Earlsferry House Care Home
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support good outcomes for people, the provider should ensure that domestic staffing arrangements are sufficient and that these arrangements can be clearly evidenced. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment' (HSCS 5.22).
2. To support the health and wellbeing needs of people, the provider should ensure that robust quality assurance processes are in place to monitor the effectiveness of staffing arrangements. Staff should be organised and deployed in a way which ensures safe and effective working practice. 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. By 10 November 2025, to ensure that people's care and support needs are met, the provider must ensure staffing arrangements are safe and effective. To do this, the provider must, at a minimum: a) Regularly assess and review people's care and support needs. b) Demonstrate how the outcome of people's assessments are used to inform staffing number and arrangements. c) Ensure that ancillary staff arrangements are sufficient to support positive outcomes for people. d) Implement quality assurance systems to evaluate care experiences and assess if staffing arrangements are effective in providing responsive, person-centred support. This is in order to comply with section 7(1)(a) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'My needs are met by the right number of people' (HSCS 3.15). a) Ensure that the internal premises, furnishings, bathrooms and equipment are clean and safe. b) Ensure that processes such as cleaning schedules and regular quality assurance checks of cleaning are in place and are effective. c) Ensure that safe infection control practices are adhered to by all staff at all times. This is in order to comply with Regulation 4(1)(a) and (d) (Welfare of Users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is in order to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment' (HSCS 5.22).
1. To ensure positive outcomes for people who use this service the provider should ensure that documentation and records are accurate, sufficiently detailed and reflect the care/support provided. The provider should be able to show evidence of regular on-going monitoring and evaluation of records to demonstrate that appropriate actions are taken, or changes to care are made, as a result of the information being recorded. This is to ensure care and support is consistent with Health and Social Care Standards (HSCS), which state that: 'My care and support meets my needs and is right for me' (HSCS 1.19).