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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 55.74 w 31.2 706.39 m 274.61 706.39 l S 0.001 w 1 1 1 RG 55.74 w 276.86 706.39 m 580.25 706.39 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 665.98 m 274.61 665.98 l S 0.001 w 1 1 1 RG 20.58 w 276.86 665.98 m 580.25 665.98 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 643.15 m 274.61 643.15 l S 0.001 w 1 1 1 RG 20.58 w 276.86 643.15 m 580.25 643.15 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 620.32 m 274.61 620.32 l S 0.001 w 1 1 1 RG 20.58 w 276.86 620.32 m 580.25 620.32 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 597.49 m 274.61 597.49 l S 0.001 w 1 1 1 RG 20.58 w 276.86 597.49 m 580.25 597.49 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 677.4 m 582.46 677.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 654.57 m 582.46 654.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 631.73 m 582.46 631.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.91 m 582.46 608.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 677.4 m 582.46 677.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 654.57 m 582.46 654.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 631.73 m 582.46 631.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.91 m 582.46 608.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 586.08 m 582.46 586.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 585 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 585 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 585 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Victoria House Nursing Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Bath Lane)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Stockton-on-Tees)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 684.04 Tm (TS18 1DX)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 661.21 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 661.21 Tm (01642-677282)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 638.38 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 638.38 Tm (01642674281)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 615.55 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 615.55 Tm (victoriahouse@schealthcare.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 592.72 Tm (Provider web address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 592.72 Tm (www.schealthcare.co.uk)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 556.78 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 529.99 m 353.25 529.99 l S 0.001 w 1 1 1 RG 35.16 w 355.5 529.99 m 565.9 529.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 454.21 m 353.25 454.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 454.21 m 565.9 454.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 431.39 m 353.25 431.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 431.39 m 565.9 431.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 511.29 m 568.1 511.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 488.46 m 567.8 488.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.63 m 568.1 465.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 549.78 m 354.37 510.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.8 m 568.1 442.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 548.7 m 568.1 548.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 511.29 m 567.8 511.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 488.46 m 568.1 488.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.63 m 568.1 465.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.8 m 568.1 442.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.97 m 568.1 419.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 549.78 m 30.07 418.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 466.71 m 354.37 418.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 549.78 m 567.02 418.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 532.52 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 532.52 Tm (Southern Cross Care Homes No 3 )Tj ET /F2 12 Tf BT 1 0 0 1 358.35 517.93 Tm (Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 495.11 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 472.27 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 59.76 472.27 Tm (Karen )Tj ET /F2 12 Tf BT 1 0 0 1 99.39 472.27 Tm (Thompson)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.45 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 449.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 426.61 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 426.61 Tm (70)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 407.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 364.23 m 564.47 364.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 376.77 m 567.8 376.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 353.93 m 567.8 353.93 l S 0.001 w [] 0 d [] 0 d 2.25 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35.16 w 299.5 286.2 m 429.25 286.2 l S 0.001 w 35.16 w 431.5 286.2 m 565.9 286.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 304.9 m 568.1 304.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.73 m 568.1 327.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.9 m 568.1 304.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.49 m 568.1 267.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 328.81 m 30.07 266.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 328.81 m 298.37 266.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 328.81 m 430.37 266.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 328.81 m 567.02 266.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 311.55 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 311.55 Tm (40)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 311.55 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 288.71 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 274.14 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 288.71 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 288.71 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 182.59 m 564.77 182.59 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 224.29 m 567.8 224.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.46 m 568.1 201.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.12 m 567.8 247.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.29 m 568.1 224.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.46 m 568.1 201.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 120.31 m 568.1 120.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.19 m 30.07 119.