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Balhousie Care Group resident and staff member | Nursing Home Agency Advice

Scotland proposes four-weekly staffing assessments as new staffing laws gather pace

Four-weekly checks on staffing levels is a key recommendations of a draft new staffing method framework for adult care homes in Scotland.

The framework is now out for consultation, ahead of the enactment of the Health and Care (Staffing) (Scotland) Act 2019 in 2024.

The draft framework sets out three core elements to safe and effective staffing, with some explanation of the requirements:

  • Workload assessment based on peoples needs; Peoples physical, psychological, cultural, social, emotional, and spiritual needs are assessed a minimum of four weekly. This information is used to inform the person’s care and support hours. Effective communication methods with people experiencing care, their relatives, and staff alongside observations are used to inform staffing. Quality assurance policies and procedures monitor and evaluate staffing.
  • Use of staffing tools. Services are confident the staffing level tool shows the right skill mix of staff to support and care for people in a person-centred way. Staff schedules demonstrate that staff skills and experience to ensure the choices and needs of people are met.
  • Professional judgement. Professional judgement is applied across all sections in the staffing method. It is not used in isolation but alongside other evidence, such as quality outcome measures and standards.

Nine elements are identified as intrinsic processes in the above:

  • Risk management
  • Staff feedback
  • Professional input
  • Guidance and research
  • Staffing levels and vacancies
  • Assessment of quality and standards
  • Relative and carer views
  • Environment and local context
  • People needs and views

Participate in the consultation.


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