Torrance Lodge
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 17 July 2026, the provider must ensure that people’s health and wellbeing consistently benefits from their care and support. To achieve this, the provider must, as a minimum: a) ensure staff consistently provide compassionate, respectful, and person-centred interactions b) ensure mealtime experiences are consistently positive, support choice, and meet people’s assessed dietary requirements c) provide staff with ongoing guidance and support, including regular observations of practice, to promote positive outcomes for people. 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 that: 'I experience warmth, kindness and compassion in how I am supported and cared for' (HSCS 3.1) and ‘I have co1. By 17 July 2026, the provider must demonstrate that service users experience consistently good outcomes, and that quality assurance and improvement are effectively led. To achieve this, the provider must, as a minimum: a) ensure staff are deployed in line with the assessed needs of the service, with ongoing review and adjustment to maintain safe staffing levels and support positive outcomes for people b) ensure that clinical governance systems effectively record details of clinical risks and the measures in place to minimise these risks c) ensure robust oversight, auditing, and monitoring of medication systems to maintain safe administration practices and accurate recording d) monitor and audit care plans and associated records to ensure consistency, accuracy, and that they reflect individuals’ current needs e) provide support and training for unit leaders to strengthen their oversight, enhance staff support, and promote positive outcomes for people. This is to co
1. To enhance people’s wellbeing, the manager should implement training to support staff in developing their skills and knowledge in caring for people living with dementia. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: ‘I have confidence in people because they are trained, competent and skilled’ (HSCS 3.14).
1. The service should maintain a high standard of infection prevention and control by ensuring that: a) staff consistently follow effective practice in hand hygiene b) care equipment is appropriately cleaned. c) effective quality assurance is in place to monitor practice and drive sustained improvement. This is to ensure infection control practice is in line with the Care Home Infection Prevention and Control Manual. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I am protected from harm, including infection’ (HSCS 1.20) and ‘I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment (HSCS 5.24).
2. To promote the safety, comfort and dignity of people, the manager should assess how well the environment supports people living with dementia and use this information to drive improvements. This includes evaluating whether the physical space, signage, lighting and layout are designed to enhance people's independence using a recognised tool such as: The King's Fund Environmental Assessment Tool (2014). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: ‘The premises have been adapted, equipped and furnished to meet my needs and wishes’. (HSCS 5.18)
1. By 3 November 2025, the provider must ensure that all staff consistently promote person-centred care, respecting people's rights to choice, dignity, and discretion. To do this, the provider must, at a minimum: a) provide training for all staff on the principles of person-centred care, including promoting choice, respect, and dignity b) ensure staff understand how their actions and language impact people’s wellbeing c) monitor staff practice to ensure care is not task-led and that people are supported as individuals d) take action where practice does not align with the Health and Social Care Standards. 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 Social2. By 3 November, the provider must ensure that personal plans and daily records are accurate, up-to-date, and person-centred to support safe and consistent care. To do this, the provider must, at a minimum: a) ensure all personal plans include current medical and clinical information, including but not restricted to wound and skin care needs b) evaluate care plans meaningfully to assess whether support is effective and what changes may be needed c) improve the quality of daily records so they reflect people’s experiences and provide clear guidance for staff d) monitor and audit care documentation regularly to ensure consistency and accuracy. This is to comply with Regulation 5(1) 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 state that: 'My personal plan (some1. By 3 November 2025, the provider must ensure that leadership and quality assurance processes are used effectively to improve outcomes for people experiencing care. To do this, the provider must, at a minimum: a) use feedback from people living in the service, their families, and staff to inform the Service Improvement Plan b) ensure quality assurance tools (including quality audits, resident-of-the-day, and supervision records) are used as intended and lead to meaningful action c) record and act on concerns raised through meetings and surveys, demonstrating a transparent and responsive culture d) provide support and training for unit leaders to strengthen oversight, staff support, and consistency in care delivery. 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 wi1. By 3 November 2025, the provider must ensure that staff training leads to safe, effective, and person-centred care. To do this, the provider must, at a minimum: a) carry out regular competency assessments and direct observations of staff practice to confirm that training is being applied effectively b) take action where staff practice does not meet expected standards, including follow-up support and reflective learning c) ensure that formal systems used to address errors include clear records of actions taken and evidence of their impact on improving staff skills and outcomes for people. 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 state that: 'I have confidence in people because they are trained, competent and skilled, are
1. To uphold people’s rights and promote person-centred care, the provider should review the use of physical barriers across bedroom doors. The purpose of these barriers must be clearly recorded, showing they are intended to prevent entry into others’ rooms and not to restrict people’s own movement. Consent and discussion with those involved should be part of this process. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If I have restricted movement because of my care and support, this is justified and kept to a minimum' (HSCS 2.23) and ' I make informed choices and decisions about the risks I take in my daily life and am supported to do so' (HSCS 2.24).
2. To improve people’s dining experience, the provider should ensure mealtimes are well led, with staff available to support individuals in a timely and respectful way. People should be consistently offered choice, and communication with the catering team should be strengthened to ensure suitable alternatives are available. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning' (HSCS 1.33) and 'I can enjoy my meals and snacks in a relaxed atmosphere as much as possible' (HSCS 1.35).
3. To support people’s health and wellbeing, the provider should improve the management of topical medication. This includes ensuring T-MARs are consistently in place, storage is safe and appropriate, and application records are complete and accurate. This will help ensure people receive treatment as prescribed. 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) and 'Any treatment or intervention that I experience is safe and effective' (HSCS 1.24).
1. To promote staff development and improve outcomes for people, the provider should strengthen the staff supervision process. Supervision should be regular, person-led, and include a focus on staff wellbeing. Concerns raised during supervision should be followed up with clear action plans to support effective learning and development. 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) and ' I experience high-quality care and support because people have the necessary information and resources' (HSCS 4.27).
2. To support consistently high quality of the service, the provider should ensure that the continuing assessment, planning and evaluation of staffing is transparent, evidence-based and focused on achieving good outcomes for people. This should include, but not limited to, taking into account: - feedback from service users, family and staff - quality assurance outcomes and clinical governance - staff wellbeing - individual needs, abilities, characteristics and circumstances. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'My needs are met by the right number of people' (HSCS 3.15).
1. The provider should ensure that personal plans are developed in consultation with the individual and their representatives to reflect a responsive, person-centred approach, taking account of individuals choices and preferences. 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).
Conditions of registration
To provide a care service to a maximum of 88 adults (aged 50 and above) and older people with assessed needs which can be met by the service.