Highland and Islands Residential Recovery Centre

1. To promote well being, the service should ensure there are individual protocols for people who are on "as required" medication. 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.' (HSCS 1.24.); 'If I need help with medication, I am able to have as much control as is possible.' (HSCS 2.23); and 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).

2. The provider should continue with their review of the effectiveness and relevance of in-house groups.

People attending the service should be central to this and staff should be supported to feel confident and competent when delivering the groups. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'My care and support meets my needs and is right for me.' (HSCS 1.19); and 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisation codes.' (HSCS 3.14).

1. To ensure there is a culture of continuous improvement, the provider should formalise quality assurance systems and start a process of self evaluation.

This should result in an ongoing improvement plan that details the future direction of the service.

This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11); and '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 improve their practice of informing the Care Inspectorate of any notifiable events as detailed in 'Records that all registered care services (except childminding) must keep and guidance on notification reporting'.

This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that:

‘I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).

1. Staff should be supported to understand their roles and responsibilities as a registered worker. There should be sufficient oversight to ensure staff are working in a value based, professional and person centred manner at all times. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11); and '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 promote people's well being and safety, individual risk assessments and safety plans should be detailed and robust. These should be completed in conjunction with the supported person. 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.' (HSCS1.15); and 'I am fully involved in developing and reviewing my personal plan, which is always available to me.' (HSCS 2.17).