Real Life Options Fraserburgh
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 08 June 2026, the provider must ensure that people experience safe, timely and proactive care and support, that meets their health, safety, and wellbeing needs. To do this, the provider must, at a minimum: a) Ensure staff know, and fulfil, their roles and responsibilities in supporting, monitoring, and responding to changes in, people’s health and wellbeing. This should include but is not limited to supporting hydration and following up on health referrals. b) Ensure clear systems are in place to highlight, and escalate concerns about people’s health, safety and wellbeing. c) Ensure leaders have oversight of people’s care and support, including people with complex needs, and take prompt action when this does not meet expected standards. d) Ensure any environmental risk, that poses immediate risk of harm, is addressed as a priority. This is to comply with Regulation 4(1)(a) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) R1. By 08 June 2026, the provider must ensure that people experience safe care as a result of effective quality assurance, that is carried out by knowledgeable and skilled leadership at all levels in the organisation. To do this, the provider must, at a minimum: a) Plan, and take any action that is necessary, to ensure that leaders have the necessary support, capacity, and time required for their roles. b) Make a plan to ensure leaders have the confidence and capacity to effectively build relationships with other professionals, and can demonstrate how they embed professional guidance, to support safe care and good outcomes for people’s health, safety and wellbeing. c) Ensure that leaders have received guidance, one-to-one support and feedback on the quality of their work in accordance with their development and support needs, and the needs of the people you support. d) Ensure robust quality assurance systems with clear lines of responsibility and professional accountability. This should result1. By 20 July 2026, the provider must ensure that people experience safe care from a knowledgeable, competent, and skilled staff team, that are deployed effectively to meet their health, social and emotional needs. To do this, the provider must, at a minimum: a) Ensure that all new staff have completed a thorough induction to prepare them for their role. b) Ensure new staff have the instruction from leaders, and the ability, to promptly complete relevant training for their role. c) Ensure that leaders have clear oversight of ongoing staff training needs and competency, to enable clear identification of training that is required, ensuring that essential training does not lapse. d) Review, and take action to improve, staff deployment. This should include reviewing the skill mix available within staff teams, to ensure that all people benefit from consistent and predictable staffing arrangements, that meets their needs, as identified in their care plan. This is in order to comply with secti1. By 20 July 2026, the provider must ensure that people, including those with complex needs receive consistent and safe care that is planned well. To do this the provider must, at a minimum: a) Ensure care plans, and risk assessments, are based on relevant professional guidance, reviewed as per statutory guidance, and when people’s needs change. b) Ensure relevant people and legal representatives, such as financial appointee’s and welfare guardians, are involved in care plans that are pertinent to their role. c) Ensure finance arrangements for people are planned and result in safe financial support. d) Ensure people receive care and support as detailed in those care plans. e) Ensure staff have read, implemented, and can demonstrate understanding of people’s care plans. f) Ensure that there is sufficient preparation for people’s reviews, that these are collaborative, and that the service keeps their own detailed records of decisions of those meetings. Reviews must reflect statutory timef
1. To ensure that people receive safe and effective care with medication, the provider should ensure all people have the necessary medication plans, assessments, and recording tools in place. This should result in clear, legible instructions, resulting in consistent medication practices in the service. This is to ensure that staffing is consistent with the Health and Social Care Standards (HSCS) which state that: “Any treatment or intervention that I experience is safe and effective.” (HSCS 1.24)
1. By 20 April 2026, the provider must ensure people’s health, safety and wellbeing needs are met. This should include, but is not limited to, ensuring timeous access to healthcare and support to maintain a safe living environment. To do this the provider must, at a minimum: a) Ensure staff understand their role in assessing, and responding to, changes in people’s health. b) Ensure people receive prompt care and support when people’s health needs change. c) Ensure care plans are updated when their health needs change. d) Ensure leaders have sufficient oversight of people’s health and wellbeing needs and take prompt action when this does not meet expected standards. e) Ensure people who require support to maintain a safe living environment, receive the care they need, as detailed in their care plan. 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). T
