Darroch Nursing Home
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Enforcement
Requirements & recommendations
1. By 10 August 2026, the provider must ensure people are supported to experience meaningful and fulfilling daily lives. To do this, the provider must, at a minimum: a) Ensure a structured and consistent programme of meaningful activities is in place, based on people’s individual interests, preferences, and abilities, to support their wellbeing and quality of life. b) Ensure people are supported to maintain social connections and access the wider community where appropriate, with staff having sufficient time and support to promote meaningful engagement and reduce social isolation. This is to comply with Regulation 4(1)(a) 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 (H2. By 9 July 2026, the provider must ensure people receive safe, consistent, and effective care in line with their assessed needs. To do this, the provider must, at a minimum: a) Ensure all monitoring and care records are complete, accurate, regularly evaluated, and used to ensure care is delivered in line with current assessments and care plans. b) Ensure risks, including falls and skin integrity, are consistently assessed, monitored, and acted upon, and that incidents are reviewed to identify learning and reduce future risk. This is to comply with Regulation 4(1)(a) 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 personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be3. By 9 July 2026, the provider must ensure effective infection prevention and control practices are in place to protect people’s health, safety, and wellbeing. To do this, the provider must, at a minimum: a) Implement and maintain a clear cleaning schedule with appropriate monitoring, recording, and oversight to ensure the environment is clean and free from avoidable risks of infection. b) Ensure equipment, including mattresses, is clean, well maintained, and fit for purpose. c) Ensure staff adhere to appropriate infection prevention and control practices, including the risk-based use of personal protective equipment. d) Ensure staff receive clear guidance, instruction, and regular training in infection prevention and control, supported by observations and supervision to promote safe and consistent practice. This is to comply with Regulation 4(1)(a) of the Social Care and Social Work Improvement Scotland (Requirements for Care Serv1. By 10 August 2026, the provider must ensure robust and effective governance and quality assurance systems are in place. To do this, the provider must, at a minimum: a) Implement a structured programme of audits and ensure findings are analysed and used to inform a service improvement plan with clear timescales and measurable outcomes. b) Ensure records are accurate, up to date, and used to inform learning and meet statutory responsibilities, including clear and timely statutory notifications and reporting requirements. c) Ensure effective systems are in place for managing complaints, feedback, incidents, and safeguarding concerns, including clear recording, escalation, oversight, and timely action to protect people. d) Strengthen leadership and managerial oversight to ensure consistent monitoring of practice, including regular observations of staff practice, clear accountability, and prompt action where concerns are identified to improve qual1. By 10 August 2026, the provider must ensure staff have the knowledge, skills, and competence to meet people’s needs safely and effectively. To do this, the provider must, at a minimum: a) Undertake a comprehensive analysis of staff training needs, ensuring there is clear oversight of required skills and a structured training plan in place, covering key areas including, but not limited to, supporting people experiencing stress and distress, infection prevention and control, and dementia care. b) Provide structured, practical, and competency-based training, ensuring learning is applied and embedded in practice. c) Strengthen supervision processes to include reflective discussion, identification of ongoing learning needs, and development planning, with clear evaluation of how training improves practice. This is to comply with The Health and Care (Staffing) (Scotland) Act 2019. This is to ensure that care and support is consistent wi2. By 10 August 2026, the provider must ensure staffing levels and skill mix are appropriate at all times to meet people’s needs. To do this, the provider must, at a minimum: a) Implement systems to assess, monitor, and review staffing levels using dependency tools and professional judgement, ensuring they are applied flexibly and reflect day-to-day activities, meaningful engagement, unplanned events, the physical environment, and changing needs. b) Ensure staff are appropriately deployed with the right skills mix, and that only trained, competent, and registered staff deliver care. c) Ensure strong managerial oversight of staffing arrangements, with clear accountability and dynamic decision making to maintain safe and effective staffing. d) Ensure staff wellbeing is actively monitored, with timely action
1. To support safe, consistent, and person-centred care, the provider should improve the quality and effectiveness of care planning and review processes. Six-monthly reviews must be clear, meaningful, and reflect changes in people’s needs and outcomes, while risk assessments should be up to date, consistent, and aligned with care planning, with clear actions and regular monitoring. Stronger links between assessment, review, and care planning are needed to improve outcomes. 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), and 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).
1. By 1 June 2026, the provider must ensure people are supported safely in line with their assessed needs. To do this, the provider must, at a minimum: a) fully record and evaluate fluid charts for those that require monitoring b) fully record and evaluate repositioning charts for those that require support c) fully record and evaluate topical medication administration records d) comprehensively risk assess people's mobility support needs and align with emergency evacuation plans e) keep ongoing assessments up to date relating to skin integrity, falls and safer swallowing f) ensure six-monthly reviews take place and capture any changes to support needs and people's wishes This is to comply with regulatio
1. To support positive outcomes for people, the provider should ensure that staff members have a skilled level of dementia training. This is to ensure 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, are able to reflect on their practice and follow their professional and organisational codes' (HSCS 3.14).
1. To support people's wellbeing, the provider should ensure that thorough and effective environmental audits take place relating, but not limited to, mattress checks, mealtime experiences and emergency pull cords. This is to ensure care and support is consistent with Health and Social Care Standard (HSCS) which state that: 'I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment' (HSCS 5.24).
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
1. To provide a care service to a maximum of 40 older people.
This total may include use of 34 single bedrooms and 3 as double occupancy. Double occupancy must be in cases of prior existing relationship and written consent.