Newhouse

1. To ensure people’s health and wellbeing benefits from their care and support, the provider should improve the accuracy and consistency of health-related documentation, including care plans and wound management records. This should include ensuring that: a) Care plans for individuals with specific health conditions contain comprehensive information about how the condition presents and how staff should respond. b) Wound management is clearly documented, including treatment plans, actions taken, and progress notes. c) Fluid balance charts are only assigned to individuals who require them, and are completed consistently to reflect accurate hydration monitoring. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My care and support meets my needs and is right for me' (HSCS 1.19);