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 248.19 m 566.72 119.23 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 230.93 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 208.1 Tm (The maximum number of service users who can be accommodated is: 70)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 185.27 Tm (The registered person may provide the following categories of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 170.69 Tm (with Nursing - Code N To service users of the following gender: Both Whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 156.11 Tm (care needs on admission to the Home are within the following categories: Dementia , )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 141.53 Tm (Code DE - maximum number of places 40 Old Age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 126.95 Tm (category - Code OP, maximum number of places 30)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 105.51 m 315.25 105.51 l S 0.001 w 1 1 1 RG 20.58 w 317.5 105.51 m 346.55 105.51 l S 0.001 w 20.58 w 348.8 105.51 m 377.9 105.51 l S 0.001 w 20.58 w 380.15 105.51 m 409.2 105.51 l S 0.001 w 20.58 w 411.45 105.51 m 440.55 105.51 l S 0.001 w 20.58 w 442.8 105.51 m 471.9 105.51 l S 0.001 w 20.58 w 474.15 105.51 m 503.2 105.51 l S 0.001 w 20.58 w 505.45 105.51 m 534.55 105.51 l S 0.001 w 20.58 w 536.8 105.51 m 565.9 105.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 116.93 m 568.1 116.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 94.1 m 568.1 94.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 118.01 m 30.07 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 118.01 m 316.37 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 118.01 m 347.67 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 118.01 m 379.02 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 118.01 m 410.32 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 118.01 m 441.67 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 118.01 m 473.02 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 118.01 m 504.32 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 118.01 m 535.67 93.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 118.01 m 567.02 93.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 100.75 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 82.22 m 565.9 82.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 72.6 m 568.1 72.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 73.68 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 73.68 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 91.85 m 568.1 91.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 72.6 m 568.1 72.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 92.93 m 30.07 71.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 92.93 m 567.02 71.52 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 78.67 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 78.67 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 59.42 Tm (Victoria House Nursing home is a purpose built facility providing personal and nursing )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 42.42 Tm (care to older people. There are 4 separate units where care is provided for people who )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 661.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 661.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.85 m 568.1 662.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 756.16 Tm (are over the age of 65 years and frail and also people suffering with dementia. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 739.16 Tm (home is situated close to the centre of Stockton. Access is easy by car and the bus )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 722.16 Tm (service. Each unit offers a lounge and dining area and appropriate toilet and bathing )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 705.16 Tm (facilities. There is a passenger lift that operates between ground and first floor. All )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 688.16 Tm (bedrooms are single with en-suite facilities each with a WC and hand basin. An alarm )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 671.16 Tm (call system operates throughout the home. The fees need to be clarified.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 720.15 Tm (The reason for this visit was to undertake a pharmacist inspection of the service to look )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 705.57 Tm (at medication practices in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 690.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 676.41 Tm (We have reviewed our practice when making requirements to improve national )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 661.83 Tm (consistency. Some requirements from previous inspection reports may have been deleted )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 647.24 Tm (or carried forward into this report as recommendations, but only when it is considered )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 632.66 Tm (that people who use the services are not being put at significant risk or harm. In future, if )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.09 Tm (a requirement is repeated, it is likely that enforcement action will be taken.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.51 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.92 Tm (A pharmacist spent five hours in the home and the inspection involved looking at )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.34 Tm (medication storage, stock control, examination of the current medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 559.77 Tm (records \(MARs\), policies and procedures relating to managing medicines in the home and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 545.18 Tm (discussion with the manager and senior carers in the home. During the visit we gave )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 530.6 Tm (verbal feedback to the acting manager of the home and the deputy manager. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 516.03 Tm (outcome is as follows:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 486.86 Tm (Administration of medicines was observed on the Albert Wing and was well managed and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 472.29 Tm (followed good practice guidance. Staff were not disturbed during the process and offered )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 457.7 Tm (drinks, support and encouragement to people taking medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 443.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 428.55 Tm (All medication was stored within a secure treatment room which was clean and tidy. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 413.96 Tm (noted that some medication, no longer required, had been placed in a plastic box on the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 399.39 Tm (bench top, and had not been recorded in the 'medicines for disposal' book. Additional )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.8 Tm (stocks of medication for Albert and Victoria Wings of the home are stored in the same )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.23 Tm (congested medicines cupboard, which makes it difficult to locate medicines and manage )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.64 Tm (stock control.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 341.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.48 Tm (The temperature of the treatment room and medicines fridge are regularly recorded, )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.9 Tm (although during the visit the fridge did not appear to be working properly and the lock )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 297.33 Tm (was broken. Medicines for external use were not always stored separately from medicines )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 282.74 Tm (for internal use and some ointments were stored in a wall cupboard which had a broken )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 268.17 Tm (lock. All medicines must be stored securely and at the temperature recommended by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 253.59 Tm (manufacturer so that staff know that they remain safe to use when needed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.01 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 224.43 Tm (Prescriptions are sent to the home first for checking before being dispensed, and copies )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 209.85 Tm (of the prescriptions are retained in the home. This is good practice and helps identify any )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 195.26 Tm (omissions or discrepancies promptly so that all the medication a person needs is ordered )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 180.68 Tm (and received in time.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 166.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 151.52 Tm (The current MARs were looked at and a sample of medication was counted and checked )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 136.95 Tm (against the medication administration records. We noted a small number of discrepancies )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 122.36 Tm (between the quantity of medication received, the number of doses recorded and the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 107.79 Tm (quantity of medication remaining. In addition, we observed a few gaps on the MARs )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 93.21 Tm (where administration of medication had not been recorded, or a non-administration code )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 78.63 Tm (added. For example, a once weekly dose of Alendronic Acid had not been recorded on one )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 64.04 Tm (person's MAR, but the medication count indicated that the dose had been given but not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 49.47 Tm (recorded. These observations indicate that people living in the home may not be getting )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 673.68 w 31.2 448.39 m 580.26 448.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 110.42 m 582.46 110.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 109.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 109.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (all their medication correctly as prescribed and accurate records of administration are not )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (always being maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (All handwritten entries on MARs were signed by a second person to confirm accuracy, but )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (we found that some entries, indicating treatment had been stopped or changed, were not )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (always signed by the person making the entry and dated.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (One person was prescribed Lorazepam to be taken when required for the treatment of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (agitation. The care plan contained comprehensive guidance for staff on how to manage )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (agitation in this person and when it was appropriate to offer the medication. Details about )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (the person's personal preferences for receiving and taking medication were also recorded )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (and this helps reduce the possibility of people refusing to take their prescribed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (medication.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (The controlled drug cupboard appears to meet the safe custody regulations and there )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (were no discrepancies between controlled drugs stock, entries in the controlled drug )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (register and entries on the MARs. All entries in the register were fully signed and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (witnessed, and regular stock checks on controlled drugs are undertaken and recorded.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (A basket of medication in one medicines trolley was labelled for use as homely remedies. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Some of this medication appeared to have been previously prescribed and supplied to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (people living in the home. Only medication that has been purchased by the home should )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (be used for homely remedies. In addition, there was no written guidance with the MARs )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (to guide staff on when and how to use this medication, and no written protocol, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (authorised by the GP, for each person given homely medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We noticed a large open clinical waste bin in the treatment room which contained a small )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (quantity of medication no longer required, but we could find no record of this medication )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (in the 'medicines for disposal' record books. This means that the home does not maintain )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (a full audit trail of medication.