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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 (Sir Jules Thorn Court and Mary Court)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 (29-35 Prince Of Wales Drive )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Battersea)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (London)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (SW11 4SL)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 (zero star poor 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 (Sandy Patrick)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (8)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 (19)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 (Sir Jules Thorn Court and Mary Court)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET 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ET /F1 10 Tf BT 1 0 0 1 28.35 477.63 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.14 m 565.6 458.14 l S 0.001 w 41.16 w 31.2 425.02 m 297.2 425.02 l S 0.001 w 20.58 w 299.45 435.31 m 565.6 435.31 l S 0.001 w 20.58 w 299.45 414.73 m 432.52 414.73 l S 0.001 w 20.58 w 432.52 414.73 m 565.6 414.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.56 m 567.8 469.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.73 m 567.8 446.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.32 m 567.8 403.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.64 m 30.07 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.81 m 298.32 402.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.64 m 566.72 402.24 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 453.37 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 430.54 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 430.54 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 409.96 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 409.96 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.53 m 297.25 388.53 l S 0.001 w 20.58 w 299.5 388.53 m 429.25 388.53 l S 0.001 w 20.58 w 431.5 388.53 m 565.9 388.53 l S 0.001 w 35.16 w 31.2 358.41 m 297.25 358.41 l S 0.001 w 35.16 w 299.5 358.41 m 429.25 358.41 l S 0.001 w 35.16 w 431.5 358.41 m 565.9 358.41 l S 0.001 w 35.16 w 31.2 321 m 297.25 321 l S 0.001 w 35.16 w 299.5 321 m 429.25 321 l S 0.001 w 35.16 w 431.5 321 m 565.9 321 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.94 m 568.1 399.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.11 m 568.1 377.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.7 m 568.1 339.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 302.29 m 568.1 302.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.02 m 30.07 301.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 401.02 m 298.37 301.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 401.02 m 430.37 301.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 401.02 m 567.02 301.22 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 383.76 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 383.76 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 383.76 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.93 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.35 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 360.93 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 360.93 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 323.52 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 308.94 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 323.52 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 323.52 Tm (31)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 270.5 m 565.6 270.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 259.09 m 567.8 259.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.68 m 568.1 221.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 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 28.99 221.68 m 568.1 221.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 169.69 m 568.1 169.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 283 m 30.07 168.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 283 m 566.72 168.61 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 265.73 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.9 Tm (One named service user is to receive personal care only by one allocated member of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.32 Tm (staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 205.49 Tm (Variation of Registration Under the High Court judgement, the service shall be named )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.91 Tm (Sir Jules Thorn Court and Mary Court. The variation is for such a time until the named )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 176.33 Tm (service user assessed needs change or they leave the home.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 154.9 m 315.25 154.9 l S 0.001 w 1 1 1 RG 20.58 w 317.5 154.9 m 346.55 154.9 l S 0.001 w 20.58 w 348.8 154.9 m 377.9 154.9 l S 0.001 w 20.58 w 380.15 154.9 m 409.2 154.9 l S 0.001 w 20.58 w 411.45 154.9 m 440.55 154.9 l S 0.001 w 20.58 w 442.8 154.9 m 471.9 154.9 l S 0.001 w 20.58 w 474.15 154.9 m 503.2 154.9 l S 0.001 w 20.58 w 505.45 154.9 m 534.55 154.9 l S 0.001 w 20.58 w 536.8 154.9 m 565.9 154.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 166.31 m 568.1 166.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 143.48 m 568.1 143.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 167.39 m 30.07 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 167.39 m 316.37 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 167.39 m 347.67 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 167.39 m 379.02 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 167.39 m 410.32 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 167.39 m 441.67 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 167.39 m 473.02 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 167.39 m 504.32 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 167.39 m 535.67 142.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 167.39 m 567.02 142.41 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 150.13 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 131.61 m 565.9 131.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 121.98 m 568.1 121.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 123.06 m 30.07 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 123.06 m 567.02 55.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.23 m 568.1 141.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 121.98 m 568.1 121.98 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 30.07 142.31 m 30.07 120.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 142.31 m 567.02 120.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 128.05 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 128.05 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 108.8 Tm (Sir Jules Thorn provides nursing care for up to thirty people who have mental health )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 91.8 Tm (needs or dementia. The home provides accommodation in single rooms with ensuite )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 74.8 Tm (facilities. Mary Court adjoins Sir Jules Thorn and has one residential bed. Sir Jules )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 (19)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 30.07 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 689.08 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 28.99 690.15 m 568.1 690.15 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 (Thorn has two floors, the home is divided into three units, known as 'clusters', which )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 766.47 Tm (each have their own day room. The home has a large dining area and access to a small )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 749.47 Tm (garden. The home is situated in Battersea, close to Battersea Park. There are )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 732.47 Tm (accessible road and bus links to north and south London. Fees range from 444-48 to )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 715.47 Tm (827-12 per )Tj ET /F1 12 Tf BT 1 0 0 1 112.69 715.47 Tm (week.)Tj ET /F1 12 Tf BT 1 0 0 1 148.28 715.47 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 698.47 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 (19)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 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (We visited the home on the 19/03/09. The visit was unannounced. The inspection )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (team included a pharmacist inspector. The reason for this visit was:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (1. To check compliance with the statutory requirement notices which we issued on the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (17/02/09 following our key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (2. For the pharmacy inspector to look in more detail at medication practices at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (We met with the Area Manager, Deputy Manager, people living at the home, visitors )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm (and staff on duty. We found that action had been taken to address the requirements )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (we made in the statutory requirement notice. We found that people were at risk from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (medication practices and procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (The Area Manager told us that a new Manager had been appointed and was due to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm (start work on 30.03.09.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (We saw that all the care staff had taken part in 'awareness training'. We saw that this )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (training took the form of workshops and aimed to give staff information and skills to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (work in a more person centred way. We saw evidence of some of the work that staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (had undertaken in this training and their feedback on what they thought they had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (learnt.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (We also saw that other training had taken place, whereby the trainers worked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (alongside staff and then discussed their working practice and suggested ideas for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (change with them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (We saw that the staff had been given written information about supporting people to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (make choices and how to observe whether people were well cared for and had their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (needs met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (The Area Manager told us that he had seen changes in practice and staff seemed more )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (aware of individual people's needs. He said that staff had dressed people appropriately )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (each day and made regular checks on their wellbeing. He also said that the staff had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (constructively challenged each other if they felt people were not getting the best )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (support.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (The Area Manager told us that he had introduced a key working system to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (people were listened to and their individual needs were met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (The Area Manager told us that he had shown the staff that it was good practice to let )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (people participate in different activities of their choice, such as household tasks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (The Area Manager told us that people were now given choices at all mealtimes and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (that the majority of people ate in the dining room. He told us that food was now )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (always served at the correct temperature and not left to go cold.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 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 (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (We saw people being supported at lunchtime during our visit. The staff were kind and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (attentive and offered people choices. We saw that people were able to eat and drink )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (what they wanted and that all food was served on an individual basis, which choices of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (condiments. We saw that staff took hot food to people who chose not to eat in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (dining room and that they were supported to eat this while the food was still hot.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (We saw that people were dressed appropriately for the temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (During our visit we saw staff talking to people who live at the home in a kind way and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (listening to them.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (We spoke to the activities officer and she told us that improvements had been made to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (organised activities and the care staff were now more involved in supporting people )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (who do not want to join in the main organised activity. She told us that staff were now )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (taking people for walks if they wanted to go out. We saw some people being supported )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (to go for walks during our visit.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (We met two visitors who told us that they were happy with the care at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (We looked at the recording of receipts, administration and disposal of medication and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (inspected storage and stocks of medicines. We noted that the clinical room was not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (very clean and also untidy.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (The Medicines policy was not available in the clinical room but the deputy manager did )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (bring her own copy for us to see and we noticed that it was the corporate policy and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (was current.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (We looked at the medication administration records MAR and noticed that many of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (medicines had not been received from the pharmacist in time for the first day of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (current medication cycle. This means that many of the residents did not receive their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (heart tablets, medicines for their epilepsy and mood etc on the first day of the cycle. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (We noticed also that there were lots of omissions in recording on the MAR for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (current cycle and the previous cycle, both for the recording of receipts and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (administration. Because staff were not removing medication systematically from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (monitored dosage system we were not able to see if the medication was always given. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (We audited tablets in their original packs for several residents and found that we could )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (not reconcile balances. We were therefore concerned that residents were not always )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (receiving their medication as prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (We looked at the homes audits and these were just for checking MAR charts and had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (ceased on 18.02.09. We noticed on these audits that no check had been carried out on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (9 and 10 February 2009 and that there were lots of gaps on the MAR for these dates. