Merino Court Nursing Home

1. To ensure people’s changing needs are identified and addressed timeously, the provider should ensure changes in health or presentation are accurately recorded and tracked in their personal plans. Advice and guidance form external professionals should be sought at an early stage and accurately recorded and followed up. Staff should have clear guidance about what should be monitored, to ensure relevant evidence is recorded to support good quality assessment by health professionals. 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)

1. To ensure people’s needs are met timeously, the provider should ensure that the staff leading shifts have adequate oversight of people’s needs and how staff are deployed. Staff should be given sufficient guidance and direction to ensure they are deployed effectively and able to respond to changes and unexpected events. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am supported and cared for sensitively by people who anticipate issues and are aware of and plan for any known vulnerability or frailty'. (HSCS 3.18).