Cumnor Hall
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 21 October 2026, the provider must ensure effective arrangements are in place to maintain clear leadership, governance, and quality assurance at all times, including during periods of management absence or change. Supportive measures must ensure that improvement activity remain consistent and effective, so that people’s wellbeing is safeguarded and statutory responsibilities are met. 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 care and support is consistent with the Health and Social Care Standards (HSCS), which state: “I use a service that is well led and managed”.
1. By 30 September 2025 the provider must ensure that effective quality assurance, including self-evaluation and improvement plans, are implemented to ensure standards of good practice are adhered to and drives change and improvement where necessary. This is to ensure that care and support is consistent with the 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. By 30 September 2025, the provider must ensure that people experience a high-quality environment that promotes their choices and meets their needs. To do this, the provider should, at a minimum: a) ensure that upgrades to the fabric, décor and furnishings around the home continue to be cyclically planned to enhance the environment for those living with Dementia. Use the Kings fund tool to consider how to make improvements b) The rear/side garden used by residents must be included in the cyclical maintenance arrangement, the same as the front garden c) people must be safely able to access any communal spaces they choose within the home d) make the large water feature to the front of the home safe. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that:
'I am able to access a range of good quality equipment and furnishings to m
1. To support and develop learning opportunities for staff to meet the needs of people who live in the care home, the provider should: a) develop and make accessible a training matrix to identify gaps and plan for any outstanding training b) create capacity to ensure that staffs competency can be monitored and observations of practice undertaken regularly. 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 the people who support and care for me' (HSCS 3.14).
1. To improve the content of personal plans and to promote people’s health and wellbeing, the manager should ensure they are continually evaluated, reviewed and updated.
Do this by involving relevant professionals and take account of good practice. Personal plans should be person-centred to reflect people’s rights, choices and wishes. Reviews should include information on people’s progress and actions noted by the person leading the meeting on behalf of the person to include who was present. 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).