Kinnaird Manor Care Home

1. The provider must ensure that leaders and staff have oversight of falls in the home and have an appropriate falls management plan in place. By 06 June 2025 the provider must ensure that people living in the home are supported by leaders and staff who understand their roles and responsibilities in the management and prevention of falls. In order to achieve this, the provider must, as a minimum: a) Carry out an audit of current falls management systems and practice in the home. b) Ensure falls are recorded consistently, with appropriate information on the time, location, any other factors contributing to the fall. c) Ensure data is analysed at key meetings including but not limited to daily handovers, flash meetings, clinical review meetings, and organisational learning meetings. d) Implement a falls management programme using intelligence gathered from the above activities and include this within quality assurance processes. This is in order to compl2. The provider must ensure that leaders and all staff (including kitchen staff) are aware of people’s current nutritional needs. By 06 June 2025 the provider must ensure that people living in the home are supported by leaders and staff who understand their roles and responsibilities in supporting nutrition. In order to achieve this, the provider must, as a minimum: a) Audit current practice in the home in relation to the recording of weights, high calorie (fortified) foods and foods that require to be textured or modified. b) Use this audit to develop an action plan to address any areas of concern and ensure accurate and up to date information is shared about people’s weight loss or nutrition needs. c) Ensure all staff (including kitchen staff) are aware of procedures to ensure people have ready access to high calorie (fortified) diets when needed. d) Ensure that people's nutrition and weight are included within a cycle of quality assurance. By 25 July 2005 the provider must ensure people experience support in a service where leaders use a cycle of quality assurance and improvement activities to reduce risk and support positive outcomes. In order to achieve this, the provider must, as a minimum: a) Carry out an audit of current quality assurance and improvement activities taking place in the home. This must include key internal meeting including, but not limited to, staff handovers, flash meetings, clinical review meetings and organisational learning meetings. b) Use information gained from the audit to implement an improvement plan to address areas where quality assurance activities are not being carried out to the required standards or frequency. c) Establish clear quality assurance roles and responsibilities among the leadership and larger staff team, while ensuring the registered manager retains overall oversight of1. The provider must ensure that leaders exercise professional judgement to ensure the home has appropriate staffing levels at all times. By 25 July 2005 the provider must ensure people experience support in a service where leaders assess staffing levels across on the home on a 24 hour basis and when occupancy levels increase to ensure appropriate staffing levels are in place at all times. In order to achieve this, the provider must, as a minimum: a) Implement a staffing method that enables the manager to exercise their professional judgement when assessing required staffing levels, taking account of factors including, but not limited to, the physical environment of the home, respite or long term admissions, and planned appointments that require staff to support an individual. This is in order to comply with section 7 (1) (a) (Duty on care service p1. The provider must ensure that people being admitted to the home have an appropriate assessment of their needs and wishes and that all residents have a care plan that identifies their current health and general care needs. By 25 July 2025 the provider must ensure that pre-admission assessments are carried out appropriately and everyone residing in the home has a care plan. The care plan must include information on people's current health needs including, but not limited to, falls and nutritional risks, positive behaviour support needs, and person centred information to support meaningful connections between staff and people. In order to achieve this, the provider must, as a minimum: a) Carry out an analysis of current arrangements around pre-admission assessments. Identify issues and implement an action plan with agreed timescales. b) Ensure care plans contain accurate person centred information about people's health and support needs and how to support people's meaningful connect