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Audit of the medication system is undertaken and we looked at recent audits carried out )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (throughout the home. These audits had identified the majority of medication issues found )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (during this inspection and action plans had been developed to address these. A new )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (procedure requiring staff to count and record all medication not packaged in monitored )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (dose packs after each dose is administered has been introduced, and this will help )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (improve medication recording and stock control.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (Staff in the home have appropriate medication training and we were informed that )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (additional steps are being taken to re assess the competency of all staff handling )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (medication.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (A copy of the homes comprehensive medicines policy is readily accessible in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (treatment room, although some staff were not yet fully informed regarding the new )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (system for regular medication counts after each administration.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 92.35 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 92.35 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 38.61 w 31.2 62.98 m 580.26 62.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 83.41 m 582.46 83.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 84.49 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 84.49 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 67.22 Tm (The introduction of medication counts after each administration is useful in managing the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 52.65 Tm (stock control of medication supplied in boxes and bottles, rather than in monitored dose )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 31.2 776.43 m 580.26 776.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 766.52 m 582.46 766.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 765.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 765.44 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (packs. It also helps to maintain accurate administration records.)Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 748.45 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 108.06 w 31.2 683.23 m 580.26 683.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 738.39 m 582.46 738.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.08 m 582.46 628.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 739.46 m 30.07 627 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 739.46 m 581.38 627 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 722.2 Tm (Medication security within the treatment room must be improved.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 707.62 Tm (A new medicines fridge should be obtained and locked when not in use.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 693.04 Tm (Written guidance, authorised by the prescriber, is required to support the use of homely )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 678.46 Tm (remedies.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 663.88 Tm (Medication records are not always accurately maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 649.3 Tm (It is not always possible to balance administration records with the quantities of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 634.72 Tm (medication received and administered.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 609.77 Tm (If you want to know what action the person responsible for this care home)Tj ET /F2 12 Tf BT 1 0 0 1 483.55 609.77 Tm (is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 593.77 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F3 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F3 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 256.86 w 31.2 447.79 m 91.05 447.79 l S 0.001 w 256.86 w 93.3 447.79 m 197.4 447.79 l S 0.001 w 256.86 w 199.65 447.79 m 289.45 447.79 l S 0.001 w 256.86 w 291.7 447.79 m 473.8 447.79 l S 0.001 w 256.86 w 476.05 447.79 m 566.1 447.79 l S 0.001 w 183.96 w 31.2 225.13 m 91.05 225.13 l S 0.001 w 183.96 w 93.3 225.13 m 197.4 225.13 l S 0.001 w 183.96 w 199.65 225.13 m 289.45 225.13 l S 0.001 w 183.96 w 291.7 225.13 m 473.8 225.13 l S 0.001 w 183.96 w 476.05 225.13 m 566.1 225.13 l S 0.001 w 88.35 w 31.2 86.72 m 91.05 86.72 l S 0.001 w 88.35 w 93.3 86.72 m 197.4 86.72 l S 0.001 w 88.35 w 199.65 86.72 m 289.45 86.72 l S 0.001 w 88.35 w 291.7 86.72 m 473.8 86.72 l S 0.001 w 88.35 w 476.05 86.72 m 566.1 86.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 318.23 m 568.3 318.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 132.02 m 568.3 132.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 578.42 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 578.42 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.3 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 578.42 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 578.42 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 578.42 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 578.42 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.23 m 568.3 318.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 132.02 m 568.3 132.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l 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National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 561.16 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 561.16 Tm (The assessment of need and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 546.58 Tm (care plans must contain )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 532 Tm (more specific information )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 517.42 Tm (about the individual and their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 502.84 Tm (needs. 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)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.55 Tm (ensure that they fully )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.98 Tm (understand their roles and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.39 Tm (responsibilities in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.82 Tm (these. