Brucefield

1. To ensure that children and young people experience a consistent, therapeutically stable care, the provider should explore culture across the whole team to further improve outcomes. This should include but is not limited to engagement with the staff team to explore any barriers to team cohesion and identify actions to further embed a collaborative, trauma responsive culture within the service. This is to ensure that practice is consistent with the Health and Social Care Standards (HSCS) which state: "My care and support is consistent and stable because people work well together" (HSCS 3.19).

1. To ensure that children and young people experience consistent relationships based on compassion and a full understanding of the impact of their trauma and development the service should improve it's approach to trauma informed practice. This should include but is not limited to: a) Ensuring there is a clear vision and values for the service underpinned by appropriate training. b)Embedding greater reflection across incident recording and staff de-briefs c)Developing a consistent trauma informed staff culture This is to ensure that practice is consistent with the Health and Social Care standards (HSCS) which state: "I experience high quality care and support based on relevant evidence, guidance and best practice". (HSCS 4.11)

2. To support the young people's wellbeing, outcomes and choice the service should review their care planning, and initial assessment processes. This should include but is not limited to: a) Ensuring young people are actively consulted on deciding their goals, and that these are clear and visible to them. b) Ensuring that goals are SMART (specific, measurable, achievable, realistic and timely). These should be reflective of young people's words, and should clearly describe the supports required to achieve these. Goals should be actively tracked and subject to regular review. c) Ensuring that all staff are aware of the needs and focus of work for all young people within the service and know exactly what is needed from everyone to support young people to reach their goals. d) Ensuring that quality assurance measures are in place to track advances and barriers to progress, allowing alternative plans to be created if required. This is to ensure that care and support is consisten