St. Mary's Kenmure
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 4 January 2026 the provider must ensure the safety and security of young people and staff is prioritised. To do this, the provider must at a minimum: a. ensure visitor management measures are reviewed and strengthened b. ensure monitoring and response systems work effectively to safeguard young people and staff c. ensure appropriate response times to young people's presenting needs. This is in order 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 am protected from harm because people are alert and respond to signs of significant deterioration2. By 4 February 2026 the provider must ensure that where young people are subject to restraint or other restrictive practices there is effective recording, oversight and wellbeing assessments. To do this, the provider must at a minimum: a. ensure the use of restrictive practices are fully recorded and sufficiently detailed to support analysis and justification of actions b. ensure debriefs are undertaken and effectively support staff to learn from practice and identify development needs c. ensure effective wellbeing assessments are being undertaken for young people following all restraints d. ensure that personal support plans and risk assessments sufficiently guide staff practice in relation to restrictive practices. This is in order to comply with Regulation 4(1)(a) and Regulation 4(1)(c) of The Social Care and Social Work Improvement Scotland (Requirements for3. By 4 January 2026 the provider must ensure that young people are being protected by implementing the Safer Recruitment Through Better Recruitment guidance. This is in order to comply with Regulation 4(1)(a) and 9(1) 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 am confident that people who support and care for me have been appropriately and safely recruited (HSCS 4.24).
4. By 4 February 2026 the provider must ensure that effective quality assurance systems are implemented to ensure young people are being safely and consistently cared for. To do this, the provider must at a minimum: a. establish effective quality assurance systems for all care practices. This is in order 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 having robust and transparent quality assurance processes (HSCS 4.19).
1. To ensure young people's wellbeing, the provider should strengthen the quality of environmental safe care assessments, including required actions when risks are identified. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: My environment is secure and safe (HSCS 5.17).
2. To support young people's wellbeing and development, the provider should ensure personal planning documents are reviewed. This should include, but is not limited to: a. implementing SMART care plans which are regularly reviewed, quality assured and used consistently to plan and direct safe care, taking young people’s views into consideration b. ensuring regularly reviewed risk assessments accurately identify risks and effective strategies to keep young people safe. This is to ensure that care and support is consistent with 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).