Barleystone
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 9 June 2026, to support good hygiene, skin integrity and monitoring of health, the provider must. a) ensure people's preferences and frequencies as stipulated in their care plan are met for personal care including repositioning b) ensure that care and support interventions throughout the day are evidenced c) ensure support at different times of the day is offered where there are repeated refusals to accept care d) ensure that care plans are formally reviewed once in every six month period. This is to comply with Regulation 4 (1) (Welfare of Users) of the Social Care and Social Work (Requirements for Care Services) Regulation 2011 (SSI 2011/210) and SSI 2011/210 5(2(b) (iii) Personal plans. This is in order to ensure that care and support is consistent with the Health and Social Care Standards2. By 9 June 2026, to ensure people are not at risk of malnutrition, the provider must evidence consistent and clear records for food and fluids that are provided to people. In order to achieve this, the provider must: a) evidence a time line throughout the day when meals/drinks have been provided b) evidence detailed recording of nutritional and fluid intake if weight loss is a concern or if the dietician has recommended this c) evidence consistency in the recording of weights for people who have concerning weight loss. This is to comply with Regulation 4 (1) (Welfare of Users) of the Social Care and Social Work (Requirements for Care Services) Regulation 2011/210 4 (1) (a) Welfare of Users. This is in order to ensure that care and support is consistent with the Health and Social Care Standards which state 'My meals and snacks meet my cultural and dietary needs, beliefs and preferen1. By 9 June 2026, peoples' experiences of care should be a result of continuing improvement demonstrated by leadership. In order to achieve this, the provider must a) ensure that the approach to quality assurance, including audits and observations, is reviewed and improved b) ensure that the development of clear action plans, detail the areas for attention, staff responsible, and timescales for action c) ensure that complaints received are fully investigated within 20 working days (or shorter period as may be reasonable) and inform the complainant of the action (if any) that is to be taken. This is in order to comply with the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/2010) Regulation 3 - Principles; Regulation 4(1)(a) - Welfare of users and SSI 2011/210 18 (3) and (4) Complaints. This is1. By 9 June 2026, the provider must ensure that there are, at all times, adequate numbers of skilled and competent staff on each shift, to meet service users’ health, safety, and wellbeing needs. In order to achieve this, you must: (a) Gather accurate information about service users’ needs and use it to assess how many nursing and care staff with the right skill mix are required on each shift and in each unit during the day and night. (b) Demonstrate that you are able to anticipate and respond to changes in service users’ needs amending staff numbers accordingly when required. This includes monitoring the impact of new and agency staff. (c) Ensure sufficient staffing to provide meaningful interaction and regular social events, as stated in people’s care plans and recorded outcomes. (d) Establish a clear leadership structure outlining roles and responsibilities. This structure must be communicated eff
1. People should be able to spend their day in a way which is meaningful to them and be supported to do so. This is in order to ensure that care and support is consistent with the Health and Social Care Standards which state " 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. People should be safeguarded where identified and have their needs responded to after an incident or accident. The provider should improve their reporting and sharing of information with the Care Inspectorate and other relevant departments or organisation in line with current guidance. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that 'I benefit from different organisations working together and sharing information about me promptly where appropriate, and I understand how my privacy and confidentiality are respected'(HSCS 4.18).
1. To meet people's needs and promote their wellbeing, the provider should ensure that all care and support plans and related recording tools are accurate, contain sufficient information and people's personal hygiene is supported in line with their personal plan. To do this, as a minimum, the provider should ensure: a) Records are kept and evaluated to detail the care and support provided to people. This should include, but is not limited to, personal care records. b) People living in the service are offered a bath or shower regularly, and staff clearly record if this is refused. c) People are offered oral care a minimum of twice daily and staff clearly record if this is refused. d) People are offered nail care as required and staff clearly record if this is refused. e) Staff only record a task has been carried out when they are sure it has been completed. f) There is a system in place to evaluate support pla
1. In order to support people's wellbeing, the service should ensure people's personal hygiene is supported in line with their personal plan. In particular the service should ensure: a) People living in the service are offered a bath or shower regularly, and staff clearly record if this is refused. b) People are offered oral care a minimum of twice daily and staff clearly record if this is refused. c) People are offered nail care as required and staff clearly record if this is refused. d) Staff only record a task has been carried out when they are sure it has been completed. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am supported and cared for sensitively by people who anticipate issues and are aware of and plan for any known vulnerability or frailty' (HSCS 3.18).
2. In order to support people's wellbeing, the service should ensure that staff support people's nutrition and hydration needs in line with each person's personal plan. In particular the service should ensure staff: a) Clearly and fully record information in people's food and fluid charts. b) Record a clear summary in people's personal plans of how efficient the agreed care and support has been. c) Update information in care plans where there has been a change to the way care and support is to be delivered. d) Where there has been unwanted weight loss, staff should follow the guidance of health professionals which should be clearly recorded in people's personal pl1. To support people's wellbeing, the service should complete an audit of all bins in the service to ensure foot pedals are in good working order and the correct amount of bins are available in every room. In particular, if there is a bin designated for 'PPE only' then there should also be a general waste bin for people to dispose of hand towels following hand hygiene. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ' I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment' (HSCS 5.24).
Conditions of registration
To provide a care service to a maximum of 60 older people. Within this maximum a service may be offered to the person under 65 years of age specified within the variation submitted on 18 October 2023.