Bankfoot House
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support people's eating and drinking needs fully catering staff should have accessible, updated guidance around people's nutritional needs. This should include but is not limited to guidance on modified diets, dietary preferences, allergens and those who require enhance food and fluid monitoring. 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) and 'My meals and snacks meet my cultural and dietary needs, beliefs and preferences' (HSCS 1.37).
2. To support people's health and wellbeing and the effectiveness of any support they receive, the provider should improve the documentation of 'as required' medication. This should include, but is not limited to, ensuring that the reason for the administration of the medication, signs and symptoms this may cause and the effectiveness of the medication is documented in sufficient detail. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'Any treatment or intervention that I experience is safe and effective' (HSCS 1.24).
1. To ensure people's nutritional needs are fully met, the provider should improve recording of people's nutritional needs. This should include updating personal plans when external specialists have become involved, recording consistently food and fluid intake and ensuring all related information in personal plans is current for people supported. 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).
1. By 15 March 2026, the provider must ensure people experiencing care have confidence the service received by them is well led and managed. You must support better outcomes through a culture of continuous improvement, underpinned by robust and transparent quality assurance processes. This must include, but is not limited to: (a) assessment of the service’s performance through effective audit; (b) develop action plans which include specific and measurable actions designed to lead to continuous improvements; (c) detailed timescales for completion/review; (d) alignment systems to best practice guidance. 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) Regulation 2011 (SSI 2011/210). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I benefit fro2. By 18 January 2026, the provider must ensure that the Care Inspectorate are notified of all significant events as per Care Inspectorate Notification Guidance. This is to comply with Regulation 4(1)(b) (Records, notifications and returns) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulation 2011 (SSI 2011/28). This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: ‘I use a service and organisation that are well led and managed’. (HSCS 4.23) and ‘I benefit from different organisations working together and sharing information about me promptly where appropriate, and I understand how my privacy and confidentiality are respected’. (HSCS 4.18).
1. The provider should have in place guidance for staff to follow when a person supported experiences an accident, incident or becomes unwell and requires to be ‘monitored'. 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).
2. The registered manager should complete an analysis of falls that occur so learning and improvement can take place to reduce the future risk of falls. 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 'My care and support meets my needs and is right for me'. (HSCS 1.19).
1. The provider should improve their oversight of the Scottish Social Services Council (SSSC) requirements and ensure staff are appropriately registered within the required timescales. 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. To support good outcomes for people staff should be trained and have the necessary skills. Competency assessments should be completed to evaluate staff skills and knowledge against legislation and best practice. Competency assessment records should also evidence any areas for improvement and how these will be met. 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).