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 436.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 421.65 Tm (This will ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 407.08 Tm (protection, welfare and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 392.49 Tm (wellbeing of people living at )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 377.92 Tm (Victoria House.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 555.88 Tm (14/06/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.08 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 355.08 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 355.08 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 355.08 Tm (Proper provision to promote )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 340.51 Tm (health and welfare for people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 325.92 Tm (living at Victoria House must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 311.35 Tm (be promoted. Appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 296.77 Tm (policies and procedure must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 282.18 Tm (be in place, staff must have )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 267.61 Tm (access to these and fully )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 253.02 Tm (understand them. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 235.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 220.87 Tm (This will ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 206.29 Tm (protection, welfare and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 191.71 Tm (wellbeing of people living at )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 177.13 Tm (Victoria House.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 355.08 Tm (05/05/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 154.29 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 154.29 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 154.29 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 154.29 Tm (Adequate specialist )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 139.71 Tm (equipment must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 125.14 Tm (available.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 107.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 92.97 Tm (This will ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 78.39 Tm (who need this equipment )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 63.81 Tm (have it readily available and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 49.24 Tm (that their needs can be met )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 154.29 Tm (29/04/2010)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 24 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 732.93 w 32.32 417.64 m 564.97 417.64 l S 0.001 w 1 1 1 RG 17.58 w 31.2 672.46 m 91.05 672.46 l S 0.001 w 17.58 w 93.3 672.46 m 197.4 672.46 l S 0.001 w 17.58 w 199.65 672.46 m 289.45 672.46 l S 0.001 w 17.58 w 291.7 672.46 m 473.8 672.46 l S 0.001 w 17.58 w 476.05 672.46 m 566.1 672.46 l S 0.001 w 169.38 w 31.2 576.72 m 91.05 576.72 l S 0.001 w 169.38 w 93.3 576.72 m 197.4 576.72 l S 0.001 w 169.38 w 199.65 576.72 m 289.45 576.72 l S 0.001 w 169.38 w 291.7 576.72 m 473.8 576.72 l S 0.001 w 169.38 w 476.05 576.72 m 566.1 576.72 l S 0.001 w 125.64 w 31.2 426.96 m 91.05 426.96 l S 0.001 w 125.64 w 93.3 426.96 m 197.4 426.96 l S 0.001 w 125.64 w 199.65 426.96 m 289.45 426.96 l S 0.001 w 125.64 w 291.7 426.96 m 473.8 426.96 l S 0.001 w 125.64 w 476.05 426.96 m 566.1 426.96 l S 0.001 w 125.64 w 31.2 299.08 m 91.05 299.08 l S 0.001 w 125.64 w 93.3 299.08 m 197.4 299.08 l S 0.001 w 125.64 w 199.65 299.08 m 289.45 299.08 l S 0.001 w 125.64 w 291.7 299.08 m 473.8 299.08 l S 0.001 w 125.64 w 476.05 299.08 m 566.1 299.08 l S 0.001 w 183.96 w 31.2 142.02 m 91.05 142.02 l S 0.001 w 183.96 w 93.3 142.02 m 197.4 142.02 l S 0.001 w 183.96 w 199.65 142.02 m 289.45 142.02 l S 0.001 w 183.96 w 291.7 142.02 m 473.8 142.02 l S 0.001 w 183.96 w 476.05 142.02 m 566.1 142.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.91 m 568.3 490.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 363.02 m 568.3 363.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.13 m 568.3 235.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 47.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.54 m 568.3 662.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.91 m 568.3 490.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 363.02 m 568.3 363.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 235.13 m 568.3 235.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 48.92 m 568.3 48.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 671.43 Tm (in a timely way. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 646.35 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 646.35 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 646.35 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 646.35 Tm (All staff must be provided )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 631.78 Tm (with the training that is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 617.2 Tm (appropriate to the work they )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 602.61 Tm (are to perform and that will )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 588.03 Tm (equip them to meet service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 573.46 Tm (users assessed needs. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.29 Tm (To ensure people living at )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.72 Tm (the home are cared for by )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.14 Tm (suitably skilled and trained )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.55 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 646.35 Tm (14/06/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 474.73 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 474.73 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 474.73 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 474.73 Tm (A review of the quality )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 460.14 Tm (assurance system must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 445.57 Tm (made to make sure that it is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 430.98 Tm (effective.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 413.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 398.83 Tm (To demonstrate that the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 384.24 Tm (home is being run in people's )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 369.67 Tm (best interests.