Forth Bay

1. Where medication is prescribed on an "as required" basis, detailed protocols should provide clear and detailed guidance regarding when medication should be given. This is to ensure medication is administered consistently and safely. In particular, psychoactive medication, which can be considered a form of restraint, should be given as a last resort when all other approaches have been attempted unsuccessfully. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'Any treatment or intervention that I experience is safe and effective.' (HSCS 1.24).

1. The provider should carry out regular training needs analysis to ensure staff have the skills and knowledge to meet the full range of people's needs. The provider should continue to develop systems to evaluate staff's understanding and ability to transfer learning into practice. This is to ensure people receive safe, consistent and effective care and support. This is ensure that care and support is consistent with the Health and Social Care Standards (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).

1. The environment should support people's health and wellbeing and independence. The provider should ensure appropriate improvements take place to reflect current best practice in dementia friendly environments. This should include providing information that is accessible for individuals and enables them to find their way around their home. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'The premises have been adapted, equipped and furnished to meet my needs and wishes.' (HSCS 5.18).