Care Solutions Central Scotland

1. To ensure that people receive safe and effective support with their medication, the provider should implement clear PRN (as required) protocols for all relevant medications. These protocols should guide staff on how best to support individuals, including when, and how PRN medication should be administered, and ensure that outcomes are recorded accurately. This is to ensure that care and support is in line with the Health and Social Care Standards (HSCS) which state: "my care and support meets my needs and is right for me" (HSCS 1.19).

2. To ensure that people experience care that is safe and consistent, the provider should improve the quality and accuracy of daily recordings. Records should clearly reflect people’s wellbeing, and any changes in their health, to support continuity of care. This includes ensuring that staff have the necessary skills and competency to complete detailed and accurate notes. This is to ensure that care and support is in line with the Health and Social Care Standards (HSCS) which state: “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) and “My care and support meets my needs and is right for me” (HSCS 1.19).

3. The provider should ensure that risk assessments are reviewed and updated regularly, so they remain accurate and reflect people’s current needs. This will help staff manage risks effectively, and keep people safe. This is to ensure care and support is in line with the Health and Social Care Standards (HSCS) which state: “My care and support meets my needs and is right for me” (HSCS 1.19).

1. People experiencing care should have confidence the service received by them is well led and managed. The provider should support better outcomes through a culture of continuous improvement, underpinned by robust and transparent quality assurance processes. This should include, but is not limited to: a) assessment of the service's performance through regular effective audit b) areas for improvement are identified through audit c) quality assurance data is analysed, to inform the actions required to support positive outcomes for people experiencing care, staff learning, and the service's improvement plan d) implement action plans which set out specific, achievable, and realistic actions required to address e) review the effectiveness of actions put in place, to ensure these elicit positive outcomes for the health, safety, and welfare of people experiencing care. This is to ensure that care and su1. To ensure that people consistently receive the right level of support at the right time, the management team should implement quality assurance processes to monitor visit times and durations. This is to support positive outcomes for people in line with the Health and Social Care Standards, which state: "My needs are met by the right number of people" (HSCS 3.15).

1. Personal plans should be further developed to include clear, detailed information about how specific health conditions affect people. This will help staff provide more tailored and responsive support, that meets individual needs, and promotes positive outcomes for people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS): 'My personal plan (sometimes referred to as a care 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).

2. So people can be sure when decisions are made, and the right people are involved, the service provider should ensure that there is a clear record of legal status, and who holds specific powers. This is to ensure that care and support is consistent with the Health and Social Care Standards which states: "If I am unable to make my own decisions at any time, the views of those who know my wishes, such as my carer, independent advocate, formal or informal representative, are sought and taken into account" (HSCS 2.12).

3. Six-monthly reviews should consistently include relevant people, such as family members, or key staff, where consent is given. This will strengthen shared decision-making and ensure that personal plans reflect the views of those important to the person’s care and support. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS): 'My personal plan (sometimes referred to as a care 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).