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 474.73 Tm (07/05/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 346.83 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 346.83 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 346.83 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 346.83 Tm (All care staff must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 332.26 Tm (provided with formal )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 317.67 Tm (supervision at least six times )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 303.1 Tm (a year. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 285.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 270.93 Tm (To ensure that staff are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 256.36 Tm (appropriately assessed and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 241.77 Tm (supported.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 346.83 Tm (07/05/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 218.95 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 218.95 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 218.95 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 218.95 Tm (All staff must receive training )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 204.37 Tm (that is appropriate to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 189.79 Tm (work they are to perform. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 175.21 Tm (There must be sufficient staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 160.63 Tm (employed at the home that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 146.04 Tm (are trained in first aid. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 128.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 113.89 Tm (This will ensure that peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 99.31 Tm (needs are being met by staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 84.72 Tm (who have the appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 70.14 Tm (knowledge, skill and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 55.56 Tm (experience. )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 218.95 Tm (14/06/2010)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 26 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 662.32 m 30.07 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 637.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.41 m 568.3 638.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 556.24 w 32.32 321.8 m 564.97 321.8 l S 0.001 w 1 1 1 RG 183.96 w 31.2 407.52 m 91.05 407.52 l S 0.001 w 183.96 w 93.3 407.52 m 197.4 407.52 l S 0.001 w 183.96 w 199.65 407.52 m 289.45 407.52 l S 0.001 w 183.96 w 291.7 407.52 m 473.8 407.52 l S 0.001 w 183.96 w 476.05 407.52 m 566.1 407.52 l S 0.001 w 270.74 w 31.2 177.92 m 91.05 177.92 l S 0.001 w 270.74 w 93.3 177.92 m 197.4 177.92 l S 0.001 w 270.74 w 199.65 177.92 m 289.45 177.92 l S 0.001 w 270.74 w 291.7 177.92 m 473.8 177.92 l S 0.001 w 270.74 w 476.05 177.92 m 566.1 177.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 314.42 m 568.3 314.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 501.7 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 501.7 m 567.22 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.3 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 501.7 m 92.17 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 501.7 m 198.52 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 501.7 m 290.57 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 501.7 m 474.92 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 602.16 m 568.4 602.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.17 m 568.4 533.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.63 m 568.4 500.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 314.42 m 568.3 314.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 539.82 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 522 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 519 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 519 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 519 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 519 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 506.85 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 484.44 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 484.44 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 484.44 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 484.44 Tm (All medication must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 469.86 Tm (stored securely and at the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 455.28 Tm (correct temperature )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 440.7 Tm (recommended by the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 426.12 Tm (manufacturer and the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 411.54 Tm (medicines fridge should be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 396.96 Tm (replaced.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 379.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 364.8 Tm (This will protect medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 350.22 Tm (from tampering and staff will )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 335.64 Tm (know that medicines are safe )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 321.06 Tm (to use when needed. )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 484.44 Tm (01/05/2010)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 298.23 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 298.23 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 298.23 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 298.23 Tm (Medication records must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.65 Tm (accurately maintained; the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 269.07 Tm (reasons for )Tj ET /F2 12 Tf BT 1 0 0 1 366.5 269.07 Tm (non-)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.49 Tm (administration)Tj ET /F2 12 Tf BT 1 0 0 1 381.29 254.49 Tm ( of medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 239.91 Tm (must be recorded by the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 225.33 Tm (timely entry of an )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 210.75 Tm (appropriate code or entry on )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 196.17 Tm (the medication record; the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 181.59 Tm (meaning of any such codes )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 167.01 Tm (must be clearly explained on )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 152.43 Tm (each record; and the person )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 137.85 Tm (administering the medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 123.27 Tm (must complete the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 108.69 Tm (Medication Administration )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 94.11 Tm (Record at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 79.53 Tm (administration)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 61.