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Tr 1 0 0 1 28.35 768.28 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 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 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 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Shirebrook Place)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (Eaton Avenue )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Newark)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Nottinghamshire)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (NG24 4JD)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01636646565)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01636646564)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 597.97 Tm (shirebrookplace@shirebrookcaregroup.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 496.88 m 353.25 496.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 496.88 m 565.9 496.88 l S 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0 0 1 34.05 469.27 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 469.27 Tm (10)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 450.33 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 406.89 m 564.47 406.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.26 m 567.8 442.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 419.42 m 567.8 419.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 443.33 m 30.07 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 420.5 m 298.32 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 397.67 m 432.52 372.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 443.33 m 566.72 372.69 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 426.07 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 403.24 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 403.24 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 380.41 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 380.41 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 358.98 m 297.25 358.98 l S 0.001 w 20.58 w 299.5 358.98 m 429.25 358.98 l S 0.001 w 20.58 w 431.5 358.98 m 565.9 358.98 l S 0.001 w 20.58 w 31.2 336.14 m 297.25 336.14 l S 0.001 w 20.58 w 299.5 336.14 m 429.25 336.14 l S 0.001 w 20.58 w 431.5 336.14 m 565.9 336.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.39 m 568.1 370.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 347.56 m 568.1 347.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 371.47 m 30.07 323.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 371.47 m 298.37 323.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 371.47 m 430.37 323.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 371.47 m 567.02 323.65 l S 0.001 w [] 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1 34.05 265.34 Tm (The maximum number of service users who can be accommodated is 10)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.51 Tm (The registered person may provide the following categories of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.93 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.35 Tm (needs on admission to the home are within the following categories: Physical Disability )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.77 Tm (- Code PD Learning Disability - Code LD)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 177.34 m 315.25 177.34 l S 0.001 w 1 1 1 RG 20.58 w 317.5 177.34 m 346.55 177.34 l S 0.001 w 20.58 w 348.8 177.34 m 377.9 177.34 l S 0.001 w 20.58 w 380.15 177.34 m 409.2 177.34 l S 0.001 w 20.58 w 411.45 177.34 m 440.55 177.34 l S 0.001 w 20.58 w 442.8 177.34 m 471.9 177.34 l S 0.001 w 20.58 w 474.15 177.34 m 503.2 177.34 l S 0.001 w 20.58 w 505.45 177.34 m 534.55 177.34 l S 0.001 w 20.58 w 536.8 177.34 m 565.9 177.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 188.75 m 568.1 188.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 165.92 m 568.1 165.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 189.83 m 30.07 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 189.83 m 316.37 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 189.83 m 347.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 189.83 m 379.02 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 189.83 m 410.32 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 189.83 m 441.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 189.83 m 473.02 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 189.83 m 504.32 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 189.83 m 535.67 164.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 189.83 m 567.02 164.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 172.57 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 172.57 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 172.57 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 172.57 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 172.57 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 172.57 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 172.57 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 172.57 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 172.57 Tm (8)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 154.04 m 565.9 154.04 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 144.42 m 568.1 144.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 145.5 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 145.5 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 163.67 m 568.1 163.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 144.42 m 568.1 144.42 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 30.07 164.75 m 30.07 143.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 164.75 m 567.02 143.34 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 150.49 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 150.49 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 131.24 Tm (Shirebrook Place as a residential care home for people with a learning disability and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 114.24 Tm (who may also have a physical disability.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 97.24 Tm (The main funding for this service will be through health and social care funding and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 80.24 Tm (where feasible through persons who may wish to fund their own care privately.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 63.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 46.24 Tm (The maximum number of service users who can be accommodated is ten. The rooms )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)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 /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (are all single and en-suite.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (There is a small garden are to the rear and side of the house.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (The home is two-storey house located in a quite part of Newark in an established )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (community. The home is local to shops, and health services.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm (There is good road and rail network.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We looked at the home's medicine management practices which involved case tracking )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 705.57 Tm (people living in the service by examination of records, sample checking of their )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 690.98 Tm (medicines, including medicines in monitored dosage systems \(blister packs\), Medicine )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 676.41 Tm (charts, and storage facilities for medicines. We also observed part of the tea-time )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 661.83 Tm (medicine round in the home. The medicine drug trolley was found locked and securely )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 647.24 Tm (linked to the wall. The remaining stocks of medicines were securely kept in suitable )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 632.66 Tm (storage cupboards in a small room leading from the main corridor . Medicines delivered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.09 Tm (or to be returned to the pharmacy after use were kept under the work top. We were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.51 Tm (informed by the Manager that they were having more storage cuboards soon.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 588.