a short, )Tj 1 0 0 1 28.35001 272.94998 Tm (focussed review of the service. Details of how to get other inspection r\ eports for this care )Tj 1 0 0 1 28.35001 255.95 Tm (home, including the last key inspection report, can be found on the last\ page of this report.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 221.47 m 315.25 221.47 l S 317.5 221.47 m 565.90002 221.47 l S 1 1 1 RG 317.5 198.64 m 346.54999 198.64 l S 348.80002 198.64 m 377.89999 198.64 l S 380.14999 198.64 m 409.20001 198.64 l S 411.44998 198.64 m 440.54999 198.64 l S 442.80002 198.64 m 471.89993 198.64 l S 474.14993 198.64 m 503.20001 198.64 l S 505.44998 198.64 m 534.54999 198.64 l S 536.79999 198.64 m 565.90002 198.64 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 232.87999 m 568.10004 232.87999 l S 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 187.22 m 568.10004 187.22 l S 30.07001 233.95999 m 30.07001 186.14998 l S 316.37 233.95999 m 316.37 186.14998 l S 347.66998 211.12999 m 347.66998 186.14998 l S 379.01999 211.12999 m 379.01999 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(Cambridgeshire)Tj 1 0 0 1 279.70999 666.45996 Tm (PE8 5LU)Tj 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj 1 0 0 1 279.70999 643.63 Tm (01832273256)Tj 1 0 0 1 34.05 620.79999 Tm (Fax number:)Tj 1 0 0 1 279.70999 620.79999 Tm (01832741970)Tj 1 0 0 1 34.05 597.96997 Tm (Email address:)Tj 1 0 0 1 279.70999 597.96997 Tm (Birchesterplc@yahoo.co.uk)Tj 1 0 0 1 34.05 575.14001 Tm (Provider web address:)Tj 1 0 0 1 279.70999 575.14001 Tm (helenrussellrgn@AOL.com)Tj /T1_0 10 Tf 1 0 0 1 28.35001 539.20001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.70996 m 353.25 519.70996 l S 1 1 1 RG 355.5 519.70996 m 565.90002 519.70996 l S 0.95294 0.95294 0.95294 RG 31.2 451.20999 m 353.25 451.20999 l S 1 1 1 RG 355.5 451.20999 m 565.90002 451.20999 l S 0.95294 0.95294 0.95294 RG 31.2 428.38998 m 353.25 428.38998 l S 1 1 1 RG 355.5 428.38998 m 565.90002 428.38998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 508.28998 m 568.10004 508.28998 l S 28.99001 485.45999 m 567.79999 485.45999 l S 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313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 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to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 471 0 obj 2834 endobj 472 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 473 0 obj 5311 endobj 474 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( )Tj /TT0 12 Tf (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that)Tj /TT1 12 Tf ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT1 12 Tf ( )Tj 0 -14.58005 TD ( )Tj /TT0 12 Tf (There was some confusion relating to whether a person had taken his Movi\ col sachets on)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj /TT2 12 Tf T* ( )Tj /TT3 12 Tf ( \ )Tj /TT2 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT4 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 475 0 obj 1088 endobj 476 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 477 0 obj 4142 endobj 478 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 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Tel: 0870 600 5522. Online orde\ ring from )Tj 1 0 0 1 34.05 547.52997 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95001 Tm (\240)Tj 1 0 0 1 28.35001 509.35999 Tm (\240)Tj 1 0 0 1 28.35001 494.78998 Tm (\240)Tj 1 0 0 1 28.35001 480.20001 Tm (\240)Tj ET 0.75294 0.75294 0.75294 RG 34.16 w 25.8 460.60999 m 563.29999 460.60999 l S 0 0 0 RG 0.5 w BT /T1_0 20 Tf 1 0 0 1 31.2 455.07999 Tm (Helpline:)Tj 1 0 0 1 28.35001 420.91998 Tm (Telephone:)Tj 0 Tr 1 0 0 1 147.95 420.91998 Tm (03000 616161)Tj 2 Tr 1 0 0 1 28.35001 389.26999 Tm (Email:)Tj 0 Tr 1 0 0 1 99.55 389.26999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 357.60999 Tm (Web: )Tj 0 Tr 1 0 0 1 88.63 357.60999 Tm (www.cqc.org.uk)Tj /T1_0 18 Tf 2 Tr 1 0 0 1 28.35001 327.94998 Tm (\240)Tj 1 0 0 1 28.35001 299.20999 Tm (\240)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 276.5 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25999 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25999 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25999 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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(Cambridgeshire)Tj 1 0 0 1 279.70999 666.45996 Tm (PE8 5LU)Tj 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj 1 0 0 1 279.70999 643.63 Tm (01832273256)Tj 1 0 0 1 34.05 620.79999 Tm (Fax number:)Tj 1 0 0 1 279.70999 620.79999 Tm (01832741970)Tj 1 0 0 1 34.05 597.96997 Tm (Email address:)Tj 1 0 0 1 279.70999 597.96997 Tm (Birchesterplc@yahoo.co.uk)Tj 1 0 0 1 34.05 575.14001 Tm (Provider web address:)Tj 1 0 0 1 279.70999 575.14001 Tm (helenrussellrgn@AOL.com)Tj /T1_0 10 Tf 1 0 0 1 28.35001 539.20001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.70996 m 353.25 519.70996 l S 1 1 1 RG 355.5 519.70996 m 565.90002 519.70996 l S 0.95294 0.95294 0.95294 RG 31.2 451.20999 m 353.25 451.20999 l S 1 1 1 RG 355.5 451.20999 m 565.90002 451.20999 l S 0.95294 0.95294 0.95294 RG 31.2 428.38998 m 353.25 428.38998 l S 1 1 1 RG 355.5 428.38998 m 565.90002 428.38998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 508.28998 m 568.10004 508.28998 l S 28.99001 485.45999 m 567.79999 485.45999 l S 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313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 1 0 0 1 302.35001 285.70999 Tm (0)Tj 1 0 0 1 434.34998 285.70999 Tm (51)Tj 1 0 0 1 34.05 248.3 Tm (physical disability)Tj 1 0 0 1 302.35001 248.3 Tm (0)Tj 1 0 0 1 434.34998 248.3 Tm (51)Tj ET 0.95294 0.95294 0.95294 RG 118.23 w 32.32001 159.92 m 564.76996 159.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 198.45999 m 567.79999 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 221.28998 m 567.79999 221.28998 l S 28.99001 198.45999 m 568.10004 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 100.81 m 568.10004 100.81 l S 30.07001 222.36 m 30.07001 99.73 l S 566.71997 222.36 m 566.71997 99.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 205.10001 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 182.26999 Tm (The total number of service users accommodated at Polebrook Nursing and \ Residential )Tj 1 0 0 1 34.05 167.69 Tm (Home must not exceed 51)Tj 1 0 0 1 34.05 144.86 Tm (To be able to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 487 0 obj 2834 endobj 488 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 489 0 obj 5140 endobj 490 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. 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Tel: 0870 600 5522. Online orde\ ring from )Tj 1 0 0 1 34.05 547.52997 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95001 Tm (\240)Tj 1 0 0 1 28.35001 509.35999 Tm (\240)Tj 1 0 0 1 28.35001 494.78998 Tm (\240)Tj 1 0 0 1 28.35001 480.20001 Tm (\240)Tj ET 0.75294 0.75294 0.75294 RG 34.16 w 25.8 460.60999 m 563.29999 460.60999 l S 0 0 0 RG 0.5 w BT /T1_0 20 Tf 1 0 0 1 31.2 455.07999 Tm (Helpline:)Tj 1 0 0 1 28.35001 420.91998 Tm (Telephone:)Tj 0 Tr 1 0 0 1 147.95 420.91998 Tm (03000 616161)Tj 2 Tr 1 0 0 1 28.35001 389.26999 Tm (Email:)Tj 0 Tr 1 0 0 1 99.55 389.26999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 357.60999 Tm (Web: )Tj 0 Tr 1 0 0 1 88.63 357.60999 Tm (www.cqc.org.uk)Tj /T1_0 18 Tf 2 Tr 1 0 0 1 28.35001 327.94998 Tm (\240)Tj 1 0 0 1 28.35001 299.20999 Tm (\240)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 276.5 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 509 0 obj 5140 endobj 510 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 511 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0000308674 00000 n 8 1 0000308848 00000 n 10 1 0000308982 00000 n 12 1 0000309117 00000 n 14 1 0000309264 00000 n 17 1 0000309399 00000 n 19 1 0000309546 00000 n 21 1 0000309693 00000 n 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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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58005 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 257.56001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 161.74004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 514 0 obj 5050 endobj 515 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD (handwritten on to the record sheet had not been followed. The nurse expl\ ained that this )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 516 0 obj 4961 endobj 517 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 518 0 obj 4878 endobj 519 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD (usually a fax is obtained from the doctor's surgery giving the new instr\ uctions. If a fax is )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj T* (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 520 0 obj 4796 endobj 521 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (not issued that the update would go on the patients notes on the GP's co\ mputer.