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(4)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 140.37 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 140.37 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 140.37 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 140.37 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 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582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Alston House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (380 Aylestone Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Leicester)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Leicestershire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (LE2 8BL)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01162915601)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01162915611)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 474.05 m 353.25 474.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 474.05 m 565.9 474.05 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 461.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 461.55 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Mrs Margaret Madden)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 492.11 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (19)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 358.98 m 297.25 358.98 l S 0.001 w 20.58 w 299.5 358.98 m 429.25 358.98 l S 0.001 w 20.58 w 431.5 358.98 m 565.9 358.98 l S 0.001 w 35.16 w 31.2 328.86 m 297.25 328.86 l S 0.001 w 35.16 w 299.5 328.86 m 429.25 328.86 l S 0.001 w 35.16 w 431.5 328.86 m 565.9 328.86 l S 0.001 w 35.16 w 31.2 291.45 m 297.25 291.45 l S 0.001 w 35.16 w 299.5 291.45 m 429.25 291.45 l S 0.001 w 35.16 w 431.5 291.45 m 565.9 291.45 l S 0.001 w 20.58 w 31.2 261.33 m 297.25 261.33 l S 0.001 w 20.58 w 299.5 261.33 m 429.25 261.33 l S 0.001 w 20.58 w 431.5 261.33 m 565.9 261.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.15 m 568.1 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.74 m 568.1 272.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 310.15 m 568.1 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.74 m 568.1 272.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 249.91 m 568.1 249.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 248.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 248.83 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 354.2 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 354.2 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 354.2 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.38 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 316.8 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 331.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 331.38 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 293.96 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.39 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 293.96 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 293.96 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.55 Tm (sensory impairment)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 256.55 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 256.55 Tm (2)Tj ET 0.95294 0.95294 0.95294 RG 147.39 w 32.32 153.59 m 564.77 153.59 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 206.71 m 567.8 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.71 m 568.1 154.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 102.72 m 568.1 102.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.54 m 567.8 229.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 568.1 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 154.71 m 568.1 154.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 102.72 m 568.1 102.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 79.89 m 568.1 79.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 230.61 m 30.07 78.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 230.61 m 566.72 78.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.52 Tm (Service user numbers. No person falling within categories OP, MD\(E\) or DE\(E\) may be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 175.94 Tm (admitted to the home when 19 persons of categories/combined categories OP, MD\(E\), )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 161.36 Tm (DE\(E\) are already accommodated within the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 138.53 Tm (Service user numbers. No person falling within category SI\(E\) may be admitted to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 123.95 Tm (home when 2 persons of categories/combined categories SI\(E\) are already )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 109.37 Tm (accommodated within the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 86.54 Tm (The maximum number of persons to be accommodated at Alston House is 19.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 65.11 m 315.25 65.11 l S 0.001 w 1 1 1 RG 20.58 w 317.5 65.11 m 346.55 65.11 l S 0.001 w 20.58 w 348.8 65.11 m 377.9 65.11 l S 0.001 w 20.58 w 380.15 65.11 m 409.2 65.11 l S 0.001 w 20.58 w 411.45 65.11 m 440.55 65.11 l S 0.001 w 20.58 w 442.8 65.11 m 471.9 65.11 l S 0.001 w 20.58 w 474.15 65.11 m 503.2 65.11 l S 0.001 w 20.58 w 505.45 65.11 m 534.55 65.11 l S 0.001 w 20.58 w 536.8 65.11 m 565.9 65.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 76.52 m 568.1 76.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 53.69 m 568.1 53.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 77.6 m 30.07 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 77.6 m 316.37 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 77.6 m 347.67 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 77.6 m 379.02 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 77.6 m 410.32 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 77.6 m 441.67 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 77.6 m 473.02 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 77.6 m 504.32 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 77.6 m 535.67 52.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 77.6 m 567.02 52.61 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 60.33 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 60.33 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 60.33 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 60.33 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 60.33 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 60.33 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 60.33 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 60.33 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 60.33 Tm (8)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 440.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 440.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.85 m 568.1 441.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 753.91 Tm (Alston House is a care home for older persons, providing accommodation and personal )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 736.91 Tm (care for up to nineteen residents some of whom have mental health needs, dementia )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 719.91 Tm (and/or a sensory impairment. The home is situated on the Aylestone Road in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 702.91 Tm (Leicester approximately 15 minutes away from the city centre. There are shops within )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 685.91 Tm (five minutes walking distance from the home and there is a small park )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 668.91 Tm (nearby.)Tj ET /F1 12 Tf BT 1 0 0 1 81.53 668.91 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 94.2 668.91 Tm (Accommodation)Tj ET /F1 12 Tf BT 1 0 0 1 190.42 668.91 Tm ( is on two floors with the upper floor accessed by lift or stairs. