Crossgate Care Centre
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To further support people’s wellbeing and improve their quality of life, the provider should strengthen how meaningful activity and individual outcomes are planned, delivered and reviewed. This should include, but is not limited to: Access to opportunities to maintain, develop and explore their interests, strengths and skills. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: “I am supported to be involved in meaningful activities in a way that reflects my choices and preferences” (HSCS 2.22) “My personal plan describes what is important to me and how my needs and outcomes will be met” (HSCS 1.15)
1. To ensure people experience the best possible outcomes, particularly those living with dementia, the provider should strengthen leadership oversight of staff learning and development. This should include ensuring staff have consistent access to supervision and targeted training to develop and maintain the knowledge, skills and confidence required to deliver high quality, person centred dementia care. Strengthening this area will help ensure staff are well supported, practice is consistent, and people receive care that reflects best practice and their individual needs. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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) and "I am supported by people who are well led and managed” (HSCS 4.3).
1. To ensure personal planning consistently reflects people’s outcomes and wishes, the provider should strengthen how people and their relatives are meaningfully involved in planning, reviewing and evaluating care. This should include using feedback from people and their representatives to inform personal plans and ensure learning clearly contributes to the development and review of the service improvement plan. Improving this approach will help ensure care plans remain person centred, up to date and focused on achieving positive outcomes for people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that “My personal plan describes what is important to me and how my needs and outcomes will be met” (HSCS 1.15), “I am fully involved in planning and reviewing my care and support” (HSCS 1.17) and “I am actively encouraged to be involved in improving the service I use” (HSCS 4.7)
1. The provider should take steps to support people's wellbeing and promote good mental and physical health by doing the following: - continue to support staff to develop their skills regarding engaging with people living with dementia - enhance the range and access to meaningful activities ensuring they reflect people's choices, preferences and abilities. 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) and 'I can choose to have an active life and participate in a range of recreational, social, creative, physical and learning activities, every day, both indoors and outdoors' (HSCS 1.25).
1. By 1 February 2026, the provider must support people's wellbeing and promote good mental and physical health. In order to do this, the provider must ensure at a minimum: a) staff understand and act in accordance with the principles of dignity and respect set out in the Health and Social Care Standards and the relevant professional codes of conduct and practice. b) training must be planned to support staff to develop their skills regarding engaging with people living with dementia. c) personal plans contain sufficient detail to guide staff regarding a consistent approach to supporting people experiencing stress and distress reactions. d) enhance the range and access to meaningful activities, ensuring they reflect people's choices, preferences, and abilities. e) improve the management of mealtimes, including but not limited to ensuring effective staff leadership. This is to comply with Regulation 4(1) (2. By 1 February 2026, the provider must ensure that people living in the service are safeguarded and that their health, welfare and safety needs are effectively managed and met. In order to do this, the provider must ensure at a minimum: a) improve the clinical governance system to ensure effective recording of details of clinical risk and the measures in place to minimise risk b) ensure that records of clinical risk are accurate and reflective of people's identified clinical needs c) develop effective communication pathways between nursing staff and the management team d) ensure that plans of care to minimise clinical risk are communicated effectively with relevant staff teams. 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 (HSC1. By 31 March 2026, the provider must demonstrate that service users experience consistently good outcomes, and that quality assurance and improvement is well led. In order to do this, the provider must ensure at a minimum: a) a full review of the quality assurance system is undertaken to ensure that it effectively evaluates and monitors service provision to inform improvement and development of the service b) that action plans to address issues identified are fully developed following audits c) that actions taken are reviewed to ensure that they effectively improve outcomes for service users d) that staff completing quality audits have knowledge and understanding of the scope of quality assessment e) that clear guidance is available for staff to direct them to complete tasks such as cleaning following current best practice guidance f) that feedback from people living in the home and their families is us2. By 1 February 2026, the provider must demonstrate that service users are protected from harm. To do this the provider must ensure that their policies, procedures and current best practice guidance are followed and adhered to. This is with specific reference to, but not limited to, the management of people's finances and safe recruitment of staff. 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). 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. By 1 February 2026, the provider must ensure that people experience a high-quality care home environment. In order to do this, the provider must carry out a full assessment of the environment of the home internally and externally and use the outcome to inform an environmental improvement plan that is specific, measurable, achievable, relevant and time bound. The environmental improvement plan must be shared with the Care Inspectorate. This is to comply with Regulation 10 (2) -Fitness of premises, of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI2011/210). To ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that:
‘My environment is relaxed, welcoming, peaceful, and free from avoidable and intrusive noise and smells’ (HSCS 5.18) and ‘I experience an environment that is well looked aft
1. The provider should ensure that medication is managed safely and in line with best practice guidance. This should include, but not be limited to, a) ensuring that protocols are in place to guide staff regarding the safe management of medication prescribed to be given 'as needed' b) ensuring that topical medication is stored and managed in line with current best practice guidance. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ’Any treatment or intervention that I experience is safe and effective’ (HSCS 1.24).
1. To assure consistently good outcomes for people the provider should develop team leaders' skills and knowledge to ensure effective day to day leadership of care staff teams. 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. To ensure that the right staff are in the right place, with the right skills, at the right time to fully support people's needs, the provider should develop an assessment tool which will consistently and effectively inform staffing within the service. They should take account of the staffing method framework for adult care homes guidance and current statutory staffing guidance. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My needs are met by the right number of people’ (HSCS 3.15).