Pittyvaich

1. To make sure people experience high quality care and support which will enable positive outcomes for people. To do this, the provider must, at a minimum ensure: a) competency assessments are effective in identifying any gaps in skills and knowledge and contribute to more consistent staff practice. b) all support staff complete appropriate training and development, to include but not limited to proactive engagement with people and related communication skills. 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’ (HSCS3.14) and; ‘I am supported to communicate in a way that is right for me, at my own pace, by people who are sensitive to me and my needs’ (HSCS 2.8).

1. To support positive outcomes for people, the provider should ensure all support staff have opportunities to develop their reflective practice. Specifically, to achieve this the provider should make sure: a) all staff have regular opportunities for protected time with their line manager to engage in reflective discussion about their practice, training and support needs b) reflective discussions are recorded accurately and consistently within supervision records c) supervisors have access to training aimed at promoting reflective practice within supervision This is in order to ensure that care and support is consistent with the Health and Social Care Standards which state that: ‘I experience high quality care and support because people have the necessary information and resources’ (HSCS 4.27).

1. People should have confidence that their personal support plans reflect their individual needs and intended outcomes. To promote good outcomes for people, the provider should review current personal support planning approaches. This includes, but is not limited to: a) Develop support plan review approaches which promote greater involvement from people and accurately record discussions and agreed outcomes. b) Recording from support plan reviews, either directly undertaken by the service or by other professionals, should reflect discussions which are person-centred and outcomes focussed. c) Ensure that preadmission assessments are regularly audited to ensure they are fully completed, signed and dated. The following Health and Social Care Standards have been considered in making this area for improvement. 1.15 “My personal plan is right for me because it sets out how my needs will be met, as well as my wishes and choices.” 1.23 “My needs, as agreed i