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (We inspected the controlled drugs CD and they were stored securely and balances )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (were correct. There were injections still in the cupboard for a resident who was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (deceased in 2008. Daily checks for CD seemed to have stopped 07.09.08 in a record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (book and 07.01.09 in the register. Some tightening up on recording is needed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (particularly around witness signatures.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (We looked at the fridge and noticed that it contained liquid medicines which were out )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (of date 12.01.09 and 09.03.09. These were mixed up with the current medicines and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (could be given in error. The fridge temperature had only been recorded 6 times in the )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 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 (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 367.5 w 31.2 628.78 m 563.65 628.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.9 m 565.85 443.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 442.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 442.83 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (18 days of March and was not the minimum and maximum temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (We looked at the waste medicines and could not see any records. Some medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (were being returned to the community pharmacist and the home had no disposal kit to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (destroy controlled drugs. We looked at lancets for checking blood glucose and noticed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (that they were not of the professional type to prevent the risk of blood borne )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (infections.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (We looked at three care plans and noticed that there was no information on how to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (manage seizures in a resident who was epileptic. There was no evidence of review for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (this resident or seizure charts and we were concerned because sometimes medicines )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (were not recorded as given.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (Another resident was prescribed painkillers four times a day and we could find no care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (plan for pain management or why this resident was in pain.The medication chart )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (showed that painkillers were only given or offered three times a day and there were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (lots of gaps.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (Another resident was prescribed a high dose of an antipsychotic and we were able to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (track this to a hospital admission and discharge information. We not able though to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (find a care plan or behavioural chart on how to manage this residents behaviour.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (Overall therefore we were disappointed in the poor systems in place for ensuring the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (safe management of medication. We left an immediate requirement notice and took )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (copies of evidence to discuss whether further action would be required.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 425.83 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 1 175.95 425.83 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 93.48 w 31.2 367.9 m 563.65 367.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 415.77 m 565.85 415.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 320.04 m 565.85 320.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 416.85 m 30.07 318.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 416.85 m 564.78 318.96 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 399.58 Tm (We saw that staff had been trained and given information to help them understand )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 385 Tm (how to meet people's individual needs. We found that the staff demonstrated an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.42 Tm (understanding of this and people were being supported.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.26 Tm (We saw that a lot of work had taken place to improve the quality of care for people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.68 Tm (living at the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.72 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 249.08 m 563.65 249.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 289.65 m 565.85 289.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.5 m 565.85 208.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 290.73 m 30.07 207.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 290.73 m 564.78 207.43 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 273.47 Tm (We found that medication storage, recording, ordering and administration was poor )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 258.89 Tm (and this puts people at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.31 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.73 Tm (We found that some people's health needs were not properly identified or monitored )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 215.15 Tm (and that they were at risk from this.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 190.19 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 190.19 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 174.19 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 0 595 842]>> 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 (19)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 504.72 w 31.2 351.16 m 91.05 351.16 l S 0.001 w 504.72 w 93.3 351.16 m 197.4 351.16 l S 0.001 w 504.72 w 199.65 351.16 m 289.45 351.16 l S 0.001 w 504.72 w 291.7 351.16 m 473.8 351.16 l S 0.001 w 504.72 w 476.05 351.16 m 566.1 351.16 l S 0.001 w 33.65 w 31.2 79.73 m 91.05 79.73 l S 0.001 w 33.65 w 93.3 79.73 m 197.4 79.73 l S 0.001 w 33.65 w 199.65 79.73 m 289.45 79.73 l S 0.001 w 33.65 w 291.7 79.73 m 473.8 79.73 l S 0.001 w 33.65 w 476.05 79.73 m 566.1 79.73 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 97.68 m 568.3 97.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 605.73 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 605.73 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.3 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 605.73 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 605.73 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 605.73 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 605.73 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.63 m 568.4 708.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 637.2 m 568.4 637.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.65 m 568.4 604.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 97.68 m 568.3 97.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 709.71 m 30.07 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 638.28 m 92.12 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 638.28 m 198.52 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 638.28 m 290.62 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 638.28 m 475.02 603.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 709.71 m 567.32 603.57 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 691.42 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 34.05 673 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 34.05 658.42 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 (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 588.46 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.46 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.88 Tm (make sure: Care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 559.3 Tm (record individual wishes, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 544.72 Tm (choices and preferences )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.14 Tm (where these are known. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 515.56 Tm (People have a copy of their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 500.98 Tm (own care plan so that they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 486.4 Tm (know what is written about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 471.82 Tm (them. Care plans must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 457.24 Tm (accurate. Care plans should )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.66 Tm (include information about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 428.08 Tm (people's lives before they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 413.5 Tm (moved to the home so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.92 Tm (the staff have a better )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 384.34 Tm (understanding about each )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 369.76 Tm (individual and not just their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 355.18 Tm (care needs. Care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.6 Tm (should contain a photograph )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.02 Tm (of the person they are about. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.44 Tm (Care plans must not reflect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 296.86 Tm (the opinions of the staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.28 Tm (writing them they should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.7 Tm (unbiased and there must not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.12 Tm (be an expectation that the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 238.54 Tm (person they are about should )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 223.96 Tm (think or do things a certain )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 209.38 Tm (way. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 191.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.22 Tm (Care plans did not describe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 162.64 Tm (individual wishes, likes or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 148.06 Tm (interests. Some care plans )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 133.48 Tm (contained the opinions of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 118.9 Tm (staff and some were )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 104.32 Tm (inaccurate.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 588.46 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.49 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 81.49 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 81.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 81.49 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 66.91 Tm (make sure risk assessments )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 81.49 Tm (31/03/2009)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 (19)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 96.48 w 31.2 660.31 m 91.05 660.31 l S 0.001 w 96.48 w 93.3 660.31 m 197.4 660.31 l S 0.001 w 96.48 w 199.65 660.31 m 289.45 660.31 l S 0.001 w 96.48 w 291.7 660.31 m 473.8 660.31 l S 0.001 w 96.48 w 476.05 660.31 m 566.1 660.31 l S 0.001 w 358.92 w 31.2 430.36 m 91.05 430.36 l S 0.001 w 358.92 w 93.3 430.36 m 197.4 430.36 l S 0.001 w 358.92 w 199.65 430.36 m 289.45 430.36 l S 0.001 w 358.92 w 291.7 430.36 m 473.8 430.36 l S 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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 28.99 610.94 m 568.3 610.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 249.77 m 568.3 249.77 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 (record how people can be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (supported to take risks.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 663.58 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 649 Tm (Risk assessments did not )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 634.42 Tm (record how people would be )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 619.84 Tm (supported to take risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 594.76 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 594.76 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 594.76 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.76 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 580.18 Tm (make sure: All medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 565.6 Tm (received at the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (checked and recorded. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (Medication administration )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (records are completed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (accurately at all times. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (People's allergies are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 478.12 Tm (recorded on their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 463.54 Tm (administration records. There )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.96 Tm (is a record of all medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 434.38 Tm (held at the home so that this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 419.8 Tm (can be used to help audit )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 405.22 Tm (medication administration. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 390.64 Tm (Medication awaiting disposal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 376.06 Tm (must be stored separately to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 361.48 Tm (medication in use and there )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.9 Tm (must be a record of this. All )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 332.32 Tm (medication must be stored at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.74 Tm (the correct temperature.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 300.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.58 Tm (The way in which some )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 271 Tm (medication was stored and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 256.42 Tm (recorded put people at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 594.76 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 233.59 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 233.59 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 233.59 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.59 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 219.01 Tm (make sure staff remove )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 204.43 Tm (protective clothing when they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 189.85 Tm (have finished supporting )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 175.27 Tm (people and only wear )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 160.69 Tm (protective clothing which is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 146.11 Tm (appropriate to the situation. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 128.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113.95 Tm (Some staff did not remove )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 99.37 Tm (protective clothing when they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 84.79 Tm (had finished supporting )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 70.21 Tm (people with personal care or )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 233.59 Tm (20/02/2009)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 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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 (wore protective clothing at )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (other times.