Esteem Care Dumfries and Galloway Ltd

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)

2. The provider should ensure they are aware of any support provided involving finances. To keep people safe, effective support planning and recording in relation to managing people's finances should be in place. This should include, but not be limited to: a) a clear finance support plan being in place where support is provided with finances, b) clear recording in relation to finances, with receipts available for spending which staff have responsibility for, c) regular auditing processes to ensure the safe handling of finances, which adheres to organisational policy. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'Any treatment or intervention that I experience is safe and effective' (HSC 1.24).

1. So people can be sure quality assurance drives change and improvement where necessary the service provider should consider inclusion of self-evaluation using the quality framework for care homes for older people within the quality assurance system. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: "I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes". (HSCS 4.19)

2. The provider should ensure that they continue to further develop and embed a quality assurance framework, which details what is required to be done, when and by who. This includes, but is not limited to: a) Following the quality assurance framework timescales. b) Developing a template for recording and reviewing action plans showing the improvements needed, the timescale to achieve and the sign off once achieved. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' HSCS 4.19).

1. To support staff to work well together, managers should ensure time is scheduled for staff to have regular opportunities to meet as a team. By creating circumstances for staff to reflect on and share learning about work practices. 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. The provider should ensure care plans are up to date and detail accurate information, to ensure that people receive the right support at the right time, which promotes choice and independence. This should include at a minimum: a) each person receiving care has a detailed personal plan which reflects a strengths based, outcome focused approach, b) they contain accurate and up-to-date information which directs staff on how to meet people’s care and support needs, c) they contain accurate and up to date risk assessments, which direct staff on current/ potential risks and risk management strategies to minimise risks identified, d) they are regularly reviewed and up dated with involvement from relatives and relevant others. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'My personal plan (sometimes referred to as a care plan) is right for me because it sets out how2. The provider should ensure that all staff record their involvement with people in a person-centred manner, to capture people's experiences and the outcomes achieved. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: '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) and ‘I experience high quality care and support based on relevant evidence, guidance and best practice.’ (HSCS 4.11)

3. To ensure people receive the most effective and responsive support, care and support reviews should be completed within expected timeframes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: '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)