1. By 12 January 2026, the provider must ensure that people are safe and benefit from a culture of continuous improvement. To do this, the provider must, at a minimum: a) ensure that leaders conduct thorough investigations following all unplanned events, including incidents of stress and distress b) take appropriate actions to improve outcomes for people, following any investigation c) ensure that leaders can evidence clear records of their investigations, and demonstrate that any follow up actions have been completed. 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 states that: “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)
1. By 27 October 2025, to ensure that people are safe and treated with dignity and respect at all times the provider must ensure that staff have the necessary understanding, competence, knowledge, and training. To do this the provider must, at a minimum: a) Ensure staff communication with, and about, people is respectful at all times. b) Ensure staff are aware of, and can show through their practice, the Health and Social Care Standards and the Scottish Social Services Council codes of practice. c) Demonstrate how staff understand the impact working relationships have on people’s support and for leaders to take appropriate actions to address poor working relationships. d) Ensure staff have the necessary understanding, competence, knowledge, and training required to support people, including people with complex needs and positive behaviour support plans. e) Ensure leaders review records, including incident reports and daily notes, to ensure that staff practice is respectful and demonstrates2. By 27 October 2025, the provider must ensure that people are not subject to unnecessary and unmonitored restrictions or restraints. To do this the provider must at a minimum: a) Take action to remove unnecessary restrictive practices. b) Review all restrictions and use of monitoring devices and ensure the appropriate legal documentation, care plans and risk assessments are in place. c) Ensure that all staff are aware of and follow the correct plan of care, to support the use of any monitoring devices. d) Ensure that staff can demonstrate an understanding of when it is lawful to implement a restriction on a person’s liberty and take corrective action where staff practice, knowledge, and understanding does not meet the required standard. This is to comply with Regulation 4(1)(b) and (c) and Regulation 5(1) (Personal plans) 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 supp3. By 27 October 2025, to ensure people are supported to maintain good health and wellbeing the provider must ensure that people receive the support that they need promptly. To do this the provider must, at a minimum: a) Ensure that staff make referrals to appropriate professionals when needed. b) Take action when there are delays in people receiving the care and treatment that they need, following a referral. c) Ensure recordings relating to people’s access to health care are accessible. 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 states that: ‘The organisations that support and care for me help tackle health and social inequalities.’ (HSCS 4.2).
1. By 27 October 2025, to ensure that people are protected from harm the provider must improve their management of allegations of harm, unplanned events, and review quality assurance audits and tools. To do this the provider must, at a minimum: a) Investigate all allegations of abuse and/or suspected harm. b) Take immediate steps to reduce the risk of harm. c) Where appropriate, report any allegation of abuse and/or suspected harm to relevant agencies, including the Adult Protection team and the Care Inspectorate. d) Ensure that all unplanned events are recorded, investigated, and that any learning from these events is shared with the wider staff team. e) Review current audit tools to ensure they meet the needs of the service. f) Ensure that relevant notifications for unplanned events are made to the Care Inspectorate, as per our guidance “Guidance on records you must keep and notifications you must make.” This is to comply with Regulation 4(1)(a) of The Social Care and Social Wor1. By 27 October 2025, to ensure that people receive the care and support they want and need, the provider must ensure care plans meet people’s needs. To do this the provider must, at a minimum: a) Ensure that care plans are accurate, outcome focussed, detailed and updated when people’s needs change; and reviewed at least every six months. b) Ensure records of reviews, including minutes, are accessible. c) Ensure care plans are accessible to all who require them. This is to comply with Regulation 5(1) (Personal plans) 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: ‘My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected’ (HSCS 1.23). and ‘I am fully involved in developing and reviewing my personal plan, which is always available
1. To ensure that people receive all medications at the right time, the provider should ensure “as required” medication is supported with clear care plans and recordings. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘My care and support meets my needs and is right for me.’ (HSCS 1.19)