Millburn Homes
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 3 November 2025, you must ensure that the health and wellbeing needs of people experiencing care that have been assessed as being at risk are accurately monitored, recorded, and reviewed. In particular you must ensure that: a) There is a clear system for ongoing daily recording in care plans, risk assessments, and related personal planning documentation when this is required. b) Care plans, risk assessments, and related personal planning documentation provide clear and accurate information on the health and care needs, including that which requires monitored and actions to be taken. c) Staff are aware of the importance of accurately completing care plans, risk assessments, and related personal planning documentation, and their accountability in line with professional Codes of Practice. d) There is effective oversight of moni1. By 3 November 2025 , the provider must ensure people experiencing care have confidence the service received by them is well led and managed. You must support better outcomes through a culture of continuous improvement and transparent communication with governing bodies. To do this the provider must, at a minimum: a) Ensure all staff recognise and report incidences of harm or potential harm. b) Liaise with all other appropriate governing bodies, as well as the Care Inspectorate. c) Submit notifications to the Care Inspectorate as required by our notification guidance entitled 'Records that all registered care services (except childminding) must keep and guidance on notification reporting'. This is to comply with Regulation 5(2)(b)(iii) (Personal plans) of The Social Care and Social Work I mprovement S cotland (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 p
1. The service should improve how people are supported to maintain or develop their independence through meaningful involvement in everyday tasks. Personal plans should clearly outline opportunities for people to build independence in line with their abilities, preferences, and aspirations. 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' (HSCS 1.25).
2. To ensure medication is administered safely and effectively the service should improve the consistency and accuracy of medication recording to ensure safe and person-centred care. This should include but not be limited to topical medication administration records (TMAR), as required (PRN), and consider the use of best practice assessment tools, such as pain assessments. 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).
1. The service should strengthen its quality assurance processes to improve oversight and drive meaningful improvements. This includes completing full audit cycles, implementing and reviewing action plans, and maintaining clear records of progress towards improvements. 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 comprehensive and transparent quality assurance processes' (HSCS 4.19).
1. To maintain people's dignity, privacy, and wellbeing, the provider should ensure that environmental repairs are completed timeously. Evidence of appropriate contingency planning and consultation should be captured, including seeking consent from those affected and ensuring that any temporary arrangements uphold the principles of respect and personal choice. 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 5.22).
2. The provider should develop and implement a clear environmental improvement plan to ensure that the physical environment continues to meet the needs and preferences of people who use the service. This should include a schedule for refurbishment, decoration, and replacement of damaged furnishings, and be informed by consultation with people living in the home. 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 the right size for me, with well maintained premises, furnishings, and equipment' (HSCS 5.22).