Thorntoun Estate Nursing Home

1. Covert and 'as required' medication records should be reviewed responsively to ensure they align with the current health and wellbeing needs of people experiencing care with 'as required' protocols detailing the non-pharmacological interventions undertaken by staff to alleviate stress and distress. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).

2. To meet the needs of people with enhanced nutritional needs, supplementary records should record food and fluid intake in sufficient detail, including fortification. Staff accountability for supporting individual residents should also be implemented to prompt more regular opportunities to maximise fluid intake. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).

1. To promote a safe environment, the provider should restrict access to stairways that could pose a risk for some residents. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My environment is secure and safe' (HSCS 5.17).