Fullarton Care Home

1. The provider should take steps to support people's wellbeing and promote good mental and physical health by doing the following: - support staff to develop their skills regarding engaging with people living with dementia - enhance the range and access to meaningful activities ensuring they reflect people's choices, preferences and abilities - develop links with the local community - improve the management of mealtimes, including but not limited to ensuring effective staff deployment - ensure that people who are out of bed early are offered drinks and breakfast - involve people in developing menus to take account of their food choices and preferences. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) 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), 'I can choose to2. Supplementary charts used to record and monitor the care and support interventions provided to residents with enhanced care needs should be fully and accurately completed and this should be reviewed by senior staff to ensure that assessed care needs are fully met. 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 based on relevant evidence, guidance and best practice' (HSCS 4.11).

1. To ensure better outcomes for people and support staff learning and development, the provider should undertake direct observations of staff practice to be assured of safe and effective practice. This should include but not be limited to support of people's nutrition and hydration needs and meaningful engagement. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) 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 assure consistently good outcomes for people the provider should develop team leaders' skills and knowledge to ensure effective day to day leadership of care staff teams. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) 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).

1. To ensure consistency in providing the right number of staff with the right skills working in the home to meet people's needs, the provider should review the accuracy of the assessments of the care and support needs of individuals. This is to ensure that 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).