Bon Accord Care - Housing Support - 3
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. The provider should ensure that ‘as required’ (PRN) medication protocols are consistently implemented and recorded. This should include, recording when PRN medication is administered and why. Documenting the effectiveness/outcome and any follow up actions, and ensuring timely managerial review and sign off of medication error reports to support learning and prevent recurrence. 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) 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.' (HSCS 4.19)
1. By Friday 18 August 2025, the provder must ensure that medication is managed in a manner that protects the health and wellbeing of service users. To do this the provider must at a minimum: a) ensure that all medications are administered as prescribed b) ensure accurate and up-to-date records of all medications administered c) ensure medication is stored securely and safely d) ensure visit times are carefully planned to ensure people receive their medication at the right time, to manage their pain effectively. e) ensure ‘as required’ protocols are in place, where required and purpose of medication and any side effect are clearly documented 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), which requires provision for the health, welfare and safety of service user. This is to ensure that care and support is2. By Friday 18 August 2025, the provider must ensure people experience care in an environment that is safe, well maintained and minimises the risk of infection.
To do this, the provider must, at a minimum:
a) Engage with the landlord to ensure that the premises, furnishings, communal areas and equipment are clean, tidy, and well maintained. b) Robust process of audit and escalation for fixtures, fittings, and equipment to ensure they are clean, made of cleanable material, and intact for effective cleaning. c) Have a clear process for the escalation of identified repairs and issues ensuring that an appropriate response and plan of improvement actions is agreed with the landlord. d) Ensure that processes such as cleaning schedules are robust, being followed and regular quality assurance checks of the cleaning is jointly undertaken by the provider and landlord. This is to comply with Regulations 4 (1) (a) and (d) (welfare1. By Friday 18 July 2025, the provider must ensure that people’s health and wellbeing benefits from robust quality assurance systems to improve aspects of care delivery To do this, the provider must, at a minimum:
a) Ensure there are effective audits of key areas such as medication management, people’s personal plans, people’s finances, infection prevention and control and the environment b) Ensure there are clear oversight and accountability by management for identifying and addressing areas of concern. c) Ensure there are actions plans which are outcome focused, time-bound, and regularly reviewed. d) Ensure there is a robust and transparent system in place to safeguard people’s finances. This is in order to comply with Regulation 4(1) (a) – Welfare of users, and Regulation 3 – Principles of the Social Care and Social Work Improvement Scotland (Requirements for Care Services). Regulations 2011 (SSI 2011/210), which required services to be provided in a manne1. By Friday 18 July 2025, you must ensure people experience safe and responsive care that meets their health, safety and wellbeing and needs and preferences.
In particular you must ensure that:
a) Ensure sufficient staff are available to respond to people promptly. b) Ensure staff are deployed appropriately to enable them to respond flexibly when people's needs fluctuate. This is in order to comply with Regulation 4(1)(a), and Regulation 4(2) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) and Section 7 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: ‘My needs are met by the right number of people’ (HSCS 3.15).
1. By 27 November 2025, the provider must ensure personal plans are complete, up-to-date and person-centred. People must have access to care and support that promotes emotional wellbeing and responds appropriately to stress and distress. To do this the provider must at a minimum: a) Ensure personal plans are clearly documented based on an understanding of each person’s individual needs and changing needs. b) Ensure personal plans include specific strategies for recognising and responding to emotional needs, including known triggers for stress and preferred calming or coping mechanisms. c) Ensure all incidents involving distress are recorded, reviewed and used to improve care and outcomes for people. d) Daily recordings must go beyond tasks and observations and include evaluative entries that reflect the person’s experiences, mood and wellbeing. This is in order to comply with Regulation 4(1) (a) and (c) – welfare of users and restraint. Regulation 5 (1)
1. To support good outcomes for people the provider should ensure staff access training appropriate to their role and the needs of the people they support.
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).