DGMHA East

1. By 15 June 2026, the provider must ensure people’s needs and risks are clearly assessed, recorded and reviewed so staff have accurate guidance to support people safely. To do this, the provider must, at a minimum: a) ensure care plans and risk assessments clearly describe people’s current needs, risks and the actions staff must take b) ensure plans and risk assessments are updated when people’s needs change or following incidents c) implement effective oversight of records to ensure information remains accurate and up to date. This is to comply with: Regulation 4(1)(a) (Welfare of users) and Regulation 5(2)(b) (Personal plans) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “My personal plan is right for me because it sets out how my needs will be met” (HSCS 1.15).

2. By 15 June 2026, the provider must ensure medication support is managed safely so that people receive the right medication at the right time. To do this, the provider must, at a minimum: a) maintain accurate medication records b) ensure medication errors are recorded, investigated and learning shared c) implement effective auditing to monitor medication practice and address any issues identified. This is to comply with: Regulation 4(1)(a) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure care and support is consistent with the HSCS, which state: “Any treatment or intervention that I experience is safe and effective” (HSCS 1.24).

1. By 15 June 2026, the provider must establish effective and transparent quality assurance arrangements so that risks are identified, learning is used to improve practice and people experience safe and consistent care. To do this, the provider must, at a minimum: a) develop and maintain a live service improvement plan that identifies priorities, responsible persons and timescales for improvement b) implement regular auditing of key aspects of the service to monitor the quality and safety of care and support c) analyse information from audits, incidents and other quality monitoring to identify themes, trends and risks d) take timely action to address identified issues and monitor the impact of these actions on outcomes for people. This is to comply with: Regulation 3 (Principles) and Regulation 4(1)(a) (Welfare of users) of SSI 2011/210. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which sta2. By 15 June 2026, the provider must ensure concerns, incidents and risks are recognised, recorded and responded to promptly so that people are protected from harm. To do this, the provider must, at a minimum: a) ensure staff recognise and report concerns that may indicate harm or risk of harm b) maintain effective systems for recording, reviewing and responding to incidents c) ensure appropriate notifications are submitted to the Care Inspectorate in line with guidance and required timescales d) analyse incidents and concerns to identify themes, trends and learning e) use this learning to review care plans and reduce future risk. This is to comply with: Section 53(6) of the Public Services Reform (Scotland) Act 2010 and Regulation 4(1)(a) (Welfare of users) of SSI 2011/210. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “I am protected from harm, neglect, abuse, bullying a1. By 15 June 2026, the provider must ensure that only staff who are fit, appropriately recruited and competent provide care and support. To do this, the provider must, at a minimum: a) put in place and implement systems to demonstrate that staff are appropriately and safely recruited in line with best practice guidance, including Safer Recruitment Through Better Recruitment (Scottish Government, 2016); b) demonstrate that all staff undertake a comprehensive induction which equips them with the knowledge and skills required for their role; c) ensure staff receive training that reflects the needs of the people they support and that records of completion and competence are maintained; d) ensure staff are assessed as competent before undertaking specific tasks, including supporting people with medication. This is to comply with: Regulation 9 (Fitness of employees) and Regulation 4(1)(a) (Welfare of users) of SSI 2011/210, and Section 7 of the Health2. By 15 June 2026, the provider must ensure staffing arrangements are planned and managed so that people consistently receive support that meets their assessed needs. To do this, the provider must, at a minimum: a) assess and review people’s needs to determine appropriate staffing levels and skill mix b) plan staffing arrangements so that sufficient suitably skilled staff are available to deliver planned care and support c) monitor planned and actual visits and take prompt action where gaps in support occur d) ensure contingency arrangements are in place to maintain continuity of care when staffing changes arise e) review staffing arrangements when people’s needs change. This is to comply with: Sections 7(1)(a), 7(1)(b) and 7(2) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “My needs are met by the right number of people”