Clinton House Nursing Home

1. The provider should explore transport options, to support people to access the community. This will contribute to improving people’s social and mental wellbeing. This is to ensure care and support is consistent with Health and Social Care Standard (HSCS) which state that: ‘I am supported to participate fully as a citizen in my local community in the way that I want’ (HSCS 1.10), and ‘I experience care and support free from isolation, because the location and type of premises enable me to be an active member of the local community if this is appropriate’ (HSCS 5.9).

2. The service should improve the consistency and accuracy of body map documentation. This ensures effective monitoring of people’s skin integrity and will improve outcomes for people. This is to ensure care and support is consistent with Health and Social Care Standard (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).

1. The provider should ensure actions are identified within the service improvement plan, which should be specific, measurable, achievable, realistic, and time-bound (SMART). These should be shared with people to provide reassurance and commitment to positive outcomes. This is to ensure care and support is consistent with the Health and Social Care Standards which states that:

‘I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes’ (HSCS 4.19).

2. The provider should implement effective management oversight and quality assurance systems, to ensure that care and support are safe, consistent, and aligned with best practice. This will improve outcomes for people and reduce risks. This should include but is not limited to: - Ensuring that audit findings are recorded, analysed, and used to identify risks and drive measurable improvements. - Putting in place clear systems for monitoring staff competency, including formal observations. This is to ensure care and support are consistent with the Health and Social Care Standards (HSCS), which state: “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes” (HSCS 4.19) “I use a service and organisation that are well led and managed” (HSCS 4.23).

1. The provider should ensure that the staffing arrangements across all departments meet the safety, wellbeing and social needs of people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘I am confident that people respond promptly, including when I ask for help’ (HSCS 3.17).

2. The provider should ensure training is up to date with all staff in order to carry out their role. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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).

1. The provider should ensure people experience care in an environment that is well maintained and have choice to sufficient bathing and showering facilities. T his will enhance the living conditions and improve outcomes for people. This should include, but not limited to: a) Review showering and bathing facilities to promote choice, privacy and dignity, and include choices in personal plans. b) Address environmental needs identified in the action plans. This is to ensure that care and support is consistent with the Health and Social Care Standards which state, "I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment" (HSCS 5.22) and "The premises have been adapted, equipped and furnished to meet my needs and wishes" (HSCS 5.16).

1. To ensure people’s care and support that is right for them, personal plans should remain accurate and up to date. This should include but is not limited to: - People’s life stories and interests to be updated ensuring these are person-centred. - People’s care plans to be updated to reflect current health needs. - All areas of risk to be updated to show levels of risk and how to mitigate them. This is to ensure care and support is consistent with the Health and Social Care Standards which state: '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).

2. The service should implement a robust system, to ensure six-monthly reviews are scheduled, completed, and documented for all residents. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I am fully involved in developing and reviewing my personal plan, which is always available to me’ (HSCS 2.17).