Brothers of Charity Services (Scotland) - Supported Living Community of Care
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 31 December 2025, the provider must ensure people are confident their health and wellbeing outcomes are being met by consistent staff who know them well. This should include but not limited to: Minimise the reliance on agency staff by improving recruitment, retention, and scheduling practices to maintain a consistent team presence. This is to comply with section 7 of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I can build a trusting relationship with the person supporting and caring for me in a way that we both feel comfortable with' (HSCS 3.8). 'I know who provides my care and support on a day to day basis and what they are expected to do' (HSCS 3.11). 'I use a service and organisation that are well led and managed' (HSCS 4.23).
1. To ensure any changes to a person's support visit are accurately reflected and monitored, the provider should include, but is not limited to: Streamline systems for recording and communicating any changes to a scheduled or unfilled support visit. Inform the person receiving support. Audit these systems to identify any pattern or inconsistencies. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'If the care and support that I need is not available or delayed, people explain the reasons for this and help me to find a suitable alternative' (HSCS 4.22).
1. By 29 June 2025, the provider must ensure supported people experience care and support which ensures they have a high quality of life. Where people have restrictions imposed upon them, through any legal powers, for example Guardianship, this must be the least restrictive for the person. This must include but is not limited to: The support plan must contain clear information as to what legal powers are being used; why any restrictions are in place and what this means for the person. The supported person must be central to the development of any guidelines, procedures and achievable outcomes with the least restrictive measures. There must be clear guidance for the person to understand and for staff to follow. Measure the effectiveness of the support provided through observations, feedback from the person and those important to them, and other relevant evaluation processes, such as quality audits, external feedback and clinical governance reviews1. By 29 June 2025 , the provider must ensure they are supporting people within the legal powers entrusted to them and people can be confident their finances are being managed well. This should include but not be limited to: Review the oversight of all financial appointees they hold for people. Ensure there is a clear procedure in place to support people with maintaining and applying for any financial benefits they are entitled to. This is to comply with regulation 3 and 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 which state that: 4.19: I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes. 4.23: I use a service and organisation that are well led and managed.
2. By 29 June 2025, the provider must ensure people can be confident the care and support they receive is well led and managed effectively. This should include but not limited to: Management teams must be stable to enable continuity, focus and development within their allocated area. This is to comply with regulation 3 and 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 which state that: 4.23: I use a service and organisation that are well led and managed.
3. By 24 August 2025 , the provider must ensure people can be confident their support hours will be provided to enable them to lead a full life. This should include but not limited to: People receive their contracted hours consistently. Where this does not happen, it is recorded why. If there is a sustained period of inability to provide contracted hours, this is reviewed with the person, people important to them and the contracting authority. This is to comply with regulation 3; regulation 4(1)(a) and 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 that care and support is consistent with the Health and Social Care Standards which state that: 1.19: My care and support meet my needs and is right for me. 3.19 My care and support is consistent and stable because people work together well. 4.23: I use a service and organisation that are we4. By 24 August 2025, the provider must ensure people are confident that the care and support they receive is well led and managed effectively with sufficient senior management in post to provide oversight of the organisation. This should include but not limited to: Oversight of all supported people's health and wellbeing. Oversight of all staff and their development Oversight of all quality assurances and improvements for the organisation This is to comply with regulation 3; regulation 4(1)(a) and 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 that care and support is consistent with the Health and Social Care Standards which state that: 3.15: My needs are met by the right number of people. 4.19: I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes. 4.23: I1. By 29 June 2025 , the provider must ensure people are confidant their health and wellbeing outcomes are being met by consistent staff who know them well. This should include but not limited to: A stable staff team around each individual supported person. If staff have to be deployed elsewhere, they have met the person prior to any support being provided. If staff have to be deployed elsewhere, they must have access to digital information and guidance systems. If staff have to be deployed elsewhere, this is recorded and reviewed monthly. This is to comply with regulation 4(1)(a) and 15 (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 which state that: 3.8: I can build a trusting relationship with the person supporting and caring for me in a way that we both feel comfort1. By 29 June 2025 , the provider must ensure any newly supported people can be confidant their care and support is managed well. This should include but not limited
1. To ensure people can be confident their health and safety needs are being well led and managed effectively. The provider should: Review supported people's home insurance to ensure their property and contents are protected from any unforeseen events. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I use a service and organisation that are well led and managed' (HSCS 4.23). 'My care and support is provided in a planned and safe way, including if there is an emergency or unexpected event' (HSCS 4.14).
2. For people to have confidence they are being supported by skilled and knowledgeable staff, the provider should ensure staff apply their training in practice. This should include, but is not limited to: Observations of staff skills and practices should be regularly assessed, discussed and recorded to enable staff to reflect and build on good practice which in turn supports improved outcomes for people. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes' (HSCS 3.14). This area for improvement was made on 25 June 2024
3. To ensure regulatory responsibilities are met, the provider should: Ensure all relevant accidents and incidents are notified to the Care Inspectorate in line with 'Adult Care Services: Guidance on records you must keep and notifications you must make.' This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19). This area for improvement was made on 25 June 2024
4. To support positive outcomes for people the provider should ensure that accurate communication records are kept. This should include, but is not limited to: Ensuring records contain details of when people’s support visits are cancelled and the communication methods used to inform people of this. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: If the care and support that I need is not available or delayed, people explain the reasons for this and help me to find a suitable alternative (HSCS 4.22). This area for improvement was made on 20 Jan 2025
1. For people to have confidence they are being supported by skilled and knowledgeable staff, the provider should ensure staff receive training in the following subjects: Trauma and grief management Supporting people with finances and benefits This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes (HSCS 3.14).