Open Door Scotland
Recorded Key Question grade range: 3–5 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 1 December 2025, the provider must ensure that quality assurance systems are implemented and used effectively to safely and consistently support young people. To do this, the provider must, at a minimum, ensure that: a. quality assurance and auditing processes are formally documented at all levels to monitor young people's experiences, identifying necessary improvements. This includes but is not limited to care planning, risk assessments, training and incident recording. b. areas of improvement identified by quality assurance processes are actioned timeously. 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: I benefit from a culture of continuous improvement, with the organisation having1. By 1 December 2025, the provider must protect the safety of the young people and staff. To do this, the provider must, at a minimum: a. implement regularly reviewed risk assessments which accurately identify risks to the young person and staff b. detail specific measures and strategies for staff to protect young people from harm. 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: My care and support meets my needs and is right for me (HSCS 1.19) 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)
1. To ensure young people's rights, views and choices are supported, the provider should identify an independent advocacy service. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: I am supported to use independent advocacy if I want or need this. (HSCS 2.4)
2. To enhance safeguarding and support wellbeing, the provider should establish an effective method to record and document decisions and outcomes regarding child and adult protection matters. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities. (HSCS 3.20).
1. To ensure that young people are receiving the most appropriate support, an effective analysis of incidents should be established. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: My care and support meets my needs and is right for me. (HSCS 1.19)
2. To develop and enhance the service for young people, the organisation should develop their service improvement plan. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: I use a service and organisation that are well led and managed. (HSCS 4.23).
3. To support young people's wellbeing, the provider should review and update key policies to reflect current legislation and best practice guidance. 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)
1. To support staff to deliver effective care and support, the provider should ensure care plans are SMART, include young people's views and are consistently reviewed. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: My personal 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).