Telford Centre (Care Home)
Recorded Key Question grade range: 3–5 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To ensure that people’s care and support outcomes are met, the provider should ensure their assessments of need are completed monthly. This should include but is not limited to, clearly evidencing how assessments have enabled additional staff resource which accurately reflects the needs of the service. 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 Health and Social Care Standards (HSCS) which state that: ‘My needs are met by the right number of people’ (HSCS 3.15).
1. To ensure people experience high quality care and support that is right for them and have confidence in their staff, managers should monitor the quality and consistency of care at weekends. This should include, but is not limited to, ensuring any temporary staff are fully informed of people’s care needs and supported in their practice by the regular staff as part of their induction into the service. 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 ‘My care and support is consistent and stable because people work together well’ (HSCS 3.19).
1. By 30 September 2025, the provider must ensure that people experience a service which is supported by effective governance in maintaining a culture of continuous improvement, underpinned by established quality assurance processes. To do this, the provider must, as a minimum: a) Ensure service managers have the time and capacity to identify risks, plan appropriate actions to address these and drive improvement. b) Demonstrate how actions are taken to address any identified improvements. c) Ensure the improvement plan is updated to reflect ongoing improvements and their progress, including results of self-evaluation, audits and feedback from people. d) Evidence how the service uses quality assurance to evaluate people’s care experiences and how this informs service improvement. e) Evidence how the service uses quality assurance to evaluate the effectiveness of supervision, training and professional development of staff. To do this, the provider must, as a minimum: a) Ensure they use, review and update appropriate assessments of the staffing levels so people benefit from care and support responsive to their changing needs throughout the day and night. b) Ensure managers have time and capacity to perform their leadership and management responsibilities. This includes reviewing management support for the service. c) Regularly assess and review people’s care and support needs, demonstrating how this is used to inform staffing arrangements. d) Ensure staff supervision is held in line with organisational guidelines and best practice to promote individual learning and identify and review staff training needs. This includes,
1. To ensure people living in the care home experience high quality care and support that is right for them, the service should continue to promote best practice in dementia care. This should include but is not limited to: a) continuing to monitor changes to people’s health and wellbeing and updating their care plan b) accessing professional guidance, support and training tailored to people’s unique individual needs c) reviewing staffing levels to ensure people living with dementia receive the right care at the right time to meet their needs and wishes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am assessed by a qualified person, who involves other people and professionals as required’ (HSCS 1.13); and ‘My future care and support needs are anticipated as part of my assessment’ (HSCS 1.14). This should include but is not limited to, accessing community groups and resources, taking into consideration both individual and group interests. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I am supported to participate fully as a citizen in my local community in the way that I want’ (HSCS 1.10); 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).
3. To ensure people living in the care home experience high quality care and support that is right for them, people’s topical medicine administration recordings should accurately reflect their needs. This should include but is not limited to: a) Consistent and accurate recording, including body maps, frequency of application and clear directions on how the topical medication is to be applied. b) Accurate recording in relation to how often a person’s skin should be checked and what areas staff are checking. c) Actions identified by management audits are to be followed up, so people receive responsive care and staff are supported in their practice. 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 benefit from a culture of continuo1. To ensure people experience high quality care and support that is right for them, and they are as fully involved as possible in decisions about their care and support, the provider should ensure that review meetings are held a minimum of every six months. This should include but is not limited to: a) A summary of the discussion with details of any decisions and actions taken to support positive outcomes for people. b) Involvement of people and their family or legal representatives where appropriate. c) Reviewing health changes and people’s goals for getting the most out of life. This includes discussion for future planning that reflects people’s wishes. d) Reviewing communications and involvement of other professionals to ensure clarity of information and timeous responses to assist in health assessments. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which stat