The Grove

1. To support positive safe outcomes for people who use this service, the provider should review their quality assurance process to ensure they remain focused on improving the outcomes for people. To do this the provider should, at a minimum: a) Ensure all adverse incidents and accidents are fully and appropriately investigated. b) Ensure all adverse incidents and accidents are shared appropriately with other agencies, in line with local and national guidance. c) Where adverse incidents or accidents identify areas for improvement these should be detailed in action plans which must be developed and acted upon. d) Ensure all learning is shared effectively with staff.53 This is in order to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).