CERA - Midlothian

1. By 9 June 2026, the service provider must ensure staffing arrangements support safe, compassionate and person-led care. Staff are scheduled and deployed to ensure people experience consistent, stable support from staff who know them well. To achieve this, the provider must: • Implement a rota system that prioritises continuity of care and reduces frequent changes to staff allocations. • Ensure staff deployment reflects people’s assessed needs, preferences, and planned outcomes. • Put in place monitoring arrangements to ensure rotas are followed, changes are minimised, and any adjustments are communicated promptly. • People and their relatives are fully informed of any changes to their visit times and staff supporting them in planned or unplanned events. This is in order to comply with section 7 of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure the care and support is consistent with the Health and Social Care Standards (HSCS) which state that “1. By 28 April 2026, the provider must ensure incidents and accidents are recorded and reported to external bodies, including the Care Inspectorate when required to. To do this, the provider must, at a minimum: • Record, monitor, and follow-up incidents in line with legislation and guidance; • Ensure all staff are aware of their responsibilities and how to report accidents and incidents, including adult protection; • Implement quality assurance systems and oversight of incident and accident reporting; • Ensure information is communicated to relevant agencies including the Care Inspectorate, following guidance 'Records all registered care services must keep and guidance on notification' (Care Inspectorate, 2020); and • Ensure information from incidents is used to inform a service improvement and development plan. This is to comply with Regulation 4(1)(a) and (d) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations2. By 9 June 2026, the provider must ensure people have confidence that the service they use is led well and managed effectively. To do this, the provider must at a minimum: (a) The management have effective oversight of the day-to-day delivery of care to service users to ensure their care needs are fully met. (b) The management have a visible presence within the service and engage with service users, relatives and staff to support the development of management oversight required. (c) The management engage in a meaningful way with service users and staff about the quality of the service and take action, to address improvements identified to ensure improved outcomes for service users, (d) Implement and utilise quality assurance systems to drive forward improvements. This is in order to comply with Regulations 4(1)(a) – Welfare of users of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to1. By 9 June 2026 to ensure people experience high quality care and support delivered by a competency, confident and well supported workforce, the provider must ensure that all staff receive regular, planned and recorded supervision, appropriate training which is assessed for learning outcomes with ongoing observations of practice. To do this, the provider must at a minimum: a) Implement a clear supervision schedule, that ensures all staff receive planned, recorded supervision at agreed intervals, with a focus on reflective discussion, wellbeing, and professional development. b) Introduce a structured programme of observations of practice, ensuring these are purposeful, recorded, and used to support learning, identify strengths, and address areas for improvement. c) Establish regular team meetings with agendas that prioritise reflective practice, shared learning, discussion of incidents, and review of policies, guidance, and best practice. d) Ensure all supervision, observations, and te1. By 9 June 2026 the provider must provider must ensure that all personal care plans are accurate, up to date, and reflect each person’s current assessed needs. Care plans must be reviewed at least every six months, or sooner if there is a significant change in a person’s health, wellbeing, or circumstances. All plans must clearly identify personal outcomes and demonstrate how the service will support people to achieve these outcomes. To do this, the provider must at a minimum ensure: (a) Personal plans record all risk, health, welfare and safety needs in a coherent manner which identifies how needs are met. (b) Care plans are reviewed on a regular basis to ensure they are accurate and consistent to the identified care needs assessed. (c) The auditing of care plans by the provider includes a follow through of actions, to ensure any areas identified for improvement are actioned upon and any learning is recorded. This is in order to comply with: The Social Care and Social Work Im