Ludgate House Resource Centre

1. To help to give purpose to individuals' day, and support their wellbeing, people should have opportunities to take part in meaningful engagement to help them live a fulfilling life. In doing so, there should be increased emphasis placed on: a) exploring peoples preferences, wishes and aspirations b) engagement with people who choose (or are required) to remain in their own rooms c) ensuring good communication about planned events with people, in a way that is meaningful to them d) Undertake a review of the environment to ensure all areas are functional, accessible and provide a nice place for people to socialise. 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 organisati1. So that people can have confidence in the organisation providing their care and support the service should ensure that robust and effective quality assurance processes are in place. This should include, but is not limited to: (a) Outputs from audits are clearly identified and actioned in a timely manner that supports peoples outcomes. (b) Robust and regular oversight of the service by the organisation to monitor the quality assurance system and its effectiveness. (c) Staff receive regular and effective supervision and monitoring of practice. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I use a service and organisation that are well led and managed". (HSCS 4.23)

1. In order that people are able to move around and feel safe and secure in their surroundings, the service should undertake a review of the environment using good practice guidance. This should include but is not limited to: a) easing decision-making and orientation b) encouraging independence and social interaction c) promoting good infection prevention and control through maintenance and necessary repairs d) ensuring safe storage of chemicals. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment.' (HSCS 5.22).

1. To reflect people’s individual needs, rights, choices and wishes, the provider should ensure that personal plans are fully completed and regularly reviewed to direct care based on people’s current situations. This should include, but is not limited to ensuring that: a) support plans include people’s individual aspirations and outline the support that will be provided to help them to achieve this. b) support plans and daily recordings are outcome focused, and written in a person-centred manner, taking account of all the needs of people including social and psychological support. 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 3.07); and 'I am supported and cared for sensitively by people who anticipate issues and are aware of and pl2. To ensure that people continue to receive good outcomes, the use of equipment that may restrain should be fully assessed and clearly documented in line with current best practice guidance. To do this, the service should ensure: a) They undertake a review of the use of all equipment that may restrain currently in use in the service. b) Personal plans include, clear information detailing the consultation about the use of this equipment. c) There are fully completed assessments to determine if the use of the equipment is safe for the individual. d) Informed consent is in place for the use of this equipment signed by the individual or their representative. e) Regular reviews of the continued use of the equipment are carried out. f) Staff receive training regarding restraint and have an understanding of The Mental Welfare Commissions best practice guidance: Right, risks and limits to freedom - March 2021. This is to ensure that care and support is consistent wit