Goldielea Care Home

1. To support people’s health and wellbeing, the provider should improve how food and fluid intake and people’s weights are monitored and reviewed. This will help ensure concerns such as missed weights or refusals are followed up promptly and that early signs of declining health are identified and responded to in a timely manner. This is to ensure that care and support is consistent with the Health and Social Care Standards, which state that “My care and support meets my needs and is right for me” (HSCS 1.19).

1. To support better outcomes for people living in the home, the provider should strengthen leadership and management arrangements to ensure quality assurance and service improvement are consistently effective. This includes but is not limited to: • having a regular and purposeful management presence, • taking timely action when concerns are identified, • maintaining clear records of actions and learning, and • ensuring relevant notifications are submitted to external bodies without delay. This is to ensure that care and support is consistent with the Health and Social Care Standards, which state that 'I use a service and organisation that are well led and managed.'(HSCS 4.23)

1. The provider should ensure that people experience a culture of continuous improvement. This should include: a) Ensure that there is an effective and responsive environmental audit in place. b) There must be sufficient information to show actions taken and progress made until fully resolved. This is to ensure care and support is consistent with Health and Social Care Standards which state that: ‘ I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19) 'I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment' (HSCS 5.22).

1. The provider should ensure staff are supported through regular supervision, to identify areas where support is required to improve practice. This should include reflection and competency checking to ensure learning is effective and influences better outcomes for people supported. This is to ensure that care and support is consistent with the Health and Social Care Standards 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).

2. To support people’s wellbeing and social inclusion, the provider should review the staffing arrangements in the home. This to ensure staff have time to provide care and support with compassion and engage in meaningful conversations and interactions with people. This is to ensure care and support is consistent with Health and Social Care Standards (HSCS) which state that: 'My needs are met by the right number of people' (HSCS 3.15). And ‘People have time to support and care for me and to speak with me’ (HSCS 3.16).

1. So people can go outside independently and enjoy gardens which are accessible, the service provider should review: • access to the courtyard in Woodlea and consider if patio doors can allow easier access from the lounge, • facilities outdoors so they are more welcoming and • how people can connect better with the outdoors to allow gardening and walks around the building more easily. This is to ensure care and support is consistent with the Health and Social Care Standards which state that: "If I live in a care home, I can use a private garden". (HSCS 5.23)

2. The service provider should improve the facilities in order to support people to get the most out of life: • Use of colour and contrast should be improved to help people with dementia and visual impairment to recognise surroundings as far as possible. • Lighting should be improved in areas which are too dull. This is to ensure care and support is consistent with the Health and Social Care Standards which state that: "The premises have been adapted, equipped and furnished to meet my needs and wishes". (HSCS 5.16)

1. In order for people to benefit from care that is person centred and responsive, the provider should ensure record keeping standards are improved to accurately reflect the care and support delivered. This should include but not limited to: • Outcomes for people are captured in daily recordings. • Daily recording must improve reflecting the care given and the effect this has on people. • Staff are aware of the importance of accurately completing care plans and related documentation, and their accountability in line with professional Codes of Practice. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I am protected from harm because people are alert and respond to signs of significant deterioration in my health and wellbeing, that I may be unhappy or may be at risk of harm’. (HSCS 3.21)