Morar Highland Care Home
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 1 July 2026, in order to ensure the welfare of people using the service, the provider must ensure temperatures within the building are monitored and adjusted to remain safe and comfortable. To do this the provider must, at a minimum: a) ensure indoor temperatures are kept within recommended temperature ranges b) ensure appropriate heating and cooling systems are available to people in communal and private areas where the temperatures are out with recommended ranges c) use accessible and accurate temperature monitoring devices and ensure these are maintained d) ensure staff are trained on what action to take if temperatures are out with ideal ranges. This is 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
1. The provider should ensure that protocols for the administration of PRN ('as required') medication are consistently implemented and reviewed. This should include recording when PRN medication is administered and why, and timely documentation of the effectiveness and any follow-up actions required. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).
2. The provider should ensure improvements are made to wound care documentation including ensuring wound treatment plans, charts, and evidence of ongoing assessments are clearly recorded. Wound care documentation should include regular and clear photographs of wounds. 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).
1. The provider should ensure that people's information is kept safe by ensuring records and information are stored securely, and that people's information is only shared with authorised individuals, or where necessary, third parties, in line with data protection policy and in compliance with GDPR. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am fully informed about what information is shared with others about me' (HSCS 2.14); and 'I benefit from different organisations working together and sharing information about me promptly where appropriate, and I understand how my privacy and confidentiality are respected' (HSCS 4.18).
1. To improve outcomes for people, the provider should ensure that a training needs analysis is undertaken, informed by people's health and wellbeing needs, to identify the training and development required for each staff role. The training needs analysis should be used to develop a training plan to ensure staff are supported to complete this. 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19); and '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 ensure people receive personalised and responsive care, the provider should ensure that reviews of people's care and support are outcome focused, and accurately and clearly documented. Review records should be available to people and their legal proxies where applicable. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).
1. By 31 October 2025, the provider must ensure that people’s health, welfare and safety are promoted and protected through appropriate infection prevention and control procedures. In particular, but not exclusively, you must ensure that: a) There is a robust system of quality assurance and oversight; ensuring that measures in place comply with your legal responsibilities around infection, prevention, and control. b) Staff responsible for providing direct care to residents have their knowledge of and competency in infection control practices regularly assessed. c) Where issues with staff knowledge and/or practice are identified, there are clear protocols in place to address these. This is to comply with The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). Regulation 4(1)(a) and (d) – Welfare of users This is to ensure that care and support is consistent with the Health and Social Care Standards
1. In order to support residents, relatives and visitors to recognise and easily identify staff working in the service, particularly those who have visual or cognitive impairment, the provider should ensure staff consistently wear name badges as part of their uniform and verbalise their names so residents are aware of who is supporting them and providing direct personal care This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that: ‘ I feel at ease because I am greeted warmly by people and they introduce themselves’ (HSCS 3.6).
2. In order to ensure people's health and wellbeing was promoted and protected, the provider should ensure that: a) All legal authorisations were in place for people who were deemed to have limited capacity to make decisions, including AWI certificates, copies of Power of Attorney and Guardianship Orders, and a copy of the powers agreed and delegated to the care home. b) Review these documents at all future reviews to ensure that these remained in date and valid. c) Prompt action was taken where changes in the powers or authorisations were needed or incapacity certificates required to be renewed. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ' I experience high quality care and support because people have the necessary information and resources' (HSCS .4.27).
1. To support people’s health and wellbeing, the provider should ensure people experienced safe and comfortable temperatures within the home. In order to achieve this the provider should; a) Ensure indoor temperatures are kept within a recommended temperature range. b) Regularly monitor heating and cooling systems. c) Use accessible and accurate temperature monitoring devices to help maintain appropriate climate levels. d) Complete risk assessments and regular review for people particularly vulnerable to temperature extremes and implement specific measure for their protection. e) Ensure staff are trained to recognise signs of overheating and hypothermia. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘My environment has plenty of natural light and fresh air, and the lighting, ventilation and heating can be adjusted to meet my needs and wishes’.1. To support positive outcomes for people, ensure people’s care and support is person-centred and provided in a planned and safe way, the service should ensure, as a minimum: a) The care planning process is tailored to a person's care and support needs as well as their interests, abilities, history and personality. b) Personal plans include outcomes which are important to people. c) There are systems and processes in place to ensure important information about people’s care and support needs is shared or passed on accurately to the whole team, including new and/or agency staff. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'My environment has plenty of natural light and fresh air, and the lighting, ventilation and heating can be adjusted to meet my needs and wishes'. (HSCS 5.21).
