Balhousie Clement Park

1. By 13 April 2026, you must ensure that the care service is led and managed in a manner that results in peoples’ health, safety and wellbeing needs being met. In particular you must ensure that: a) The quality of service users’ care and the environment must be continuously assessed by knowledgeable, skilled and compassionate staff in leadership roles using a range of methods. This may include but is not limited to observation of peoples’ care experiences, observation of staff practice and communication, seeking people’s and staff views and review of care. b) Where quality assurance identifies areas for improvement, leaders must take action and make any achievable improvements to peoples’ care and the environment at the time. This may include but is not limited to role-modelling, providing feedback, direction and guidance to individuals or groups of staff and reviewing peoples’ care plans. c) The quality assurance must be used to identify any further staff training or support that i1. By 16 March 2026, the provider must ensure that staff are deployed in sufficient numbers and with the right mix of skills, knowledge, and experience to meet the assessed needs of people experiencing care at all times. To achieve this, the provider must:

1. Ensure staffing levels and deployment are planned, reviewed, and adjusted based on the needs of people using the service.

2. Review and improve the skill mix to ensure staff have the appropriate skills and competence to support people safely and effectively.

3. Ensure all staff working in the service understand their roles and responsibilitie1. By 30 June 2026, the provider must ensure that the environment supports people’s wellbeing, independence and outcomes. To achieve this, the provider must at a minimum:

1. Carry out a full assessment of the Discovery Suite to identify environmental areas requiring improvement.

2. Develop and implement a comprehensive improvement plan that ensures the environment meets people’s needs, promotes independence, and creates a safe, welcoming, and enabling setting.

3. Involve key stakeholders—including people experiencing care, staff, and relevant professionals—in the assessment, planning, and evaluation of improvements. This is to comply with regulation 10.2 (a) and (d) Fitness of Premises 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 are consistent with the Health

1. By 30 September 2025, the provider must ensure that service users are safe from harm by administering medication safely. In particular, the provider must at a minimum: a) Ensure that medication administration records are completed accurately. b) Ensure that monitoring arrangements are responsive to any errors in the administration or recording of a service user's medication. c) Ensure that the effectiveness of pain medication is evaluated and people receive pain medication promptly. This is in order to comply with Regulation 4(1)(a) (Welfare of users) and Regulation 15(b)(i) (Staffing) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). To do this, the provider must, at a minimum: a) Accurately reflect the current health and care needs of the person and accurately describe the support required to meet those needs; b) Accurately identify any risks to the person's health and wellbeing and include an assessment of those risks and the steps that are to be taken to reduce or mitigate them; and c) Are reviewed every six months, or more often if required, with the person and/or their representative. This is in order to comply with Reg