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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Birchwood Grange Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (177 Preston Hill )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Kenton)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Middx)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (HA3 9RR)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Jane Shaw)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Birchwood Grange Nursing Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (177 Preston Hill )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Kenton)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Middx)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (HA3 9RR)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (02083851115)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (02083851288)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (birchwoodgrange@schealthcare.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 602.44 Tm (www.schealthcare.co.uk)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 539.72 m 353.25 539.72 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.72 m 565.9 539.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 509.6 m 353.25 509.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 509.6 m 565.9 509.6 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 486.77 m 353.25 486.77 l S 0.001 w 1 1 1 RG 20.58 w 355.5 486.77 m 565.9 486.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 521.01 m 568.1 521.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 498.18 m 568.1 498.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 521.01 m 568.1 521.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 498.18 m 568.1 498.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 475.35 m 568.1 475.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 474.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 474.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 474.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Southern Cross Healthcare )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 527.66 Tm (Services Ltd)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 504.83 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 504.83 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 482 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482 Tm (150)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 463.05 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 443.56 m 565.6 443.56 l S 0.001 w 41.16 w 31.2 410.44 m 297.2 410.44 l S 0.001 w 20.58 w 299.45 420.73 m 565.6 420.73 l S 0.001 w 20.58 w 299.45 400.15 m 432.52 400.15 l S 0.001 w 20.58 w 432.52 400.15 m 565.6 400.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 432.15 m 567.8 432.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 454.98 m 567.8 454.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.15 m 567.8 432.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 388.74 m 567.8 388.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 456.06 m 30.07 387.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 433.23 m 298.32 387.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 456.06 m 566.72 387.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 438.79 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 415.96 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 415.96 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 395.38 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 395.38 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 373.95 m 297.25 373.95 l S 0.001 w 20.58 w 299.5 373.95 m 429.25 373.95 l S 0.001 w 20.58 w 431.5 373.95 m 565.9 373.95 l S 0.001 w 35.16 w 31.2 343.83 m 297.25 343.83 l S 0.001 w 35.16 w 299.5 343.83 m 429.25 343.83 l S 0.001 w 35.16 w 431.5 343.83 m 565.9 343.83 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.36 m 568.1 385.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.53 m 568.1 362.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.12 m 568.1 325.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 386.44 m 30.07 324.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 386.44 m 298.37 324.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 386.44 m 430.37 324.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 386.44 m 567.02 324.05 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 369.18 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 369.18 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 369.18 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.77 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 346.35 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 346.35 Tm (120)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 293.33 m 565.6 293.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 281.92 m 567.8 281.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.09 m 568.1 259.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.75 m 567.8 304.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 281.92 m 568.1 281.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 259.09 m 568.1 259.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 177.94 m 568.1 177.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 305.83 m 30.07 176.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 305.83 m 566.72 176.86 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 288.56 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 265.73 Tm (The maximum number of service users who can be accommodated is: 150)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.9 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.32 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.74 Tm (care needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 199.16 Tm (falling within any other category - Code OP \(maximum number of places 120\) )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 184.58 Tm (Dementia -Code DE \(E\) \(maximum number of places 30\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 163.15 m 315.25 163.15 l S 0.001 w 1 1 1 RG 20.58 w 317.5 163.15 m 346.55 163.15 l S 0.001 w 20.58 w 348.8 163.15 m 377.9 163.15 l S 0.001 w 20.58 w 380.15 163.15 m 409.2 163.15 l S 0.001 w 20.58 w 411.45 163.15 m 440.55 163.15 l S 0.001 w 20.58 w 442.8 163.15 m 471.9 163.15 l S 0.001 w 20.58 w 474.15 163.15 m 503.2 163.15 l S 0.001 w 20.58 w 505.45 163.15 m 534.55 163.15 l S 0.001 w 20.58 w 536.8 163.15 m 565.9 163.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 174.56 m 568.1 174.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 151.73 m 568.1 151.