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 184.66002 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 88.84004 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 522 0 obj 4699 endobj 523 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 524 0 obj<> endobj 525 0 obj<> endobj 526 0 obj 4817 endobj 527 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 528 0 obj 4929 endobj 529 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 530 0 obj 4930 endobj 531 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 532 0 obj 5053 endobj 533 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 534 0 obj 5169 endobj 535 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 536 0 obj 4663 endobj 537 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 56.69 w 10 M 0 j 0 J []0 d 22.95 30.75999 m 580.60004 30.75999 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 44.38 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 732.34998 cm /Im0 Do Q 0 0 0 RG 0.5 w BT /T1_1 36 Tf 2 Tr 1 0 0 1 72.25 655.76996 Tm (Random )Tj 1 0 0 1 233.67998 655.76996 Tm (inspection report)Tj ET 0.75294 0.75294 0.75294 RG 17 w 22.95 610.54999 m 580.60004 610.54999 l S 0 0 0 RG 0.5 w BT /T1_1 24 Tf 1 0 0 1 28.35001 568.19 Tm (Care homes for older people)Tj ET 0.95294 0.95294 0.95294 RG 96.15001 w 32.32001 503.37 m 579.13 503.37 l S 1 1 1 RG 20.58 w 166.70999 542.27997 m 580.25 542.27997 l S 73.32001 w 166.70999 493.07999 m 580.25 493.07999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 553.69 m 582.45996 553.69 l S 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 455.28998 m 582.45996 455.28998 l S 30.07001 554.76996 m 30.07001 454.22 l S 165.58 554.76996 m 165.58 454.22 l S 581.38 554.76996 m 581.38 454.22 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 537.51001 Tm (Name:)Tj 1 0 0 1 169.56 537.51001 Tm (Polebrook Nursing & Residential Home)Tj 1 0 0 1 34.05 514.67999 Tm (Address:)Tj 1 0 0 1 169.56 514.67999 Tm (Morgans Close )Tj 1 0 0 1 169.56 497.10001 Tm (Polebrook)Tj 1 0 0 1 169.56 479.51999 Tm (Cambridgeshire)Tj 1 0 0 1 169.56 461.94 Tm (PE8 5LU)Tj 0 0 0 RG 0.5 w /T1_1 8 Tf 2 Tr 1 0 0 1 28.35001 445 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 423.5 m 391.04999 423.5 l S 1 1 1 RG 393.30002 423.5 m 580.25 423.5 l S 0.95294 0.95294 0.95294 RG 31.2 400.66998 m 391.04999 400.66998 l S 1 1 1 RG 393.30002 400.66998 m 580.25 400.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 412.09 m 582.45996 412.09 l S 28.99001 434.91998 m 582.45996 434.91998 l S 28.99001 412.09 m 582.45996 412.09 l S 28.99001 389.25998 m 582.45996 389.25998 l S 30.07001 436 m 30.07001 388.17999 l S 392.16998 436 m 392.16998 388.17999 l S 581.38 436 m 581.38 388.17999 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 418.72998 Tm (The quality rating for this care home is:)Tj 1 0 0 1 396.13998 418.72998 Tm (two star good service)Tj 1 0 0 1 34.05 395.89999 Tm (The rating was made on:)Tj 1 0 0 1 396.13998 395.89999 Tm (20/04/2009)Tj 1 0 0 1 28.35001 357.94998 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is meeting )Tj 1 0 0 1 28.35001 340.94998 Tm (the needs of the people who use it. We give a quality rating following a\ full review of the )Tj 1 0 0 1 28.35001 323.94998 Tm (service. We call this review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.94998 Tm (This is a report of a )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 289.94998 Tm (random)Tj 1 0 0 1 200.47 289.94998 Tm (inspection)Tj 0 Tr 1 0 0 1 261.38 289.94998 Tm ( of this care home. A )Tj 1 0 0 1 392.12 289.94998 Tm (random inspection is a short, )Tj 1 0 0 1 28.35001 272.94998 Tm (focussed review of the service. Details of how to get other inspection r\ eports for this care )Tj 1 0 0 1 28.35001 255.95 Tm (home, including the last key inspection report, can be found on the last\ page of this report.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 221.47 m 315.25 221.47 l S 317.5 221.47 m 565.90002 221.47 l S 1 1 1 RG 317.5 198.64 m 346.54999 198.64 l S 348.80002 198.64 m 377.89999 198.64 l S 380.14999 198.64 m 409.20001 198.64 l S 411.44998 198.64 m 440.54999 198.64 l S 442.80002 198.64 m 471.89993 198.64 l S 474.14993 198.64 m 503.20001 198.64 l S 505.44998 198.64 m 534.54999 198.64 l S 536.79999 198.64 m 565.90002 198.64 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 232.87999 m 568.10004 232.87999 l S 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 187.22 m 568.10004 187.22 l S 30.07001 233.95999 m 30.07001 186.14998 l S 316.37 233.95999 m 316.37 186.14998 l S 347.66998 211.12999 m 347.66998 186.14998 l S 379.01999 211.12999 m 379.01999 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1 491.54999 16.38 Tm (Page)Tj 2 Tr 1 0 0 1 522.07001 16.38 Tm (2)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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 768.27997 Tm (Information about the care home)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.79999 m 274.60999 746.79999 l S 1 1 1 RG 276.85999 746.79999 m 580.25 746.79999 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 697.60004 m 274.60999 697.60004 l S 1 1 1 RG 276.85999 697.60004 m 580.25 697.60004 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.40002 m 274.60999 648.40002 l S 1 1 1 RG 276.85999 648.40002 m 580.25 648.40002 l S 0.95294 0.95294 0.95294 RG 31.2 625.57001 m 274.60999 625.57001 l S 1 1 1 RG 276.85999 625.57001 m 580.25 625.57001 l S 0.95294 0.95294 0.95294 RG 31.2 602.73999 m 274.60999 602.73999 l S 1 1 1 RG 276.85999 602.73999 m 580.25 602.73999 l S 0.95294 0.95294 0.95294 RG 31.2 579.90997 m 274.60999 579.90997 l S 1 1 1 RG 276.85999 579.90997 m 580.25 579.90997 l S 0.75294 0.75294 0.75294 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(Cambridgeshire)Tj 1 0 0 1 279.70999 666.45996 Tm (PE8 5LU)Tj 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj 1 0 0 1 279.70999 643.63 Tm (01832273256)Tj 1 0 0 1 34.05 620.79999 Tm (Fax number:)Tj 1 0 0 1 279.70999 620.79999 Tm (01832741970)Tj 1 0 0 1 34.05 597.96997 Tm (Email address:)Tj 1 0 0 1 279.70999 597.96997 Tm (Birchesterplc@yahoo.co.uk)Tj 1 0 0 1 34.05 575.14001 Tm (Provider web address:)Tj 1 0 0 1 279.70999 575.14001 Tm (helenrussellrgn@AOL.com)Tj /T1_0 10 Tf 1 0 0 1 28.35001 539.20001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.70996 m 353.25 519.70996 l S 1 1 1 RG 355.5 519.70996 m 565.90002 519.70996 l S 0.95294 0.95294 0.95294 RG 31.2 451.20999 m 353.25 451.20999 l S 1 1 1 RG 355.5 451.20999 m 565.90002 451.20999 l S 0.95294 0.95294 0.95294 RG 31.2 428.38998 m 353.25 428.38998 l S 1 1 1 RG 355.5 428.38998 m 565.90002 428.38998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 508.28998 m 568.10004 508.28998 l S 28.99001 485.45999 m 567.79999 485.45999 l S 28.99001 462.63 m 568.10004 462.63 l S 354.37 532.20001 m 354.37 507.20999 l S 28.99001 439.80002 m 568.10004 439.80002 l S 28.99001 531.12 m 568.10004 531.12 l S 28.99001 508.28998 m 567.79999 508.28998 l S 28.99001 485.45999 m 568.10004 485.45999 l S 28.99001 462.63 m 568.10004 462.63 l S 28.99001 439.80002 m 568.10004 439.80002 l S 28.99001 416.97 m 568.10004 416.97 l S 30.07001 532.20001 m 30.07001 415.88998 l S 354.37 463.70999 m 354.37 415.88998 l S 567.01996 532.20001 m 567.01996 415.88998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 514.92999 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35001 514.92999 Tm (Birchester Medicare Ltd)Tj 1 0 0 1 34.05 492.10999 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 469.26999 Tm (Mrs )Tj 1 0 0 1 59.75999 469.26999 Tm (Helen )Tj 1 0 0 1 98.19 469.26999 Tm (Russell)Tj 1 0 0 1 34.05 446.44998 Tm (Type of registration:)Tj 1 0 0 1 358.35001 446.44998 Tm (care home)Tj 1 0 0 1 34.05 423.60999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 423.60999 Tm (51)Tj /T1_0 10 Tf 1 0 0 1 28.35001 404.66998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 361.22998 m 564.46997 361.