Bandrum Nursing Home

1. To promote health of people using the service staff should be able to demonstrate a clear understanding of their role and remit and the role and remit of allied health professionals. Referrals should be made in a timely manner and necessary pre assessment should be undertaken by staff where appropriate. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'My care and support is consistent and stable because people work together well' (HSCS 3.19) and 'I benefit from different organisations working together and sharing information about me promptly where appropriate, and I understand how my privacy and confidentiality are respected' (HSCS 4.18).

2. To promote the welfare and safety of people using the service staff should demonstrate consistent practice whilst supporting people experiencing stress and distress, in line with their assessed needs and wishes. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am supported and cared for sensitively by people who anticipate issues and are aware of and plan for any known vulnerability or frailty' (HSCS 3.18).

1. In order to support a culture of continuous improvement the provider should ensure observations of staff practice are undertaken regularly and are effective in identifying and supporting staff development. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes (HSCS 3.14).

2. In order to support a culture of continuous improvement the provider should ensure there are processes in place which support robust oversight of the service as a whole. The manager should be able to demonstrate how systems support information sharing across the leadership team. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).

1. In order to promote emotional wellbeing the provider should ensure the physical environment is developed across the service, with specific consideration to Orchard Park. Environmental improvements should be driven by feedback from people who use the service. Where staff use spaces to work these should remain in keeping with a homely environment. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: If I experience care and support in a group, I experience a homely environment and can use a comfortable area with soft furnishings to relax (HSCS 5.6) and 'If I live in a care home and there are separate facilities for people who support and care for me, these are in keeping with the homely environment (HSCS 5.14).

1. To ensure the health, welfare, and safety of those who use the service, the provider should maintain accurate recordings of key aspects of care delivery. This should include but not be limited to, recording of bowel care, repositioning and bathing/personal care. In addition, the provider should be able to demonstrate oversight of care delivery is monitored to allow for any issue to be identified and addressed promptly. This is to ensure 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).