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.34 Tm (A suitable controlled drugs cabinet and a bound, numbered controlled drug register was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.77 Tm (available. The administration,recording and running balance of controlled drugs were in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.18 Tm (place. However we found occasional alterations and crossing out in the register rather )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.6 Tm (than a dated marginal note or footnote of the error made.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.03 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.45 Tm (The sample audits undertaken indicated that the medicines are administered and staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 486.86 Tm (followed instructions as the doctor prescribed. Medicines received and administered were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 472.29 Tm (signed and double signed by a second member of staff. Medicines were returned at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 457.7 Tm (end of the month and a new supply was received although some items did not need )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 443.13 Tm (returning and the home was to order what is required.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 428.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 413.96 Tm (However although the care plans and medicine charts clearly highlighted that two people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 399.39 Tm (living in the service were allergic to penicillin the medicine charts did not indicate for one )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 384.8 Tm (person that they were allergic to E numbers and another was also allergic to nuts which )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 370.23 Tm (was relevant to any medicines supplied by the pharmacy and administered by staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 355.64 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 341.07 Tm (A medicine chart had two types of inhalers but staff were unaware that these both )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.48 Tm (contained the same medicine although one was 'automatic' i.e. no need to push down to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 311.9 Tm (inhale the contents. However the prescribing GP and the pharmacy also did not highlight )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 297.33 Tm (this and dispensed both inhalers to the home although we informed the responsibility is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 282.74 Tm (with the home. In view of staff being unaware of the types of inhalers and both contained )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.17 Tm (the same medicine we asked staff how to use another type of medication. Staff were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 253.59 Tm (unaware how to properly administer an angina spray under the tongue which we consider )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 239.01 Tm (may compromise the health and safety of the people living in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 209.85 Tm (The medicine procedure was correctly followed. Medicines were popped out of blister or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 195.26 Tm (loose pack hygienically straight into the medicines pot. However after administering )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.68 Tm (medicine to the second person, staff had forgotten to sign the medicine chart and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 166.1 Tm (realized this after administering medicines to the third person. The support worker did )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.52 Tm (not bring this to the attention of the senior staff. Staff asked appropriate questions to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.95 Tm (identify if a person living in the service was in pain however this was done across from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.36 Tm (the drug trolley rather than in a more dignified way.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 107.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 93.21 Tm (Disposal of medicines were recorded and any discarded such as refused medicines were )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 78.63 Tm (placed in individual labelled clear plastic bags, with details of the actual date, name of the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 64.04 Tm (person and the medicine to be returned to the pharmacy.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 49.47 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 396.66 w 31.2 586.9 m 580.26 586.9 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 28.99 387.44 m 582.46 387.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 386.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 386.36 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (The carer's and registered manager handling medicines have undergone previous training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (and a recent medication systems training on 28/8/09. However this was a short training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (on the monitored dosage systems supplied by the pharmacy ie training on handling )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (blister packs. This was not on the basic knowledge of medicines kept in the home and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (training to administer medicines to a person with specific needs.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (We were informed that three staff which includes the Reg manager now only administer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (medication.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We were informed that medicines such as inhalers were kept in a persons room, however )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (the home did not follow their own policy to fully assess and ensure the person can do this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (safely. No lockable unit was provided to ensure that the medicines were safely stored. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (found no documented risk assessment for self medication, however there was a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (documented risk assessment regarding asthma to ensure inhalers were in date,not empty )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (and a spare one was always kept on the premises. We were informed that they were an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (able person and they would let you know when another inhaler was needed. No records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (were found to show medication was monitored to ensure they are taking their medication )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (regularly.The medicine chart indicates when medicines were received and signed in by )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (staff, however no record of when medication was handed over to them.The disposal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (records indicated a inhaler was returned recently and a new supply requested and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (obtained.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (We were informed by staff that the Registered Manager had gone through the drug )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (trolley and medicine charts and had observed staff procedures. However no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (documentation was found. The office was locked by the Manager and she was unavailable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (due to prior appointment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 369.37 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 369.37 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 340.6 m 580.26 340.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.3 m 582.46 359.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 321.89 m 582.46 321.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 360.38 m 30.07 320.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 360.38 m 581.38 320.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 343.12 Tm (Staff have a friendly approach to people living in the service.