Buckreddan Care Centre
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Enforcement
Requirements & recommendations
1. By 15 January 2027, the provider must ensure that the service environment is safe, well-maintained and fit for purpose, so that people’s health, welfare and safety are protected. To do this, the provider must, at a minimum: a) ensure flooring throughout the service is clean, in good condition and free from damage that could pose a risk to people’s safety; b) ensure furnishings and equipment, including beds, divan bases and headboards, are in good repair, free from damage and able to be effectively cleaned; c) ensure beds are fit for purpose, including for supporting safe moving and handling; and d) implement and sustain an effective planned maintenance programme to address areas of deterioration and reduce the risk of recurrence. This is to comply with Regulation 4(1)(a) and, where necessary, Regulation 4(1)(d), and Regulation 10(2)(a), (b) and (d) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (S
1. To ensure safe and effective care, the provider should ensure that daily records are accurate, reflective of care provided and completed as soon as possible after care is delivered. This should include regular audits, evaluation of findings and timely action where improvements are required. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘My care and support meets my needs and is right for me’ (HSCS 1.19).
2. To support wellbeing, the provider should ensure people, including those who spend time in their rooms, experience regular, meaningful engagement and activity. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I can choose to have an active life and participate in a range of activities every day’ (HSCS 1.25).
3. To support people, particularly those living with dementia, the provider should ensure that care and support for stress and distress is informed, consistent and person-centred. This should include consideration of underlying causes such as pain, unmet need or environmental factors, and ensuring staff consistently apply planned responses in practice. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘I experience warm, compassionate and nurturing care and support’ (HSCS 1.6).
4. To support people’s comfort and wellbeing, the provider should ensure that people experience effective and consistent assessment and management of pain. This should include, but is not limited to: • using recognised pain assessment tools where appropriate • ensuring pain is regularly reviewed and responded to • ensuring staff understand how to recognise pain, particularly for people who cannot communicate verbally. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘I experience high quality care and support that is right for me’ (HSCS 1.19).
1. To ensure people experienced consistently safe, dignified and effective care, the provider should strengthen systems for assessing, monitoring and evidencing staff competence in practice. This should include robust and ongoing competency assessment in key areas such as manual handling, supporting personal care, and responding to stress and distress, alongside effective supervision and reflective practice. This would help ensure that learning from training was consistently applied in day-to-day practice, and that gaps in knowledge and skills were promptly identified and addressed, resulting in more consistent and safer outcomes for people. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: ‘I have confidence in people because they are trained, competent and skilled’ (HSCS 3.14) and ‘I experience high quality care and support based2. To improve people’s experiences of care and support, the provider should develop a stronger learning culture where staff consistently demonstrate accountability for practice and feel confident to challenge and report poor care. This should include supporting staff to reflect on practice, promote positive values and interactions, and ensure that care is delivered in a compassionate, person-centred way. Strengthening this approach would help reduce task-focused care and improve people’s emotional wellbeing, ensuring that interactions were consistently respectful and responsive to individual needs. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: ‘I am treated with dignity and respect’ (HSCS 1.1) and ‘I am confident that people are proactive in improving the quality and safety of my care and support’ (HSCS 4.19).
1. To improve people’s wellbeing and the quality of their day, the provider should ensure people can access and use indoor and outdoor spaces in a meaningful way and as independently as possible. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: “I can choose to 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 manager should demonstrate that systems are in place to support the effective communication with family/representatives of people experiencing care. A record of the agreed arrangements and all communication made and received should be maintained. 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. To support wellbeing, the provider should ensure people, including those who spend time in their rooms, experience regular, meaningful engagement and activity. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I can choose to have an active life and participate in a range of activities every day’ (HSCS 1.25).
2. To promote the safety and wellbeing of people experiencing care, the provider should ensure that individuals have access to their mobility equipment in line with their assessed needs, as detailed in their care plans. This is to ensure care and support is consistent with Health and Social Care Standard 1.19: My care and support meets my needs and is right for me.
1. The provider must ensure that people experiencing care are able to independently access safe and secure outside space and those who are able can do so independently when they wish. This is to ensure care and support is consistent with the Health and Social Care Standards which state that: 'If I live in a care home, I can use a private garden' (HSCS 5.23) and 'I can independently access the parts of the premises I use and the environment has been designed to promote this' (HSCS 5.11).