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 373.76999 m 567.79999 373.76999 l S 297.23999 350.92999 m 567.79999 350.92999 l S 28.99001 396.60001 m 567.79999 396.60001 l S 28.99001 373.76999 m 567.79999 373.76999 l S 297.23999 350.92999 m 567.79999 350.92999 l S 28.99001 328.10999 m 567.79999 328.10999 l S 30.07001 397.66998 m 30.07001 327.03 l S 298.32001 374.84 m 298.32001 327.03 l S 432.51999 352.00998 m 432.51999 327.03 l S 566.71997 397.66998 m 566.71997 327.03 l S BT /T1_0 12 Tf 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 357.57999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 357.57999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 334.75 Tm (Under 65)Tj 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 313.32001 m 297.25 313.32001 l S 299.5 313.32001 m 429.25 313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 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to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 540 0 obj 2834 endobj 541 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 542 0 obj 5169 endobj 543 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( )Tj /TT1 12 Tf (but nurse had requested that he should have two due to his current sympt\ oms. She was)Tj /TT0 12 Tf ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT1 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT1 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 544 0 obj 1088 endobj 545 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 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Tel: 0870 600 5522. Online orde\ ring from )Tj 1 0 0 1 34.05 547.52997 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95001 Tm (\240)Tj 1 0 0 1 28.35001 509.35999 Tm (\240)Tj 1 0 0 1 28.35001 494.78998 Tm (\240)Tj 1 0 0 1 28.35001 480.20001 Tm (\240)Tj ET 0.75294 0.75294 0.75294 RG 34.16 w 25.8 460.60999 m 563.29999 460.60999 l S 0 0 0 RG 0.5 w BT /T1_0 20 Tf 1 0 0 1 31.2 455.07999 Tm (Helpline:)Tj 1 0 0 1 28.35001 420.91998 Tm (Telephone:)Tj 0 Tr 1 0 0 1 147.95 420.91998 Tm (03000 616161)Tj 2 Tr 1 0 0 1 28.35001 389.26999 Tm (Email:)Tj 0 Tr 1 0 0 1 99.55 389.26999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 357.60999 Tm (Web: )Tj 0 Tr 1 0 0 1 88.63 357.60999 Tm (www.cqc.org.uk)Tj /T1_0 18 Tf 2 Tr 1 0 0 1 28.35001 327.94998 Tm (\240)Tj 1 0 0 1 28.35001 299.20999 Tm (\240)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 276.5 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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(Cambridgeshire)Tj 1 0 0 1 279.70999 666.45996 Tm (PE8 5LU)Tj 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj 1 0 0 1 279.70999 643.63 Tm (01832273256)Tj 1 0 0 1 34.05 620.79999 Tm (Fax number:)Tj 1 0 0 1 279.70999 620.79999 Tm (01832741970)Tj 1 0 0 1 34.05 597.96997 Tm (Email address:)Tj 1 0 0 1 279.70999 597.96997 Tm (Birchesterplc@yahoo.co.uk)Tj 1 0 0 1 34.05 575.14001 Tm (Provider web address:)Tj 1 0 0 1 279.70999 575.14001 Tm (helenrussellrgn@AOL.com)Tj /T1_0 10 Tf 1 0 0 1 28.35001 539.20001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.70996 m 353.25 519.70996 l S 1 1 1 RG 355.5 519.70996 m 565.90002 519.70996 l S 0.95294 0.95294 0.95294 RG 31.2 451.20999 m 353.25 451.20999 l S 1 1 1 RG 355.5 451.20999 m 565.90002 451.20999 l S 0.95294 0.95294 0.95294 RG 31.2 428.38998 m 353.25 428.38998 l S 1 1 1 RG 355.5 428.38998 m 565.90002 428.38998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 508.28998 m 568.10004 508.28998 l S 28.99001 485.45999 m 567.79999 485.45999 l S 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to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 556 0 obj 2834 endobj 557 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 558 0 obj 5142 endobj 559 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 560 0 obj 1088 endobj 561 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 562 0 obj 4142 endobj 563 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 (8)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 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1 0 0 1 34.05 560.02997 Tm (1)Tj 1 0 0 1 96.15001 560.02997 Tm (1)Tj 1 0 0 1 202.5 560.02997 Tm (5A)Tj 1 0 0 1 294.54999 560.02997 Tm (People must have )Tj 1 0 0 1 294.54999 545.45996 Tm (information about the full )Tj 1 0 0 1 294.54999 530.88 Tm (range of fees and of any )Tj 1 0 0 1 294.54999 516.28998 Tm (differences in charges )Tj 1 0 0 1 294.54999 501.70999 Tm (between people who have )Tj 1 0 0 1 294.54999 487.13989 Tm (their care paid for, and those )Tj 1 0 0 1 294.54999 472.54999 Tm (who fund their own.)Tj 1 0 0 1 294.54999 457.97998 Tm (\240)Tj 1 0 0 1 294.54999 443.38995 Tm (This was not assessed by the )Tj 1 0 0 1 294.54999 428.81998 Tm (Pharamcist Inspector on the )Tj 1 0 0 1 294.54999 414.22998 Tm (25/02/2010)Tj 1 0 0 1 294.54999 396.64999 Tm (\240)Tj 1 0 0 1 294.54999 382.07999 Tm (This is to help people plan )Tj 1 0 0 1 294.54999 367.48999 Tm (their finances and )Tj 1 0 0 1 294.54999 352.91998 Tm (understand the charges. )Tj 1 0 0 1 478.89993 560.02997 Tm (17/08/2009)Tj ET endstream endobj 564 0 obj 6679 endobj 565 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 (7)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 (8)Tj /T1_0 16 Tf 1 0 0 1 28.35001 770.26996 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 754.84998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 692.46997 m 564.96997 692.46997 l S 1 1 1 RG 20.58 w 31.2 649.82996 m 91.05 649.82996 l S 93.3 649.82996 m 197.40001 649.82996 l S 199.64998 649.82996 m 289.44998 649.82996 l S 291.70001 649.82996 m 473.80002 649.82996 l S 476.04999 649.82996 m 566.10004 649.82996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 662.32001 m 30.07001 637.33997 l S 567.21997 662.32001 m 567.21997 637.33997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.29999 661.23999 l S 92.17 662.32001 m 92.17 637.33997 l S 198.51999 662.32001 m 198.51999 637.33997 l S 290.57001 662.32001 m 290.57001 637.33997 l S 474.91998 662.32001 m 474.91998 637.33997 l S 28.99001 748.77997 m 568.40002 748.77997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.40002 661.23999 l S 28.99001 638.40997 m 568.29999 638.40997 l S 30.07001 749.85999 m 30.07001 660.16998 l S 92.12 694.87 m 92.12 660.16998 l S 198.51999 694.87 m 198.51999 660.16998 l S 290.62 694.87 m 290.62 660.16998 l S 475.01999 694.87 m 475.01999 660.16998 l S 567.32001 749.85999 m 567.32001 660.16998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 732.60004 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 715.01996 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 682.62 Tm (No.)Tj 1 0 0 1 96.10001 679.62 Tm (Standard)Tj 1 0 0 1 202.5 679.62 Tm (Regulation)Tj 1 0 0 1 294.60001 679.62 Tm (Requirement)Tj 1 0 0 1 479 679.62 Tm (Timescale for )Tj 1 0 0 1 479 667.46997 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 256.34 w 32.32001 470.62 m 564.96997 470.62 l S 1 1 1 RG 154.8 w 31.2 420.97998 m 91.05 420.97998 l S 93.3 420.97998 m 197.40001 420.97998 l S 199.64998 420.97998 m 289.44998 420.97998 l S 291.70001 420.97998 m 473.80002 420.97998 l S 476.04999 420.97998 m 566.10004 420.97998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 500.57999 m 30.07001 341.37 l S 567.21997 500.57999 m 567.21997 341.37 l S 28.99001 532.04999 m 568.40002 532.04999 l S 28.99001 499.5 m 568.29999 499.5 l S 92.17 500.57999 m 92.17 341.37 l S 198.51999 500.57999 m 198.51999 341.37 l S 290.57001 500.57999 m 290.57001 341.37 l S 474.91998 500.57999 m 474.91998 341.37 l S 28.99001 601.03998 m 568.40002 601.03998 l S 28.99001 532.04999 m 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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1 0 0 1 302.35001 285.70999 Tm (0)Tj 1 0 0 1 434.34998 285.70999 Tm (51)Tj 1 0 0 1 34.05 248.3 Tm (physical disability)Tj 1 0 0 1 302.35001 248.3 Tm (0)Tj 1 0 0 1 434.34998 248.3 Tm (51)Tj ET 0.95294 0.95294 0.95294 RG 118.23 w 32.32001 159.92 m 564.76996 159.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 198.45999 m 567.79999 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 221.28998 m 567.79999 221.28998 l S 28.99001 198.45999 m 568.10004 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 100.81 m 568.10004 100.81 l S 30.07001 222.36 m 30.07001 99.73 l S 566.71997 222.36 m 566.71997 99.