Fernlea Care Home

1. To promote positive outcomes for individuals, the provider should ensure that care records are accurate, sufficiently detailed, and clearly reflect the care and support planned and delivered. This should include bowel care monitoring, for those who require this. 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).

1. To support people's health and wellbeing, the service should ensure that medication is managed in line with the policy of the service and ensure that there is effective oversight of stock levels. This is to ensure 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).

1. To promote responsive care and ensure that people have the right care at the right time, the provider should ensure that support plans and assessments are subject to regular review, involving the relevant people. Where people’s needs have changed all associated care documentation should be updated to reflect this. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state 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) and 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).

2. To support people’s wellbeing, the provider should ensure that end of life care is subject to early assessment and anticipatory care planning which involves that person and/or their representatives to ensure their choices, wishes and preferences are documented and met when they become unwell.

This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state 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 1.5) and 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).

1. In order to promote people’s health and welfare, the provider should ensure medication administration records clearly recorded where medication has not been administered, why this decision has been made and by whom. This should then accurately be reflected in medication stock recordings. 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).

1. To support a culture of responsive and continuous improvement, which meets the health and wellbeing needs of supported people, the provider should ensure that people's views, suggestions, and choices are gathered on a regular basis and that this information is used to improve people's outcomes and experiences. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am supported to give regular feedback on how I experience my care and support and the organisation uses learning from this to improve' (HSCS 4.8).