1. The manager should demonstrate that systems are in place to support the effective communication with family/representatives of people experiencing care. A record of the agreed arrangements and all communication made and received should be maintained. 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. By 9 December 2025, the provider must ensure people experience safe, dignified, and person centred mealtimes that promote nutrition, wellbeing, and comfort. To do this, the provider must, at a minimum: a) ensure staff follow people’s nutritional assessments and preferences b) ensure people who require support receive timely and appropriate assistance c) position people safely when eating and drinking d) ensure appropriate seating and adaptive equipment is consistently available and used e) carry out regular direct observations of mealtime practice and take effective action to ensure consistently good practice. This is to comply with Regulation 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) and section 8 of the Health and Social Care Staffing (Scotland) Act 2019. This is to ensure care and support is consistent with the Health and Social Care Standards which state: To do this, the provider must, at a minimum: a) ensure personal plans accurately reflect current assessed needs and preferences b) record clinical care consistently, including wound care, repositioning, nutrition and bladder care c) ensure staff follow and document external professional guidance d) ensure effective auditing systems for care plans and records and act promptly on findings. This is to comply with Regulation 4(1)(a) and Regulation 5(1) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure care and support is consistent with the Health and Social Care Standards which state that: ‘My personal plan is right for me because it sets out how my needs will be met, as well as my wishes a1. By 24 February 2026, the provider must strengthen governance and quality assurance systems to ensure care is safe, responsive, and continuously improving. To do this, the provider must, at a minimum: a) implement a proactive and outcome-focused self-evaluation process that includes regular review, follow-up, and measurement of impact on people’s experiences b) ensure quality assurance tools are robust, regularly reviewed, and effectively identify and respond to risks such as poor practice, infection control, and fire safety c) embed a culture of continuous learning by providing on-the-floor coaching and updating supervision formats to support staff development d) ensure responses to poor practice focus on improvement and learning, not solely accountability e) demonstrate leadership that anticipates and addresses concerns before they escalate, through regular monitoring and reflective practice f) promote and embed leadership and accountability at all levels of staff and across1. By 24 February 2025, to ensure that peoples care and support needs are met in a safe and high quality care service, the provider must ensure staffing arrangements are safe and effective. To do this, the provider must, at a minimum: a) regularly assess and review peoples care and support needs b) demonstrate how the outcome of people’s assessments are used to inform the staffing number and arrangements c) implement quality assurance systems to evaluate care outcomes and assess if staffing arrangements are effective in providing responsive, person-centred support and the best good outcomes for service users. 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).
2. By 24 February 2026, to promote the safety and wellbeing of people, the provider must ensure that staff receive essential training and development opportunities to enable them to be competent in their roles. To do this the provider must at a minimum: a) undertake a training needs analysis to identify what training and development is required for each role b) arrange appropriate training and ensure that the pace of training completion reflects the need for improvement c) implement effective quality assurance systems to evaluate the effectiveness of training and development opportunities and ongoing competency of staff. This is to comply with section 8(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: 'I have confidence in people because they are trained, competent and skilled, are able to reflect1. By 9 December 2025, the provider must ensure that infection prevention and control practice is safe, robust and consistently implemented. To do this, the provider must, at a minimum: a) ensure all areas of the home are clean, hygienic and free from malodour b) ensure PPE stations are appropriately stocked and accessible at all times c) ensure waste is stored and disposed of safely and external areas remain clean d) implement regular infection prevention and control audits and take prompt action on identified issues. This is to comply with Regulation 4(1)(a) and 10(2)(d) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I ex
1. To promote dignity and emotional wellbeing, the provider should ensure staff consistently demonstrate warmth, respect and person centred communication. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I experience people speaking and listening to me in a way that is courteous and respectful’ (HSCS 3.7).
2. The provider should ensure people have access to appropriate communication support, including aids, culturally sensitive practice and staff communication skills. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I am supported to communicate in a way that is right for me’ (HSCS 2.3).
3. To support wellbeing, the provider should ensure people, including those who spend time in their rooms, experience regular, meaningful engagement and activity. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I can choose to have an active life and participate in a range of activities every day’ (HSCS 1.25).
1. The provider should improve the environment to ensure all areas are clean, well maintained, free from odour and feel homely and comfortable. This is to ensure care and support is consistent with the Health and Social Care Standards which state: ‘I experience an environment that is well looked after with clean, tidy and well maintained premises.’ (HSCS 5.22)
1. To ensure people’s wishes and preferences for future care are respected and clearly documented, the provider should improve the development and use of anticipatory care plans. These plans should be person-centred, regularly reviewed, and include input from the individual, their representatives, and relevant professionals. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state: “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) and “I am supported to make informed lifestyle choices affecting my health and wellbeing, and I am helped to use relevant screening and healthcare services” (HSCS 1.28).
1. Activities require to continue to develop within the service. We saw some good examples from the existing staff and this needs to be further developed by demonstrating involvement and assessment of people’s likes dislikes hobbies and activities they take part in. The service are currently recruiting more activity staff as this is a large care home this would help bolster the activity team and ensure there is enough staff to ensure a regular consistent activity programme is implemented. 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 can choose to 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 must ensure that the environment of the home is safe and protects people who live, visit and work in the service from harm. To do this, the provider must, at a minimum ensure that: a) there are effective systems in place to assess and monitor the health and safety requirements for the care home; b) guidance from external stakeholders such as the Scottish Fire and Rescue Service and the Health and Safety Executive are adhered to; c) staff assigned health and safety responsibilities must have appropriate training for the role, including fire safety and COSHH; d) arrangements are made to ensure that appropriately trained personnel are available to cover absence of the staff assigned health and safety roles; and e) there is a system to verify that health and safety checks have been carried out and action taken to address identified issues.
2. The provider must ensure that people experiencing care are able to independently access safe and secure outside space and those who are able can do so independently when they wish. This is to ensure care and support is consistent with the Health and Social Care Standards which state that: If I live in a care home, I can use a private garden. (HSCS 5.23) I can independently access the parts of the premises I use and the environment has been designed to promote this (HSCS 5.11)
1. The provider should ensure that the information and content of the electronic care planning is reflected across other documentation such as past life history, preferences, likes, dislikes and hobbies. This helps to create a more person centred approach and also ensure consistency of approach, in particular when responding to individual's physical presentation and also taking account of individual's choices, preferences and abilities. 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
Conditions of registration
1. To provide a care service to a maximum of 113 clients aged 50yrs and over with assessed care needs. Inclusive are a max of 10 places for clients with complex care needs who may be below 50yrs of age. The care will be provided with 66 places in Eglington unit and 47 in Garnock.