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 651.91 Tm (There are three lounges, two dining room areas and a conservatory on the ground )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 634.91 Tm (floor. The home offers both single and shared bedrooms some of which come with )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 617.91 Tm (ensuite facilities. A large parking area is to the front of the home and there is a )Tj ET /F1 12 Tf BT 1 0 0 1 520.31 617.91 Tm (well-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 600.91 Tm (maintained)Tj ET /F1 12 Tf BT 1 0 0 1 102.72 600.91 Tm ( secure garden to the rear of the home. Current charges range from )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 583.91 Tm (360.00 per week to 400.00 per week. Additional charges are in place for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 566.91 Tm (hairdressing, chiropody treatment and transport to appointments. Details of all charges )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 549.91 Tm (can be found in the homes Statement of Purpose document, \(a document which )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 532.91 Tm (provides relevant information about the home\) which is given to everyone living in the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 515.91 Tm (home and those interested in living in the home. A copy of the latest Inspection )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 498.92 Tm (report is available at the home, or it can be accessed via the CQC website: )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 481.92 Tm (www.cqc.org.uk. Further information about the home is available from the acting )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 464.92 Tm (manager.)Tj ET /F1 12 Tf BT 1 0 0 1 93.31 464.92 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 447.92 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (Medication is supplied in a monitored dosage system from the Pharmacy. Medication )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (administration record sheets \(mars\) are mainly computer generated with some blanks )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (been used. We saw confirmation on these records that the home are recording the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (quantities of medicines when received in from Pharmacy. But this was not happening for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (everyones medicines and when medicines were continued to be used from a previous )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (month ie carried forward balances not always recorded on to the current mars.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (Sample signature sheets were present in both mar folders. The list has not been updated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (and contained staff who do not work at the home any longer. The sheet listed five names )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm (but showed only 3 signatures.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (A new resident had a start date on the current mars as 03/06/09 but signatures for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (administration started on the 04/06/09- not clear why there was a delay in giving all her )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (medicines on the morning of this inspection. Paracetamol was prescribed for this person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm (as a dose of two tablets be taken four times day. Evidence seen that this was not given )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (and treated as a "when required " \(prn dose\). Non of the morning doses had been given )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (by 11.57 on the morning of the inspection. This was discussed with manager who stated )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (that there was a query over her medicines so they were awaiting the outcome. Reviewed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (this person's previous months mars. Dates of administration were not clear. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (explained that this was a mistake made by a carer who was in training. His signature did )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm (not appear on the samples of signature list.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (For another person the home used a blank mar to complete the administration record. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (They had handwritten the name of the person and drug name and date but it did not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (state the month, the timings of doses or the quantities received.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (For a person who uses the service, a dose of a pain relief was prescribed to be taken as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (one or two tablets four times a day. The home recorded the administration but not the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (variable dose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (For another person, Paracetamol 500mg tablets was prescribed as a dose of two to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (taken four times a day but the corresponding mars show that only giving this once daily. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (Chloramphenicol eye ointment was handwritten on a mar with no confirmation signature )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (to ensure it had been accurately entered.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (The staff were not following the same recording practises when medicines had not been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (taken which made auditing of medicines difficult.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (A person is prescribed an inhaler of Ipratropium 20mcg as a dose of two puffs prn. Mars )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (showed that this was used daily since 25/05/09. This person is also given a Ventolin )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (inhaler at a dose of 2 puffs prn. Again using daily since 25th May 2009. But there was no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (indication on the daily notes or mars as to when in the day this was given. Thus hard to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm (see if their condition was deteriorating.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (For a diabetic person who uses the services, the home were monitoring his blood glucose )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (levels regularly. But the protocol in place to inform staff when and what action to take if )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm (readings are outside set limits was inadequate.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (A person who uses this service is prescribed Sudocreme which is labelled as to be applied )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (as directed, use as a prn once daily. No information is added to care plan that relates to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (this need. Carer stated the cream is applied after each pad change.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (For another person Movelat gel dispensed as apply as directed. The dose on the mar had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (been written as "prn". The records indicated applying once daily. Senior carer on duty )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (stated "she complains of neck joint hurting and does not want to see GP". She also said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ("if she needs again we will apply". No information relating to this is available in the care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (plan or daily notes belonging to this person.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (We had concerns over why a discontinued medication \(Prochlorperazine 5mg tablets\) as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (stated on the mar was still being given after the discontinued date. Senior carer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (explained the person takes this only when she has her pain relief. But this information did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (not tally with the records. Pain relief was given on three consecutive days but the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (discontinued drug was only given for the first two days. The carer explained that when )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (she eats she "gulps when eating". None of this healthcare issue had been raised in her )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (daily notes or care plan.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (A permission sheet seen for delegation of a health care task for injecting insulin. Not all )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (current staff who carry out tasks had a permission sheet in the mar folder.