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.08 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 659.08 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 659.08 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 659.08 Tm (The Registered Person make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 644.5 Tm (sure that suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 629.92 Tm (arrangements are in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.34 Tm (ensure that the care home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 600.76 Tm (conducted in a manner that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.18 Tm (respects the dignity of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 571.6 Tm (service users by ensuring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 557.02 Tm (that:- \(i\) staff talk to service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 542.44 Tm (users and explain what they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 527.86 Tm (are doing when they interact )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 513.28 Tm (with service users. \(ii\) staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.7 Tm (do not talk to the service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.12 Tm (users in an aggressive or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.54 Tm (patronising way. \(iii\) staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.96 Tm (take service users to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 440.38 Tm (toilet as and when asked by )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 425.8 Tm (any service user. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 411.22 Tm (Enforcement action is being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 396.64 Tm (considered.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.48 Tm (Some staff did not show )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.9 Tm (respect to the people they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.32 Tm (were caring for.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 659.08 Tm (02/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 312.49 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 312.49 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 312.49 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 312.49 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.91 Tm (make sure that suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 283.33 Tm (arrangements are in place to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 268.75 Tm (ensure that every service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 254.17 Tm (user, giving consideration to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 239.59 Tm (their individual choice, is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 225.01 Tm (dressed appropriately for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.43 Tm (weather and that staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 195.85 Tm (responsive and aware when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.27 Tm (someone may be too cold or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 166.69 Tm (too hot. The Registered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.11 Tm (Person make sure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.53 Tm (suitable arrangements are in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 122.95 Tm (place to ensure that service )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.37 Tm (users are given prompt )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 93.79 Tm (support to change from )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 79.21 Tm (stained or dirty clothing. )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 312.49 Tm (02/03/2009)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 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BT 1 0 0 1 478.9 629.92 Tm (28/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.71 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 443.71 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 443.71 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 443.71 Tm (The Registered Personmust )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.13 Tm (offer the staff further training )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 414.55 Tm (and support so that they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 399.97 Tm (have a better understanding )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.39 Tm (of safeguarding issues.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 367.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 353.23 Tm (Because people are at risk if )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.65 Tm (the staff can not recognise )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.07 Tm (when they are not being )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.49 Tm (protected or allowed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.91 Tm (express themselves or make )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.33 Tm (choices.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 443.71 Tm (30/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 257.5 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 257.5 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 257.5 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.5 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 242.92 Tm (make sure fire exits are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.34 Tm (unblocked and accessible at )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.76 Tm (all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.6 Tm (People should be safe and be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.02 Tm (able to escape in event of a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.44 Tm (fire.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 257.5 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 129.61 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 129.61 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 129.61 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 129.61 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.03 Tm (make sure the building is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.45 Tm (decorated and furnished in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 85.87 Tm (an attractive and homely )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.29 Tm (way. 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(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 (equipment must be repaired.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 678.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 663.58 Tm (People should live in an )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 649 Tm (attractive and well )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 634.42 Tm (maintained environment.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 609.34 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 609.34 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 609.34 Tm (23 \(2\) \(b\))Tj ET /F1 12 Tf BT 1 0 0 1 294.55 609.34 Tm (The registered person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 594.76 Tm (ensure that communal areas )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 580.18 Tm (are redecorated to enhance )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 565.6 Tm (the environment for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (residents.)Tj ET /F1 12 Tf 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(30/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 338.98 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 338.98 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 338.98 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.98 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.4 Tm (make sure all areas are dust )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.82 Tm (free and that old Christmas )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 295.24 Tm (decorations are removed in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 280.66 Tm (timely fashion.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 263.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.5 Tm (Because people should live in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.92 Tm (a clean and well mainatained )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 219.34 Tm (environment.