Seaforth House (Care Home)
Recorded Key Question grade range: 2–5 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By the 29 July 2026 the provider must ensure that medication is managed safely and in line with best practice guidance. To achieve this, the provider must: a) Ensure all as required (PRN) protocols are in place, up-to-date, and reflect individuals’ current needs. b) Ensure staff follow clear guidance on when and how PRN medication should be administered. c) Improve the quality, accuracy, and consistency of all care documentation, including but not limited to daily notes, repositioning charts, and incident forms. d) Implement effective auditing processes to identify gaps and ensure timely corrective action. This is in order to comply with Regulation 4(1)(a) and 4(2)(b) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is in order to ensure care and support is consistent with Health and Social Care Standards (HSCS) which state that: ‘My care and support meets my needs1. By 29 July 2026, the provider must ensure that the service has effective leadership and oversight to support safe, high quality care. To achieve this, the provider must: a) Provide the manager with a structured and comprehensive induction to ensure clarity of role, responsibilities, and expectations. b) Ensure appropriate management cover is in place, including contingency arrangements for absence. c) Ensure staff receive regular, up to date training relevant to their roles, and maintain accurate training records. d) Implement effective oversight of adverse events, incidents, and accidents, ensuring actions are identified, recorded, and followed through to reduce risk. This is in order to comply with Regulations 4(1)(a) and 9(2)b of the S ocial Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) This is to2. By 29 July 2026 the provider must implement a robust quality assurance system that supports continuous improvement and ensures good outcomes for people. This must include but not limited to: a) Regular auditing of key areas of practice, with clear actions and timescales for improvement. b) Ensuring the service improvement plan and self evaluation are current, detailed, and used effectively to monitor performance. c) Ensuring systems are in place to provide leadership with accurate oversight of people’s needs, wishes, and outcomes. This is in order to comply with regulations 3 and 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 organisation having robust and transparent quality assurance systems.' (HSCS 4.19). To achieve this, the provider must: a) Ensure all care plans are updated to reflect current assessed needs, including mobility, skin integrity, medication, and risk. b) Ensure reviews take place at least every six months, or sooner if needs change, and that review records clearly evidence what was discussed and agreed. c) Ensure daily notes are completed consistently and accurately. d) Ensure staff responsible for reviewing or updating care plans have received appropriate training and competency assessment. This is in order to comply with Regulations 4(1)(a) Regulation 5(1) and 5(2) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210)S This is to ensure that care and suppo
1. The provider should improve how activities are planned, delivered, and evaluated to ensure they reflect people’s individual interests, preferences, and outcomes. This should include: a) Developing a consistent approach to activity planning across the home. b) Ensuring people are meaningfully involved in shaping activity provision. c) Embedding tools such as the Pool Activity Level (PAL) system into everyday practice. 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); and 'I can maintain and develop my interests, activities and what matters to me in the way that I like' (HSCS2.22)
2. The provider should ensure people have access to a full range of bathing options that support dignity, comfort, and personal choice. The provider should: a) Make a clear decision regarding repair or replacement of the bath. b) Ensure people are not restricted to showers only unless this is their preference. 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 5.1); and 'I am supported to make choices that are right for me.' (HSCS 1.10)
1. To ensure that people benefit from open and transparent leadership, the provider should, implement the guidance in the document 'Adult care services: Guidance on records you must keep and notifications you must make.’ This is in order to keep the Care Inspectorate updated on important events. 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.' (HSCS4.11); and 'I use a service and organisation that are well led and managed.' (HSCS 4.23).
2. To ensure that staff and people using the service benefit from a culture of reflective practice, a continuous programme of planned competency assessment, observational practice, and supervisions should be implemented to inform individual and service development. 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. The provider should ensure that people and their families are meaningfully involved in the development and review of personal plans. This includes ensuring that: a) People have the opportunity to contribute to their plan in a way that reflects their wishes, preferences, and personal outcomes. b) Reviews take place with the person or their representative present wherever possible. c) People and families have access to their personal plans and understand the content. d) Personal outcomes are clearly identified, measurable, and reviewed regularly to ensure they remain relevant. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected.' (HSCS 1.23).
1. In order to support good outcomes for people experiencing care, and that people benefit from a culture of continuous improvement, the service provide should ensure: a) improvements to the effectiveness of the current quality assurance processes in relation to care planning, record keeping and medication practice are made and b) appropriate action is taken when areas for improvement are identified and measures are in place to ensure improvement is sustained. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19) and 'I use a service and organisation that are well led and managed' (HSCS 4.23).
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
1. To provide a care service to a maximum of 15 older adults.