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Leadership Recruitment of New Management Team - Recruited new Registered Manager (Tina Moore) Created new role of Clinical Lead (Sarah Tomkins) Recruitment of New Nurses Carers - Full-time day nurse appointed New nurse for night time shift 4 new carers appointed (to date) Informal interview conducted for new administrator - Recruitment to continue in 2017 New Staff Structure Roles - Ensure staffing levels are adequate for demand 7 The Action Plan Report – Lower Farm Nursing Home (January 2017) - Rota planned 4 weeks in advance New Nurse “role descriptions” to define specific responsibilities Improve daily structure and routines for nurses to deliver service Develop the role NVQ carers and provide training in new responsibilities to deliver care Implement new dependency assessment tool New annual leave and review policy Record current staffing ratios and implement procedure to take action when staff is inadequate for current demand Training Supporting Staff - New sickness policy and procedure for calling sick Implement back-to-work interview and document Implement regular supervision and appraisals of staff Nurse competencies assessed regularly Issue new Staff Handbook (What is expected of all staff) Moving handling “train the trainer” course completed to train staff (in-house) at Lower Farm New training matrix to audit staff training is up-to-date Training plan issued for each staff member Reduce Manage Agency Staff - Implement agency induction for carers and nurses to ensure they adhere to Lower Farm standards of practice Audit competency of agency team members Involve regular agency members in operational meetings and handovers Improve Communications Meetings - Monthly clinical meetings for nurses (trained staff) Quarterly meetings for support departments (kitchen, domestic, laundry maintenance) Regular carers and activities meeting every quarter 8 The Action Plan Report – Lower Farm Nursing Home (January 2017) - New nurse handover procedure to include audit of