Melvich Community Care Unit (Care Home)

1. To support people’s wellbeing and social inclusion, the service should consider developing a planned programme of activities, and in house events. Activities should be made available daily, including evenings and weekends and include time for 1:1 activity for those people who benefit from this type of interaction. 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); 'I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential.' (HSCS 1.6)

1. To support people's safety and wellbeing, the provider should ensure a full analysis of significant incidents or accidents is undertaken. This should include: factors which contributed to the incident/accident, mitigating factors, what could have/will be put in place to prevent recurrence and how often this will be reviewed to ensure it remains up to date and effective. This will enable an overview of themes which have the potential to present risks for people and to take prompt action to intervene so that risks to people are reduced. 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. In order to promote and secure safe staffing within the home, the provider should explore options for fast tracking new applications and inductions for recent staff appointments. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ' My needs are met by the right number of people'. (HSCS 3.15); 'People have time to support and care for me and to speak with me'. (HSCS 3.16)

1. To support people’s health safety and wellbeing, the provider should ensure that the premises were safe and free from hazards, both indoors and outdoors. In order to achieve this, they should at a minimum,: a) complete a robust assessment of the premises, including the outdoor space; b) ensure the outside area was safe for people to use, move around unrestricted and free from hazards; c) the heating system is effective, efficient and maintains an even temperature; d) replace defective windows. This is to ensure that care and support are 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 5.24)

1. In order to support people's health and wellbeing safely and appropriately, the provider should ensure that: a) all assessments and care plans were accurate, up to date and reflected the current care and support needs for individuals; b) staff have allocated time to complete evaluations and to ensure changes in the needs of individuals were accurately recorded and care plans updated; c) changes in people's health and wellbeing needs were discussed with the legal representatives at each review to ensure these changes were clearly communicated. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ' I experience high quality care and support because people have the necessary information and resources'. (HSCS 4.27).

2. In order to support people's health and wellbeing consistently and in accordance with their preferences, the provider should ensure that: a) all relevant information to support people is recorded in 'at a glance' format; b) 'at a glance' information is easily accessible and location is known to staff; c) 'at a glance' information is reviewed and updated as people's needs change. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My care and support is consistent and stable because people work together well'. (HSCS 3.19).