St. Francis Care Home
Recorded Key Question grade range: 3–5 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 3 July 2026, the provider must implement a robust and effective quality assurance system. In order to achieve this, they must: a) set up and implement regular auditing processes to check service performance across all areas of service delivery, including evaluation and analysis of outcomes; b) ensure outcomes from quality audits feed into and update improvement/development plans; c) set achievable target dates indicating when the improvement actions will be completed; d) assess the impact of the changes on improving service delivery at the next auditing cycle. This is to comply with the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011, (SSI/2011/210) Regulation 3 Principles and Regulation 4(1) – Welfare of users. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that, 'I benefit from a culture of continuous improvement, with the organi
1. To ensure that people continue to receive responsive care and support that meets their needs; the provider should ensure: a) topical medication is administered as prescribed, the Topical Medication Administration Records and body maps are fully completed in line with national guidance b) the efficacy of administered analgesia, is assessed within a clearly defined timeframe b) the time of assessment is accurately recorded c) there are alternative pain relieving strategies when pain medication is not effective and additional analgesia cannot be administered. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'Any treatment or intervention that I experience is safe and effective.’ (HSCS 1.24)
2. Individuals should always be supported with personal care in a dignified and respectful manner, in accordance with best practices. Staff should review and consistently apply personal care guidance that promotes dignity. People should be supported to bathe regularly, and if an individual refuses, staff should ensure that they return to ensure that every attempt has been made and alternatives explored and offered . This should be recorded in people's care plans. This is to ensure care and support is consistent with Health and Social Care Standards (HSCS), 'My care and support meets my needs and is right for me.' (HSCS 1.19)
1. In order to improve consistency and support better outcomes for people, the service should: a) streamline care documentation to ensure there is one clear, accurate, and up-to-date source of information reflecting each person’s current needs b) strengthen management oversight of care plans and risk assessments with regular review and auditing, to ensure information remains relevant, consistent, and person-centred, c) systematically analyse monitoring data to identify trends, evidence learning, and demonstrate continuous improvement in service delivery. This is to ensure that 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 experience high quality care and support because people have the necessary information and resources.’ (HSCS 4.27)
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
1. To provide a care home service to a maximum of 40 older people with physical/sensory difficulties and/or mental health issues.
Any other conditions unique to the service:
2. By the end of December 2018 the provider will complete the re-badging of the paperwork, documentation, policies etc. for the new legal entity.