Care & Support Services, Dumfries & Galloway Council

1. To support people’s wellbeing and ensure they experience interventions that are safe and effective if receiving when required medicines, medication administration records chart should include: • the reasons for giving when required medicine; • how much has been given including if a variable dose has been prescribed; • the time of administration for time sensitive medicines; and • the outcome and whether the medicine was effective. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state, 'Any treatment or intervention that I experience is safe and effective.’ (HSCS 1.24)

1. The service provider should further develop personal plans to ensure they contain clear, specific and person centred information. Improving these areas will support a consistent approach aligned with individuals’ wishes and choices. Plans should include: • What matters to the person, key preferences, routines and what is important to them. • Personal history, relevant background information to support personalised care. • Moving and handling guidance including clear steps, equipment required and the agreed method of support. • Health specific guidance - individual protocols for clinical needs, including monitoring and escalation. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: 'My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices' (HSCS 1.15).