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 205.10001 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 182.26999 Tm (The total number of service users accommodated at Polebrook Nursing and \ Residential )Tj 1 0 0 1 34.05 167.69 Tm (Home must not exceed 51)Tj 1 0 0 1 34.05 144.86 Tm (To be able to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 576 0 obj 2834 endobj 577 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 578 0 obj 5142 endobj 579 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (There was some confusion relating to whether a person had taken his Movi\ col sachets on )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 580 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0001091658 00000 n 8 1 0001091832 00000 n 10 1 0001091966 00000 n 12 1 0001092101 00000 n 14 1 0001092248 00000 n 17 1 0001092383 00000 n 19 1 0001092530 00000 n 21 1 0001092677 00000 n 30 2 0001092812 00000 n 0001092874 00000 n 512 69 0001093104 00000 n 0001093126 00000 n 0001097805 00000 n 0001097827 00000 n 0001102932 00000 n 0001102954 00000 n 0001107970 00000 n 0001107992 00000 n 0001112925 00000 n 0001112947 00000 n 0001117798 00000 n 0001117820 00000 n 0001122574 00000 n 0001123804 00000 n 0001123992 00000 n 0001124014 00000 n 0001128886 00000 n 0001128908 00000 n 0001133892 00000 n 0001133914 00000 n 0001138899 00000 n 0001138921 00000 n 0001144029 00000 n 0001144051 00000 n 0001149275 00000 n 0001149297 00000 n 0001154015 00000 n 0001154037 00000 n 0001162848 00000 n 0001162870 00000 n 0001165759 00000 n 0001165781 00000 n 0001171005 00000 n 0001171027 00000 n 0001172170 00000 n 0001172192 00000 n 0001176389 00000 n 0001176411 00000 n 0001183145 00000 n 0001183167 00000 n 0001187537 00000 n 0001187559 00000 n 0001192277 00000 n 0001192299 00000 n 0001201110 00000 n 0001201132 00000 n 0001204021 00000 n 0001204043 00000 n 0001209240 00000 n 0001209262 00000 n 0001210405 00000 n 0001210427 00000 n 0001214624 00000 n 0001214646 00000 n 0001221380 00000 n 0001221402 00000 n 0001225772 00000 n 0001225795 00000 n 0001264148 00000 n 0001264170 00000 n 0001267058 00000 n 0001267080 00000 n 0001271798 00000 n 0001271820 00000 n 0001280631 00000 n 0001280653 00000 n 0001283542 00000 n 0001283564 00000 n 0001288761 00000 n trailer <]/Prev 1085530 >> startxref 1292301 %%EOF 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 17 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 19 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 21 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 30 0 obj<> endobj 31 0 obj<> endobj 581 0 obj 5054 endobj 582 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (the morning of the inspection. Records had been signed to say one sachet\ had been given )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 583 0 obj 4965 endobj 584 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD (but nurse had requested that he should have two due to his current sympt\ oms. She was )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 585 0 obj 4891 endobj 586 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 587 0 obj 4786 endobj 588 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 213.81999 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 118.00002 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 589 0 obj<> endobj 590 0 obj<> endobj 591 0 obj 4908 endobj 592 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 593 0 obj 4909 endobj 594 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 595 0 obj 4910 endobj 596 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 597 0 obj 4911 endobj 598 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 599 0 obj 4912 endobj 600 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf T* (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 601 0 obj 4834 endobj 602 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 603 0 obj 4868 endobj 604 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj 0 -14.58002 TD (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 605 0 obj 4768 endobj 606 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 607 0 obj 4797 endobj 608 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 609 0 obj 4798 endobj 610 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj 0 -14.57999 TD (been prescribed for one person, showed stock levels and administration r\ ecords tallied.)Tj /TT1 12 Tf ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 611 0 obj 4704 endobj 612 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S BT /T1_0 12 Tf 0 Tr 28.10001 199.24001 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj 0 -14.58002 TD (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.56999 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 103.42003 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 613 0 obj 4741 endobj 614 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj -5.17799 -15.24402 Td (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.57001 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 100.50603 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 615 0 obj 4770 endobj 616 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj 0 -14.57001 TD (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 100.50603 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 617 0 obj 4799 endobj 618 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT1 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S BT /T1_0 12 Tf 0 Tr 28.10001 100.50603 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj 0 -14.59 TD (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 619 0 obj 4852 endobj 620 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT1 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 621 0 obj 4869 endobj 622 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr -5.7 -26.96999 Td [(What the care home)-293(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT1 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT1 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 623 0 obj 4886 endobj 624 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.57999 TD (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT1 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT1 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT1 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 625 0 obj 4663 endobj 626 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 56.69 w 10 M 0 j 0 J []0 d 22.95 30.75999 m 580.60004 30.75999 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 44.38 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 732.34998 cm /Im0 Do Q 0 0 0 RG 0.5 w BT /T1_1 36 Tf 2 Tr 1 0 0 1 72.25 655.76996 Tm (Random )Tj 1 0 0 1 233.67998 655.76996 Tm (inspection report)Tj ET 0.75294 0.75294 0.75294 RG 17 w 22.95 610.54999 m 580.60004 610.54999 l S 0 0 0 RG 0.5 w BT /T1_1 24 Tf 1 0 0 1 28.35001 568.19 Tm (Care homes for older people)Tj ET 0.95294 0.95294 0.95294 RG 96.15001 w 32.32001 503.37 m 579.13 503.37 l S 1 1 1 RG 20.58 w 166.70999 542.27997 m 580.25 542.27997 l S 73.32001 w 166.70999 493.07999 m 580.25 493.07999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 553.69 m 582.45996 553.69 l S 28.99001 530.85999 m 582.45996 530.85999 l S 28.99001 455.28998 m 582.45996 455.28998 l S 30.07001 554.76996 m 30.07001 454.22 l S 165.58 554.76996 m 165.58 454.22 l S 581.38 554.76996 m 581.38 454.22 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 537.51001 Tm (Name:)Tj 1 0 0 1 169.56 537.51001 Tm (Polebrook Nursing & Residential Home)Tj 1 0 0 1 34.05 514.67999 Tm (Address:)Tj 1 0 0 1 169.56 514.67999 Tm (Morgans Close )Tj 1 0 0 1 169.56 497.10001 Tm (Polebrook)Tj 1 0 0 1 169.56 479.51999 Tm (Cambridgeshire)Tj 1 0 0 1 169.56 461.94 Tm (PE8 5LU)Tj 0 0 0 RG 0.5 w /T1_1 8 Tf 2 Tr 1 0 0 1 28.35001 445 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 423.5 m 391.04999 423.5 l S 1 1 1 RG 393.30002 423.5 m 580.25 423.5 l S 0.95294 0.95294 0.95294 RG 31.2 400.66998 m 391.04999 400.66998 l S 1 1 1 RG 393.30002 400.66998 m 580.25 400.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 412.09 m 582.45996 412.09 l S 28.99001 434.91998 m 582.45996 434.91998 l S 28.99001 412.09 m 582.45996 412.09 l S 28.99001 389.25998 m 582.45996 389.25998 l S 30.07001 436 m 30.07001 388.17999 l S 392.16998 436 m 392.16998 388.17999 l S 581.38 436 m 581.38 388.17999 l S BT /T1_1 12 Tf 0 Tr 1 0 0 1 34.05 418.72998 Tm (The quality rating for this care home is:)Tj 1 0 0 1 396.13998 418.72998 Tm (two star good service)Tj 1 0 0 1 34.05 395.89999 Tm (The rating was made on:)Tj 1 0 0 1 396.13998 395.89999 Tm (20/04/2009)Tj 1 0 0 1 28.35001 357.94998 Tm (A quality rating is our assessment of how well a care home, agency or sc\ heme is meeting )Tj 1 0 0 1 28.35001 340.94998 Tm (the needs of the people who use it. We give a quality rating following a\ full review of the )Tj 1 0 0 1 28.35001 323.94998 Tm (service. We call this review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.94998 Tm (This is a report of a )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 289.94998 Tm (random)Tj 1 0 0 1 200.47 289.94998 Tm (inspection)Tj 0 Tr 1 0 0 1 261.38 289.94998 Tm ( of this care home. A )Tj 1 0 0 1 392.12 289.94998 Tm (random inspection is a short, )Tj 1 0 0 1 28.35001 272.94998 Tm (focussed review of the service. Details of how to get other inspection r\ eports for this care )Tj 1 0 0 1 28.35001 255.95 Tm (home, including the last key inspection report, can be found on the last\ page of this report.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 221.47 m 315.25 221.47 l S 317.5 221.47 m 565.90002 221.47 l S 1 1 1 RG 317.5 198.64 m 346.54999 198.64 l S 348.80002 198.64 m 377.89999 198.64 l S 380.14999 198.64 m 409.20001 198.64 l S 411.44998 198.64 m 440.54999 198.64 l S 442.80002 198.64 m 471.89993 198.64 l S 474.14993 198.64 m 503.20001 198.64 l S 505.44998 198.64 m 534.54999 198.64 l S 536.79999 198.64 m 565.90002 198.64 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 232.87999 m 568.10004 232.87999 l S 28.99001 210.04999 m 568.10004 210.04999 l S 28.99001 187.22 m 568.10004 187.22 l S 30.07001 233.95999 m 30.07001 186.14998 l S 316.37 233.95999 m 316.37 186.14998 l S 347.66998 211.12999 m 347.66998 186.14998 l S 379.01999 211.12999 m 379.01999 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(Cambridgeshire)Tj 1 0 0 1 279.70999 666.45996 Tm (PE8 5LU)Tj 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj 1 0 0 1 279.70999 643.63 Tm (01832273256)Tj 1 0 0 1 34.05 620.79999 Tm (Fax number:)Tj 1 0 0 1 279.70999 620.79999 Tm (01832741970)Tj 1 0 0 1 34.05 597.96997 Tm (Email address:)Tj 1 0 0 1 279.70999 597.96997 Tm (Birchesterplc@yahoo.co.uk)Tj 1 0 0 1 34.05 575.14001 Tm (Provider web address:)Tj 1 0 0 1 279.70999 575.14001 Tm (helenrussellrgn@AOL.com)Tj /T1_0 10 Tf 1 0 0 1 28.35001 539.20001 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.70996 m 353.25 519.70996 l S 1 1 1 RG 355.5 519.70996 m 565.90002 519.70996 l S 0.95294 0.95294 0.95294 RG 31.2 451.20999 m 353.25 451.20999 l S 1 1 1 RG 355.5 451.20999 m 565.90002 451.20999 l S 0.95294 0.95294 0.95294 RG 31.2 428.38998 m 353.25 428.38998 l S 1 1 1 RG 355.5 428.38998 m 565.90002 428.38998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 508.28998 m 568.10004 508.28998 l S 28.99001 485.45999 m 567.79999 485.45999 l S 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313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 1 0 0 1 302.35001 285.70999 Tm (0)Tj 1 0 0 1 434.34998 285.70999 Tm (51)Tj 1 0 0 1 34.05 248.3 Tm (physical disability)Tj 1 0 0 1 302.35001 248.3 Tm (0)Tj 1 0 0 1 434.34998 248.3 Tm (51)Tj ET 0.95294 0.95294 0.95294 RG 118.23 w 32.32001 159.92 m 564.76996 159.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 198.45999 m 567.79999 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 221.28998 m 567.79999 221.28998 l S 28.99001 198.45999 m 568.10004 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 100.81 m 568.10004 100.81 l S 30.07001 222.36 m 30.07001 99.73 l S 566.71997 222.36 m 566.71997 99.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 205.10001 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 182.26999 Tm (The total number of service users accommodated at Polebrook Nursing and \ Residential )Tj 1 0 0 1 34.05 167.69 Tm (Home must not exceed 51)Tj 1 0 0 1 34.05 144.86 Tm (To be able to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 629 0 obj 2834 endobj 630 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 631 0 obj 4874 endobj 632 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf T* (\240)Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT1 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT1 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT1 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT1 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT1 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 633 0 obj 1088 endobj 634 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 635 0 obj 4142 endobj 636 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 (8)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 331.67999 w 32.32001 512.10999 m 564.96997 512.10999 l S 1 1 1 RG 227.7 w 31.2 461.23999 m 91.05 461.23999 l S 93.3 461.23999 m 197.40001 461.23999 l S 199.64998 461.23999 m 289.44998 461.23999 l S 291.70001 461.23999 m 473.80002 461.23999 l S 476.04999 461.23999 m 566.10004 461.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 577.29999 m 30.07001 345.19 l S 567.21997 577.29999 m 567.21997 345.19 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.29999 576.21997 l S 92.17 577.29999 m 92.17 345.19 l S 198.51999 577.29999 m 198.51999 345.19 l S 290.57001 577.29999 m 290.57001 345.19 l S 474.91998 577.29999 m 474.91998 345.19 l S 28.99001 680.20001 m 568.40002 680.20001 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.40002 576.21997 l S 28.99001 346.26999 m 568.29999 346.26999 l 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479 594.58997 Tm (Timescale for )Tj 1 0 0 1 479 582.45001 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 34.05 560.02997 Tm (1)Tj 1 0 0 1 96.15001 560.02997 Tm (1)Tj 1 0 0 1 202.5 560.02997 Tm (5A)Tj 1 0 0 1 294.54999 560.02997 Tm (People must have )Tj 1 0 0 1 294.54999 545.45996 Tm (information about the full )Tj 1 0 0 1 294.54999 530.88 Tm (range of fees and of any )Tj 1 0 0 1 294.54999 516.28998 Tm (differences in charges )Tj 1 0 0 1 294.54999 501.70999 Tm (between people who have )Tj 1 0 0 1 294.54999 487.13989 Tm (their care paid for, and those )Tj 1 0 0 1 294.54999 472.54999 Tm (who fund their own.)Tj 1 0 0 1 294.54999 457.97998 Tm (\240)Tj 1 0 0 1 294.54999 443.38995 Tm (This was not assessed by the )Tj 1 0 0 1 294.54999 428.81998 Tm (Pharamcist Inspector on the )Tj 1 0 0 1 294.54999 414.22998 Tm (25/02/2010)Tj 1 0 0 1 294.54999 396.64999 Tm (\240)Tj 1 0 0 1 294.54999 382.07999 Tm (This is to help people plan )Tj 1 0 0 1 294.54999 367.48999 Tm (their finances and )Tj 1 0 0 1 294.54999 352.91998 Tm (understand the charges. )Tj 1 0 0 1 478.89993 560.02997 Tm (17/08/2009)Tj ET endstream endobj 637 0 obj 6679 endobj 638 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 (7)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 (8)Tj /T1_0 16 Tf 1 0 0 1 28.35001 770.26996 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 754.84998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 692.46997 m 564.96997 692.46997 l S 1 1 1 RG 20.58 w 31.2 649.82996 m 91.05 649.82996 l S 93.3 649.82996 m 197.40001 649.82996 l S 199.64998 649.82996 m 289.44998 649.82996 l S 291.70001 649.82996 m 473.80002 649.82996 l S 476.04999 649.82996 m 566.10004 649.82996 l S 0.75294 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Tel: 0870 600 5522. Online orde\ ring from )Tj 1 0 0 1 34.05 547.52997 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95001 Tm (\240)Tj 1 0 0 1 28.35001 509.35999 Tm (\240)Tj 1 0 0 1 28.35001 494.78998 Tm (\240)Tj 1 0 0 1 28.35001 480.20001 Tm (\240)Tj ET 0.75294 0.75294 0.75294 RG 34.16 w 25.8 460.60999 m 563.29999 460.60999 l S 0 0 0 RG 0.5 w BT /T1_0 20 Tf 1 0 0 1 31.2 455.07999 Tm (Helpline:)Tj 1 0 0 1 28.35001 420.91998 Tm (Telephone:)Tj 0 Tr 1 0 0 1 147.95 420.91998 Tm (03000 616161)Tj 2 Tr 1 0 0 1 28.35001 389.26999 Tm (Email:)Tj 0 Tr 1 0 0 1 99.55 389.26999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 357.60999 Tm (Web: )Tj 0 Tr 1 0 0 1 88.63 357.60999 Tm (www.cqc.org.uk)Tj /T1_0 18 Tf 2 Tr 1 0 0 1 28.35001 327.94998 Tm (\240)Tj 1 0 0 1 28.35001 299.20999 Tm (\240)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 276.5 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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1 358.35001 423.60999 Tm (51)Tj /T1_0 10 Tf 1 0 0 1 28.35001 404.66998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 361.22998 m 564.46997 361.