James Shields Project
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 01 September 2025, you must ensure that there are effective systems in place for assessing the quality of service provision. In particular you must: a) ensure review of existing quality assurance measures, ensuring that these cover all necessary assurances. b) ensure that the formal quality assurance processes in place, can identify and address swiftly any errors. c) ensure effective training is provided to those staff and managers undertaking quality assurance processes within the service. d) ensure that all staff are fully aware of their roles and responsibilities in completing quality assurance measures. This should include the roles of both the internal, and external managers in reviewing processes, planning and practice within the service. This is to comply with Regulation 4(1)(a), Regulation 5 and Regulation 15 of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regula1. By 01 October 2025 , you must ensure that at all times suitably qualified and competent persons are working in the care service in such numbers as are appropriate for the health, welfare and safety of children and young people, and that there are processes in place to support, develop, identify, and appropriately respond to any concerns about staff competence and practice. This is to ensure the safety of children and young people. In particular you must: a) ensure that all staff members receive regular supervision as per organisational guidelines, or more frequently as assessed by managers. b) ensure that there is effective scrutiny of staff and managers roles and responsibilities as outlined by their job descriptions c) ensure quality assurance measures keep effective oversight of this area of support for staff. d) Ensure any concerns are identified and acted upon swiftly. This is in1. By 01 October 2025, you must ensure that care planning processes are reviewed and developed. This is to support young people's wellbeing, outcomes, and choice . In particular you must: a) Ensure young people are actively consulted on deciding their goals, and that these are clear and visible to them. b) Ensure that goals are SMART (specific, measurable, achievable, realistic and timely). These should be reflective of young people's words, and should clearly describe the supports required to achieve these. Goals should be actively tracked and subject to regular review. c) Ensure that managers and staff receive training on care planning processes. d) Ensure that all staff are aware of the needs and focus of work for all young people within the service and know exactly what is needed from everyone to support young people to reach their goals. e) Ensure organisational quality assurances hav2. By 01 September 2025, you must ensure that there are effective systems in place for the identification, assessment, analysis, management and mitigation of risk. You should ensure that there are tools in place and implemented to support methodical and systematic approaches to better understand risk and its presentation. This is to ensure the safety of children and young people and ensure they receive high quality consistent care and support. In particular you must: a) ensure that all staff and managers are provided with and attend training on risk assessment and risk management. b) ensure that all staff have appropriate supports from managers to implement their training in practice and understand their role to protect children and young people and minimise risk. e) ensure that risk assessments are updated regularly with positive approac
1. To develop and enhance the service for young people, the organisation should review and develop their service improvement plan to have SMART objectives. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).2. To support the young people's wellbeing, and outcomes, the service should review their staff recording and post incident debrief processes. The service should but not limit to: a)Ensuring that staff record fully the supports they offer young people. b)Ensuring that recorded staff practice is subject to managerial scrutiny, including assessment of practice against agreed plans. c) Ensure that posts incident debriefs offer effective scrutiny of staff practice, and are fully undertaken after all incidents within agreed timeframes. Learning from incidents should inform future supports. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).
1. To support the young people's wellbeing and outcomes the service should ensure the correct numbers, experience, and skills mix are working within the service at all times. This should include but is not limited to: a) Recording their assessment of staffing needs in accordance with 'Records that all registered care services (except childminding) must keep and guidance on notification reporting.' This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My care and support is provided in a planned and safe way, including if there is an emergency or unexpected event' (HSCS 4.14).