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Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 15 August 2025, the provider must ensure that at all times, suitably qualified and competent persons are working in the care service in such numbers as are appropriate for the health, welfare, and safety of service users. To achieve this, the provider must at a minimum: a) ensure effective use of a dependency rating tool to inform ongoing staffing levels within the service to ensure that they respond to the changing care and support needs of the service b) ensure that there are sufficient staff in place to meet people's daily health and wellbeing needs. This is to comply with regulations 3 and 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) and section 7 of the Health and Care (Staffing) (Scotland) Act 2019 (as substituted for regulation 15(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011, (SSI 2011/210)). This is to ensure that1. By 15 August 2025, the provider must ensure people are living in an environment which is well looked after with safe, clean, and well maintained premises, furnishings, and equipment. 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) Regulations 2011 (SSI 2011/210).
1. To protect people’s health and wellbeing the provider must ensure that people experience safe and effective support with medication. In order to achieve this the provider should ensure suitably detailed protocols are in place to inform the consistent and appropriate administration of medication that is prescribed on an 'as required basis'. This is in order to ensure that care and support is consistent with the Health and Social Care Standard (HSCS) which states that: 'Any treatment or intervention that I experience is safe and effective' (HSCS 1.24).
1. In order to promote activity and independence for people living in the service, the provider should have appropriate signage around the home. The use of the King's Fund Environmental Assessment Tool, and involving people/their representatives in designing the environment is recommended to help ensure that best practice and people's needs and wishes are taken into account. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'I can independently access the parts of the premises I use and the environment has been designed to promote this.' (HSCS 5.11).
1. In order to ensure individual's experience, the safe and effective administration of medication, the provider should; review medication care plans to ensure clear and detailed guidance in relation to medication administration and effective evaluation is available to the care team. This is to ensure care and support is consistent with Health and Social Care Standard 1.15: My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices.