Bothwell Castle Care Home

1. People who are less mobile or spend long periods in their rooms should have structured opportunities for meaningful activity. This would support social connection and reduce the risk of isolation. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I can choose to have an active life and participate in a range of activities every day, both indoors and outdoors’. (HSCS 1.25)

2. The service should strengthen adult support and protection practice through clearer protocols and staff training. This would give people and families confidence that any concerns about safety and wellbeing are responded to quickly and appropriately. 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, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities’. (HSCS 3.20)

1. To support sustained improvement and better outcomes for people, the provider should strengthen its improvement planning by linking it more clearly to findings from quality assurance activities. 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. All staff should complete essential training, particularly in personal planning and supporting stress or distress. This will ensure care is safe, confident, and person-centred. 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.’ (HSCS 3.14)

2. All staff should receive regular supervision in line with policy. Supervision supports reflection, development, and wellbeing, which contribute to safe, high-quality care 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.’ (HSCS 3.14

1. The provider should ensure personal plans are clear, accessible, and include one-page profiles. This will help staff quickly understand key information and support people safely and consistently. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My personal 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)