Cheshire House Day Service
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 11 May 2026, people must be getting the right medication at the right time. The provider must ensure: a) relevant procedures are in place for the safe administration of medication; b) there is sufficient management oversight to ensure staff are following the procedures; and c) medication is consistently being administered safely. This is in order to comply with: Regulation 4(1)(a) 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 states 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 3.11. By 11 May 2026, people must be attending a safe and well managed service. The provider must ensure: a) staff understand their roles and responsibilities, and are confident and competent when carrying these out. 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 states 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).
2. By 11 May 2026, people must experience high quality care in line with the areas for improvement identified in the provider's internal audit dated 22 January 2026. It would be good practice to include the findings from this inspection in the plan. This is to comply with Regulation 4(1)(a) 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 which states that: 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11); and 'I benefit from a culture of continuous improveme1. By 11 May 2026, people must be getting the right care at the right time. The provider must ensure: a) there are structured opportunities for staff to pass on and discuss information about changes to customers' needs; and b) staff have the opportunity to evaluate customers' experiences of the service and how these can be enhanced. This is in order to comply with Regulation 4(1)(a) 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 states that: 'I have confidence in p1. By 11 May 2026 people's physical, emotional, social and psychological needs must be met. The provider must ensure: a) each person has a written plan which sets out how their holistic needs should be met; b) relevant staff must be familiar with the content of the plan and have the necessary knowledge, skills and confidence to provide the support the person needs; and c) there must be effective arrangements in place to ensure the plan is regularly reviewed, updated and staff are responsive to the person's changing or unmet needs. This is to comply with Regulation 4(1)(a) 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 states 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.'
1. People who experience care should have the opportunity to participate in activities that are meaningful to them. The provider should evaluate and review activities on a regular basis to ensure they remain meaningful and enjoyable for each person. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: '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); and 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).
1. The provider should improve their practice of informing the Care Inspectorate of any notifiable events as detailed in 'Records that all registered care services (except childminding) must keep and guidance on notification reporting'.
This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that:
‘I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).
1. To keep people safe, the provider should implement all the recommendations in their fire assessment dated 15 January 2026. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'My environment is safe and secure.' (HSCS 5.17); and 'I experience high quality care and support based on relevant evidence, guidance and best practice.' (HSCS 4.11).