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (Spoke to a female person who lives at the home she said she gets her medicines and is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (settled in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (A person who lives at the home refused his medication \(promazine liquid\) and was using )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (abusive language towards the carer giving out the medication. The carer remained calm )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (but continued the administration by mixing the liquid medicine with a fortisip drink in a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (beaker. She gave the beaker with a straw to another carer who encouraged the peson to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (drink it.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (A male resident was prescribed Chloramphenicol eye ointment to be applied 4 times a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (day. The tube in current use had been dispensed on 18.05.09. The carers had not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (marked the opening date on the package.While applying this to the gentleman the carer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (touched his lower lid with the tip and applied to both very red sore eyes. This was also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (carried out while the person was stood up. He saw a GP on 10/4/09 then again on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (28/05/09 regarding his eyes. No information was available in the care plans or daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (notes relating to the monitoring of his eye condition.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (A fridge used for medicines was noted to have a temperature of 11'C at 15.00 hrs. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (staff were not recording the maximum or minimum temperatures just the current. On the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (24/04/09 the temperature reading stated the fridge was at 18'C. It was not clear what if )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (any action was taken to rectify this reading.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (Dates had not been marked on used eye drops or ointments stored in the fridge even )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (though a sheet of paper on the fridge door instructed staff to do so.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (Medicines would be sent back to the Pharmacy using a duplicated returns book.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (Unaccounted Temazepam liquid bottles was seen in the back up medicines storage )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (cupboard. The carer stated she was awaiting to return these to the pharmacy.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 2.78 w 31.2 783.84 m 580.26 783.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 781.32 m 582.46 781.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 780.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 780.24 l S 0.001 w [] 0 d /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 763.25 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 763.25 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 712.61 m 580.26 712.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 753.18 m 582.46 753.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.03 m 582.46 672.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 754.26 m 30.07 670.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 754.26 m 581.38 670.96 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 737 Tm (Medicines where continually available to all people living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 722.42 Tm (It was observed that the carer who gave out medicines was respectful and calm even )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 707.84 Tm (when a person refused their medicines and behaved in an aggressive way towards her.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.26 Tm (Spoke to a female person who lives at the home she said she gets her medicines and is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.68 Tm (settled in the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 651.72 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 355.92 w 31.2 462.57 m 580.26 462.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 641.65 m 582.46 641.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 283.48 m 582.46 283.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 642.73 m 30.07 282.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 642.73 m 581.38 282.4 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 625.47 Tm (The manager must ensure that all staff deal with the refusal of medicines in a consistent )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 610.89 Tm (way and follow the same procedures. Repeated refusal to take essential medicines must )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 596.3 Tm (be referred back to the prescriber. Covert administration practises must not be happening )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 581.72 Tm (at the home unless this has been approved by a multidisciplinary health professional )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 567.15 Tm (team and documented.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 537.98 Tm (All medicines must be administered as prescribed by the GP. The manager should ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 523.41 Tm (that when a medicine is given on a when required basis that staff know when it is to be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 508.83 Tm (given, the dose, the frequency and when to refer back to the Prescriber.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 494.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479.67 Tm (When dealing with a diabetic person the staff must have clear instructions at what action )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 465.08 Tm (should be taken if their blood glucose levels fall outside a set range.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 450.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 435.92 Tm (All staff that carry out a delagated nursing task must have their competency assessed by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 421.35 Tm (a relevent nurse and the manager must retain a copy of their permissions to do this task.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 406.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 392.18 Tm (The medicines at the home must be accurately accounted for and variable doses should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 377.61 Tm (be marked on the administration record sheets.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 363.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 348.45 Tm (The fridge used to store medicines that require cold storage should be maintained at a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 333.86 Tm (temperature range of 2-8 'C.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 319.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.7 Tm (All medicines that have a short in use date, once opened should have the date of opening )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 290.13 Tm (marked on the packet.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 265.17 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 265.17 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 249.17 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 198.54 w 31.2 476.95 m 91.05 476.95 l S 0.001 w 198.54 w 93.3 476.95 m 197.4 476.95 l S 0.001 w 198.54 w 199.65 476.95 m 289.45 476.95 l S 0.001 w 198.54 w 291.7 476.95 m 473.8 476.95 l S 0.001 w 198.54 w 476.05 476.95 m 566.1 476.95 l S 0.001 w 111.06 w 31.2 319.9 m 91.05 319.9 l S 0.001 w 111.06 w 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m 568.3 211.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 112.49 m 568.3 112.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (workers commence work at )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (the home)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (People living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (must be protected by robust )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (recruitment practices.