Lunan Court
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 21 August 2026 you, the provider, must ensure people’s outcomes are being met based on their assessed care and support needs, which are accurately reflected in people’s personal plans. In order to achieve this you must ensure: (a) People are supported fully with all of their personal hygiene needs. Care and support plans are detailed to reflect their current needs and are reviewed regularly. This includes information on how staff support people to maintain a satisfactory level of personal hygiene should they decline. (b) People have detailed risk assessments in place detailing their legal rights. (c) Records are completed at the point of care and are a true and accurate reflection of the care given. This is in order to comply with The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 SSI 2011/210 Regulation 4(1)(a) Welfare of users and Regulation 5(2) Personal Plans. In particular, the provider must : (a) Ensure that all managers and staff understand their roles and responsibilities in relation to quality assurance. (b) Ensure that regular, effective, quality assurance processes are in place and are identifying areas of concern, and these are addressed without delay. (c) Establish clear oversight in relation to care planning and delivery of care, in particular, personal hygiene. 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
1. To ensure people are supported to have a meaningful day, the provider should ensure people have opportunities to take part in activities based on their preferences. The service should have a clear plan in place for all activities, highlighting the potential goals, expectations and outcomes for people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential' (HSCS 1.6); 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 4 August 2025, you, the provider, must ensure that people’s physical and mental health and wellbeing needs are being accurately assessed, documented, met, and are effectively communicated between all relevant staff. This means putting people at the centre of their care, identifying what is important to them, and ensuring that everyone is working together to support positive outcomes. In particular you must: a) Ensure that staff are given adequate time away from carrying out their duties to receive training relating to people’s specific health conditions and that all staff have time planned to engage people in meaningful connection out with care tasks throughout each day b) Ensure people are provided with and assisted with the prescribed diet in line with guidance given and that people have access to fluids in bedrooms and are assisted with these as required c) Ensure people receive responsive care. This includes, but is not limited, to answering buzzers pr1. By 4 August 2025, you, the provider, must ensure people have confidence the service received by them is well led and managed. You must support better outcomes through a culture of continuous improvement, underpinned by robust and transparent quality assurance processes. This must include, but is not limited to: a) Ensuring a comprehensive service improvement plan is developed to incorporate issues identified through quality assurance processes and reflects all stakeholder's feedback b) Ensuring robust auditing processes are identifying areas for improvement across all key areas of the service. Where areas for improvement are identified through audit, putting in place and implementing action plans which set out specific, measurable, achievable, and timely actions c) Ensuring all staff are accountable for and carry out the required remedial actions set out within action plans and reviewing the effectiveness of actions put in place to ensure positive outcomes for the1. By 4 August 2025, you, the provider, must ensure that people’s care, and support needs are met and that staffing arrangements are safe and effective. To do this, the provider must, at a minimum: a) regularly assess and review people’s care and support needs b) demonstrate how the outcome of people’s assessments are used to inform staffing number and arrangements c) implement quality assurance systems to evaluate care experiences and assess if staffing arrangements are fair and effective in providing responsive, person-centred support and that staff wellbeing is considered. This is in order to comply with section 7(1)(a) 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 that: ‘My needs are met by the right number of people’ (HSCS 3.15).
1. Where it is assessed as necessary and appropriate to restrict a service user’s freedom of movement, choice and control, you the provider, should ensure that the reasons for such restrictions are clearly documented, that any representative of the service user is consulted and that such decisions are made in accordance with the Mental Welfare Commission for Scotland Good Practice Guide on ‘Rights, risks and limits to freedom.’ This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘ I can independently access parts of the premises I use and the environment has been designed to promote this’ (HSCS 5.11) and ‘If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively’ (HSCS 1.3).
Conditions of registration
To provide a care service to a maximum of 44 older people including those with dementia. Included in this overall number is two places for named people under the age of 65 years who were resident in the home on 01 March 2024.
The provider must prepare and display together with the certificate of registration a staffing schedule which reflects the current 4 weekly assessment of need. This must be altered accordingly should the needs of the service users change within each 4 week period.
There must be at least one registered nurse present in the home at all times and the provider must be able to demonstrate that the number and skill mix of staff is appropriate to meet the health welfare and safety needs of service users. This condition is time limited for 12 months and temporarily supersedes condition number 2 above which comes back into force on 1 April 2018. To make any change to this condition a variation must be applied for no less than 3 months before expiry of the 12 month date.