Kingsley Care Home

1. The provider should improve the mealtime experience for people. This should include but not be limited to ensuring that people, including those who are dining in their bedrooms have a pleasant and relaxed dining experience and are enabled to make informed decisions regarding their meal choices. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning." (HSC 1.33)

2. T o keep people safe, the provider should ensure that medication is recorded and administered accurately and in line with prescribers instructions and best practice guidance. This should include ensuring staff understand their responsibilities in relation to medication administration and actions required in the event of an error being discovered. Protocols in place to guide staff in the use of medication prescribed "as required" and the administration of covert medication should be sufficiently detailed to ensure a consistent approach from all staff. This is 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)

3. To keep people safe and promote their health and wellbeing, the provider should ensure recording in relation to health and wellbeing is accurate and consistent across the service. This should include monitoring charts being fully completed and detailing why monitoring is in place, review dates, thresholds of when actions are required and evidence of action taken when needed. There should be effective overview of recordings to ensure appropriate actions are taken without delay. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I experience high quality care and support because people have the necessary information and resources." (HSCS 4.27)

1. To continue the improvement journey, the provider should ensure that quality assurance is well led to ensure people experience consistently good outcomes. This should include but not be restricted to:- a) development of an effective service development plan, which captures short, medium and long term improvements b) the registered manager having complete oversight of the service and ongoing key activities, including recruitment processes, training and c) the provider ensuring audits are fit for purpose and effective in improving outcomes for people. Quality audits and action plans should be accurate, up-to-date and lead to the necessary action to achieve improvements without delay. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I benefit from a culture of continuous improvement, wi1. The provider should ensure that staff access an induction programme and training appropriate to their role and apply their training into practice to promote the safety and wellbeing of people supported. Effective and regular opportunities should be created to encourage staff development and reflection including one to one supervision, team meetings and observations. 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. To ensure people's safety and choice is respected, the provider should ensure staffing levels and the deployment of staff is appropriate to meet people's preferences and assessed care and support needs. This should include but not be limited to: a) a range of meaningful measurements being taken into account to determine safe staffing levels to enable peoples assessed needs to be met effectively and efficiently and b) the whole staff team developing relationships and working together in a positive manner, to&1. T o ensure that people receive the right support at the right time, the provider should ensure all care plans are up to date and detail accurate information. Care plans should be person centred, guiding staff on how to meet people’s current care and support needs. Plans should be clear and descriptive, guiding staff to provide the right support at the right time and linked to personalised risk assessments. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices." (HSCS 1.15)