Westerfields Care Home
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 9 August 2025, the provider must ensure that quality assurance processes are used to inform continuous improvement of the service. In order to do this, the provider must, at a minimum: a) ensure that identified audits are carried out across the whole service including, but not limited to, medication, environmental cleaning, professional registration and care planning b) ensure audits are up-to-date with actions identified and progress tracked c) review the improvement plan to ensure it is workable, efficient recording tool d) ensure management have a clear overview of staff professional registration and training including any identified gaps. 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: "I benefit from a culture of cont1. By 9 August 2025, the provider must ensure that people's personal plans and risk assessments contain up-to-date and essential information to give staff clear instruction on how to meet their needs safely. In order to do this, the provider must, at a minimum: a) ensure all care plans are accurate, detailed and reflect the current assessed needs of people b) ensure all risk assessments are accurate, detailed and reflect the current assessed needs of people c) ensure people's choices and wishes are fully recorded. This is to comply with Regulation 5(1) 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 is right for me because it sets out how my needs are to be met, as well as my wishes and choices" (HSCS 1.15).
2. By 9 August 2025, the provider must ensure that people's health and wellbeing is supported by having access to the correct treatment at the correct time. In order to do this, the provider must, at a minimum: a) ensure that all medication protocols are up-to-date and reviewed as required b) ensure all 'as required' medication protocols are reflective of each person's unique support needs. This is to comply with Regulation 5(1) 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 is right for me because it sets out how my needs are to be met, as well as my wishes and choices" (HSCS 1.15)
1. To support people's health and wellbeing, the provider should offer clarity on the use of observation/monitoring records. Staff should be clear on the purpose of such records and ensure recordings are meaningful to people. 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 based on relevant evidence, guidance and best practice" (HSCS 4.11).
1. To protect people, management should reflect on their recruitment policy and ensure they are following best practice in recruitment. This should include, but is not limited to, ensuring all relevant checks are completed in a timely manner and have been verified to be genuine. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I am confident that people who support and care for me have been appropriately and safely recruited" (HSCS 4.24).
1. To support people's choices around care and support, the provider should review the staffing deployment across the care home. An evidence based approach to this should be used. 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 people's experiences and confidence in the staff team, the provider should give assurances of consistency of practice across the staff team. This should include, but is not limited to, developing meaningful regular observations across the team and opportunities to encourage reflective practice. 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 support people's access to a well-looked after, well-designed and comfortable home, the provider should ensure that all relevant people are involved in decisions about future improvements. People's access to the different areas of their home should be considered to ensure barriers to movement are identified and minimised. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: " I can use an appropriate mix of private and communal areas, including accessible outdoor space, because the premises have been designed or adapted for high quality care and support" (HSCS 5.1) and "I make informed choices and decisions about the risks I take in my daily life and am encouraged to take positive risks which enhance the quality of my life" (HSCS 2.24).