1. By 25 July 2025, the provider must ensure you keep people safe and healthy by ensuring medication is handled and administered correctly. You must, at a minimum: a) Carry out a medication audit to establish a baseline which identifies what improvements are necessary and implement those; b) Ensure that people administering medication are suitably trained and that they have had their competency assessed; c) Notify the Care Inspectorate of all medication errors in accordance with the Care Inspectorate’s ‘Guidance on records you must keep and notifications you must make’. This is in order 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), section 53(6) of the Act and section 8(1)(a) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure care and support are consistent with the Health and Social1. By 31 July 2025, the provider must ensure that all data, including people experiencing care and staff's personal data, is appropriately stored and protected. In particular, but not exclusively, you must ensure that: a) There is a review of the current practices, policies and processes relating to the management of personal data and GDPR; and ensure these are fully implemented and monitored in line with current best practice; b) That all staff who have responsibility for the management of personal data and have the necessary skills and knowledge to be practicing safely at all times and that they have a clear understanding of their role and responsibilities. This is to comply with Regulation 4(1)(a) and (b) (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 care and support is consistent with the Health and Social Care Standards (HSCS) which states:
1. By 30 July 2025, the provider must ensure that people’s health, welfare and safety are promoted and protected through appropriate infection prevention and control procedures. In particular, but not exclusively, you must ensure that: a) There are trained and competent housekeeping staff on duty in sufficient numbers to complete daily, weekly and monthly cleaning tasks throughout the home; b) There is a robust system of quality assurance and oversight; ensuring that measures in place comply with your legal responsibilities around infection, prevention, and control; c) Staff responsible for providing direct care to residents have their knowledge of and competency in infection control practices regularly assessed. Where issues with staff knowledge and/or practice are identified, there are clear protocols in place to address these. This is to comply with The Social Care and Soci
1. The provider should ensure that residents, relatives and visitors are able to recognise and easily identify staff working in the service. In particular people who have visual or cognitive impairment should be supported to identify staff who are providing them with direct care and support. The supports should include but is not limited to the wearing of appropriate name badges for staff, and staff verbalising their names so residents are aware of who is supporting them. This is to ensure care and support is consistent with the Health And Social Care Standards (HSCS), which state that: ‘ I feel at ease because I am greeted warmly by people and they introduce themselves’ (HSCS 3.6)
2. In order to ensure people's health and wellbeing was promoted and protected, the provider should ensure that: a) All legal authorisations were in place for people who were deemed to have limited capacity to make decisions, including AWI certificates, copies of Power of Attorney and Guardianship Orders, and a copy of the powers agreed and delegated to the care home; b) Review these documents at all future reviews to ensure that these remained in date and valid; c) Prompt action was taken where changes in the powers or authorisations were needed or incapacity certificates required to be renewed. This is in order to be consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience high quality care and support because people have the necessary information and resources' (HSCS .4.27) .
1. To support people’s health and wellbeing, the provider should ensure people experienced safe and comfortable temperatures within the home. In order to achieve this the provider should a) Ensure indoor temperatures are kept within a recommended temperature range; b) Regularly monitor heating and cooling systems; c) Use accessible and accurate temperature monitoring devices to help maintain appropriate climate levels; d) Complete risk assessments and regular review for people particularly vulnerable to temperature extremes and implement specific measure for their protection; e) Ensure staff are trained to recognise signs of overheating and hypothermia. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which states: ‘My environment has plenty of natural light and fresh air, and the lighting, ventilation and heating can be adjusted to meet my needs and wishes.’ (HSCS 5.21).