Charnwood Lodge

1. To support people’s choice, dignity and independence during mealtimes, the provider should ensure that dining experiences consistently offer a variety of choice and enable people to be actively involved in decisions about their meals. This should include, but is not limited to, ensuring menus are routinely available, visible and accessible to people, and that there is increased meal options available. This is to ensure that the quality of care and support provided is consistent with the Health and Social Care Standards (HSCS) which states that: "If I need help with eating and drinking, this is carried out in a dignified way and my personal preferences are respected". (HSCS 1.34) and "I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning". (HSCS 1.33)

1. To improve people’s safety and wellbeing, the provider should ensure that analysis is embedded within the quality assurance system to strengthen clinical risk oversight and support effective learning. This should include ensuring actions are clearly identified, implemented and reviewed for impact, and that systems support the identification of themes and trends over time. This is to ensure care and support is consistent with the Health and Social Care Standards which state: "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 ensure that the staffing arrangements across all departments meet the safety, wellbeing and social needs of people. This should include but is not limited to staffing assessments taking into account environmental factors, observations, and feedback from people using the service, their representatives, and staff. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I am confident that people respond promptly, including when I ask for help". (HSCS 3.17)

1. To support people’s safety, dignity and wellbeing, the provider should ensure that infection prevention and control (IPC) practices and environmental standards are consistently applied and embedded across all areas of the service. This should include, but is not limited to, ensuring improvements in cleanliness are sustained, progressing environmental improvements such as refurbishment, and dementia-friendly wayfinding design. This is to ensure care and support is consistent with the Health and Social Care Standards which state: "I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment." (HSCS 5.22)

1. The provider should ensure accurate daily recording and monitoring of people’s health needs. This should include personal plans including people’s preference for bathing or showering. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected’ (HSCS 1.23).

1. The provider should improve people’s dining experiences to provide a more inviting and comfortable dining environment. This is to ensure that the quality of care and support provided is consistent with the Health and Social Care Standards (HSCS) which states that: ‘If I need help with eating and drinking, this is carried out in a dignified way and my personal preferences are respected’. (HSCS 1.34) and ‘I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning’. (HSCS 1.33)

2. To support people’s health and wellbeing, the provider should ensure people benefit from meaningful connections and opportunities for activities. This should include but is not limited to an increased opportunity for outings from the home and meaningful interaction and physical activity out with group activities. This is to ensure care and support is consistent with Health and Social Care Standards (HSCS) which state that: My care and support meets my needs and is right for me (HSCS 1.19) and 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)

1. The provider should ensure actions identified within the home's improvement plans are specific, measurable, achievable, realistic and time-bound (SMART). These should be shared with people to provide reassurance and commitment to positive outcomes. This is to ensure care and support is consistent with the Health and Social Care Standards 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 ensure training is up to date with all staff in order to carry out their role. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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. The provider should ensure that the staffing arrangements across all departments meet the safety, wellbeing and social needs of people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘I am confident that people respond promptly, including when I ask for help’. (HSCS 3.17)

1. In order for people to be kept safe, the provider should ensure people can access a garden area independently that is safe and secure. This is to ensure that care and support is consistent with the Health and Social Care Standards which state, “I can use an appropriate mix of private and communal areas, including accessible outdoor space, because the premises have been designed or adapted for high quality care and support. (HSCS 5.1).

1. The provider should ensure accurate recording and monitoring of people’s health needs. For example, food and fluid, weight, repositioning, social activities and bowel management. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected’ (HSCS 1.23).