The Village Nursing Home
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support people to have food and drink that meets their needs and wishes, the service should carry out a review of meals and snacks. This should be done in consultation with catering staff, care staff, people living in the care home and their families. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "My meals and snacks meet my cultural and dietary needs, beliefs and preferences." (HSCS 1.37).2. The provider should ensure that service users are supported to get the most out of life and be part of their local community. In order to do this they must, as a minimum, provide people they support the opportunity to have an active life and participate in a range of recreational, social, creative and physical activities both indoors and outdoors. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘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. To promote good outcomes and to minimise the risk of poor outcomes, the service should ensure that governance and oversight systems in place identify risks, plan appropriate actions to address these and drive improvement. 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).
2. To promote good outcomes and minimise the risk of poor outcomes, the service should ensure that leaders have a sound knowledge of their key roles and responsibilities. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I use a service and organisation that are well led and managed". (HSCS 4.23).
1. To support openness and transparency around the implementation of the 'Alternative Staffing Model', the provider should consult with all relevant stakeholders and implement a review system to ensure that the approach meets people's needs. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I use a service and organisation that are well led and managed". (HSCS 4.23).2. To ensure that staffing levels meet people's needs, the provider should review how they demonstrate that they ensure appropriate staffing levels in line with their duties under 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. To promote good outcomes for people, the service should ensure that where a service user needs a specific aspect of their health monitored, that supporting documents are completed and that trained staff have an overview of these. 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).
1. By 31 July 2025, the provider must ensure people are supported to have food and drink that meets their needs and wishes. To do this the provider must, as a minimum, ensure that: a) People identified as having a MUST score of 1 or above and therefore at risk of malnutrition are offered a food fortified diet throughout the day b) Staff are trained in food fortification and how to support people to eat and drink well c) Food and fluid charts are completed and retained to allow for further assessment and to provide evidence that first line interventions have been implemented. This is to comply with Regulation 4(1)(a) and (b) (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: "My meals and snacks meet my cultural and dietary needs, beliefs and preferences."2. By 31 July 2025, the provider must ensure that they make proper provision for the health, welfare and safety of service users. To do this, the provider must, as a minimum: a) carry out an assessment of all service users to identify any individuals who are at particular risk from falling b) ensure that suitable and adequate control measures are identified and put in place to reduce their risk of falling c) ensure that staff are aware of any equipment identified and that this consistently used and in good working order d) ensure that people are able to reach and use the alarm system or call-pull when in their en-suite, bedroom and communal areas such as bathrooms, toilets, lounges and dining rooms. 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 with1. By 31 October 2025, the provider must ensure each service user has a personal plan in place which sets out how the service user's health, welfare and safety needs are to be met. To do this the provider must, at a minimum, ensure that: a) staff have the knowledge and skills to use their electronic system b) relevant risk assessments are completed and used to inform the personal plan c) where a service user needs a specific aspect of their health monitored, that supporting documents are completed and that trained staff have an overview of these. This is to comply with Regulation 5(1) and (2) (Personal Plans) 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: ‘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 we
1. The provider should ensure that when people or their representatives raise concerns about their care and support, effective action is taken to address their concerns in line with the service’s complaint policy. This should include an outcome letter that has a 'Specific, Measurable, Achievable, Relevant, and Time-bound (SMART)' action plan, where appropriate. This should also clearly identify if the complaint will also be managed under 'Duty of Candour' legislation. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My care and support meets my needs and is right for me' (HSCS 1.19).