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 175.64 m 30.07 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 175.64 m 316.37 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 175.64 m 347.67 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 175.64 m 379.02 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 175.64 m 410.32 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 175.64 m 441.67 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 175.64 m 473.02 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 175.64 m 504.32 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 175.64 m 535.67 150.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 175.64 m 567.02 150.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 158.38 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 158.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 158.38 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 158.38 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 158.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 158.38 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 158.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 158.38 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 158.38 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 139.86 m 565.9 139.86 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 130.23 m 568.1 130.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 131.31 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 131.31 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.48 m 568.1 149.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.23 m 568.1 130.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 56.15 m 568.1 56.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 150.56 m 30.07 129.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 150.56 m 567.02 129.16 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 136.3 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 136.3 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 117.05 Tm (Birchwood Grange is part of Southern Cross Healthcare, a national provider of care )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 100.05 Tm (services. The home is a purpose built building found on Preston Hill. It is about five )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 83.05 Tm (minutes walk from local shops and amenities. It is accessible by buses, which pass in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 66.05 Tm (front of the home, and by the underground. Preston Hill station is about ten minutes )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 349.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 349.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 350.15 m 568.1 350.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 783.47 Tm (walk away.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (There is a large parking area in the grounds of the home. The front and back of the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (home is laid with lawn, bushes and shrubs, but there are some patio areas, which are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (accessible to residents.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 681.47 Tm (The home is purpose built and accommodation is provided in 150 bedrooms with )Tj ET /F1 12 Tf BT 1 0 0 1 526.64 681.47 Tm (en-)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 664.47 Tm (suite)Tj ET /F1 12 Tf BT 1 0 0 1 62.26 664.47 Tm ( facilities. The home consists of eight units, which are partly self-contained. They )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 647.47 Tm (are found on two floors, each one of which contains four units each. Aster, Bluebell, )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 630.47 Tm (Beech and Ash are found on the ground floor and Crocus, Daffodil, Dove and Cedar are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 613.47 Tm (found on the first floor.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 596.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 579.47 Tm (Aster \(20 beds\), Bluebell \(25 beds\), Daffodil \(25 beds\) and Cedar \(15 beds\) provide )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 562.47 Tm (care for residents with nursing needs. Cedar is a unit for Asian service users and )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 545.47 Tm (Daffodil caters for residents with high dependencies. Beech and Ash units each has )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 528.47 Tm (fifteen beds and provide care for elderly people with dementia care needs. Crocus \(20 )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 511.47 Tm (beds\) and Dove \(15 beds\) accommodate residents requiring personal care.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 494.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 477.47 Tm (The weekly fees charged by the home are:)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 460.47 Tm (Residents requiring nursing care: 575 pounds-867 pounds depending on the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 443.47 Tm (the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 426.47 Tm (Residents requiring personal care: 460 pounds-550 pounds depending on the needs of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 409.47 Tm (residents.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 392.47 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 375.47 Tm (There were 138 residents at the time of inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 358.47 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 414.24 w 31.2 554.26 m 563.65 554.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.51 m 565.85 762.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 346.02 m 565.85 346.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 763.59 m 30.07 344.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 763.59 m 564.78 344.94 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 746.32 Tm (We found when auditing medication that there were frequent discrepancies in balances )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 731.74 Tm (of stock. We were concerned therefore, that it appeared medication was not being )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 717.16 Tm (recorded accurately when administered. Sometimes the balance was wrong by one or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 702.58 Tm (two tablets but for one resident prescribed finasteride there were 4 too many tablets )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 688 Tm (left. For a resident prescribed codeine phosphate there were 5 too many tablets left. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.42 Tm (Sometimes it was not possible to audit the medication at all because the receipts had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 658.84 Tm (not been documented or carried forward from the previous medication cycle. We )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 644.26 Tm (noticed that a fentanyl patch had been applied after 96 hours instead of the 72 hours )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 629.68 Tm (prescribed. Also that there was no stock of buprenorphine patches when the controlled )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 615.1 Tm (drug \(CD\) register indicated that there should be 1 patch. One lady was prescribed a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 600.52 Tm (hormone cream and we noticed a tube in the cupboard. It was not being recorded as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 585.94 Tm (applied and we were told that she did not need it. The supplying pharmacist raised the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 571.36 Tm (same issue during a medication audit in December 2008. We looked at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 556.78 Tm (management of warfarin in all units and noticed that there were different practices in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 542.2 Tm (place for managing anticoagulation. We were told that when the dose was changed by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 527.62 Tm (the clinic the result was phoned through. For two residents the latest result held with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 513.04 Tm (the Medication Administration Record\(MAR\) did not match what was being given and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 498.46 Tm (we had to track down the anticoagulation book to the care plan. This did state the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 483.88 Tm (correct dose.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 469.3 Tm (We noticed that the dosage of a slow release tablet was reduced and nurses were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 454.72 Tm (halving the tablet and not recording clearly what they were giving. Another tablet was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 440.14 Tm (changed from morning to night and it was not signed as given at either time the day )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 425.56 Tm (before the inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 410.98 Tm (We looked at the waste medicines and noticed that lots of medicines were not being )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 396.4 Tm (recorded. One clinical room was very untidy and muddled and the floor quite dirty.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 381.82 Tm (One resident had run out of paracetamol the day before the inspection because not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 367.24 Tm (enough had been ordered. She had not received any pain relief the day of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 352.66 Tm (inspection.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 325.7 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 325.7 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 49.74 w 31.2 289.64 m 563.65 289.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 315.63 m 565.85 315.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.64 m 565.85 263.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 316.71 m 30.07 262.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 316.71 m 564.78 262.57 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 299.45 Tm (There were swallowing guidelines for many of the residents. The dietician had written )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 284.87 Tm (protocols on how medicines should be administered when there were swallowing )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 270.29 Tm (difficulties and the GP prescribed liquid medicines where they were available.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 243.32 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 108.06 w 31.2 178.1 m 563.65 178.1 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 233.26 m 565.85 233.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 122.95 m 565.85 122.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 234.34 m 30.07 121.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 234.34 m 564.78 121.87 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 217.07 Tm (There needs to be improved auditing in the home so that there is evidence of accurate )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 202.49 Tm (recording and administration. There should be an anticoagulant policy and procedure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.91 Tm (so that warfarin is managed consistently and safely thoughout the home. This is in line )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 173.33 Tm (with guidelines from the National Patient Safety Agency and is to prevent risk and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 158.75 Tm (error. Controlled drugs need to be recorded accurately so that the Misuse of Drugs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 144.17 Tm (Regulations are complied with and prescription instructions followed. Nurses should )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 129.59 Tm (understand their medicines and know how to apply patches.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 104.64 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 104.64 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 88.64 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 672.91 m 566.2 672.91 l S 0.001 w 30.3 w 31.2 620.92 m 91 620.92 l S 0.001 w 30.3 w 93.25 620.92 m 197.4 620.92 l S 0.001 w 30.3 w 199.65 620.92 m 289.5 620.92 l S 0.001 w 30.3 w 291.75 620.92 m 473.9 620.92 l S 0.001 w 30.3 w 476.15 620.92 m 566.2 620.92 l S 0.001 w 1 1 1 RG 198.54 w 31.2 504.25 m 91.05 504.25 l S 0.001 w 198.54 w 93.3 504.25 m 197.4 504.25 l S 0.001 w 198.54 w 199.65 504.25 m 289.45 504.25 l S 0.001 w 198.54 w 291.7 504.25 m 473.8 504.25 l S 0.001 w 198.54 w 476.05 504.25 m 566.1 504.25 l S 0.001 w 154.8 w 31.2 325.33 m 91.05 325.33 l S 0.001 w 154.8 w 93.3 325.33 m 197.4 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previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 658.42 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 658.42 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 658.42 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 34.05 643.84 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 643.84 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 626.02 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 623.02 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 623.02 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 623.02 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 623.02 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 610.87 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.46 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 588.46 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.46 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.46 Tm (That as far as possible )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.88 Tm (residents' needs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.3 Tm (assessed before they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.72 Tm (offered a place in the home. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.14 Tm (In cases of emergency )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.56 Tm (admissions then the needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.98 Tm (assessment of the placement )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.4 Tm (authority must be requested)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.24 Tm (To ensure that the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.66 Tm (only accepts residents whose )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.08 Tm (needs can be met in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.5 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.46 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.67 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 387.67 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 387.67 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.67 Tm (The assessment of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 373.09 Tm (cultural and spiritual needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.51 Tm (of residents must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 343.93 Tm (completed as part of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 329.35 Tm (overall assessment of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 314.77 Tm (needs of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.19 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.61 Tm (To ensure that all the needs )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 268.03 Tm (of residents are fully )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.45 Tm (addressed in the care plans)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 387.67 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.62 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 230.62 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 230.62 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.62 Tm (In cases where bed rails are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 216.04 Tm (used the appropriate risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.46 Tm (assessments must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 186.88 Tm (completed and reviewed in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 172.3 Tm (timely manner, with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 157.72 Tm (involvement of the residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 143.14 Tm (or their representatives. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 125.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 110.98 Tm (To make sure that residents )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 96.4 Tm (are as safe as possible from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.82 Tm (the use of bed rails.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 230.62 Tm (23/02/2009)Tj ET endstream endobj 15 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 154.8 w 31.2 631.15 m 91.05 631.15 l S 0.001 w 154.8 w 93.3 631.15 m 197.4 631.15 l S 0.001 w 154.8 w 199.65 631.15 m 289.45 631.15 l S 0.001 w 154.8 w 291.7 631.15 m 473.8 631.15 l S 0.001 w 154.8 w 476.05 631.15 m 566.1 631.15 l S 0.001 w 198.54 w 31.2 452.23 m 91.05 452.23 l S 0.001 w 198.54 w 93.3 452.23 m 197.4 452.23 l S 0.001 w 198.54 w 199.65 452.23 m 289.45 452.23 l S 0.001 w 198.54 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568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.62 m 568.3 552.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 351.83 m 568.3 351.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 194.78 m 568.3 194.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 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Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.49 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 693.49 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 693.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 693.49 Tm (Residents with urinary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 678.91 Tm (catheters must receive a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 664.33 Tm (high standard of catheter )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 649.75 Tm (care and their privacy and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 635.17 Tm (dignity must be appropriately )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 620.59 Tm (maintained. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 603.01 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.43 Tm (To ensure the welfare of all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.85 Tm (residents with urinary )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.27 Tm (catheters.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 693.49 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 536.44 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 536.44 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 536.44 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (The amounts of all medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (that remain after a medicine )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (cycle is completed must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (appropriately carried over )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 478.12 Tm (when a new MAR sheet is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 463.54 Tm (written and the amounts of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.96 Tm (all medicines that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 434.38 Tm (received in the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 419.8 Tm (be recorded. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.64 Tm (To provide an audit trail for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 373.06 Tm (all medicines that are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 358.48 Tm (administered)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 536.44 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 335.65 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 335.65 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 335.65 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.65 Tm (That the recreational and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.07 Tm (social needs of residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.49 Tm (appropriately assessed and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.91 Tm (recorded. Internal and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.33 Tm (external activities must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.75 Tm (provided to suit the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.17 Tm (individual needs of residents.