Care Quality Services Limited - Moray

1. To protect people’s health and wellbeing, the service should ensure medication administration procedures are improved where necessary and consistently followed by staff. This should include but not be limited to: - a) improving the system for administering and recording medication so that staff can easily check if any doses have been missed b) providing staff additional training or support to improve their understanding of, and ability to follow, medication management procedures c) continuing regular recorded direct observations and assessment of staff practice in medication management to ensure that the additional support results in consistently better practice d) regularly auditing medication support plans, risk assessments and administration charts to monitor compliance. 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 support2. To protect people’s health and wellbeing, the provider should regularly monitor and improve staff compliance with effective hand hygiene practices and safe use of personal protective equipment (PPE). 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 support positive outcomes for people, the provider should continue to make improvements to their support planning and associated documentation. This should include but not be limited to: a) ensuring support plans offer good detail of people’s moving and handling needs b) people’s daily notes include all relevant information, including any issues that arose during the visit and how these were handled by staff c) people’s daily notes include details of their wishes and meaningful engagement. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state 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); and 'My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected' (HSCS 1.23).