Fairknowe

1. To ensure staffing arrangements are consistently appropriate, transparent and sustainable, the provider should implement and embed a formal Staffing Method Framework (SMF) approach for regular, evidence based assessment and review of staffing levels and deployment, including clear recording of professional judgement and the impact of staffing decisions on activity provision and contingency arrangements. This should include, but is not limited to: a) establishing a structured SMF cycle that brings together evidence about people’s needs, workload and risk, alongside qualitative information reflecting professional judgement, and documenting how this evidence informs staffing establishment, daily deployment and any adjustments made b) routinely recording professional judgement decisions about staffing c) systematically capturing and evidencing relevant inputs to staffing assessment and review, including feedback. d) aligning contingency planning to the SMF process, so that when staffi

1. To support people’s wellbeing and improve their quality of life, the provider should ensure that everyone has regular access to meaningful activities and opportunities for engagement, both within and outside the home. This should include, but is not limited to: a) ensuring consistent activity provision b) supporting people to access the community and maintain social connections c) involving people in planning and evaluating activities that reflect their interests and preferences. 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 am supported to be involved in meaningful activities in a way that I choose' (HSCS 2.22).

1. To ensure that quality assurance processes lead to sustained improvements in care and support, the provider should strengthen the structure and use of the service development and improvement plan. This should include, but is not limited to: a) prioritising key areas for improvement and linking them clearly to outcomes for people b) ensuring progress updates and actions are consistently recorded and monitored c) using audit findings and feedback to inform and update the plan dynamically. 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); and ' I am actively encouraged to be involved in improving the service I use, in a spirit of genuine partnership' (HSCS 4.7).

1. To support staff development and ensure people receive care from confident and skilled practitioners, the provider should implement structured systems for supervision and training planning. This should include, but is not limited to: a) introducing regular one-to-one supervision to support reflective learning and development b) developing a proactive training plan based on identified needs and service priorities. 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); and ' I am supported to discuss my views and experiences with my worker, and these are used to improve my outcomes' (HSCS 3.16).

2. To ensure people experience consistent and responsive care, the provider should strengthen staffing oversight and contingency planning, particularly in relation to activity provision and documentation of staffing decisions. This should include, but is not limited to: a) documenting professional judgement decisions about staffing levels and deployment b) developing contingency plans to maintain activity provision during staff absence ensuring staffing arrangements support both care delivery and meaningful engagement This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am confident that people respond promptly, including when I ask for help' (HSCS 3.17); and ' 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' (HSCS1. To ensure people receive care and support that reflects their current needs and preferences, the provider should improve the accuracy and consistency of personal plans. Key information and changes should be clearly documented in the main care plan and front-page summary, rather than solely in review notes. 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).

2. To support people to be fully involved in planning their care and support, the provider should improve the quality and consistency of care reviews. Reviews should be outcome-focused, clearly identify what is working and what needs to change, and include measurable actions to support improvement. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am fully involved in assessing my needs, planning my care and support, and reviewing my plan' (HSCS 1.17).