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 216.01 Tm (For resident to have the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 201.43 Tm (lifestyle that suit their needs.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 335.65 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.6 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 178.6 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 178.6 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.6 Tm (The home must ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.02 Tm (the kitchen is fully equipped )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 149.44 Tm (to enable staff prepare the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 134.86 Tm (food that residents require. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 117.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 102.7 Tm (To ensure that residents are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 88.12 Tm (provided with high quality )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.54 Tm (meals that are as far as )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 178.6 Tm (23/02/2009)Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 17.58 w 31.2 699.76 m 91.05 699.76 l S 0.001 w 17.58 w 93.3 699.76 m 197.4 699.76 l S 0.001 w 17.58 w 199.65 699.76 m 289.45 699.76 l S 0.001 w 17.58 w 291.7 699.76 m 473.8 699.76 l S 0.001 w 17.58 w 476.05 699.76 m 566.1 699.76 l S 0.001 w 96.48 w 31.2 640.48 m 91.05 640.48 l S 0.001 w 96.48 w 93.3 640.48 m 197.4 640.48 l S 0.001 w 96.48 w 199.65 640.48 m 289.45 640.48 l S 0.001 w 96.48 w 291.7 640.48 m 473.8 640.48 l S 0.001 w 96.48 w 476.05 640.48 m 566.1 640.48 l S 0.001 w 169.38 w 31.2 505.3 m 91.05 505.3 l S 0.001 w 169.38 w 93.3 505.3 m 197.4 505.3 l S 0.001 w 169.38 w 199.65 505.3 m 289.45 505.3 l S 0.001 w 169.38 w 291.7 505.3 m 473.8 505.3 l S 0.001 w 169.38 w 476.05 505.3 m 566.1 505.3 l S 0.001 w 96.48 w 31.2 370.12 m 91.05 370.12 l S 0.001 w 96.48 w 93.3 370.12 m 197.4 370.12 l S 0.001 w 96.48 w 199.65 370.12 m 289.45 370.12 l S 0.001 w 96.48 w 291.7 370.12 m 473.8 370.12 l S 0.001 w 96.48 w 476.05 370.12 m 566.1 370.12 l S 0.001 w 125.64 w 31.2 256.81 m 91.05 256.81 l S 0.001 w 125.64 w 93.3 256.81 m 197.4 256.81 l S 0.001 w 125.64 w 199.65 256.81 m 289.45 256.81 l S 0.001 w 125.64 w 291.7 256.81 m 473.8 256.81 l S 0.001 w 125.64 w 476.05 256.81 m 566.1 256.81 l S 0.001 w 127.71 w 31.2 127.88 m 91.05 127.88 l S 0.001 w 127.71 w 93.3 127.88 m 197.4 127.88 l S 0.001 w 127.71 w 199.65 127.88 m 289.45 127.88 l S 0.001 w 127.71 w 291.7 127.88 m 473.8 127.88 l S 0.001 w 127.71 w 476.05 127.88 m 566.1 127.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 689.84 m 568.3 689.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.11 m 568.3 591.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.48 m 568.3 419.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 320.75 m 568.3 320.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.86 m 568.3 192.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.84 m 568.3 689.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.11 m 568.3 591.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.48 m 568.3 419.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 320.75 m 568.3 320.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.86 m 568.3 192.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 778.03 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 34.05 763.45 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 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 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (possible 'home made'.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 673.66 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 673.66 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 673.66 Tm (23\(2\)\(o\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 673.66 Tm (There must be more patio )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 659.08 Tm (areas or areas where service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 644.5 Tm (users could comfortably sit )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.92 Tm (outside and enjoy the good )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.34 Tm (weather)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 597.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 673.66 Tm (22/09/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.93 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 574.93 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 574.93 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 574.93 Tm (All residents with nursing )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.35 Tm (needs must have an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 545.77 Tm (assessment about whether )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 531.19 Tm (they require an adjustable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 516.61 Tm (bed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.45 Tm (To ensure the safety of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.87 Tm (residents and staff during )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 455.29 Tm (manual handling and to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.71 Tm (promote the comfort of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.13 Tm (residents)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 574.93 Tm (23/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.3 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 403.3 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 403.3 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 403.3 Tm (The home must be free from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 388.72 Tm (odours as much as possible.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 371.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.56 Tm (For the home to provide a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.98 Tm (pleasant environment to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 327.4 Tm (residents, staff and visitors)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 403.3 Tm (06/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 304.57 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 304.57 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 304.57 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.57 Tm (All members of staff must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.99 Tm (have regular update in fire )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.41 Tm (training. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.25 Tm (To make sure that staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.67 Tm (fully aware of the action to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.09 Tm (take and the procedure to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.51 Tm (follow if there is a fire.