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 373.76999 m 567.79999 373.76999 l S 297.23999 350.92999 m 567.79999 350.92999 l S 28.99001 396.60001 m 567.79999 396.60001 l S 28.99001 373.76999 m 567.79999 373.76999 l S 297.23999 350.92999 m 567.79999 350.92999 l S 28.99001 328.10999 m 567.79999 328.10999 l S 30.07001 397.66998 m 30.07001 327.03 l S 298.32001 374.84 m 298.32001 327.03 l S 432.51999 352.00998 m 432.51999 327.03 l S 566.71997 397.66998 m 566.71997 327.03 l S BT /T1_0 12 Tf 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 357.57999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 357.57999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 334.75 Tm (Under 65)Tj 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 313.32001 m 297.25 313.32001 l S 299.5 313.32001 m 429.25 313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 1 0 0 1 302.35001 285.70999 Tm (0)Tj 1 0 0 1 434.34998 285.70999 Tm (51)Tj 1 0 0 1 34.05 248.3 Tm (physical disability)Tj 1 0 0 1 302.35001 248.3 Tm (0)Tj 1 0 0 1 434.34998 248.3 Tm (51)Tj ET 0.95294 0.95294 0.95294 RG 118.23 w 32.32001 159.92 m 564.76996 159.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 198.45999 m 567.79999 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 221.28998 m 567.79999 221.28998 l S 28.99001 198.45999 m 568.10004 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 100.81 m 568.10004 100.81 l S 30.07001 222.36 m 30.07001 99.73 l S 566.71997 222.36 m 566.71997 99.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 205.10001 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 182.26999 Tm (The total number of service users accommodated at Polebrook Nursing and \ Residential )Tj 1 0 0 1 34.05 167.69 Tm (Home must not exceed 51)Tj 1 0 0 1 34.05 144.86 Tm (To be able to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 645 0 obj 2834 endobj 646 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 647 0 obj 4874 endobj 648 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf T* (\240)Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT0 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 649 0 obj 1088 endobj 650 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 651 0 obj 4142 endobj 652 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 (8)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 331.67999 w 32.32001 512.10999 m 564.96997 512.10999 l S 1 1 1 RG 227.7 w 31.2 461.23999 m 91.05 461.23999 l S 93.3 461.23999 m 197.40001 461.23999 l S 199.64998 461.23999 m 289.44998 461.23999 l S 291.70001 461.23999 m 473.80002 461.23999 l S 476.04999 461.23999 m 566.10004 461.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 577.29999 m 30.07001 345.19 l S 567.21997 577.29999 m 567.21997 345.19 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.29999 576.21997 l S 92.17 577.29999 m 92.17 345.19 l S 198.51999 577.29999 m 198.51999 345.19 l S 290.57001 577.29999 m 290.57001 345.19 l S 474.91998 577.29999 m 474.91998 345.19 l S 28.99001 680.20001 m 568.40002 680.20001 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.40002 576.21997 l S 28.99001 346.26999 m 568.29999 346.26999 l 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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313.32001 l S 431.5 313.32001 m 565.90002 313.32001 l S 35.16 w 31.2 283.20001 m 297.25 283.20001 l S 299.5 283.20001 m 429.25 283.20001 l S 431.5 283.20001 m 565.90002 283.20001 l S 20.58 w 31.2 253.06998 m 297.25 253.06998 l S 299.5 253.06998 m 429.25 253.06998 l S 431.5 253.06998 m 565.90002 253.06998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 324.72998 m 568.10004 324.72998 l S 28.99001 301.89999 m 568.10004 301.89999 l S 28.99001 264.48999 m 568.10004 264.48999 l S 28.99001 241.65999 m 568.10004 241.65999 l S 30.07001 325.81 m 30.07001 240.58 l S 298.37 325.81 m 298.37 240.58 l S 430.37 325.81 m 430.37 240.58 l S 567.01996 325.81 m 567.01996 240.58 l S BT /T1_0 12 Tf 1 0 0 1 34.05 308.54999 Tm (dementia)Tj 1 0 0 1 302.35001 308.54999 Tm (0)Tj 1 0 0 1 434.34998 308.54999 Tm (51)Tj 1 0 0 1 34.05 285.70999 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 271.13998 Tm (category)Tj 1 0 0 1 302.35001 285.70999 Tm (0)Tj 1 0 0 1 434.34998 285.70999 Tm (51)Tj 1 0 0 1 34.05 248.3 Tm (physical disability)Tj 1 0 0 1 302.35001 248.3 Tm (0)Tj 1 0 0 1 434.34998 248.3 Tm (51)Tj ET 0.95294 0.95294 0.95294 RG 118.23 w 32.32001 159.92 m 564.76996 159.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 198.45999 m 567.79999 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 221.28998 m 567.79999 221.28998 l S 28.99001 198.45999 m 568.10004 198.45999 l S 28.99001 161.03999 m 568.10004 161.03999 l S 28.99001 123.64 m 568.10004 123.64 l S 28.99001 100.81 m 568.10004 100.81 l S 30.07001 222.36 m 30.07001 99.73 l S 566.71997 222.36 m 566.71997 99.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 205.10001 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 182.26999 Tm (The total number of service users accommodated at Polebrook Nursing and \ Residential )Tj 1 0 0 1 34.05 167.69 Tm (Home must not exceed 51)Tj 1 0 0 1 34.05 144.86 Tm (To be able to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. V34916 dated 7th September 2006)Tj 1 0 0 1 34.05 107.45 Tm (To provide care for one named service user under the age of 65 years)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 86.00999 m 315.25 86.00999 l S 1 1 1 RG 317.5 86.00999 m 346.54999 86.00999 l S 348.80002 86.00999 m 377.89999 86.00999 l S 380.14999 86.00999 m 409.20001 86.00999 l S 411.44998 86.00999 m 440.54999 86.00999 l S 442.80002 86.00999 m 471.89993 86.00999 l S 474.14993 86.00999 m 503.20001 86.00999 l S 505.44998 86.00999 m 534.54999 86.00999 l S 536.79999 86.00999 m 565.90002 86.00999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 97.43001 m 568.10004 97.43001 l S 28.99001 74.60001 m 568.10004 74.60001 l S 30.07001 98.50999 m 30.07001 73.52 l S 316.37 98.50999 m 316.37 73.52 l S 347.66998 98.50999 m 347.66998 73.52 l S 379.01999 98.50999 m 379.01999 73.52 l S 410.31998 98.50999 m 410.31998 73.52 l S 441.66998 98.50999 m 441.66998 73.52 l S 473.01999 98.50999 m 473.01999 73.52 l S 504.31998 98.50999 m 504.31998 73.52 l S 535.66998 98.50999 m 535.66998 73.52 l S 567.01996 98.50999 m 567.01996 73.52 l S BT /T1_0 12 Tf 1 0 0 1 34.05 81.25 Tm (Date of last inspection)Tj 1 0 0 1 328.20001 81.25 Tm (2)Tj 1 0 0 1 359.53 81.25 Tm (0)Tj 1 0 0 1 390.85999 81.25 Tm (0)Tj 1 0 0 1 422.17999 81.25 Tm (4)Tj 1 0 0 1 453.53 81.25 Tm (2)Tj 1 0 0 1 484.85999 81.25 Tm (0)Tj 1 0 0 1 516.17999 81.25 Tm (0)Tj 1 0 0 1 547.52997 81.25 Tm (9)Tj ET endstream endobj 665 0 obj 2834 endobj 666 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 (8)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 474.76999 l S 567.01996 768.17999 m 567.01996 474.76999 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 475.84998 m 568.10004 475.84998 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 35.5 753.90997 Tm (Polebrook Residential and Nursing Home is a fifty one bedded purpose bui\ lt care home )Tj 1 0 0 1 35.5 736.90997 Tm (located in the village of Polebrook, which is three miles from the town \ of Oundle. )Tj 1 0 0 1 35.5 719.90997 Tm (Birchester Medicare Ltd own the home. \240 The home provides for older p\ eople requiring )Tj 1 0 0 1 35.5 702.90997 Tm (personal care, nursing care or dementia care. \240 The accommodation is \ all located on )Tj 1 0 0 1 35.5 685.90997 Tm (the ground floor, with a mixture of single and double rooms , the majori\ ty of which )Tj 1 0 0 1 35.5 668.90997 Tm (have en-suite facilities. The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 667 0 obj 4874 endobj 668 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf T* (\240)Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT0 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 669 0 obj 1088 endobj 670 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.8 775.40997 Tm (All controlled drugs on the premises need to be accounted for in the con\ trolled drugs )Tj 1 0 0 1 31.8 760.83997 Tm (register.