West Lothian Mental Health Service
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 3 July 2025, the provider must ensure people experience safe care and support and that management have good oversight and monitoring of internal quality assurance. To do this, the provider must, at a minimum: a) make sure that systems of quality assurance and audits, including feedback from people using the service, are in place and consistently completed, enabling areas for improvement to be promptly and accurately identified. This should include audits of medication, care plans, supervisions, observations of practice, and training. b) where areas for improvement are identified, develop an action plan detailing actions required, timescales and the person responsible. This must inform an improvement/development plan which includes timescales and an evaluation of progress made. c) ensure that quality assurance is systematic, effective, and integral to service provision. This is to comply with Regulation 4(1)(a) a1. By 3 October 2025, to ensure that people can be confident that staff have the appropriate knowledge, skills and competence, the provider must ensure that: a) records of induction and training are kept for each staff member b) a system is developed and implemented for monitoring staff competence c) a system is in place for regular supervision of staff. This should demonstrate meaningful conversations between both parties about the individual’s skills and knowledge, to reinforce best practice and inform training needs. 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). 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 a1. By 3 July 2025, the provider must demonstrate that personal plans make proper provision for people's care and support needs and detail how these will be met. To do this the provider must, at a minimum: a) ensure that care plans and records are accurate, sufficiently detailed and reflect the care planned and provided. b) ensure consultation and involvement with the person experiencing care and/or their representative in the development and review of the care plan so that people’s care and support is focussed on their individual aspirations. c) ensure that anyone expected to provide support has sufficient time to consider the contents of the care plan and be confident and competent in the associated tasks. d) ensure that care plans are regularly reviewed and updated where necessary. This is in order to comply with: Regulation 5(1) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is t
1. To promote good standards of practice, the provider should ensure that everyone is able to have a copy of their care plan in a format of their choosing, if they wish. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I receive and understand information and advice in a format or language that is right for me' (HSCS 2.9).
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
1. To service will be provided to adults with a Mental Health problem of Acquired Brain Injury living in their own homes.
Any other conditions unique to the service:
2. The support will be provided by 1 staff team as agreed during this registration and where there are any subsequent changes the Care Inspectorate should be informed.
3. The provider shall inform service users and their representatives that the care service is registered with the Care Inspectorate and shall ensure that they are made aware of the name of the registered service with its contact details, as it appears on this Certificate.