Dumgoyach
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 2 July 2025 the provider must ensure that there is effective management, analysis and oversight of incidents and that these are recorded accurately. To do this, the provider must, as a minimum: a) ensure that all incidents are recorded with appropriate detail; b) ensure young people are given the opportunity for reparative work; c) ensure staff and managers participate in a debriefing following any incidents and that these allow for learning, reflection and consideration of what could have been done differently; and d) ensure that auditing by managers and senior managers includes analysis of adverse incidents and suggested learning to develop consistent and safe practice. This is to comply with Regulation 4(1)(a) (welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/ 210). This is2. By 2 July 2025, the provider must ensure that all young people have comprehensive and up-to-date personal plans and risk assessments. To do this, the provider must, as a minimum: a) undertake an audit and review all young people's personal plans. These should include the contributions of young people and their parents/carers and the multi-agency team around the child. This should outline clearly a young person’s support needs, the desired outcomes for the young person and the role of the service in meeting these; b) ensure risks to young people using the service are recorded accurately within relevant risk assessment documents and this include strategies to support the young people; and c) ensure all members of staff caring for a young person are familiar with their plans, understand their assessed needs and how best to support the young person. This is to comply with Regulation 4(1)(a) (welfare of users) of The Social Care and Social Work Improvement Scotland (Req3. By 16 September 2025 the provider must ensure that there are effective processes in place for service and staff learning, development and support. To do this the provider must as a minimum: a) ensure that all staff and managers benefit from regular, professional one-to-one support. This should be used to identify training needs and areas for personal development; and b) ensure that staff have protected time for training and learning This should include time to reflect on any adverse incidents or challenges and any relevant changes and developments in policy and legislation. This is in order to comply with section 8 of the Health and Care (Staffing) (Scotland) Act 2019. 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 an4. By 16 September 2025 the provider must ensure that young people are supported in a service that ensures their safety and wellbeing through robust quality assurance and engagement processes. To do this the provider must as a minimum: a) ensure effective quality assurance systems are implemented to provide scrutiny, analysis and assurance that care is safe, well planned, documented and regularly reviewed. This is to comply with Regulation 4(1)(a) (welfare of users) 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 processes.' (HSCS 4.19).