Three Towns Care Home

1. By 30 January 2026, the provider must ensure quality assurance systems are updated and implemented effectively to monitor and improve care standards. To do this, the provider must, at a minimum: a) Review and update the audit schedule to reflect current service needs. b) Ensure sufficient senior staff are available to complete audits and follow up on findings. c) Implement a system to monitor audit completion and outcomes. 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 care and support is consistent with the Health and Social Care Standards (HSCS) which state: “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)

1. By 30 January 2026, the provider must ensure all care plans are reviewed and updated at least every six months to reflect people’s current needs and preferences. To do this, the provider must, at a minimum: a) Audit all care plans to identify those overdue for review. b) Implement a schedule to ensure timely reviews. c) Involve residents and families in care planning and review processes. This is to comply with Regulation 5(2)(b)(iii) 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 state: “My personal 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)

1. By 26 Oct 2025, the provider must ensure that they are effectively monitoring and tracking the progress of peoples specific health needs to promote their health and well being. To do this, the provider must, at a minimum: a) clearly identify a baseline assessment of resident's clinical care needs b) ensure that staff are alert and responsive to signs of deterioration in people's health and wellbeing and ensure prompt action is taken to assess and seek medical advice when a change or deterioration is noted. 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 (HSCS) which state that: 'My care and support meets my needs and is right for me’ (HSCS 1.19).

1. By 30 November 2025, the provider must ensure the environment is improved to promote safety, comfort, and wellbeing for residents. To do this, the provider must, at a minimum: a) Undertake a full environmental audit to identify areas requiring improvement. b) Develop and implement an improvement plan with dates when work will be commenced and completed. c) Ensure there is participation and involvement in the decisions about environmental improvements to reflect people's preferences and needs. This is to comply with Regulation 10(2)(a) 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 state: “I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment.” (HSCS 5.22)

1. By 30 September 2025, the provider must improve continuity within the staff team, particularly among nursing and senior staff, to ensure consistent leadership and care delivery. To do this, the provider must, at a minimum: a) Review staffing arrangements and implement measures to retain permanent nursing and senior staff. b) Ensure senior staff are available to lead and support care teams effectively. c) Monitor the impact of staffing continuity on care outcomes through regular feedback and audits. This is to comply with Section 7(1)(a) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: “I experience stability in my care and support from people who know my needs, choices and wishes, even if there are changes in the service or organisation.” (HSCS 4.16)

1. By 30 September 2025, the provider must ensure quality assurance systems are updated and implemented effectively to monitor and improve care standards. To do this, the provider must, at a minimum: a) Review and update the audit schedule to reflect current service needs. b) Ensure sufficient senior staff are available to complete audits and follow up on findings. c) Implement a system to monitor audit completion and outcomes. 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 care and support is consistent with the Health and Social Care Standards (HSCS) which state: “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)

1. By 30 September 2025, the provider must ensure staffing levels are sufficient and reduce reliance on agency staff to maintain consistent and high-quality care. To do this, the provider must, at a minimum: A) Review staffing levels and patterns to ensure they meet resident's needs. B) Develop a recruitment and retention strategy to reduce reliance on agency staff. C) Monitor the impact of staffing levels on care quality and resident outcomes. This is to comply with Section 7(1)(a) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: “My needs are met by the right number of people.” (HSCS 3.15)

1. By 30 November 2025, the provider must ensure the environment is improved to promote safety, comfort, and wellbeing for residents. To do this, the provider must, at a minimum: a) Undertake a full environmental audit to identify areas requiring improvement. b) Develop and implement an improvement plan with dates when work will be commenced and completed. c) Ensure there is participation and involvement in the decisions about environmental improvements to reflect people's preferences and needs. This is to comply with Regulation 10(2)(a) 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 state: “I experience an environment that is well looked after with clean, tidy and well-maintained premises, furnishings and equipment.” (HSCS 5.22)

1. By 30 September 2025, the provider must ensure all care plans are reviewed and updated at least every six months to reflect people’s current needs and preferences. To do this, the provider must, at a minimum: a) Audit all care plans to identify those overdue for review. b) Implement a schedule to ensure timely reviews. c) Involve residents and families in care planning and review processes. This is to comply with Regulation 5(2)(b)(iii) 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 state: “My personal 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)