Morar Lodge Nursing Home
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 20 September 2025, the provider must provide a varied programme of meaningful activities on a daily basis. To do this the provider, must at a minimum provide: a) An activity plan developed from people's interests and hobbies. b) A range of meaningful activities for people living in the service. c) Staff who are allocated to coordinate activities. d) Encouragement for people to mix with their peers by attending a pleasant dining room for meals. This is to comply with Regulation 4 - Welfare of users of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011. 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 meets my needs and is right for me' (HSCS 1.19).
1. By 31 October 2025 the provider must ensure that quality assurance processes are carried out competently and effectively and in a manner which achieves improvements in the provisions of the service. To do this the provider must ensure: a) Routine and regular management audits are being completed across all areas of the service being provided, including staff observations of practice. b) Internal quality assurance systems effectively identify any issue which may have a negative impact on the health and welfare of people supported, including oversight of reviews and care plan updates. c) Accident and incident reports are reviewed and analysed on an appropriate timescale. c) Clear action plans with timescales are devised where deficits and/or areas for improvement have been identified. d) Action plans are regularly reviewed and signed off as complete once achieved by an appropriate person. This is to comply with Regulation 4(1)(a) (Welfare of users) of The1. By the 31 October 2025 the provider must, ensure that people’s care and support needs are met effectively by ensuring staffing arrangements are right. As a minimum, the provider must: a) assess people’s needs regularly and use this to determine staffing levels over seven days including evenings, weekends and nights b) ensure that there are appropriate staff numbers and that they are deployed appropriately to fully meet the health, welfare and safety needs of people c) take into consideration the additional needs that people may have. This is in order to comply with section 7(1)(a) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My needs are met by the right number of people' (HSCS 3.15).
1. By 31 October 2025, the provider must have an agreed environmental improvement plan in place that is workable mid to long term. This in order to improve the quality of the living environment and ensure non restricted access for people to outdoor spaces. To do this the provider must: a) Carry out an environmental audit of the whole service with a particular focus on the layout of the care homes bungalow. b) Produce an environmental plan based on the results of the audit. c) Ensure that within the plans access to areas upstairs, downstairs and outside is safe and non restricted for all. d) Ensure that the manager, or other appropriate person, has good oversight of all environmental issues and works being carried out. This is in order to comply with: Regulation 10(2)(b) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) This is to2. By 15 September 2025, the provider must ensure that people are kept safe by having clear oversight and implementation of fire safety arrangements in the service. These must meet the requirements of the Practical Fire Safety Guidance For Existing Care Homes (Scottish Government, 2022). To do this, the provider must, at a minimum: a) ensure evacuation procedures are clear, up-to-date and take account of risks in the environment and staffing levels throughout the day and night b) ensure all staff are given instruction and training on the actions to be taken in the event of a fire by participating in a full fire drill. This is to comply with Regulation 10(1) and 10(2)(b) (Fitness of Premises) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI2011/210). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My environme1. By 31 October 2025, The provider must ensure that care plans, risk assessments and personal evacuation plans are accurate and up to date. These should give staff clear instruction on how to meet people’s needs and wishes safely. To do this the provider must:
a) carry out regular reviews of care plans in line with legislation, to ensure these reflect people's current needs and keep a record of when these have been completed b) ensure that amendments to care plans and risks assessments are made timeously when people’s needs have changed c) ensure they communicate people’s changing needs and wishes clearly to all staff d) use care plan audits to ensure information about people and their needs are accurate and any issues identified are addressed effectively.
This is to comply with Regulation 5(1)(2)(Personal Plans) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 20
1. The provider should ensure that all policies are reviewed on at least a yearly basis. This is to ensure that all policies are still relevant and with up to date legislation, guidance and practice. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).
2. In order to ensure that managers have good oversight of staff training, the provider should ensure that there is a visible training matrix in place. This should include all staff and clearly show what is mandatory training and what is additional training. This should also alert managers when refresher training is required for staff. 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' (HSCS 3.14).
1. In order to ensure a safe environment throughout the care home, the provider should explore how extra space can be provided for storage of large health assistance equipment, such as hoists, walking frames and laundry trolleys. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My environment is secure and safe' (HSCS 5.19).
1. People should be able to have their needs and wishes met at their end of life. The provider should ensure that future plans are recorded and in place, and that they were detailed with people's choices and wishes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My personal plan is right for me because it sets out how my needs are to be met, as well as my wishes and choices' (HSCS 1.15), and ‘I am supported to discuss significant changes in my life, including death or dying, and this is handled sensitively’ (HSCS 1.7).