Ashgrove Care Home

1. To keep people safe and promote their health and wellbeing, the provider should ensure recording in relation to health and wellbeing is consistent across the service. This should include but not be restricted to monitoring charts being fully completed and detailing why monitoring is in place, review dates, thresholds of when actions are required and evidence of action taken when needed. This is to ensure 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. To keep people safe, the provider should ensure that medication is administered safely and effectively in line with prescribers instructions and best practice guidance. This should include ensuring staff understanding their responsibilities in relation to medication administration and actions required in the event of an error being discovered. Detailed protocols should be in place to guide staff in the use of medication prescribed "as required". This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "Any treatment or intervention that I experience is safe and effective. " (HSCS 1.24)

3. The provider should continue to enhance the provision of activities throughout the home to ensure these are designed around people's choices and preferences aimed to support better outcomes. This should include but not be limited to: a) Regular planned activities linked to individuals’ preferences that provide stimulation and meaningful engagement. b) Creating opportunities for people to have access to meaningful activities. c) Improved availability of one-to-one support where people are unable or do not wish to be involved in group activities. d) Developing methods to evaluate activities that have been facilitated to inform future plans. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I can maintain and develop my interests, activities and what matters to me in the way that I like." (HSCS

21. To continue the improvement journey, the provider should ensure that quality assurance is well led and leads to people experiencing consistently good outcomes. This should include action plans clearly identifying improvements necessary and continually evaluating the impact of developments. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes" (HSCS 4.19).

1. The provider should continue to improve the quality and consistency of care plans to ensure they are fully person centred, up to date, and clearly reflect people’s needs, wishes and strengths. Care plans should be reviewed regularly, with actions followed through and daily records demonstrating that planned support is being delivered. This supports the principles of the Health and Social Care Standards (HSCS): “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)