Marchmont
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 4 November 2025, in order to maintain the health and welfare of people living in the service the provider should ensure people's health, including pain, bowels and weight are monitored and actions taken to minimise any risk of deterioration in health. To do this, the provider must, at a minimum: a) Utilise food, fluid and bowel charts where appropriate b) Develop systems to support information sharing across the staff team c) Provide comprehensive information to external health professionals to allow them to make informed decisions 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: My care and support meets my needs and is right for me.’ (HSCS1. By 4 November 2025 the provider must ensure that there are robust quality assurance systems in place to ensure that the health, safety and well-being needs of service users are met and they experience positive outcomes. This must include, but is not limited to developing systems to support: a) Analysis of accidents and incidents b) oversight of clinical risk within the service c) sharing of information across the staff team d) sharing of relevant information with external professionals. This is in order to comply with Regulation 4(1)(a) (Welfare of Users), (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 states that: 'I benefit from a culture of continuous impr1. By 5 November 2025 the provider must ensure that the health, welfare, and safety needs of service users are met in relation to care planning and risk assessments. To do this, the provider must, at a minimum ensure all personal plans and risk assessments: a) are reviewed when there is a significant change in a service user’s health, welfare or safety needs. b) accurately reflect the assessed current health and care needs of the service user, with particular attention being given to stress and distress, pain management, bowel management and nutrition. c) identify the support required to meet the needs of the service user, the steps which should be implemented to address these needs, and the steps which should be implemented to mitigate any risks identified. 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 t
1. Staff should receive regular supervision and appraisals to ensure their learning and development needs are assessed, reviewed, and addressed. Alongside this, the service should use formal observations of practice of staff to monitor standards of practice and competencies.
This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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. The service should ensure staffing levels, skill mix and deployment of staff contribute to supporting the emotional and physical wellbeing of people living in the service. 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) and 'I can maintain and develop my interests, activities and what matters to me in the way that I like (HSCS 2.22).