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 671 0 obj 4142 endobj 672 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 19.36 w 10 M 0 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The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 1144 0 obj 4874 endobj 1145 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf T* (\240)Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT0 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 1146 0 obj 1156 endobj 1147 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 (8)Tj ET 1 1 1 RG 32.16 w 31.2 769.14996 m 580.26001 769.14996 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 751.94 m 582.45996 751.94 l S 30.07001 787.42999 m 30.07001 750.85999 l S 581.38 787.42999 m 581.38 750.85999 l S BT /TT0 12 Tf 0 Tr 31.8 775.40997 Td (When medication regimes are changed mid-cycle by the GP, the homes need \ to ensure)Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -14.57001 TD (that a valid prescription is obtained without due delay)Tj /T1_0 12 Tf (.)Tj 1 0 0 1 28.35001 735.88 Tm (If you want to know what action the person responsible for this care hom\ e)Tj 1 0 0 1 483.54999 735.88 Tm (is taking )Tj 1 0 0 1 28.35001 719.88 Tm (following this report, you can contact them using the details set out on\ page 2.)Tj ET endstream endobj 1148 0 obj 4142 endobj 1149 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 (8)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 331.67999 w 32.32001 512.10999 m 564.96997 512.10999 l S 1 1 1 RG 227.7 w 31.2 461.23999 m 91.05 461.23999 l S 93.3 461.23999 m 197.40001 461.23999 l S 199.64998 461.23999 m 289.44998 461.23999 l S 291.70001 461.23999 m 473.80002 461.23999 l S 476.04999 461.23999 m 566.10004 461.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 577.29999 m 30.07001 345.19 l S 567.21997 577.29999 m 567.21997 345.19 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.29999 576.21997 l S 92.17 577.29999 m 92.17 345.19 l S 198.51999 577.29999 m 198.51999 345.19 l S 290.57001 577.29999 m 290.57001 345.19 l S 474.91998 577.29999 m 474.91998 345.19 l S 28.99001 680.20001 m 568.40002 680.20001 l S 28.99001 608.76996 m 568.40002 608.76996 l S 28.99001 576.21997 m 568.40002 576.21997 l S 28.99001 346.26999 m 568.29999 346.26999 l S 30.07001 681.27997 m 30.07001 575.14001 l S 92.12 609.84998 m 92.12 575.14001 l S 198.51999 609.84998 m 198.51999 575.14001 l S 290.62 609.84998 m 290.62 575.14001 l S 475.01999 609.84998 m 475.01999 575.14001 l S 567.32001 681.27997 m 567.32001 575.14001 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 662.98999 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 644.57996 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 629.98999 Tm (been met.)Tj 1 0 0 1 95.57001 629.98999 Tm (\240 )Tj 1 0 0 1 104.02 629.98999 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 615.40997 Tm (Act 2000, )Tj 1 0 0 1 96.58 615.40997 Tm ( Regulations 2001 and the National Minimum Standards.)Tj /T1_0 10 Tf 1 0 0 1 31.2 597.58997 Tm (No.)Tj 1 0 0 1 96.10001 594.58997 Tm (Standard)Tj 1 0 0 1 202.5 594.58997 Tm (Regulation)Tj 1 0 0 1 294.60001 594.58997 Tm (Requirement)Tj 1 0 0 1 479 594.58997 Tm (Timescale for )Tj 1 0 0 1 479 582.45001 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 34.05 560.02997 Tm (1)Tj 1 0 0 1 96.15001 560.02997 Tm (1)Tj 1 0 0 1 202.5 560.02997 Tm (5A)Tj 1 0 0 1 294.54999 560.02997 Tm (People must have )Tj 1 0 0 1 294.54999 545.45996 Tm (information about the full )Tj 1 0 0 1 294.54999 530.88 Tm (range of fees and of any )Tj 1 0 0 1 294.54999 516.28998 Tm (differences in charges )Tj 1 0 0 1 294.54999 501.70999 Tm (between people who have )Tj 1 0 0 1 294.54999 487.13989 Tm (their care paid for, and those )Tj 1 0 0 1 294.54999 472.54999 Tm (who fund their own.)Tj 1 0 0 1 294.54999 457.97998 Tm (\240)Tj 1 0 0 1 294.54999 443.38995 Tm (This was not assessed by the )Tj 1 0 0 1 294.54999 428.81998 Tm (Pharamcist Inspector on the )Tj 1 0 0 1 294.54999 414.22998 Tm (25/02/2010)Tj 1 0 0 1 294.54999 396.64999 Tm (\240)Tj 1 0 0 1 294.54999 382.07999 Tm (This is to help people plan )Tj 1 0 0 1 294.54999 367.48999 Tm (their finances and )Tj 1 0 0 1 294.54999 352.91998 Tm (understand the charges. )Tj 1 0 0 1 478.89993 560.02997 Tm (17/08/2009)Tj ET endstream endobj 1150 0 obj 6679 endobj 1151 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 (7)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 (8)Tj /T1_0 16 Tf 1 0 0 1 28.35001 770.26996 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 754.84998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 692.46997 m 564.96997 692.46997 l S 1 1 1 RG 20.58 w 31.2 649.82996 m 91.05 649.82996 l S 93.3 649.82996 m 197.40001 649.82996 l S 199.64998 649.82996 m 289.44998 649.82996 l S 291.70001 649.82996 m 473.80002 649.82996 l S 476.04999 649.82996 m 566.10004 649.82996 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 662.32001 m 30.07001 637.33997 l S 567.21997 662.32001 m 567.21997 637.33997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.29999 661.23999 l S 92.17 662.32001 m 92.17 637.33997 l S 198.51999 662.32001 m 198.51999 637.33997 l S 290.57001 662.32001 m 290.57001 637.33997 l S 474.91998 662.32001 m 474.91998 637.33997 l S 28.99001 748.77997 m 568.40002 748.77997 l S 28.99001 693.78998 m 568.40002 693.78998 l S 28.99001 661.23999 m 568.40002 661.23999 l S 28.99001 638.40997 m 568.29999 638.40997 l S 30.07001 749.85999 m 30.07001 660.16998 l S 92.12 694.87 m 92.12 660.16998 l S 198.51999 694.87 m 198.51999 660.16998 l S 290.62 694.87 m 290.62 660.16998 l S 475.01999 694.87 m 475.01999 660.16998 l S 567.32001 749.85999 m 567.32001 660.16998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 732.60004 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 715.01996 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 682.62 Tm (No.)Tj 1 0 0 1 96.10001 679.62 Tm (Standard)Tj 1 0 0 1 202.5 679.62 Tm (Regulation)Tj 1 0 0 1 294.60001 679.62 Tm (Requirement)Tj 1 0 0 1 479 679.62 Tm (Timescale for )Tj 1 0 0 1 479 667.46997 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 256.34 w 32.32001 470.62 m 564.96997 470.62 l S 1 1 1 RG 154.8 w 31.2 420.97998 m 91.05 420.97998 l S 93.3 420.97998 m 197.40001 420.97998 l S 199.64998 420.97998 m 289.44998 420.97998 l S 291.70001 420.97998 m 473.80002 420.97998 l S 476.04999 420.97998 m 566.10004 420.97998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 500.57999 m 30.07001 341.37 l S 567.21997 500.57999 m 567.21997 341.37 l S 28.99001 532.04999 m 568.40002 532.04999 l S 28.99001 499.5 m 568.29999 499.5 l S 92.17 500.57999 m 92.17 341.37 l S 198.51999 500.57999 m 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The )Tj 1 0 0 1 34.05 538.70001 Tm (registered person\(s\) must do this within the timescales we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 520.88 Tm (No.)Tj 1 0 0 1 96.10001 517.88 Tm (Standard)Tj 1 0 0 1 202.5 517.88 Tm (Regulation)Tj 1 0 0 1 294.60001 517.88 Tm (Requirement)Tj 1 0 0 1 479 517.88 Tm (Timescale for )Tj 1 0 0 1 479 505.72998 Tm (action)Tj /TT0 12 Tf -444.94998 -22.41 Td ( )Tj 260.49997 -14.59 Td ( )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.57001 TD ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.59 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.57001 TD ( )Tj /T1_0 12 Tf 1 0 0 1 294.54999 392.82999 Tm (\240)Tj T* ( )Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 0 -14.59 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.56998 TD ( )Tj 184.35001 134.21997 Td ( )Tj ET 0.95294 0.95294 0.95294 RG 206.28 w 32.32001 216.67998 m 564.96997 216.67998 l S 1 1 1 RG 49.74001 w 31.2 206.11 m 91.05 206.11 l S 93.3 206.11 m 197.40001 206.11 l S 199.64998 206.11 m 566.10004 206.11 l S 64.32001 w 31.2 146.83 m 91.05 146.83 l S 93.3 146.83 m 197.40001 146.83 l S 199.64998 146.83 m 566.10004 146.83 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 180.12 m 568.29999 180.12 l S 30.07001 233.17998 m 30.07001 112.47 l S 567.21997 233.17998 m 567.21997 112.47 l S 28.99001 252.50998 m 568.40002 252.50998 l S 28.99001 232.10001 m 568.29999 232.10001 l S 92.17 233.17998 m 92.17 112.47 l S 198.51999 233.17998 m 198.51999 112.47 l S 28.99001 322.07999 m 568.40002 322.07999 l S 28.99001 252.50998 m 568.40002 252.50998 l S 28.99001 232.10001 m 568.40002 232.10001 l S 28.99001 180.12 m 568.29999 180.12 l S 28.99001 113.54001 m 568.29999 113.54001 l S 30.07001 323.14999 m 30.07001 231.03 l S 92.17 253.58 m 92.17 231.03 l S 198.47 253.58 m 198.47 231.03 l S 567.32001 323.14999 m 567.32001 231.03 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 305.88998 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 288.31 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 273.72998 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 259.14999 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 238.33 Tm (No)Tj 1 0 0 1 96.15001 238.33 Tm (Refer to Standard)Tj 1 0 0 1 202.45 238.33 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 215.92 Tm (1)Tj 1 0 0 1 96.15001 215.92 Tm (9)Tj 1 0 0 1 202.5 215.92 Tm (There could be a lockable facility available in everyone's )Tj 1 0 0 1 202.5 201.34 Tm (room where medicated creams and ointments could be )Tj 1 0 0 1 202.5 186.75998 Tm (stored safely.)Tj 1 0 0 1 34.05 163.92999 Tm (2)Tj 1 0 0 1 96.15001 163.92999 Tm (9)Tj 1 0 0 1 202.5 163.92999 Tm (All changes made to a current prescriptions mid- cycle )Tj 1 0 0 1 202.5 149.34999 Tm (should be backed up with a re-issue of a new prescription )Tj 1 0 0 1 202.5 134.77 Tm (with the new directions. 