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 328.54 Tm (Medicines are stored in a clean tidy and organised area. )Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 301.58 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 93.48 w 31.2 243.65 m 580.26 243.65 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 291.51 m 582.46 291.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.78 m 582.46 195.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 292.59 m 30.07 194.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 292.59 m 581.38 194.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 275.33 Tm (This inspection has identified that further improvements could be made to ensure staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.74 Tm (are aware of what these medicines are that are stored in this home and how to properly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 246.16 Tm (adminster them that we consider may compromise the health and safety of the people )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 231.59 Tm (living in the service. Management to document their regular checking system to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.01 Tm (that all the medicines are administered as prescribed at all times to safeguard the health )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 202.43 Tm (and welfare of people living in their home.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 177.47 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 177.47 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 161.47 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 16 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 627.87 w 32.32 364.02 m 564.97 364.02 l S 0.001 w 1 1 1 RG 125.64 w 31.2 512.28 m 91.05 512.28 l S 0.001 w 125.64 w 93.3 512.28 m 197.4 512.28 l S 0.001 w 125.64 w 199.65 512.28 m 289.45 512.28 l S 0.001 w 125.64 w 291.7 512.28 m 473.8 512.28 l S 0.001 w 125.64 w 476.05 512.28 m 566.1 512.28 l S 0.001 w 111.06 w 31.2 391.67 m 91.05 391.67 l S 0.001 w 111.06 w 93.3 391.67 m 197.4 391.67 l S 0.001 w 111.06 w 199.65 391.67 m 289.45 391.67 l S 0.001 w 111.06 w 291.7 391.67 m 473.8 391.67 l S 0.001 w 111.06 w 476.05 391.67 m 566.1 391.67 l S 0.001 w 140.22 w 31.2 263.79 m 91.05 263.79 l S 0.001 w 140.22 w 93.3 263.79 m 197.4 263.79 l S 0.001 w 140.22 w 199.65 263.79 m 289.45 263.79 l S 0.001 w 140.22 w 291.7 263.79 m 473.8 263.79 l S 0.001 w 140.22 w 476.05 263.79 m 566.1 263.79 l S 0.001 w 140.22 w 31.2 121.32 m 91.05 121.32 l S 0.001 w 140.22 w 93.3 121.32 m 197.4 121.32 l S 0.001 w 140.22 w 199.65 121.32 m 289.45 121.32 l S 0.001 w 140.22 w 291.7 121.32 m 473.8 121.32 l S 0.001 w 140.22 w 476.05 121.32 m 566.1 121.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 448.33 m 568.3 448.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 335.02 m 568.3 335.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.55 m 568.3 192.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 577.3 m 30.07 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 577.3 m 567.22 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.3 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 577.3 m 92.17 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 577.3 m 198.52 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 577.3 m 290.57 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 577.3 m 474.92 49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 680.2 m 568.4 680.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.77 m 568.4 608.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 576.22 m 568.4 576.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 448.33 m 568.3 448.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 335.02 m 568.3 335.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 192.55 m 568.3 192.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 50.08 m 568.3 50.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 681.28 m 30.07 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 609.85 m 92.12 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 609.85 m 198.52 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 609.85 m 290.62 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 609.85 m 475.02 575.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 681.28 m 567.32 575.14 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 662.99 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 644.58 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 34.05 629.99 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 629.99 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 629.99 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 34.05 615.41 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 560.03 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 560.03 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 560.03 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.03 Tm (Care plans must be formally )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 545.46 Tm (reviewed at regular intervals )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 530.88 Tm (and be clearly shown as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 516.29 Tm (such.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 498.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 484.14 Tm (This is to ensure people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 469.55 Tm (changing needs are fully )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 454.98 Tm (reflected in the care plan.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 560.03 Tm (31/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 432.14 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 432.14 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 432.14 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 432.14 Tm (There should be accurate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 417.57 Tm (record of all meals taken and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 402.98 Tm (to include any changes made )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 388.4 Tm (to the menu .)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 370.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 356.24 Tm (This is to ensure people have )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 341.67 Tm (a balance diet .)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 432.14 Tm (31/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.83 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 318.83 Tm (32)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 318.83 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 318.83 Tm (The home must have fifty )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.26 Tm (per cent of its care staff )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 289.67 Tm (holding a NVQ level two or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.1 Tm (above. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 257.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 242.93 Tm (This is to ensure staff are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.35 Tm (fully competent to met the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 213.77 Tm (needs of the people they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.2 Tm (care for.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 318.83 Tm (31/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 176.37 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 176.37 Tm (39)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 176.37 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 176.37 Tm (The home must provide the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 161.79 Tm (Commission for Social Care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 147.21 Tm (Inspection copies of any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 132.63 Tm (visits made to the home.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 115.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 100.46 Tm (This is to ensure that regular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 85.89 Tm (visits and reports following )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 71.31 Tm (the visits are made by the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 56.72 Tm (provider )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 176.37 Tm (31/12/2008)Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 18 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 566.1 649.83 l S 0.001 w [] 0 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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 28.99 226.93 m 568.3 226.