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 338.98 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 196.51 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 196.51 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 196.51 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.51 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.93 Tm (make sure all WCs are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.35 Tm (equipped with liquid soap )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.77 Tm (and paper towels.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 135.19 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 120.61 Tm (This reduces the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 106.03 Tm (infection spreading.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 196.51 Tm (20/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.2 Tm (21)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 83.2 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 83.2 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.2 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 68.62 Tm (review staffing levels and )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 83.2 Tm (31/03/2009)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 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 (14)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 (19)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 140.22 w 31.2 638.44 m 91.05 638.44 l S 0.001 w 140.22 w 93.3 638.44 m 197.4 638.44 l S 0.001 w 140.22 w 199.65 638.44 m 289.45 638.44 l S 0.001 w 140.22 w 291.7 638.44 m 473.8 638.44 l S 0.001 w 140.22 w 476.05 638.44 m 566.1 638.44 l S 0.001 w 169.38 w 31.2 481.39 m 91.05 481.39 l S 0.001 w 169.38 w 93.3 481.39 m 197.4 481.39 l S 0.001 w 169.38 w 199.65 481.39 m 289.45 481.39 l S 0.001 w 169.38 w 291.7 481.39 m 473.8 481.39 l S 0.001 w 169.38 w 476.05 481.39 m 566.1 481.39 l S 0.001 w 169.38 w 31.2 309.76 m 91.05 309.76 l S 0.001 w 169.38 w 93.3 309.76 m 197.4 309.76 l S 0.001 w 169.38 w 199.65 309.76 m 289.45 309.76 l S 0.001 w 169.38 w 291.7 309.76 m 473.8 309.76 l S 0.001 w 169.38 w 476.05 309.76 m 566.1 309.76 l S 0.001 w 154.8 w 31.2 145.42 m 91.05 145.42 l S 0.001 w 154.8 w 93.3 145.42 m 197.4 145.42 l S 0.001 w 154.8 w 199.65 145.42 m 289.45 145.42 l S 0.001 w 154.8 w 291.7 145.42 m 473.8 145.42 l S 0.001 w 154.8 w 476.05 145.42 m 566.1 145.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 567.2 m 568.3 567.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 395.57 m 568.3 395.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 223.94 m 568.3 223.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 65.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 65.82 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 65.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 65.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 65.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 65.82 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 28.99 567.2 m 568.3 567.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 395.57 m 568.3 395.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 223.94 m 568.3 223.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 66.89 m 568.3 66.89 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 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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 (deployment to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 684.16 Tm (these are appropriate to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 669.58 Tm (meet the needs of people )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 655 Tm (living at the home.)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 634.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 619.84 Tm (People living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 605.26 Tm (should be involved in )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 590.68 Tm (choosing the staff who )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 576.1 Tm (support them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 551.02 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 551.02 Tm (31)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 551.02 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (recruit a permanent manager )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (for the service and this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (person must apply to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (registered with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 478.12 Tm (Commission for Social Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 463.54 Tm (Inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 445.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 431.38 Tm (The service should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.8 Tm (managed by a suitably fit )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm (person.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 551.02 Tm (31/03/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 379.39 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 379.39 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 379.39 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 379.39 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 364.81 Tm (think about ways to monitor )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 350.23 Tm (customer satisfaction and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 335.65 Tm (gather the opinions of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 321.07 Tm (who live at the home and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 306.49 Tm (other stakeholders to help )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 291.91 Tm (them improve the service.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 274.33 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 259.75 Tm (People living at the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 245.17 Tm (should have a say in how it is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 230.59 Tm (run.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 379.39 Tm (31/07/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.76 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 207.76 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 207.76 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 207.76 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 193.18 Tm (send the reports of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 178.6 Tm (monthly quality inspections )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 164.02 Tm (of the home to the CSCI.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 146.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 131.86 Tm (Because we need to see )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 117.28 Tm (evidence that the home is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 102.7 Tm (being regularly monitored )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 88.12 Tm (and improvements are taking )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 73.54 Tm (place.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 207.76 Tm (28/02/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 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 (15)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 (19)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 140.22 w 31.2 638.44 m 91.05 638.44 l S 0.001 w 140.22 w 93.3 638.44 m 197.4 638.44 l S 0.001 w 140.22 w 199.65 638.44 m 289.45 638.44 l S 0.001 w 140.22 w 291.7 638.44 m 473.8 638.44 l S 0.001 w 140.22 w 476.05 638.44 m 566.1 638.44 l S 0.001 w 183.96 w 31.2 474.1 m 91.05 474.1 l S 0.001 w 183.96 w 93.3 474.1 m 197.4 474.1 l S 0.001 w 183.96 w 199.65 474.1 m 289.45 474.1 l S 0.001 w 183.96 w 291.7 474.1 m 473.8 474.1 l S 0.001 w 183.96 w 476.05 474.1 m 566.1 474.1 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 567.2 m 568.3 567.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 379.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 379.92 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 92.17 379.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 379.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 379.