Cera Care - Dumfries and Galloway
Recorded Key Question grade range: 4–5 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support people’s wellbeing and ensure they experience interventions that are safe and effective if receiving when required medicines, medication administration records chart should include: • the reasons for giving when required medicine; • how much has been given including if a variable dose has been prescribed; • the time of administration for time sensitive medicines; and • the outcome and whether the medicine was effective. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state, 'Any treatment or intervention that I experience is safe and effective.’ (HSCS 1.24)
1. The provider should support better outcomes for people through a culture of continuous improvement. This should include maintaining a clear record of all complaints and concerns raised within the service including any actions taken and lessons learned. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: “I experience high quality care and support based on relevant evidence, guidance and best practice.” (HSCS 4.11).
2. The manager should ensure improvement in the oversight, recording and reporting of information. Relevant and prompt notifications should be submitted to the Care Inspectorate in line with legislation and notification guidance. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: ‘I use a service which is well led and managed’ (HSCS 4.23).