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 304.57 Tm (23/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 176.68 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 176.68 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 176.68 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 176.68 Tm (The home must carry out a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.1 Tm (customer survey as part of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.52 Tm (its quality assurance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 132.94 Tm (procedure and must produce )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.36 Tm (a report summarising the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 103.78 Tm (findings of the survey. This is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.2 Tm (required to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 74.62 Tm (continuous improvement of )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 176.68 Tm (31/12/2008)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 69.18 w 31.2 777.94 m 566.2 777.94 l S 0.001 w 30.3 w 31.2 725.95 m 91 725.95 l S 0.001 w 30.3 w 93.25 725.95 m 197.4 725.95 l S 0.001 w 30.3 w 199.65 725.95 m 289.5 725.95 l S 0.001 w 30.3 w 291.75 725.95 m 473.9 725.95 l S 0.001 w 30.3 w 476.15 725.95 m 566.2 725.95 l S 0.001 w 1 1 1 RG 38.16 w 31.2 689.47 m 91.05 689.47 l S 0.001 w 38.16 w 93.3 689.47 m 197.4 689.47 l S 0.001 w 38.16 w 199.65 689.47 m 289.45 689.47 l S 0.001 w 38.16 w 291.7 689.47 m 473.8 689.47 l S 0.001 w 38.16 w 476.05 689.47 m 566.1 689.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 710.75 m 30.07 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 668.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.26 m 568.3 669.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 778.03 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 34.05 763.45 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 763.45 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 34.05 748.87 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 748.87 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 698.74 Tm (the service.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 678.16 Tm ()Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w 1 1 1 RG 125.64 w 31.2 624.6 m 91.05 624.6 l S 0.001 w 125.64 w 93.3 624.6 m 197.4 624.6 l S 0.001 w 125.64 w 199.65 624.6 m 289.45 624.6 l S 0.001 w 125.64 w 291.7 624.6 m 473.8 624.6 l S 0.001 w 125.64 w 476.05 624.6 m 566.1 624.6 l S 0.001 w 125.64 w 31.2 496.71 m 91.05 496.71 l S 0.001 w 125.64 w 93.3 496.71 m 197.4 496.71 l S 0.001 w 125.64 w 199.65 496.71 m 289.45 496.71 l S 0.001 w 125.64 w 291.7 496.71 m 473.8 496.71 l S 0.001 w 125.64 w 476.05 496.71 m 566.1 496.71 l S 0.001 w 111.06 w 31.2 376.11 m 91.05 376.11 l S 0.001 w 111.06 w 93.3 376.11 m 197.4 376.11 l S 0.001 w 111.06 w 199.65 376.11 m 289.45 376.11 l S 0.001 w 111.06 w 291.7 376.11 m 473.8 376.11 l S 0.001 w 111.06 w 476.05 376.11 m 566.1 376.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 560.66 m 568.3 560.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.77 m 568.3 432.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 689.63 m 30.07 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 318.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.66 m 568.3 560.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 432.77 m 568.3 432.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.46 m 568.3 319.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 742.32 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 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 672.36 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 672.36 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 672.36 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 672.36 Tm (That the controlled drug )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 657.78 Tm (issues identified are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 643.2 Tm (investigated and a Reg 37 )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 628.62 Tm (report sent to CSCI.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 611.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 596.46 Tm (To comply with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 581.88 Tm (regulations and safeguard )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 567.3 Tm (the residents.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 672.36 Tm (12/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.47 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 544.47 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 544.47 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.47 Tm (That there is accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.89 Tm (recording of receipts,)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.31 Tm (administration and disposal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.73 Tm (of medication in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468.57 Tm (So that there is evidence of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.99 Tm (administration according to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 439.41 Tm (the prescribers instructions.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 544.47 Tm (12/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 416.58 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 416.58 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 416.58 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.58 Tm (That the home has safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402 Tm (practices for handling )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.42 Tm (warfarin which are consistent )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.84 Tm (throughout the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.68 Tm (So that the health of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.1 Tm (residents is maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 416.58 Tm (12/03/2009)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 248.71 m 566.2 248.71 l S 0.001 w 30.3 w 31.2 197.94 m 91 197.94 l S 0.001 w 30.3 w 93.25 197.94 m 197.4 197.94 l S 0.001 w 30.3 w 199.65 197.94 m 289.5 197.94 l S 0.001 w 30.3 w 291.75 197.94 m 473.9 197.94 l S 0.001 w 30.3 w 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82.94 m 568.3 82.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 284.29 m 30.07 180.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 215.3 m 92.12 180.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 215.3 m 198.52 180.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 215.3 m 290.62 180.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 215.3 m 475.02 180.