Bute House Care Home

1. The provider should continue to develop personal plans to guide staff to assure consistent and agreed care to meet people's needs. This includes but is not restricted to the following; directions regarding management of people's care and support needs are sufficiently detailed to effectively guide staff people's choices and preferences are fully reflected into personal plans. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'My personal plan is right for me because it sets out how my needs are to be met, as well as my wishes and choices' (HSCS 1.15).

2. The provider should implement the consistent use of recognised pain assessment tools to inform the effective management of people's pain and ensure their comfort. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: ‘Any treatment or intervention that I experience is safe and effective’ (HSCS 1.24) and ‘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. The provider should ensure that the Care Inspectorate is informed of all minor injuries (e.g. bruising, skin tears) in line with current guidance. 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).

1. To ensure consistent and effective staffing to meet people's care and support needs the provider should develop a a new staffing assessment tool referencing to the principles of the Care Inspectorate staffing method framework. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'My needs are met by the right number of people.' (HSCS 3.15) and 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).