Living Ambitions Edinburgh and the Lothians
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To promote people's safety and wellbeing, the service should continue to monitor staff communication and relationships through supervision, practice observations, meetings and feedback from people supported. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If I experience care and support where I live, people respect this as my home' (HSCS 3.2).
1. By 12 January 2026, the provider must ensure that people are treated with dignity and respect and feel safe with all staff who support them. In order to achieve this the provider must, at a minimum: (a) Ensure that staff have the knowledge and communication skills to deliver dignified compassionate care. (b) Ensure documentation uses respectful person centred language. (c) Ensure that activities taking place in people's homes are evaluated and consent is obtained and recorded. 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).
2. By 12 January 2026, the provider must ensure that people are receiving the right support to meet their assessed needs. In order to achieve this the provider must at a minimum: (a) Ensure people's personal plans and records reflect people's current health and wellbeing needs over a 24 hour period. (b) Ensure that all personal plans are reviewed every six months or when people's needs change. (c) Ensure that people's mobility support plans contain sufficient detail to support them safely in line with agreed professional guidance. (d) Ensure that when skin damage is noted there is a prompt follow up with relevant health professionals and people's skin integrity plans are reviewed and updated accordingly. (e) Ensure that people's continence support plans reflect their current needs over a 24 hour period. (f)3. By 12 January 2026, the provider must ensure that people receive their medication safely. This is to include people who have prescribed medication to manage epilepsy. In order to achieve this, the provider must, as a minimum: a) Ensure all medication administration records are clear and accurately reflect people's current prescribed medication. b) Ensure as-required protocols match people's prescribed medication administration requirements. c) Ensure people have an up to date epilepsy care plan that is reviewed regularly. 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). 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). s1. By 12 January 2026, the provider must have effective management and leadership arrangements in place. To achieve this the provider must ensure at a minimum: (a) Leaders receive appropriate training, development and mentoring to enable them to carry out all aspects of their role. (b) Monitor and improve the quality of supervision, staff team meetings and practice observation documentation. 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 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). (a) Ensure timely notifications and updates are made in line with the Care Inspectorate's 'Adult care services: Guidance on records you must keep and notifications you must make' (March 2025). (b) Ensure leaders receive appropriate training and guidance to follow key protection procedures including, but not limited to whistleblowing. 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 is consistent with the Health and Social Care Standards (HSCS) which state that: 'I benefit from different organisa1. By 12 January 2026, the provider must ensure that people's staffing arrangements are right for them and staff work well together. To do this, the provider must, at a minimum: (a) Ensure the quality of staff practice is regularly observed and assessed to ensure staff are working well together. (b) Ensure effective communication and consultation with people and their representatives to provide feedback on their support. (c) Ensure staff are on shift at agreed times and people are aware of who will be providing their support and when. (d) Ensure people's night time support arrangements are regularly reviewed and meet their health and support needs. This is in order 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
1. To promote positive outcomes for people the provider should ensure that staff have the right knowledge and skills to meet their needs. This should include, but is not limited to, ensuring all staff receive Positive Behaviour Support (PBS) training and practice 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).
1. In order to ensure effective communication with people and their representatives, the provider should develop a communication strategy to identify and address any shortfalls. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected.' (HSCS 1.23); and 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).