Carnbroe Care Centre

1. To provide assurances that people have had the medicines they need the service should improve record keeping. This applies particularly, but not limited to medicines stock balance and recording of topical medicines administration. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'Any treatment or intervention that I receive is safe and effective' (HSCS 1.24).

1. To ensure audits are accurate senior staff and unit managers that carry them out should be trained and provided with clarity on what it is they are checking and ensure the audits they complete reflect their checks accurately. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I use a service and organisation that are well led and managed' (HCSC 4.23).

1. To ensure people benefit from a well led staff team all management, unit managers and senior staff should be provided with up to date and ongoing management training. They should be clear about their roles and responsibilities as leaders, particularly when dealing with staff practice concerns. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I use a service and organisation that are well led and managed' (HCSC 4.23).

2. To provide high quality care, the service should, in consultation with all staff, consider and regularly review staffing levels across all units day and night to ensure people’s needs can be met effectively. This is to ensure that care and support is consistent with Health and Social Care Standard (HSCS) which state that: 'My needs are met by the right number of people' (HSCS 3.15); and 'People have time to support and care for me and speak to me' (HSCS 3.16).

3. To keep people safe and ensure their needs are being met fully all staff should be aware of their duty to report any concerns regarding care practice and be clear about how they should report such concerns . The service should also reinforce its whistleblowing policy so staff have confidence to approach management appropriately with issues and concerns. This is to ensure that care and support is consistent with Health and Social Care Standard (HSCS) which state that: 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes' (HSCS 3.14).