Johnstone & Paisley Supported Living Services

1. To promote people’s independence, the provider should ensure that support is consistently focused on enabling each person supported to build and maintain their skills. This should include but not be limited to:- a. developing personalised outcomes in every care plan which are meaningful and updated regularly b. ensuring all staff are aware of and providing consistent support and encouragement and c. regular oversight by the senior team to ensure strengths based person centred support is being provided. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I am empowered and enabled to be as independent and as in control of my life a2. T o uphold people’s rights and safety, the provider should ensure every use of restrictive practice is subject to regular formal review, involving people, their family or advocate and relevant professionals. To ensure the registered manager has oversight a restrictive practice log should being created recording start date, review date, evidenced based outcome of review and next planned review date. This will enable the service to encourage positive risk taking and ensure the least restrictive options for keeping people safe are in place. This is to ensure care and support is consistent with the Health and Social Care Standards which state that: "I am as involved as I can be in agreeing and reviewing any restrictions to my independence, control and choice" (HSCS 2.6). This should include, but not be restricted to:- a. all individuals having a care plan in place, incorporating stress and distress plans where relevant, with clear strategies for recognising and responding to early signs b. ensuring future care planning considers preferences around changes to health, including end-of-life wishes where appropriate c. reviewing care plans and risk assessments regularly to reflect people's changing support needs and d. involving families and significant others in care planning and review processes, where appropriate. This supports the principles of the Health and Social Care Standards (HSCS): “My personal plan (sometimes refe