Catalina Care Home
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 15 May 2026 in order to ensure people's physical, emotional, social and psychological needs are being met, the provider must ensure: Each person has a written care plan that is regularly reviewed at a minimum of six monthly. Reviews should be meaningful and involve the person and relevant others. This is in order to comply with Regulation 5(2)(b) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) and Regulation 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) . This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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 3.21); and 'I am fully involved in developing and reviewing my personal plan, which is always av
1. By 23 February 2026 the provider must ensure staff have the skills and experience to meet the needs of "new residents" coming to live in Catalina Care Home. This must include a robust pre-admissions assessment that takes into account the needs of the current residents, and whether any new residents would be a "good fit." 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: ‘If I experience care and support in a group, the overall size and composition of that group is right for me.' (HSCS 1.8); and 'I am assessed by a qualified person, who involves other people and professionals as required.' (HSCS1.13).
2. By 23 February 2026 to promote people's well-being, the provider must ensure staff are available to support people to their health appointments. This is in order to comply with section 7 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: 'I am protected from harm because people are alert and respond to signs of significant deterioration in my health and wellbeing, that I may be unhappy or may be at risk of harm.' (HSCS 3.21); and 'I use a service and organisation that are well led and managed.' (HSCS 4.19).
1. By 23 February 2026 in order to ensure people's physical, emotional, social and psychological needs are being met, the provider must ensure: a) each person has a written plan which sets out how their holistic needs should be met. People and their relatives/representative should be given the opportunity to be involved in this process; b) action is taken to make any necessary improvements to reduce a person’s risk level and update the care plan accordingly; c) relevant staff must be familiar with the content of the plan and have the necessary knowledge, skills and confidence to provide the care the person needs; and d) there must be effective arrangements in place to ensure the plan is regularly reviewed, updated and staff are responsive to the person's changing or unmet needs. This is in order to comply with Re
1. So that the service has a culture of continuous improvement and listens and acts responsively to people's complaints, the provider should have a robust complaints procedure in place. This should include information on how complaints/concerns will be dealt with objectively and professionally. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11); 'I know how, and can be helped, to make a complaint or raise a concern about my care and support.' (HSCS 4.20); and 'If I have a concern or complaint, this will be discussed with me and acted on without negative consequences for me.' (HSCS 4.21).
2. To promote improved outcomes for people, leaders should have the skills, capacity and systems in place to identify risks, plan appropriate actions to address these and drive improvement forward. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11); and 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.' (HSCS 4.19).
1. To ensure a competent and confident staff team, the provider should continue to action their service improvement plan, in regard to staff supervision, practice observations and relevant training to the roles staff are undertaking. 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); and 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).
1. To reduce the risk of spread of infection, staff should be encouraging and reminding people to regularly wash their hands, especially before and after meals and when using the toilet. Staff should also be regularly hand washing. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11 ).
1. By 9 July 2025, the service provider must ensure people are supported to keep safe and keep good health and wellbeing. To do this the service provider must, at a minimum: a) report any protection concerns for a person immediately to the relevant adult protection teams b) put in place suitable arrangements for minimise any risk to a person's safety and create or update any safety plan in place for a person as necessary c) collaborate closely with key partner agencies in the protection of people and d) notify the Care Inspectorate immediately of any protection concern incident for a person This is to comply with Regulation 4(1)(a) and 5(2)(b)(ii) 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 (HS
1. In order to support good outcomes for people experiencing care, the service provider should endeavour to make sure the service management and staff always act in accordance with the principles, values and legislation of health and social care provision.. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively' (HSCS 1.3) and 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).
2. In order to support good outcomes for people experiencing care, the service provider should make sure any monies held and managed by the service on behalf of people is managed safely. That people's financial matters are always suitably handled, recorded and all staff follow the correct procedures. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If I need help managing my money and personal affairs, I am able to have as much control as possible and my interests are safeguarded' (HSCS 2.5) and 'I experience high quality care and support because people have the necessary information and resources' (HSCS 4.27)
1. To ensure people receive timely support and staff are alert and responsive to people's care and support needs and wishes, the service provider should ensure staff have clear guidance and have planned and regular, appropriate opportunities to observe and attend to people when needed. This should include, but not limited to, agreed and assessed set times for daily and nightly observations and checks of communal areas, and staff having a considerate and professional approach at all times. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am confident that people respond promptly, including when I ask for help' (HSCS 3.17) and 'My care and support is provided in a planned and safe way, including if there is an emergency or unexpected event.' (HSCS 4.14).1. To support safe support and positive experiences and outcomes for people, the service provider should ensure that comprehensive assessment processes and care and support plans are always undertaken, in place and reviewed regularly. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My future care and support needs are anticipated as part of my assessment' (HSCS 1.14) and '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).