Blackwood Care Edinburgh West
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support people’s health and wellbeing, the provider should ensure there is clear and consistent written guidance in place for the administration of non routine medicines. This should include but is not limited to ensuring that protocols for ‘as required’ medicines and the use of homely remedies are documented within people’s personal plans where appropriate. 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 meet my needs and is right for me.” (HSCS 1.19).
1. To support positive outcomes for people the provider should strengthen systems, for recording, analysing and learning from accidents and incidents. This should include but is not limited to, ensuring that all notifiable events are consistently reported to the Care Inspectorate in line with statutory requirements, and that records clearly demonstrate analysis of causes, emerging themes and trends to reduce the risk of recurrence. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I use a service and organisation that are well led and managed.’ (HSCS 4.23).
2. To support continuous improvement the provider should enhance systems for consistently capturing, analysing and using information from audits, complaints and stakeholder feedback. This should include but is not limited to ensuring there is clear documentation of themes and trends, evidence of evaluation of service performance, and records showing resulting improvement actions, outcomes and review of effectiveness. 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).
1. To support positive outcomes for people, the provider should ensure staff have access to supervision and have their practice observed. This should include, but is not limited to, ensuring records are kept to detail supervision discussions and practice observations with any actions identified implemented. This is to ensure the care and support is consistent with the Health and Social Care Standards 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).
1. To support positive outcomes for people, the provider should ensure that personal plans are clear, accurate and regularly reviewed. This should include, but is not limited to, ensuring reviews are clearly recorded and personal plans are updated to reflect any changes in people’s needs. This is to ensure the care and support is consistent with the Health and Social Care Standards 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), and ‘I am fully involved in developing and reviewing my personal plan, which is always available to me.’ (HSCS 1.27).
1. By 4 August 2025, the provider must ensure incidents and accidents are recorded and reported to external bodies, including the Care Inspectorate when required to. To do this, the provider must, at a minimum: - Record, monitor, and follow-up incidents in line with legislation and guidance; - Ensure all staff are aware of their responsibilities and how to report accidents and incidents, including adult protection; - Implement quality assurance systems and oversight of incident and accident reporting; - Ensure information is communicated to relevant agencies including the Care Inspectorate, following ‘guidance on records you must keep and notifications you must make’ (Care Inspectorate, 2025); and - Ensure information from incidents is used to inform a service improvement and development plan. This is to comply with Regulation 4(1)(a) and (d) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (S1. By 4 August 2025 the provider must ensure people have confidence that the service they use is led well and managed effectively. To do this, the provider must at a minimum: (a) The management have effective oversight of the day-to-day delivery of care to service users to ensure their care needs are fully met. (b) The management have a visible presence within the service and engage with service users, relatives and staff to support the development of management oversight required. (c) The management engage in a meaningful way with service users and staff about the quality of the service and take action to address improvements identified, to ensure improved outcomes for service users, (d) Fully utilise quality assurance systems to drive forward improvements. (e) Ensure systems and processes are fully accessible to the staff team. This is in order to comply with Regulations 4(1)(a) – Welfare of users of The Social Care and Social Work Improvement Scotland (Requirements fo1. By 4 August 2025 to promote the safety and wellbeing of people, the provider must ensure that staff receive essential training and development opportunities, to enable them to be competent in their roles. To do this the provider must at a minimum: a) Undertake a training needs analysis to identify what training and development is required for each role. b) Deliver the training to staff (including shadowing opportunities) to ensure staff are fully skilled and competent to deliver the agreed care to people. c) Maintain an accurate record of all staff training, including refresher training. d) Implement quality assurance systems to evaluate the effectiveness of training and development opportunities and ongoing competency of staff. This is in order to comply with Regulation 9(1)(b) – fitness of employees of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is to ensure that care and1. By 4 August 2025, the provider must ensure that personal planning reflects people’s outcomes and wishes, which contain current, clear and meaningful information. To do this, the provider must at a minimum ensure: (a) Personal plans record all risk, health, welfare and safety needs in a coherent manner which identifies how needs are met. (b) Ensure that planned support is fully implemented when people have specific health needs including communication, pain, falls, moving and handling; (c) Care plans provide information to lead and guide staff on meeting people’s care needs, which are personalised and detail their choices, wishes, decision making and promote levels of independence where appropriate. (d) Care plans are reviewed on a regular basis to ensure they are accurate and consistent to the identified care needs assessed. (e) The auditing of care plans by the provider includes a follow through of actions, to ensure any areas identified for improvement are actioned upon and
1. To support effective communication, maintain professional boundaries and protect the rights and privacy of people, the manager should continue to highlight the codes of the Scottish Social Services Council (SSSC) with the staff team. This is to ensure care and support is consistent with the Health and Social Care Standards which state: “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.
Conditions of registration
The service will be provided to adults and older people in their own homes and in the wider community.
Where the support is provided from more than one address the service must keep the Care Inspectorate informed of any changes to the addresses from which the service is provided.
The support will be provided by 5 teams based in Edinburgh to the Edinburgh City Area.
The manager is also the manager of Blackwood Care Edinburgh West CS2016344472 (Support Service).