Eastfields

1. To promote people’s health, safety and wellbeing, the service should ensure there is consistent and effective leadership on night shifts, so staff have access to appropriate guidance, oversight and support. This is to ensure that care and support is consistent with the Health and Social Care Standards, which state, ‘I experience high quality care and support because people have the necessary information and resources.’ (HSCS 4.27).

1. To support continuous improvement and better outcomes for people, the service should develop a structured and inclusive approach to self-evaluation and improvement planning. This should involve data from quality assurance and the views of people using the service, relatives, staff, and relevant professionals. This is to ensure that 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).

2. To promote people’s health and wellbeing, and support effective external oversight, the service must ensure all notifiable events are submitted to the Care Inspectorate within required timescales. This is to ensure that care and support is consistent with the Health and Social Care Standards, which state, ‘I experience high quality care and support based on relevant evidence, guidance and best practice’ (HSCS 4.11).

1. To ensure people live in a safe and well-maintained environment, the service should ensure all health and safety checks and associated records are completed accurately and within required timescales. This is to ensure that care and support is consistent with the Health and Social Care Standards, which state, ‘My environment is secure and safe’ (HSCS 5.17).

1. To support people's health, safety and wellbeing, the manager should complete individual risk assessments for all residents and issue appropriate call alarm systems to those who are unable to summon help independently. This will help ensure that care is responsive, safe, and respects the dignity and wellbeing of each individual. This is to ensure that care and support is consistent with the 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 be independent and have more control of my own health and wellbeing by using technology and other specialist equipment' (HSCS 1.22).

2. To support people's health and wellbeing, the service should enhance the presentation and plating of texture-modified meals to better reflect best practice and uphold the principles of dignity and respect. This could include: (a) using food moulds or shaping tools to present meals in a more recognisable and appetising form (b) ensuring components of the meal are visually distinct and attractively arranged (c) incorporating colour contrast and garnishes where appropriate to improve visual appeal. This is to ensure that care and support is consistent with the Health and Social care Standards (HSCS) which state 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).

1. To ensure quality assurance processes are meaningful and understood by auditors the manager should: (a) recommend targeted training for staff involved in audits to improve understanding of compliance standards and inspection priorities (b) encourage a secondary review process for audit outcomes before sign-off to ensure accuracy and completeness (c) implement systems for tracking and verifying that identified issues are addressed and resolved within set timeframes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).

1. In order to establish a more consistent and structured supervision schedule, the manager, should ensure all staff receive timely and meaningful support, with adequate time allocated for reflection, feedback, and development planning. 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 ensure individuals consistently benefit from the care and support provided by staff, it is important that team meetings are held regularly. These meetings enable staff to share critical information, reflect on practice, and exchange ideas, fostering a culture of continuous improvement and collaborative learning. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience a warm atmosphere because people have good working relationships' (HSCS 3.7); and ' My care and support is consistent and stable because people work together well' (HSCS 4.17).

1. To enhance the environment’s contribution to residents’ physical and mental wellbeing, the provider should implement structured individual gardening programmes and create therapeutic outdoor spaces. These initiatives should enable residents to actively participate in planting and maintaining garden areas, promoting engagement, independence, and emotional wellbeing. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience a high quality environment if the organisation provides the premises' (HSCS 5.1).