Leonard Cheshire Services (Scotland) - Glamis House
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 29 September 2025, the provider must protect the health and welfare of those who use the service. You must ensure people experience safe, competent and effective support with medication. In order to achieve this, you must at a minimum: a) ensure that all medication is administered in accordance with the prescription instructions b) ensure suitably detailed protocols are in place and accessible, to inform the administration of medication that is prescribed on an 'as required basis's' c) maintain good oversight of medication stock d) ensure practice is in line with best practice guidance in the handling of controlled drugs, e) ensure that there is sufficient and effective audit process for medication management. This is in order to comply with Regulation 3, Regulation 4(1)(a) and Regulation 4(1)(b) and Regulation 4(1)(b) and Regulation 5(2)(b) of The Social Care and Social Work Improvement Scotland (Requirements for Care
1. The provider should ensure support staff have access to and implement in their working practices', the principles and expectations set out in the SSSC Codes of Practice and the Health and Social Care Standards. This is to ensure that people experience respectful care provided by trusted, skilled and confident workforce. This is in order 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).
2. The provider should promote safe infection prevention and control standards. This includes supporting people to experience care in an environment that is safe, clean, tidy, and well maintained.
This is in order to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment' (HSCS 5.22).
1. The provider should ensure robust quality assurance processes are maintained. Where areas for improvement are identified through quality assurance and audit processes, these should be actioned without delay. This should include but not be limited to, medication stock control and infection prevention and control. This is to ensure that care and support is consistent with 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 promote responsive care and ensure that people have the right care at the right time, the provider should ensure that people and support staff, have easy access to up to date care plans and any relevant care records. This should include, but not be limited to daily care notes, handover records and as required medication protocols. 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 because people have the necessary information and resources’ (HSCS 4.27) and 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).