Moray Housing Support Services

1. To support positive outcomes for people who use the service, the provider should continue to recruit to suitably qualified and competent individuals and ensure, but not limited to; a) where employed staff work extra hours to cover vacancies, these are allocated efficiently and effectively to include sufficient scheduled rest breaks and rest periods between shifts; b) monitor staff hours worked and the impact on people's health and wellbeing. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My needs are met by the right number of people' (HSCS3.15).

2. To make sure people experience high quality care and support which will enable positive outcomes for people, when staff leave the service, the provider should take time to review their experience of employment and any learning from this. 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).

3. To ensure people experiencing care receive support from staff with sufficient skills and knowledge for the work they are to perform in the service. The provider should a) ensure that all staff receive training relative to the work that they carry out in order to meet the care and support needs of service users b) implementing a quality assurance system, ensuring this plan is reviewed to reflect the ongoing training required to equip staff to meet the individual personal and physical health needs of people experiencing care. This is to 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. To ensure that people's health and wellbeing benefits from a robust medication management system, the provider should ensure up-to- date medication records are fully completed. This should include but not be limited to: a) Ensuring detailed and up-to-date guidance is available for staff to support the use of 'as required' medication b) Ensuring staff consistently record why ‘as required’ medication was given and its effectiveness c) Ensuring opening dates are clearly recorded for topical medication d) Ensuring topical medication is appropriately disposed and new medication ordered and in place before medication is no longer safe for use e) Ensuring that processes and approaches to support medication management are consistent and any differences are based on people’s needs or wishes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support be1. To protect people’s health and wellbeing, the provider should ensure that management oversight and quality assurance processes are effective and all systems are used robustly to ensure people receive safe care. This should include but not be limited to: a) Ensuring all audit forms are completed fully and accurately b) Ensuring actions needed from audits are noted correctly and used to inform positive changes to the service provision and people's experiences c) Ensuring that processes and approaches to support people are consistent and any differences are based on people’s needs or wishes. 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 people’s wellbeing staff should ensure that people receive the care that is right for them. To do this, the provider should: a) Ensure that people have relevant and up to date support planning information that reflects their current needs and wishes b) Ensure that staff keep clear records of the support they have provided to people at each visit c) Ensure that actions needed following care reviews are noted correctly and followed through to inform positive changes to the support planning information and service provision. This is to ensure that care and support is consistent with the Health and Social Care Standards which states that: ‘My personal plan is right for me because it sets out how my needs will be met as well as my wishes and choices’ (HSCS 1.15).