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Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 27 April 2026, you must ensure people receive their medication safely and in line with their assessed needs, the provider must ensure that all medication is administered in a safe, lawful and well-documented manner. You must at a minimum promote people's wellbeing by: a) Carrying out a medication audit to establish a baseline which identifies what improvements are necessary and implement those. b) Ensure suitably detailed protocols are in place to inform the consistent and appropriate administration of medication that is prescribed on a ‘to be taken when required’ (PRN) and for topical medication. c) Ensure all Adults with Incapacity (Scotland) Act 2000 documentation is completed correctly, in place, and accessible within people’s plans where required. d) Ensure that people administering medication are suitably trained and they have had their competency assessed. This is to comply with Regulation 4(1)(a)(b) of The Social Care and Social Work Improvement Scotland (Requiremen1. By 27 April 2026 the provider must ensure people are provided with the right care and support which is led and managed well and which results in better outcomes for people. This should be achieved through establishing a culture of continuous improvement, with robust and transparent quality assurance processes. To do this, the provider must, as a minimum but not limited to ensure: a) There are sufficient and appropriate capacity and capability within management and leadership roles to introduce an effective quality assurance timetable for audits. b) This then leads to the creation of a service improvement plan, which identifies the areas they intend to improve and develop. This should identify, how, timescales and a description of the outcome they hope to achieve, and review the improvement plan regularly. c) Additionally, the provider supports the manager to make the necessary improvements identified, which then enables a self-evaluation approach, leading to a way of working which1. By 27 April 2026, you must ensure people experiencing care receive support from staff with sufficient skills and knowledge for the work they are to perform in the service. This must include, but is not limited to: a) Ensure that all staff receive training relevant to the work that they carry out in order to keep service users safe, such as; safe administering of medication, moving and handling, skin integrity, adult support and protection, meeting the care and support needs of service users. b) Implement processes that ensure that all staff are compliant, and complete their mandatory training as soon as possible. c) Implement a continuous programme of planned competency assessment, observational practice and supervisions to inform individual and service development. d) Implement a quality assurance system, ensuring the training plan is reviewed to reflect the ongoing training required to equip staff to meet the individual personal and physical health needs of people experiencing2. By 27 April 2026, to ensure that people are cared and supported by people who are suitable to work in the service, the provider must ensure that safer staffing practices are followed. To do this, the provider must, at a minimum: a) Review their current recruitment practices against the 'Safer recruitment through better recruitment’ guidance document, identifying ways to make sure their recruitment processes are then safe. b) Implement as soon as possible an improved recruitment process which is evidenced and fully recorded throughout. c) Develop a quality assurance step that ensure that potential staff recruitment file has been fully completed, and that this is counter signed by another competent person. This is to comply with Regulation 9(1) 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 state1. By 20 April 2026 the provider must ensure that people’s care plans and associated documents are up-to date, accessible and used to inform care staff how to provide the right support. In particular you must ensure that: a) Care plans provide accurate information for staff about people’s specific health care and wellbeing needs. b) Where there is a change in a person's health and care needs or in people’s risk as a result of an incident or review, a risk assessment is immediately updated, and care plans are updated. c) Where people are not able to fully express their wishes and preferences, the necessary consents are obtained from the person's legally appointed guardian. d) The care plan is formally reviewed at least once in every six-month period and people and their relatives or representative/s are fully involved in this review. This is in order to comply with Regulation 5(2) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Reg
1. To ensure that people benefit from open and transparent leadership, the provider should, implement the guidance in the document 'Adult care services: Guidance on records you must keep and notifications you must make’. This is in order to keep the Care Inspectorate updated on important events. 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 use a service and organisation that are well led and managed". (HSCS 4.23).