Larkfield View Care Centre
Recorded Key Question grade range: 2–3 — Weak View on Care Inspectorate
Key Question scores
Enforcement
Requirements & recommendations
1. By 26 June 2026, to support people’s health, wellbeing and dignity, the provider must ensure that mealtimes are well organised, safe, person centred and meet the nutritional needs and preferences of all people using the service. To do this, the provider must, at a minimum: a) ensure staff are deployed appropriately at mealtimes with sufficient oversight to provide timely and person centred support, including for people requiring assistance b) review menu planning and food provision to ensure it meets the nutritional needs and preferences of all people, including those requiring modified diets c) ensure menus are nutritionally balanced, all people have choice at mealtimes and snacks are readily available This is to comply with Regulation 4(1)(a) of the Social Care and Social Work Improvement Scotla2. By 26 June 2026, to ensure people’s health, safety and wellbeing are promoted, the provider must ensure that medication practices are safe and support effective audit. To do this, the provider must, at a minimum: Ensure that medication is prescribed, stored, administered and recorded safely and in line with current legislation and recognised good practice. 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 which state: “Any treatment or intervention that I experience is safe and effective. “(HSCS 1.24)
3. By 26 June 2026, to protect people from avoidable harm, the provider must ensure that care and support practices consistently promote people’s health, safety and wellbeing. To do this, the provider must, at a minimum: a) Strengthen falls management by analysing trends, reviewing incidents and implementing preventative strategies to reduce the risks for people supported. b) Ensure systems for monitoring people’s health are accurate and consistently used to inform care delivery c) review the use of restrictive practices to ensure that they meet all relevant policies and procedures and are in line with the Mental Welfare Commission guidance. 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 Care1. By 24 July 2026, to ensure people are safe and protected from harm, the provider must ensure governance and quality assurance systems are effective in identifying risk, driving improvement and maintaining safe standards. To do this, the provider must, at a minimum: a) ensure clear leadership oversight and accountability for the quality of care and people's safety b) ensure audit systems accurately reflect practice and identify risks in a timely way c) demonstrate learning and improvement following incidents, complaints and inspection findings 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 which state: By 07 August 2026 , to ensure people receive safe, high quality care, the provider must ensure that staff have the necessary knowledge, skills and competence to carry out their roles effectively and provide safe care. To do this, the provider must, at a minimum: a) ensure all staff complete mandatory and role specific training relevant to the needs of people using the service, including areas such as nutrition and hydration, infection prevention and control, medication and safe care practices b) implement a system to assess and monitor staff competency in practice c) ensure staff receive regular, structured supervision and support to reflect on and improve their practice This is 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 C2. By 07 August 2026, to ensure people receive safe, responsive and person centred care, the provider must ensure that staffing numbers and skill mix are appropriate to meet people’s assessed needs. To do this, the provider must, at a minimum: a) Review how people’s needs, dependency, complexity and the environment of the service are assessed and used to inform staffing decisions b) Ensure staffing levels and skill mix across all shifts, including evenings and nights, support safe care delivery and meaningful engagement c) Demonstrate how staffing arrangements are reviewed and adjusted in response to changes in need and identified risks d) include analysis of call response times in assessment of staffing This is 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 with1. By 24 July 2026 , to ensure people li
1. To ensure that people's clothing is treated with respect, the provider should review the management and organisation of individuals’ clothing. To do this the provider should implement effective systems for labelling, sorting, and returning peoples clothing . This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: “My care and support meets my needs and is right for me” (HSCS1.19).
2. To ensure that people are supported to get the most out of life, the provider should review their activities provision. To do this the provider should enhance the range and access to meaningful activities, ensuring they reflect people's choices, preferences, and abilities. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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)
1. The service should ensure that each personal 'Movement' plan is updated when needs change or a perosn has sustained a fall.
1. To ensure people's safety and wellbeing t he provider should develop and agree a SMART (smart, measurable, achievable, relevant and timebound) comprehensive environmental improvement plan. This should address the required areas of improvement, including appropriate timescales for completion and regular measurements of progress. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment." (HSCS 5.24) and "My environment is safe and secure" (HSCS 5.19).
1. By 23 October 2025 the provider must ensure that accurate and up to date training information is in place for all staff. This must include, but is not limited to: a. An electronic training tracker document. b. Clear recording of all mandatory training, as well as all additional and specific training for staff. c. The name and role of the staff member. d. When training was completed and when refresher training is due. e. What training is still outstanding for individual staff. f. Was training e learning or face to face. If face to face who was the provider. This is to comply with Sections (7) and (8) of The Health and Care (Staffing) (Scotland) Act 2019 (HCSSA). 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 tr1. By 23 October 2025 the provider must ensure that the care home environment is clean, safe, and promotes people’s dignity and wellbeing. To do this, the provider must, at a minimum: a) Create an environmental improvement plan, that addresses essential repairs and maintenance, with dates for completion clearly set out with those most urgent prioritised. b) Ensure communal bathrooms are accessible and fit for purpose. c) Ensure all equipment stored in the home is safe, appropriately maintained, and stored securely. d) Ensure an annual fire risk assessment is completed in line with Fire safety guidance for care homes. This should identify any areas for improvement, actions required and taken. e) Improve standards of cleanliness across all units, including regular deep cleaning. Domestic staffing levels should be sufficient to maintain hygiene standards throughout the day. This is to comply with Regulation 10(2)(a)(b)(c)
1. To ensure people receive support in line with their current needs, the service should ensure that old information in people's personal plans that is no longer relevant is removed. If this cannot be taken out then it must be very clearly indexed at either the start or the end of the personal plan. This will prevent any confusion for unfamiliar staff when following the support plan. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices' (HSCS 1.15).
2. To ensure that people’s care is responsive to their ongoing and changing needs the provider should improve oversight, monitoring and communication systems to ensure that: a) Completion of accurate daily records and health monitoring records. This would ensure that decisions can be made as to when further action should be taken. For example, when input is required from external health professionals or referrals made regarding an individual's number of falls. b) ensuring that staff at all levels are clear of their roles, responsibilities and accountability to maintain organisational standards. 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 is provided in a planned and safe way, including if there is an emergency or unexpected event' (HSCS 4.14).
3. People's health and wellbeing should benefit from safe infection prevention and control practice and procedures. Cross contamination should be minimised by: a) The safe transfer of linen and clothes from the laundry area to each unit. b)The safe transfer by staff of the right clothing into people's rooms. Staff should comply with the safe systems of work set out in the National Infection Prevention and Control Manual: (NIPCM) for care homes. 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 5.24).
1. To promote a calm and responsive care environment, the service should review how the nurse call system is used across the home. This includes reducing unnecessary alerts, ensuring alerts are prioritised appropriately, and supporting staff to respond in a timely and coordinated way. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My environment is relaxed, welcoming, peaceful and free from avoidable and intrusive noise and smells' (HSCS 5.18), and 'I am confident that people respond promptly, including when I ask for help' (HSCS 3.17).
Conditions of registration
To provide a care service to a maximum of 90 older people including a maximum of 10 places for adults aged 50yrs and over all with assessed support needs.