Good Shepherd Centre Bishopton
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 10 November 2025, the provider must ensure that no young person is subject to restraint or restrictive practice, unless it is the only practicable means of securing their welfare and safety. To do this the provider must, at a minimum: - a) Ensure that all young people’s individual support plans are appropriately detailed and updated regularly in relation to the use of restraint and restrictive practices. b) Ensure the use of restraint is fully documented, including any deviation from TCI practice. This should be sufficiently detailed to support analysis and justification of actions. c) Ensure debriefs are undertaken and sufficiently recorded, supporting staff to learn from practice and identifying learning and development needs. This is to comply with Regulation 4(1)(a), Regulation 4(1)(c) and Regulation 5 of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210).
2. By 10 November 2025, the provider must ensure the safety of those who use the service. To do this the provider must at a minimum: a)Ensure individualised risk assessments are undertaken by staff who are trained, clearly detailing individualised strategies and updated to reflect changing risk to keep people safe. b) Ensure when additional levels of restriction are required, there is clear documentation that details the justification for restrictions. This is to comply with Regulation 4(1)(a) and (b) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/ 210).
3. By 3 November 2025, to ensure that young people's care and support needs are met, the provider must ensure that staffing arrangements are safe and effective. To do this the provider must, at a minimum: a)Regularly assess and review peoples care and support needs. b)Demonstrate how the outcome from people's assessments are used to inform staffing numbers and skill mix. c) Implement quality assurances systems to evaluate if staffing arrangements are effective in providing responsive, individualised care and support. This is in order to comply with section 7 (1)(a)of the Health and Care (Staffing) (Scotland) Act 2019.
4. By 8 December 2025 the provider must ensure that effective quality assurance systems are implemented to ensure young people are being safely and consistently cared for. To do this, the provider must at a minimum: a)Establish effective quality assurance systems for all care practices including restrictive practices, sanctions or consequences, personal support plans and risk assessments. b.)Ensure that areas for improvement are being identified and pursued promptly. This is to comply with Regulation 3, Regulation 4(1)(a) and Regulation 5 of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/ 210)
1. To ensure young people's safety and wellbeing the service should ensure an individualised approach to personal planning commences as soon as the young person arrives. This should include but is not limited to implementing the newly developed model of care planning at point of admission, which immediately takes a individualised approach to identification of needs, aims of admission and goals, and includes clearly assessed, defined risks and support strategies. 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).