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (35)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (Ensure that access is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (available to money and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 523.72 Tm (valuables held on behalf of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.14 Tm (the people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (and records kept are up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (date and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (People need to be confident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.23 Tm (that they can access any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.65 Tm (items held on their behalf at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.08 Tm (any time.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (22/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.24 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 381.24 Tm (35)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 381.24 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 381.24 Tm (Ensure that access is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.67 Tm (available to money and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 352.08 Tm (valuables held on behalf of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 337.51 Tm (the people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 322.92 Tm (and records kept are up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 308.35 Tm (date and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 276.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 261.61 Tm (people need to be confident )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.02 Tm (that they can access any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.45 Tm (items held on their behalf at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.87 Tm (any time.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 381.24 Tm (22/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.04 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 195.04 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 195.04 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.04 Tm (Make sure that daily records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 180.46 Tm (are up to date and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.88 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.29 Tm (People need to be protected )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.71 Tm (by accurate and up to date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 119.14 Tm (records. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 195.04 Tm (22/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.31 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 96.31 Tm (37)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 96.31 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.31 Tm (Make sure that daily records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.72 Tm (are up to date and accurate.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 67.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 49.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 96.31 Tm (22/05/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 148.47 w 32.32 709.86 m 564.97 709.86 l S 0.001 w 1 1 1 RG 46.74 w 31.2 657.88 m 91.05 657.88 l S 0.001 w 46.74 w 93.3 657.88 m 197.4 657.88 l S 0.001 w 46.74 w 199.65 657.88 m 289.45 657.88 l S 0.001 w 46.74 w 291.7 657.88 m 473.8 657.88 l S 0.001 w 46.74 w 476.05 657.88 m 566.1 657.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 683.45 m 30.07 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 632.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (People need to be protected )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (by accurate and up to date )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 642.28 Tm (records. )Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 125.64 w 31.2 436.68 m 91.05 436.68 l S 0.001 w 125.64 w 93.3 436.68 m 197.4 436.68 l S 0.001 w 125.64 w 199.65 436.68 m 289.45 436.68 l S 0.001 w 125.64 w 291.7 436.68 m 473.8 436.68 l S 0.001 w 125.64 w 476.05 436.68 m 566.1 436.68 l S 0.001 w 125.64 w 31.2 308.79 m 91.05 308.79 l S 0.001 w 125.64 w 93.3 308.79 m 197.4 308.79 l S 0.001 w 125.64 w 199.65 308.79 m 289.45 308.79 l S 0.001 w 125.64 w 291.7 308.79 m 473.8 308.79 l S 0.001 w 125.64 w 476.05 308.79 m 566.1 308.79 l S 0.001 w 154.8 w 31.2 166.32 m 91.05 166.32 l S 0.001 w 154.8 w 93.3 166.32 m 197.4 166.32 l S 0.001 w 154.8 w 199.65 166.32 m 289.45 166.32 l S 0.001 w 154.8 w 291.7 166.32 m 473.8 166.32 l S 0.001 w 154.8 w 476.05 166.32 m 566.1 166.32 l S 0.001 w 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28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 372.73 m 568.3 372.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.85 m 568.3 244.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 87.79 m 568.3 87.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. 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/F1 12 Tf BT 1 0 0 1 294.55 408.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 393.96 Tm (To ensure people receive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.38 Tm (medicines that are effective.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (17/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 356.55 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 356.55 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 356.55 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.55 Tm (All medicines that have a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.97 Tm (short in use date, once )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.39 Tm (opened should have the date )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.81 Tm (of opening marked on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 298.23 Tm (packet.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 266.07 Tm (To ensure people receive )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 251.49 Tm (medicines that are effective.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 356.55 Tm (17/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.66 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 228.66 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 228.66 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.66 Tm (All staff that carry out a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.08 Tm (delagated nursing task must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.5 Tm (have their competency )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 184.92 Tm (assessed by a relevent nurse )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 170.34 Tm (and the manager must retain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.76 Tm (a copy of their permissions )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 141.18 Tm (to do this task.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.6 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.02 Tm (To prevent harm to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.44 Tm (people who use the service.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 228.66 Tm (17/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 71.61 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 71.61 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 71.61 Tm (13)Tj ET /F1 12 Tf BT 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audits to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 511.54 Tm (ensure that medicines are administered correctly.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 488.71 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 488.71 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 488.71 Tm (When handwriting medication record sheets the home can )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 474.13 Tm (have the accuracy double checked by a second relevant )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 459.55 Tm (trained person.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 436.72 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 436.72 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 436.72 Tm (The manager is to ensure that all controlled drugs are )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 422.14 Tm (stored in controlled drugs cabinet that complies with the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 407.56 Tm (Misuse of Drugs \(Safe Custody\) Regulation 1973.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 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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 /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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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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