Dounemount Care Home
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 24 June 2026 the provider must ensure that people experience consistently good standards of care and support that meets their needs. In order to do this, you must as a minimum: a) ensure that people's preferences for their washing and dressing needs are recorded in care plans and that staff are aware of these preferences b) staff support people with the cleanliness of their clothing throughout the day c) ensure people are supported with their oral hygiene needs and if issues arise, staff take the appropriate actions to enable additional input from specialists. This is to comply with Regulations 4(1)(a) (welfare of service users) and 4(1)(b) (privacy and dignity of service 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) which2. By 24 June 2026, the provider must ensure that when changes in people's health and wellbeing occur, that they receive safe and effective care and support. In order to do this, you must as a minimum: a) ensure that staff are aware of their role and responsibility in identifying changes to people's health and wellbeing b) ensure that input from medical or health professionals is promptly sought and their recommendations and treatment plans are followed c) leaders must ensure they have oversight of the effectiveness of treatment plans to ensure staff compliance in ensuring people get the care and support to improve their health and wellbeing. This is to comply with Regulations 4(1)(a) (welfare of service 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 consistent1. By 24 June 2026, the provider must ensure that there are sufficient staff available to ensure that people experience consistency in their care and support. In order to do this, you must as a minimum: a) ensure that the dependency tool accurately reflects the needs of people b) the experiences and outcomes people have, are used to inform the staffing numbers needed to ensure people receive effective and appropriate care and support c) leaders to ensure that when people's health and wellbeing needs change or become more complex, that the staff allocation is reviewed d) leaders to have ongoing oversight of the quality of people's care and support and use these findings to inform the staffing requirement. This is in order to comply with section 7(1)(b)) of the Health and Care (Staffing) (Scotland) Act 2019; and This is to comply with Regulations 4(1)(a) (welfare of service users) of The Social Care and Social Work Imp
1. Improvements should be made to the activities provision in the service to ensure that everyone has the same opportunity to pass their time in a meaningful way. 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 recreational, social, creative, physical and learning activities every day, both indoors and outdoors' (HSCS 1.25).
2. Improvements should be made to the management of topical medications. In order to do this, you should: a) ensure that all topical medications are dated when opened b) ensure that there is a body map in place with clear directions for location and frequency of application of any topical medications c) ensure that administration records are completed when topical medication has been applied and when they have been omitted d) shift leaders to have oversight and assess compliance with good and safe topical medication practices. 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. Improvements should be made to the leaders understanding of their role and responsibility in ensuring that people experience consistently good standards of care and support. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I use a service and organisation that are well led and managed' (HSCS 4.23).
1. The service needs to develop the enablement approach to the care and support of people. This is in order to help people retain skills, independence and to support them make their own choices and decisions. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential' (HSCS 1.6); and 'I am recognised as an expert in my own experiences, needs and wishes' (HSCS 1.19) .
1. Improvements should be made to how environmental risks are identified and then dealt with. This is in order to ensure people live in a safe environment. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ' My environment is secure and safe' (HSCS 5.19).