Harbour Care Home

1. To support people's health and wellbeing and ensure 'as required' medication is benefitting people, the service should consider providing more detail regarding when these are needed and that when these medications are administered that the effectiveness of them is assessed. This is in order 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).

1. To support a culture of responsive and continuous improvement, the provider should ensure that people's views, suggestions, and choices are gathered regularly as part of service performance checks. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I am supported to give regular feedback on how I experience my care and support and the organisation uses learning from this to improve’ (HSCS 4.8). ‘I can be meaningfully involved in how the organisations that support and care for me work and develop’ (HSCS 4.6).

1. To maintain effective infection control and a safe and hygienic environment for residents, staff and visitors, the provider should ensure frequently touched areas are intact and do not compromise the effectiveness of cleaning. This is in order to ensure that care and support is 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 5.22).

1. To support people to have full and meaningful lives, the provider should ensure that where people have identified outcomes and goals, that these are planned, recorded and evaluated on a regular basis. This is to ensure that care and support is consistent with 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 can maintain and develop my interests, activities and what matters to me in the way that I like' (HSCS 2.22).

2. To promote a continuous culture of least restrictive practice, the provider should ensure that people’s plans reflect any legal powers in place, any restrictive practice being used and ensure this is subject to robust and regular review to ensure promotion of choice and control. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively' (HSCS 1.3).