Holistic Care Scotland

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 and accurately completed. This should include, but not be limited to: a) providing staff with additional training or support to improve their understanding of, and ability to follow, medication administration and recording procedures b) ensuring detailed and up-to-date guidance is available for staff to support the use of 'as required' medication c) ensuring staff consistently record why ‘as required’ medication was given and its effectiveness d) continuing regular recorded direct observations and assessment of staff practice in medication management to ensure that the additional support results in consistently better practice e) regularly auditing medication administration charts to monitor compliance. This is to ensure that care and support is consistent with1. To promote people’s wellbeing, the provider should ensure personal plans and associated records are accurate, up-to-date, and support staff to deliver the right care. To do this, the provider should: a) audit all personal plans and in-house folders to ensure they contain relevant, up-to-date information that reflects people’s current needs and wishes b) ensure risk assessment paperwork is available in all plans, including sign-off sheets confirming staff have read and understood the contents c) ensure staff maintain confidentiality while documenting clear records of the support provided during visits. 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).