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Tel: 0870 600 5522. Online orde\ ring from )Tj 1 0 0 1 34.05 547.52997 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95001 Tm (\240)Tj 1 0 0 1 28.35001 509.35999 Tm (\240)Tj 1 0 0 1 28.35001 494.78998 Tm (\240)Tj 1 0 0 1 28.35001 480.20001 Tm (\240)Tj ET 0.75294 0.75294 0.75294 RG 34.16 w 25.8 460.60999 m 563.29999 460.60999 l S 0 0 0 RG 0.5 w BT /T1_0 20 Tf 1 0 0 1 31.2 455.07999 Tm (Helpline:)Tj 1 0 0 1 28.35001 420.91998 Tm (Telephone:)Tj 0 Tr 1 0 0 1 147.95 420.91998 Tm (03000 616161)Tj 2 Tr 1 0 0 1 28.35001 389.26999 Tm (Email:)Tj 0 Tr 1 0 0 1 99.55 389.26999 Tm (enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 357.60999 Tm (Web: )Tj 0 Tr 1 0 0 1 88.63 357.60999 Tm (www.cqc.org.uk)Tj /T1_0 18 Tf 2 Tr 1 0 0 1 28.35001 327.94998 Tm (\240)Tj 1 0 0 1 28.35001 299.20999 Tm (\240)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 276.5 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 259 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj /T1_0 18 Tf 1 0 0 1 28.35001 232.98 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 210.25998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 28.35001 190.25998 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 539.46997 190.25998 Tm (non-)Tj 1 0 0 1 28.35001 172.76999 Tm (commercial)Tj 1 0 0 1 97.55 172.76999 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj 1 0 0 1 28.35001 155.26999 Tm (derogatory manner or in a misleading context. 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to admit the named person of category OP \(under 65 years\) n\ amed in )Tj 1 0 0 1 34.05 130.28 Tm (variation application no. 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The home has several communal rooms and a larg\ e )Tj 1 0 0 1 35.5 651.90997 Tm (conservatory area. \240 The following fees were provided by the register\ ed manager as )Tj 1 0 0 1 35.5 634.90997 Tm (being current on 20 April 2009. \240 Privately funded people are charged\ between \243575 )Tj 1 0 0 1 35.5 617.90997 Tm (and \243625 dependent on assessed need. \240 Local Authorities who are f\ unding residents )Tj 1 0 0 1 35.5 600.90997 Tm (are charged at the rate which is set in their contract and again this de\ pends on )Tj 1 0 0 1 35.5 583.90997 Tm (people's assessed needs. For people funded by a Local Authority a `top u\ p fee' is )Tj 1 0 0 1 35.5 566.90997 Tm (usually required to be payable by the person using the service. \240 The\ fees include )Tj 1 0 0 1 35.5 549.90997 Tm (personal care and where applicable nursing care, meals and accommodation\ . )Tj 1 0 0 1 35.5 532.90997 Tm (Chiropody, hairdressing services, and newspapers can be arranged and are\ charged )Tj 1 0 0 1 35.5 515.90997 Tm (separately. Other costs would include clothing and )Tj 1 0 0 1 344.84 515.90997 Tm (toiletries.)Tj 1 0 0 1 401.5 515.90997 Tm ( \240)Tj 1 0 0 1 35.5 498.91995 Tm (\240)Tj 1 0 0 1 35.5 481.91998 Tm (\240)Tj ET endstream endobj 1160 0 obj 4874 endobj 1161 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 (8)Tj /T1_0 14 Tf 1 0 0 1 28.35001 745.26996 Tm (What we found:)Tj ET 1 1 1 RG 487.13989 w 31.2 490.50998 m 580.26001 490.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 735.20996 m 582.45996 735.20996 l S 28.99001 245.81998 m 582.45996 245.81998 l S 30.07001 736.27997 m 30.07001 244.73999 l S 581.38 736.27997 m 581.38 244.73999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 719.01996 Tm (The manager of the home would carry out monthly medication audits. The m\ anager )Tj 1 0 0 1 34.05 704.44 Tm (informed us that there would be a check carried out on the current medic\ ation )Tj 1 0 0 1 34.05 689.85999 Tm (administration records sheets, controlled drugs , general stock levels/b\ oxes, )Tj 1 0 0 1 34.05 675.27997 Tm (prescriptions, carried forward balances, received medications and whethe\ r allergies were )Tj 1 0 0 1 34.05 660.70001 Tm (recorded.)Tj 1 0 0 1 34.05 646.12 Tm (\240)Tj 1 0 0 1 34.05 631.53998 Tm (The record sheets would be used to record if any of these medicines were\ removed from )Tj 1 0 0 1 34.05 616.95996 Tm (the premises. All controlled drugs no longer needed are destroyed at the\ home using a )Tj 1 0 0 1 34.05 602.38 Tm ("doome" kit and is documented.)Tj /TT0 12 Tf -5.95 -14.57996 Td ( )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (For one person being prescribed a heart tablet \(Digoxin\), the directio\ ns that had been)Tj T* ( handwritten on to the record sheet had not been followed. The nurse exp\ lained that this )Tj /T1_0 12 Tf ( )Tj 0 -14.57996 TD ( )Tj /TT0 12 Tf (could have been because there was a change made by the doctor. She expla\ ined that )Tj 0 -14.58002 TD ( usually a fax is obtained from the doctor's surgery giving the new inst\ ructions. If a fax is )Tj /T1_0 12 Tf T* ( )Tj /TT0 12 Tf (not issued that the update would go on the patients notes on the GP's co\ mputer )Tj /T1_0 12 Tf 0 -14.57996 TD ( )Tj /TT0 12 Tf ( )Tj 0 -14.58005 TD ( There was some confusion relating to whether a person had taken his Mov\ icol sachets on )Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (the morning of the inspection. Records had been signed to say one sachet\ had been given)Tj T* ( but nurse had requested that he should have two due to his current symp\ toms. She was)Tj ( \ )Tj /T1_0 12 Tf 0 -14.58002 TD (\240)Tj /TT0 12 Tf (following a "set" protocol from the GP and not the directions on the rec\ ord sheets.)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf (Audits carried out for Trimethoprim\( antibiotic\) and promazine\( anti-\ psychotic\) which had)Tj /T1_0 12 Tf 0 -14.57999 TD ( )Tj /TT0 12 Tf (been prescribed for one person, showed stock levels and administration r\ ecords tallied)Tj /T1_0 12 Tf 0 -14.58002 TD ( )Tj 0 -14.57999 TD (\240)Tj 0 -14.58002 TD ( )Tj 0 -14.57999 TD ( )Tj 0 -14.58002 TD ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf T* (\240)Tj /TT0 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf ( )Tj /TT0 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf 0 -14.58003 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj 0 0 0 RG 0.5 w /T1_0 14 Tf 2 Tr [(What the care home)-275(does well:)]TJ ET 1 1 1 RG 64.32001 w 31.2 182.14998 m 580.26001 182.14998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 215.42998 m 582.45996 215.42998 l S 28.99001 148.86 m 582.45996 148.86 l S 30.07001 216.50998 m 30.07001 147.78 l S 581.38 216.50998 m 581.38 147.78 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 196.99001 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (A GP who visits the home regularly stated that she is very happy with ho\ w the home are )Tj /TT0 12 Tf -5.17799 -15.24402 Td ( )Tj /T1_0 12 Tf (handling medication. She said they follow her instructions and that all \ the Dr's notes are )Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (kept on the premises.)Tj 0 -14.58002 TD (\240)Tj /TT0 12 Tf -5.7 -26.96999 Td ( )Tj /T1_0 14 Tf 2 Tr (What they could do better:)Tj ET 1 1 1 RG 77.05 w 31.2 79.95 m 580.26001 79.95 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 119.60001 m 582.45996 119.60001 l S 28.99001 40.3 m 582.45996 40.3 l S 30.07001 120.68001 m 30.07001 39.22 l S 581.38 120.68001 m 581.38 39.22 l S 0 0 0 RG 0.5 w BT /TT0 14 Tf 28.10001 98.25603 Td ( )Tj /T1_0 12 Tf 0 Tr 5.17799 0 Td (There could be lockable facility for storing creams and ointments in eve\ ryones rooms.)Tj -5.17799 -15.254 Td (\240)Tj /TT0 12 Tf 0 -14.57001 TD ( )Tj /T1_0 12 Tf (\240)Tj ET endstream endobj 1162 0 obj 1156 endobj 1163 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 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