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 284.29 m 567.32 180.59 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 270.02 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 250.02 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 34.05 235.44 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 235.44 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 220.86 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 203.04 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 200.04 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 200.04 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 200.04 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 200.04 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 187.89 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 165.48 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 165.48 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 165.48 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 165.48 Tm (That the home records all )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 150.9 Tm (waste medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.74 Tm (So that the audit trail can be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.16 Tm (maintained and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 89.58 Tm (regulations complied with.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 165.48 Tm (31/03/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 66.74 w 31.2 779.16 m 566.2 779.16 l S 0.001 w 30.3 w 31.2 728.39 m 91 728.39 l S 0.001 w 30.3 w 93.25 728.39 m 197.4 728.39 l S 0.001 w 30.3 w 199.65 728.39 m 289.5 728.39 l S 0.001 w 30.3 w 291.75 728.39 m 473.9 728.39 l S 0.001 w 30.3 w 476.15 728.39 m 566.2 728.39 l S 0.001 w 1 1 1 RG 96.48 w 31.2 662.75 m 91.05 662.75 l S 0.001 w 96.48 w 93.3 662.75 m 197.4 662.75 l S 0.001 w 96.48 w 199.65 662.75 m 289.45 662.75 l S 0.001 w 96.48 w 291.7 662.75 m 473.8 662.75 l S 0.001 w 96.48 w 476.05 662.75 m 566.1 662.75 l S 0.001 w 96.48 w 31.2 564.02 m 91.05 564.02 l S 0.001 w 96.48 w 93.3 564.02 m 197.4 564.02 l S 0.001 w 96.48 w 199.65 564.02 m 289.45 564.02 l S 0.001 w 96.48 w 291.7 564.02 m 473.8 564.02 l S 0.001 w 96.48 w 476.05 564.02 m 566.1 564.02 l S 0.001 w 111.06 w 31.2 458 m 91.05 458 l S 0.001 w 111.06 w 93.3 458 m 197.4 458 l S 0.001 w 111.06 w 199.65 458 m 289.45 458 l S 0.001 w 111.06 w 291.7 458 m 473.8 458 l S 0.001 w 111.06 w 476.05 458 m 566.1 458 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 613.38 m 568.3 613.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 514.65 m 568.3 514.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 400.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 613.38 m 568.3 613.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 514.65 m 568.3 514.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.34 m 568.3 401.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 765.89 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 751.31 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 695.93 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 695.93 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 695.93 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 695.93 Tm (That clinical areas are clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 681.35 Tm (and tidy and controlled drug )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.77 Tm (cabinets used for controlled )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 652.19 Tm (drugs only.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.61 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 620.03 Tm (To prevent error.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 695.93 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.2 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 597.2 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 597.2 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 597.2 Tm (That the home has robust )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.62 Tm (regular auditing processes to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 568.04 Tm (identify poor recording. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 550.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 535.88 Tm (To ensure the safe handling )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.3 Tm (of medication.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 597.2 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 498.47 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 498.47 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 498.47 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.47 Tm (That the home has a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 483.89 Tm (procedure to manage )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.31 Tm (anticoagulants consistently )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.73 Tm (and safely in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 437.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 422.57 Tm (To protect the residents and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 407.99 Tm (prevent risk and error.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 498.47 Tm (31/03/2009)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 348.43 m 566.2 348.43 l S 0.001 w 18.15 w 31.2 303.45 m 91.05 303.45 l S 0.001 w 18.15 w 93.3 303.45 m 197.35 303.45 l S 0.001 w 18.15 w 199.6 303.45 m 566.2 303.45 l S 0.001 w 1 1 1 RG 20.58 w 31.2 282.96 m 91.05 282.96 l S 0.001 w 20.58 w 93.3 282.96 m 197.4 282.96 l S 0.001 w 20.58 w 199.65 282.96 m 566.1 282.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 295.45 m 30.07 270.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 295.45 m 567.22 270.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.65 m 568.4 313.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.37 m 568.3 294.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 295.45 m 92.17 270.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 295.45 m 198.52 270.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 383.22 m 568.4 383.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.65 m 568.4 313.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 271.54 m 568.3 271.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 384.3 m 30.07 293.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 314.73 m 92.17 294.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 314.73 m 198.47 294.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 384.3 m 567.32 293.3 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 367.03 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 349.45 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 334.87 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.29 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 299.47 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 299.47 Tm (Refer 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