Abbotsford Care, Cowdenbeath

1. To promote the health and wellbeing of people using the service, the provider should ensure that any restrictive practice being used within the service is supported by appropriate legal frameworks and documentation, and is reviewed regularly. The Mental Welfare Commission good practice guidance document ‘Rights, Risks and Limits to Freedom’ should be used to support this process. 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).

1. To promote the health and wellbeing of people using the service, the provider should ensure that staff practice is observed, evaluated, discussed and recorded. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes’ (HSCS 4.19).

1. To promote the health and wellbeing of people using the service, the provider should ensure that people benefit from high quality facilities. This should include, but is not limited to: a) ensuring the environment promotes people’s independence b) ensuring the environment is free from clutter c) ensuring appropriate equipment is in place which considers the layout of the building and the needs of people using the service d) ensuring equipment and facilities, including mattresses and bed bumpers, are regularly checked to be clean and in good working order. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment' (HSCS 5.22).