Ballifeary House

1. To support people’s health and wellbeing, the service should: a) ensure individuals are provided with the opportunity to be active both indoors and outdoors, participate in activities and trips out, as per people’s choice and interests; b) ensure there is a contingency plan to meet people’s social and mobility needs when the activities lead is absent, or the post is vacant; c) develop personal activity plans for people; and d) ensure activity is discussed, and that related outcomes are being met and evaluated. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I can choose to have an active life and participate in a range of recreational, social creative, physical and learning activities every day, both indoors and outdoors.' (HSCS 1.25); and; 'I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my poten2. To ensure people’s health and wellbeing benefits from the best diet for them, the service should: a) ensure people always receive the right support to eat and drink; b) ensure people are offered choice, and alternative options, by making use of different approaches to help people choose; c) ensure where people are at risk of dehydration, fluid balance charts are accurately maintained. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If I need help with eating and drinking, this is carried out in a dignified way and my personal preferences are respected.' (HSCS 1.34); and 'My views will always be sought and my choices respected, including when I have reduced capacity to fully make my own decisions.' (HSCS 2.11).

1. To achieve the best outcomes for people and to meet service users' health, safety and wellbeing needs comply with legal responsibilities, the service should: a) ensure the timely and correct submission of notifications to the Care Inspectorate are made in accordance with the Care Inspectorate’s notification guidance for adult care services, March 2025. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I use a service and organisation that are well led and managed.' (HSCS 4.23); and ‘If I might harm myself or others, I know that people have a duty to protect me and others, which may involve contacting relevant agencies.’ (HSCS 3.24).

1. To ensure people’s care plans reflect people’s choices and preferences, the service should: a) ensure people are supported to make informed choices about (but not limited to) arrangements for intimate personal care and are included in decisions about their care and support; b) ensure, where people are unable to make their own decisions, their relatives/representative/s are fully involved before any decisions are made; and c) ensure all staff can demonstrate a clear understanding of their responsibilities to ensure people are provided with the right care and support which meets their wishes and outcomes and upholds their rights. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices.' (HSCS 1.15); and ‘I am rec