Camilla Care Home.

1. To promote people's nutritional health, the provider should ensure adequate provision of meal choices, as well as access to menus in advance. People living in the home and their representatives should have the choice to be involved in the menu planning. 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 choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning' (HSCS 1.33).

2. The provider should organise appropriate activities and opportunities for engagement for all people living in the service, in line with their needs and wishes. Attention should be given to people who are less likely to engage in group activities and those who spend their time in their bedrooms. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: 'I can maintain and develop my interests, activities and what matters to me in the way that I like' (HSCS 2.22).

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).

1. The service should make regular use of observations of staff practice and formal supervisions to monitor skill levels, promote skill development, and ensure staffs practice enhances people's health and wellbeing. 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).

1. To support people's wellbeing and dignity, the provider should ensure the premises are kept clean and free from offensive odours. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My environment is relaxed, welcoming, peaceful and free from avoidable and intrusive noise and smells' (HSCS 5.18).