Springhill Care Home
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To ensure people's property is safe and respected, staff should ensure all clothing is checked prior to going to laundry. In addition, the provider should have a system in place to ensure staff report any lost property with records confirming all follow up actions including who was informed. This is in order to comply with: Health and Social Care Standard 5.17: My environment is secure and safe. This area for improvement was made on 18 August 2025.
1. To ensure the safety and wellbeing of people, the manager should plan shifts effectively so that key responsibilities are clearly delegated. This should include assigning staff to supervise lounge areas and ensuring appropriate cover for the service of refreshments. This is to ensure care and support is consistent with Health and Social Care Standard 3.19: My care and support is consistent and stable because people work together well.
2. The provider should improve the measures in place to support staff learning and development. This should include the following as a minimum; a) develop the supervision programme with the aim of ensuring that staff are supported, motivated and helped to develop their skills and knowledge through reflective practice; b) providing opportunities for advancement and encourage effective role models within staff teams; c) develop effective systems to assess the impact training has on staff practice and how this improves outcomes for people. 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).
3. To improve connections and communication between people, their families and staff, the provider should develop a keyworker system in the home. Staff assigned as keyworkers should have clear guidance regarding their role and responsibilities. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state : ‘I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential.’ (HSCS 1.61). ‘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. The service provider should ensure that daily recordings fully reflect individuals experiences over the 24-hour period. To ensure care and support is consistent with the Health and Social Care Standards which state: ‘My personal plan is right for me because it sets out how my needs are to be met, as well as my wishes and choices' (HSCS 1.15). 2.
2. Care reviews should meaningfully reflect what has been achieved as a result of care and support provided and what needs to change to help people experience good outcomes. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) 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).
1. By 28 September 2025, the provider must ensure that personal plans clearly set out how individuals health, welfare and safety needs are to be managed and met, as well as their wishes and choices. In order to do this, the provider must at a minimum ensure the following: a) personal plans are developed in consultation with the individual and their representative to reflect a responsive, person centered approach taking account of choices and preferences; b) personal plans accurately record the management of health, welfare, and safety needs and how these will be managed; c) personal plans fully reflect that advice from healthcare professionals has been followed; d) measures identified in personal plans are being implemented in practice to meet the individual's health, welfare, and safety needs; e) evaluations are outcome focused and reflective of how effective the planned care had been in promoting positive choices; f) records of care accuratel2. By 10 August 2025, the provider must ensure that medication is managed safely and in line with best practice guidance. In order to do this, the provider must at a minimum ensure the following: a) that all staff involved in medication management undertake relevant training and competency assessments regarding safe medication management; b) formally assess the impact training has on staff practice to determine learning and understanding of their responsibilities to manage medication safely; c) directions for the administration of medication prescribed to be given 'as needed' are accurate and regularly reviewed; d) topical medication is managed in line with current best practice guidance; e) ensure that effective systems are in place to assess and monitor medication management. This is to comply with Regulation 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Servi1. By 28 September 2025, the provider must demonstrate that service users are safeguarded and experience consistently good outcomes, and that quality assurance and improvement is well led. In order to do this, the provider must at a minimum ensure the following: a) quality assurance systems continually evaluate and monitor service provision to inform improvement and development of the service; b) that action plans to address issues identified are fully developed following audit; c) ensure that actions taken are reviewed to ensure that they effectively improve outcomes for service users; d) use the feedback from people living in the home and their families to inform service development; e) ensure that outcomes of audits, feedback from stakeholders and the outcome of adverse events inform a service improvement plan that is specific, measurable, achievable, relevant and time bound. This is to comply with Regulation 4(1) (d) of The Social Care and So2. By 10 August 2025 , the provider must demonstrate that service users are safeguarded by reporting significant incidents to partner agencies. In order to do this, the provider must at a minimum ensure the following: a) staff receive appropriate training regarding reporting process for adult protection issues in line with local area guidance; b) notification to the Care Inspectorate about adult protection issues are made without delay in line with current guidance. 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 state: ‘I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities. (HSCS 3.20) ‘I have confidence in people because they are trained, compe1. By 10 August 2025, the provider must ensure that there are suitably qualified and competent staff working in the service in such numbers and skill mix to effectively meet the health, welfare, and safety needs of residents. This is to comply with 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: ‘My needs are met by the right number of people.’ (HSCS 3.15). ‘People have time to support and care for me and to speak with me.’ (HSCS 3.16). ‘I am confident that people respond promptly, including when I ask for help.’ (HSCS 3.17).
1. The provider should improve communication pathways between staff teams to support the health, welfare and safety needs of people. This should include ensuring that staff are aware of their role and responsibilities regarding effective communication within the home in line with their codes of practice. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.’ (HSCS 4.19) ‘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. The provider should develop policies and procedures to support people's right to access timely treatment for minor ailments. This should be in line with the Care Inspectorate practice note ‘Homely remedies in care homes’ which was published December 2024. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘My care and support meet my needs and is right for me’ (HSCS 1.19)
3. To improve connections and communication between people, their families and staff, the provider should develop a keyworker system in the home. Staff assigned as keyworkers should have clear guidance regarding their role and responsibilities. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state : ‘I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential.’ (HSCS 1.61). ‘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 promote transparency and support learning from adverse events the provider should ensure a consistent approach to application of the duty of candour process. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: I receive an apology if things go wrong with my care and support or my human rights are not respected, and the organisation takes responsibility for its actions. (HSCS 4.4) ‘I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.’ (HSCS 4.19)
1. The provider should improve the measures in place to support staff learning and development. This should include the following as a minimum; a) develop the supervision programme with the aim of ensuring that staff are supported, motivated and helped to develop their skills and knowledge through reflective practice; b) providing opportunities for advancement and encourage effective role models within staff teams; c) develop effective systems to assess the impact training has on staff practice and how this improves outcomes for people. 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).
2. To ensure that the right staff are in the right place, with the right skills, at the right time to fully support people's needs the provider should develop an assessment tool which will consistently and effectively inform staffing within the service. They should take account of the staffing method framework for adult care homes guidance & current statutory staffing guidance. 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). ‘People have time to support and care for me and to speak with me.’ (HSCS 3.16). ‘I am confident that people respond promptly, including when I ask for help.’ (HSCS 3.17).
1. To ensure that people benefit from an environment that has been designed or adapted for high quality care and support the provider should continue to assess and plan improvements and refurbishment of the home. The care home would benefit from a comprehensive self-assessment that refers to the good practice guidance such as the King’s Fund 'Is your care home dementia friendly ' assessment tool. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'The premises have been adapted, equipped and furnished to meet my needs and wishes.' (HSCS 5.16). 'If I experience care and support in a group, I experience a homely environment and can use a comfortable area with soft furnishings to relax.' (HSCS 5.6). 'I am able to access a range of good quality equipment and furnishings to meet my needs, wishes and choices.' (HSCS 5.21).
Conditions of registration
Number(s) and Age(s) of person(s) to whom service may be provided:
1. To provide a care service to a maximum of 61 older people.
Any other conditions unique to the service:
2. The provider will carry out improvements, as detailed in the environment improvement action plan agreed with the Care Inspectorate at registration. A copy of this will be made available on request to the provider. The provider will keep the Care Inspectorate informed of the progress, as detailed in the action plan every second month following registration.