Meadowbrook Care Home

1. In order to ensure people's health and wellbeing benefit from safe infection prevention and control, the service should further embed consistent staff practice across all areas. This includes maintaining high standards of environmental cleanliness, safe handling of equipment, effective laundry processes, and the appropriate and consistent use of personal protective equipment (PPE). 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).

1. In order to improve consistency of care and assurance, the service should ensure audits effectively identify practice and recording issues and lead to sustained improvement. 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. To further enhance people's comfort and quality of life, the service should continue to strengthen arrangements for cleanliness and ensure that furnishings and environmental features are maintained in a condition that supports effective cleaning and ongoing use. 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 ensure people receive care that consistently reflects their individual needs, wishes, and outcomes, the service should improve the quality and consistency of personal plans and daily records. Care plans should be accurate, up to date, and focused on outcomes, with clear links between assessments, observations, and daily notes. Recording should reliably evidence when care has been provided, particularly in key areas such as nutrition, repositioning, and personal care. 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).