Cornerstone Fife
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 21 August 2026, to ensure that people’s care and support needs are met effectively, the provider must ensure staffing arrangements are safe. In order to achieve this, the provider must: a) assess people's care and support needs on a regular basis; b) develop and regularly review tools to provide evidence of the number of staff required to provide safe care and support at all times; c) ensure safe staffing levels are maintained at all times but in the event that appropriate staffing levels are not achieved, this information, along with contingency arrangements, should be shared with relevant representatives and statutory agencies; d) staff deployment/allocation records should be implemented to evidence how staff are deployed to ensure people's health, safety and wellbeing with decision-making rationale; e) implement quality assurance systems to evaluate people’s care experiences and assess if staffing arrangements are ef
1. In order that people are supported to exercise their rights and experience a life of their choosing, people should be afforded opportunities and support to take positive, life enhancing risks in their lives. Staff should be supported to develop and implement positive risk taking plans. This should include systems to measure progress and people's outcomes. This is to reflect the Health and Social Care Standards (HSCS) which state that: 'I make informed choices and decisions about the risks I take in daily life and am encouraged to take positive risks which enhance the quality of my life.' (HSCS 2.24).
2. In order to ensure people receive consistent administration of medication that is prescribed on an "as required" basis, detailed protocols should be in place to guide staff's practice. Protocols should be provided or endorsed by a medical practitioner. This is particularly important where psychotropic medication is prescribed as this can be regarded as a form of restraint. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: '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).
1. By 8 December 2025 , the provider must protect the health, wellbeing, and rights of people using the service. In order to achieve this, the provider must ensure people are not subject to restraint or restrictive practices unless: a) people's health and safety cannot be protected by any other means and restraint or restrictive practice is used as a last resort; b) consent to use restraint or restrictive practices is given by welfare guardians or attorneys with appropriate legal powers; c) a multi-disciplinary team approach determines when restraint and restrictive practice should be used; d) restraint reduction plans are in place; e) the need for and use of restraint and restrictive practice is reviewed on a regular basis; and f) Mental Welfare Commission good practice guidance "Rights, Risks and Limits to Freedom" is available to staff and fully complied with. This is in order to comply with Regulations 3 and 4(1)(a)(c) of The Social Care and Social Work (Requirements for Care2. By 8 December 2025, the provider must protect the health, wellbeing, and rights of people using the service. In order to achieve this, the provider must ensure: a) staff, including members of the leadership team, complete training in identifying and mitigating risks; b) training must include supporting people to take positive, life enhancing risks; and c) relevant person-centred supporting positive risk-taking plans should be developed and reviewed on a regular basis. This should involve members of the multi-disciplinary team as appropriate. This is in order to comply with Regulations 3 and 4(1)(a)(c) of The Social Care and Social Work (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 make informed choices and decisions about the risks I take in my dail1. By 8 December 2025, the provider must protect the health, wellbeing, and safety of people using the service. In order to achieve this, the provider must ensure incidents and accidents are dealt with appropriately. The provider must, as a minimum: a) review and analyse incidents and accidents in the service on a regular basis; b) results of previous reviews and analysis must be compared, identify any trends or patterns of incidents and accidents; c) take appropriate action to reduce the risk of similar incidents or accidents reoccurring; and d) ensure staff have the knowledge and skills to appropriately record and report incidents. This is in order to comply with Regulations 3 and 4(1)(a)(c), of The Social Care and Social Work (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:
1. In order to ensure the health, safety and welfare of people using the service, the provider should ensure staff have the knowledge, skills and understanding to identify adult protection concerns and take appropriate action to safeguard people at risk. This should include submitting notifiable events to the Care Inspectorate. 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. In order to protect people's health, safety and wellbeing, the provider should ensure staff have access to learning and development resources to enable them to meet the full range of people's care and support needs. This should include systems, processes and support to transfer learning into practice. This is to ensure practice is consistent with the Health and Social Care Standards (HSCS) which state that: '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).
1. In order to protect people's health, wellbeing, choices and rights, the provider should ensure behaviour support plans and stress and distress risk management plans are developed and reviewed on a regular basis to ensure people's current needs are reflected and supported. This is also to ensure the health, safety and wellbeing of people using the service, staff and people using the service. This is to reflect the Health and Social Care Standards (HSCS) which state that: '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.' (HSCS 1.15).
Conditions of registration
To provide a service to adults with a learning disability a physical disability or with mental health problems in their own homes and in the community.
The support will be provided by 3 staff teams based in Fife. The service must notify the Care Inspectorate if there is a change in the number of staff teams or a change in the addresses where the service is provided.
The provider shall inform service users and their representatives that the care service is registered with the Care Inspectorate and shall ensure that they are kept informed.
The manager of this service will also be the manager of CS2011298668 and CS2011298667.