The Haven Kilmacolm
Recorded Key Question grade range: 4–5 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 20 July 2025, the provider must have a clear plan to ensure all staff training is up to date and regularly reviewed. This is to ensure people are supported safely and well with their needs. In order to achieve this the provider must: a) Carry out a training audit of all essential training, including refresher training. This should include; Adult Support and Protection, De-escalation, medication administration, first aid, trauma informed practice and specific training to support people with substance misuse. b) Put a training plan in place, prioritising training for new staff and core training which has lapsed for existing staff. c) Monitor the training plan to ensure it is kept up to date and any remedial action required is taken. This is to comply with section 8 (1) (a) (b) of the Health and Care (Staffing) (Scotland) Act 2019. This is also to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I have
1. Internal quality assurance systems should be developed to effectively identify any issue which may have a negative impact on the health and welfare of people supported. Action plans with timescales should be devised where deficits and/or areas for improvement have been identified. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which states "I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes" (HSCS 4.19) and "I use a service and organisation that are well led and managed" (HSCS 4.23).
2. To ensure that people benefit from a service which is well led, the provider should create a service development plan to evidence and centralise where improvements to the service have been identified, actions agreed and outcomes achieved. 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) and "I use a service and organisation that are well led and managed" (HSCS 4.23).
1. To ensure people’s support needs can be clearly tracked and monitored, the provider should ensure there is a system in place to record any aspects of people's daily support that relates to their health and wellbeing. This includes, but is not limited to; general observations of people's mood and appearance, and where medication may be required. Recordings should be used to help recognise where people's health may deteriorate, inform decision-making and take appropriate action. This is to ensure that the quality of care and support provided is consistent with the Health and Social Care Standards (HSCS) which states that: “My future care and support needs are anticipated as part of my assessment” (HSCS 1.14) and “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).