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 379.92 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 28.99 567.2 m 568.3 567.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 380.99 m 568.3 380.99 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 34.05 693.49 Tm (25)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 693.49 Tm (34)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 693.49 Tm (25)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 693.49 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 678.91 Tm (make sure the home has )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 664.33 Tm (appropriate insurance and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 649.75 Tm (that the certificate for this is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 635.17 Tm (displayed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 617.59 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 603.01 Tm (The organisation must show )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 588.43 Tm (evidence that they are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 573.85 Tm (appropriately insured.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 693.49 Tm (28/02/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 551.02 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 551.02 Tm (35)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 551.02 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 551.02 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 536.44 Tm (make sure money held on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 521.86 Tm (behalf of people living at the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 507.28 Tm (home is stored in an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.7 Tm (appropriate place, balances )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 478.12 Tm (are recorded and are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 463.54 Tm (accurate and that checks on )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.96 Tm (these are thorough.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 431.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 416.8 Tm (People should be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.22 Tm (safeguarded by the home's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 387.64 Tm (procedures.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 551.02 Tm (20/02/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF 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(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 (The Registered Person must:)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 657.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 643.2 Tm (1.ensure that medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 628.62 Tm (recorded accurately when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 614.04 Tm (received into the home, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 599.46 Tm (when administered and when )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 584.88 Tm (disposed of.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 570.3 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 555.72 Tm (2.Ensure that medication is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 541.14 Tm (administered as prescribed.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 526.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.98 Tm (3. 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372.18 m 568.3 372.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.29 m 568.3 244.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 130.98 m 568.3 130.98 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 (3)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 (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 681.35 Tm (make sure the nurses have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 666.77 Tm (training to update their skills )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 652.19 Tm (in managing medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 637.61 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 620.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 695.93 Tm (30/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.2 Tm (4)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 (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 582.62 Tm (make sure the home uses )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 568.04 Tm (lancets when sampling blood )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 553.46 Tm (which are of the professional )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.88 Tm (type-to prevent the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 524.3 Tm (transmission of blood borne )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 509.72 Tm (infections.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 492.14 Tm ()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 34.05 469.31 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 469.31 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 469.31 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.31 Tm (The Regsitered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.73 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Tm (administered as required.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 250.94 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 356 Tm (17/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 228.11 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 228.11 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 228.11 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.11 Tm (The Registered Person must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.53 Tm (make sure there are systems )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 198.95 Tm (in place to ensure the safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 184.37 Tm (storage, administration and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 169.79 Tm (management of medicines in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 155.21 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.63 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 478.9 228.11 Tm (25/03/2009)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 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 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Tf BT 1 0 0 1 34.05 642.05 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 642.05 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 642.05 Tm (It is recommended that the registered person request the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 627.47 Tm (pharmacist to ensure that MAR charts are correctly aligned )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 612.89 Tm (so that the home can record accurately.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 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 (19)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 (19)Tj ET 0.98431 0.78824 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0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.2 m 567.2 694.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.6 m 27.22 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.6 m 224.46 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.6 m 566.13 693.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 746.5 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 746.5 Tm (CSCI)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 723.67 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 723.67 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 700.84 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()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 28.35 665.31 Tm ()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 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 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 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 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 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()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 28.35 536.67 Tm ()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 28.35 522.09 Tm ()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 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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