Lornebank Care Centre
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 31 July 2026, the provider must ensure that people experiencing care receive person-centred care that protects their health, dignity, and wellbeing, reduces avoidable harm, and ensures they experience safe, respectful, and high-quality care. To achieve this, the provider must: (a) ensure care plans clearly document all essential risk management measures including required mealtime supervision for choking risks, (b) ensure textured modified meals are safely prepared, labelled, and presented and that all staff are competent in the correct IDDSI testing procedures, (c) ensure continence care is delivered in a person-centred and dignified manner, and (d) ensure personal care, including nail care, oral hygiene, and clothing cleanliness, is provided consistently. This is in order to comply with Regulations 4(1)(a)(b) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (S1. By 31 July 2026, the provider must ensure people experiencing care have confidence the service received by them is well led and managed. The provider 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) assessment of the service’s performance through effective audit, (b) develop action plans from audits which include specific, time scaled and measurable actions that show completion, and (c) ensuring staff who undertake quality assurance roles are trained and supported. This is in order to comply with Regulation 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulation 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, wit1. By 31 July 2026, to ensure that people's care, and support needs are met, the provider must ensure staffing arrangements are safe and effective. To do this, the provider must, at a minimum: (a) assess and review people's care and support needs, (b) demonstrate how the outcomes of people's assessments are used to inform staffing numbers and arrangements, (c) demonstrate deployment of staff taking into account the environment, and (d) implement quality assurance systems to evaluate care experiences and assess if staffing arrangements are effective in providing responsive, person-centred support. This is in order to comply with Section 7(1)(a) and (b) and Section 7(2) 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). (a) complete a full assessment of all repairs required inside and outside the premises, include clear timescales for the commencement and completion of all identified work, (b) develop and implement an environmental improvement plan covering the upgrading of the building and equipment, (c) ensure the plan is informed by a recognised tool, such as the King’s Fund Environmental Assessment Tool, and includes improvements to wayfinding signage, (d) how people experiencing care and their representatives will be consulted and involved, and (e) the environmental plan must be shared with the Care Inspectorate within timescale of this requirement. This is to comply with Regulation 10 (2)(a)(b)(d) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 20112. By 31 July 2026, the provider must have effective systems in place to maintain safe standards of cleanliness and people experiencing care have confidence they are protected from harm by way of safe infection prevention and control practices. This must include, but is not limited to: (a) implementing robust arrangements for monitoring and maintaining cleanliness, including regular checks and prompt action where standards fall below expectations, (b) ensuring staff know and understand best infection prevention and control practice and implement this in the work that they do, and (c) putting in place and implementing a plan to regularly monitor staff practice to ensure that all guidance is followed and take effective and immediate action where it is not. This is in order to comply with Regulation 10 (2)(d) 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
1. The provider should implement a clear and consistent consultation process before making any changes to existing terms of agreement. This should include providing accessible information, seeking meaningful feedback from people who use the service and their representatives, and demonstrate how their views have informed final decisions. 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); and ‘I am as involved as I can be in agreeing and reviewing any restrictions to my independence, control and choice’ (HSCS 2.6).
2. To keep people safe, the provider should ensure that medication systems are applied consistently and safely. This should include ensuring medication is within date and safely stored. 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); and 'Any treatment or intervention I experience is safe and effective' (HSCS 1.24).
3. To ensure good outcomes for people experiencing care, the provider should ensure all personal belongings are identifiable to each person supported. A clothing and personal effects inventory should be recorded within people’s personal plans. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I experience high quality care and support because people have the necessary information and resources’ (HSCS 4.27).
1. The provider should ensure that people experiencing care, and where appropriate their relative or representative are involved in the development of their personal plan. Access to their personal plan should be available in format of their choice. Minutes of review meetings should also be available. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that:
‘I am fully involve in developing and reviewing my personal plan, which is always available to me’ (HSCS 2.17).
1. By 6 November 2025, the provider must ensure that people receive medication safely and as prescribed, including the appropriate use of prescribed "as required" medication. To do this, the provider must, at a minimum: a) ensure accurate stock checks and reconciliation of medication records b) implement detailed protocols for all people prescribed any "as required" medication, including guidance on its purpose, administration and non-pharmacological alternatives c) ensure the effectiveness of any administered "as required" prescribed medication is consistently recorded and reviewed. 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 (HSCS) which state that: “My care and support meets my needs and is right for me” (HSCS 1.19) and “I have confidence in people beca1. By 6 November 2025, the provider must ensure confidence in the service’s commitment to continuous improvement and have robust and transparent quality assurance processes in place. All significant events must be promptly reported to relevant agencies, including the Care Inspectorate, in line with regulatory requirements. http://www.careinspectorate.com/index.php/notifications 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 which state that: "I use a service and organisation that are well led and managed" (HSCS 4.23).
1. To support people’s health and wellbeing and improve the quality of their day, the provider should improve how they support all people, in particular those who stay in their bedrooms, to take part in meaningful activities and engagement. 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) 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. To support improvements to the service, the provider should ensure that quality assurance processes improve people’s outcomes. This should include, but is not limited to: - Developing a service improvement plan that prioritises areas for development, has a clear action plan for each area identified and which demonstrates the effectiveness of the actions in improving the service. - Stakeholders' views and opinions being reflected in the service’s improvement plan. 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 people receive timely support across all areas of the home, the provider should review how staff are deployed throughout the building. This should include consideration of the environment’s layout and how staff presence is balanced across communal spaces, corridors and bedrooms. 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) and "I am confident that people respond promptly, including when I ask for help" (HSCS 3.17).
2. To support safe and personalised care, the provider should ensure staff receive training and support to complete care records in a way that reflects each person’s individual needs, choices and experiences. This includes avoiding generic or pre-populated entries and ensuring daily notes are meaningful and outcome focused. This is to ensure 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).
3. To ensure people experience high quality care, the provider should ensure staff have scheduled opportunities to reflect on their practice through regular formal supervision. Discussions should be reflective, incorporate feedback on observations of practice, learning from training and areas for development. This is to ensure 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).
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
To provide a care service for a maximum of 74 older people some of whom may have dementia. Inclusive in the maximum number are up to 10 places for older adults aged 50 years and above with conditions aligned to old age. One place can be used for a named individual under the age of 50 years of age as agreed following a variation application granted on 27 May 2026.