Mavisbank Gardens
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. The provider should ensure that people are consistently supported to experience meaningful engagement throughout the day that reflects their individual interests, skills and strengths. This should include: • Staff routinely involving people in choosing and planning activities that are meaningful to them. • Opportunities for meaningful engagement being available throughout the day, and not limited to planned outings. • People’s interests, strengths and personal goals being clearly recorded in their personal plans and used to guide daily support. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that people should have “an active life and participate in a range of recreational, social, creative, physical and learning activities every day, both indoors and outdoors” (HSCS 1.25).
1. The provider should ensure quality assurance processes lead to clear actions for improvement, are recorded and monitored through the Service Improvement Plan, and involve staff, residents and families in improving the service. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that people should benefit from “a culture of continuous improvement, with robust and transparent quality assurance processes” (HSCS 4.19) and are “supported to give regular feedback on how they experience their care and support, with learning used to drive improvement” (HSCS 4.8).
1. By 23 January 2026, the provider must ensure that people experiencing care receive medication in accordance with the prescriber’s instruction. To do this, the provider must at a minimum: a) Ensure medication is administered as directed by the prescriber. b) Maintain accurate, up-to-date medication administration records. b) Ensure staff responsible for administering medication are trained, competent, and understand their roles and responsibilities. This is to comply with Regulation 4(1)(a) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure that the quality of the staffing within the service 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 practice and follow their professional and organis
1. To ensure consistent care and support, communication within the staff team should be improved. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "My care and support is consistent and stable because people work together well". (HSCS 3.19).
1. Improvements in personal planning should be consolidated to ensure that people’s personal plans are accessible, accurate and sufficiently detailed to direct peoples care and support. The provider should continue to update assessments and personal plans in advance of admission to the service. 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).
1. Improvements in medication administration practice must be consolidated to ensure people consistently receive their medication in accordance with the prescriber's instruction and medication administration records are accurately completed in accordance with good practice guidance. The provider should implement a schedule audits of medication administration records and observations of staff practice. This is to ensure care and support is consistent with the Health and Social Care Standards 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. (3.14)
1. Improvements in personal planning should be consolidated to ensure that people’s personal plans are accessible, accurate and sufficiently detailed to direct peoples care and support. The provider should continue to update assessments and personal plans in advance of admission to the service. 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).