Tarriebank House

1. In order to support positive outcomes for people, the provider should ensure that where the nutritional needs of people have changed, appropriate monitoring documents are implemented timeously. Documentation should be accurate, sufficiently detailed, reflect the care planned and be regularly reviewed. 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 experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).

2. Where restrictive measures are in place to keep people safe, the provider should ensure that the reasons for such restrictions are clearly risk assessed, documented and discussed with people and their representatives. This is to ensure that people have informed consent and that decisions are made in accordance with the Mental Welfare Commission for Scotland Good Practice Guide on ‘Rights, risks and limits to freedom'. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively’ (HSCS 1.3).