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 603.24 m 30.07 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 534.25 m 92.12 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 534.25 m 198.52 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 534.25 m 290.62 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 534.25 m 475.02 499.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 603.24 m 567.32 499.55 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 588.98 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 568.98 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 554.4 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 554.4 Tm (Regulations 2001 and the National Minimum Standards. 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'In )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 338.64 Tm (house' training schemes )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.06 Tm (must have a body of up to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 309.48 Tm (date knowledge in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 294.9 Tm (subject of medicines.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 277.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 262.74 Tm (To safeguard the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 248.16 Tm (welfare of people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 233.58 Tm (home)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 484.44 Tm (27/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 210.75 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 210.75 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 210.75 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 210.75 Tm (There must be arrangements )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 196.17 Tm (in place including )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 181.59 Tm (documented risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.01 Tm (assessments and monitoring )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 152.43 Tm (to support people)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 137.85 Tm (living in the service to keep )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.27 Tm (and take their own medicines )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 108.69 Tm (safely and securely stored in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 94.11 Tm (their rooms at all times.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 76.53 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 61.95 Tm (To safeguard the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 47.37 Tm (welfare of people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 210.75 Tm (27/11/2009)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 20 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 332.24 w 32.32 617.98 m 564.97 617.98 l S 0.001 w 1 1 1 RG 17.58 w 31.2 674.9 m 91.05 674.9 l S 0.001 w 17.58 w 93.3 674.9 m 197.4 674.9 l S 0.001 w 17.58 w 199.65 674.9 m 289.45 674.9 l S 0.001 w 17.58 w 291.7 674.9 m 473.8 674.9 l S 0.001 w 17.58 w 476.05 674.9 m 566.1 674.9 l S 0.001 w 213.12 w 31.2 557.29 m 91.05 557.29 l S 0.001 w 213.12 w 93.3 557.29 m 197.4 557.29 l S 0.001 w 213.12 w 199.65 557.29 m 289.45 557.29 l S 0.001 w 213.12 w 291.7 557.29 m 473.8 557.29 l S 0.001 w 213.12 w 476.05 557.29 m 566.1 557.29 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 448.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 448.53 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 92.17 448.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 448.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 448.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 448.53 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 28.99 664.98 m 568.3 664.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.61 m 568.3 449.61 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 /F1 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 /F1 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 /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. 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1 0 0 1 294.55 575.9 Tm (indicates that medicines are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.32 Tm (not administered as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.73 Tm (prescribe and records do not )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.16 Tm (reflect practice and this can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.58 Tm (be demonstrated.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.42 Tm (To safeguard the health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 470.83 Tm (welfare of people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 456.26 Tm (home)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (27/11/2009)Tj ET 0.95294 0.95294 0.95294 RG 206.28 w 32.32 326.1 m 564.97 326.1 l S 0.001 w 1 1 1 RG 78.9 w 31.2 300.94 m 91.05 300.94 l S 0.001 w 78.9 w 93.3 300.94 m 197.4 300.94 l S 0.001 w 78.9 w 199.65 300.94 m 566.1 300.94 l S 0.001 w 35.16 w 31.2 241.66 m 91.05 241.66 l S 0.001 w 35.16 w 93.3 241.66 m 197.4 241.66 l S 0.001 w 35.16 w 199.65 241.66 m 566.1 241.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 260.36 m 568.3 260.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 342.59 m 30.07 221.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 342.59 m 567.22 221.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 361.92 m 568.4 361.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.52 m 568.3 341.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 342.59 m 92.17 221.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 342.59 m 198.52 221.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 431.48 m 568.4 431.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 361.92 m 568.4 361.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.52 m 568.4 341.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 260.36 m 568.3 260.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.96 m 568.3 222.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 432.56 m 30.07 340.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 362.99 m 92.17 340.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 362.99 m 198.47 340.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 432.56 m 567.32 340.44 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 415.3 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 397.72 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 383.14 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.56 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 347.74 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 347.74 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 347.74 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 325.33 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 325.33 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 325.33 Tm (The policies and procedures relating to the handling of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 310.75 Tm (medication should be reviewed and updated in line with the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 296.17 Tm (guidance from the Royal Pharmaceutical Society document )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 281.59 Tm ('The Handling of medicines in Social Care settings' )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 267.01 Tm (published 2007.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.18 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 244.18 Tm (20)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 244.18 Tm (Action to be taken that all known allergies must be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 229.6 Tm (recorded on the Medicine charts.)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 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[] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 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 /F1 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 /F1 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 /F1 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 /F1 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 /F1 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 /F1 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 /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 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 /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 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 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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