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 47.37 Tm (This will ensure that an )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 298.23 Tm (01/05/2010)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 416.39 w 32.32 575.91 m 564.97 575.91 l S 0.001 w 1 1 1 RG 46.74 w 31.2 660.32 m 91.05 660.32 l S 0.001 w 46.74 w 93.3 660.32 m 197.4 660.32 l S 0.001 w 46.74 w 199.65 660.32 m 289.45 660.32 l S 0.001 w 46.74 w 291.7 660.32 m 473.8 660.32 l S 0.001 w 46.74 w 476.05 660.32 m 566.1 660.32 l S 0.001 w 125.64 w 31.2 571.88 m 91.05 571.88 l S 0.001 w 125.64 w 93.3 571.88 m 197.4 571.88 l S 0.001 w 125.64 w 199.65 571.88 m 289.45 571.88 l S 0.001 w 125.64 w 291.7 571.88 m 473.8 571.88 l S 0.001 w 125.64 w 476.05 571.88 m 566.1 571.88 l S 0.001 w 140.22 w 31.2 436.7 m 91.05 436.7 l S 0.001 w 140.22 w 93.3 436.7 m 197.4 436.7 l S 0.001 w 140.22 w 199.65 436.7 m 289.45 436.7 l S 0.001 w 140.22 w 291.7 436.7 m 473.8 436.7 l S 0.001 w 140.22 w 476.05 436.7 m 566.1 436.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 635.82 m 568.3 635.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.93 m 568.3 507.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 635.82 m 568.3 635.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.93 m 568.3 507.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 365.46 m 568.3 365.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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294.55 386.68 Tm (and welfare of people living )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 372.11 Tm (in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 491.74 Tm (01/05/2010)Tj ET 0.95294 0.95294 0.95294 RG 285.18 w 32.32 203.62 m 564.97 203.62 l S 0.001 w 1 1 1 RG 64.32 w 31.2 225.21 m 91.05 225.21 l S 0.001 w 64.32 w 93.3 225.21 m 197.4 225.21 l S 0.001 w 64.32 w 199.65 225.21 m 566.1 225.21 l S 0.001 w 78.9 w 31.2 151.35 m 91.05 151.35 l S 0.001 w 78.9 w 93.3 151.35 m 197.4 151.35 l S 0.001 w 78.9 w 199.65 151.35 m 566.1 151.35 l S 0.001 w 49.74 w 31.2 84.78 m 91.05 84.78 l S 0.001 w 49.74 w 93.3 84.78 m 197.4 84.78 l S 0.001 w 49.74 w 199.65 84.78 m 566.1 84.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 191.92 m 568.3 191.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 110.77 m 568.3 110.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 259.57 m 30.07 57.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 259.57 m 567.22 57.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.89 m 568.4 278.89 l S 0.001 w [] 0 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practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.11 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.54 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 264.71 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 264.71 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 264.71 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 242.3 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 242.3 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 242.3 Tm (Separate medicine cupboards should be available for the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 227.73 Tm (Victoria and Albert wings rather than sharing the existing )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 213.15 Tm (cupboard, and a new cupboard should be obtained for the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 198.57 Tm (storage of medication for external use.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 175.74 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 175.74 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 175.74 Tm (Written guidance on the use of homely remedies, based )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 161.15 Tm (upon the provider's medicines policy, should be kept with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 146.57 Tm (the MAR of each person offered a homely remedy. The )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 131.99 Tm (guidance should specify how medication is to be given and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 117.42 Tm (when it is appropriate to discuss continued use with the GP. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 94.58 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 94.58 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 94.58 Tm (The new medication counting sheet should accurately )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 80 Tm (reflect all medication supplied for the cycle together with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 65.43 Tm (any medication carried forward from the previous month.)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 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of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 723.42 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 702.6 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 702.6 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 702.6 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 680.2 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 680.2 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 680.2 Tm (All handwritten entries on MARs should be signed and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 665.61 Tm (dated by the person making the entry and checked by a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 651.03 Tm (second person ,where possible, to confirm accuracy.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 628.21 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 628.21 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 628.21 Tm (The signature lists for staff currently authorised to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 613.63 Tm (administer medicines should be updated.)Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC 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Online ordering from )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F2 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 38 0 obj<> endobj 39 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 40 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 17 0 obj<> endobj 41 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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