Queens Quay House
Recorded Key Question grade range: 3–5 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 23 March 26, the provider must ensure that people receive their medications as prescribed. To do this the provider must, as a minimum, ensure that: a) Staff have the knowledge and skills to use their electronic system. b) Systems are put in place to ensure that medications have been administered and where not given, a reason noted. c) There are robust audit trails to ensure that these systems are being adhered to. d) There is a clear note of actions taken following any anomalies. This is to comply with Regulation 4(1)(a) and (b) (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: 'My care and support meets my needs and is right for me' (HSCS 1.19).
1. By 16 April 2026, the provider must ensure that people’s needs are met safely. To do this the provider must as a minimum: a) Use a suitable dependency tool to review the needs of people regularly and adjust staffing levels appropriately. b) Ensure that staff are deployed effectively, to ensure that people are safe and have sufficient support in meeting their support outcomes. This is 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) and Section 7 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: ‘My needs are met by the right number of people’. (HSCS 3.15) and ‘People have time to support and care for me and speak with me’. (HSCS 3.16).
1. To support people's health and wellbeing the provider should, at a minimum, ensure that actions are put in place for people identified as having a Malnutrition Universal Screening Tool (MUST) score of 1 or above These should include, but not be limited to: a) MUST Step 5 to be initiated when a person's MUST initially increases from a score of zero. b) Food and fluid charts are completed to allow for further assessment and to provide evidence that first line interventions have been implemented. c) People identified as being at risk of malnutrition have a care plan in place that details clear actions to be taken to reduce the risk to them. d) There are robust audit trails to ensure that these actions are being adhered to. e) There is a clear note of actions taken following any anomalies. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'My meals and snacks meet my cultural and dietary needs, beliefs and prefere1. To promote good outcomes and to minimise the risk of poor outcomes, the service should ensure that governance and oversight systems in place to identify risks contain correct and up to date information. Leaders at all levels should have the skills, capacity and systems in place to identify risks, plan appropriate actions to address these and drive improvement. 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. To support people's health and wellbeing the provider should, at a minimum, ensure that: a) staff have the knowledge and skills to use their electronic system b) relevant risk assessments are completed and used to inform the personal plan c) where a service user needs a specific aspect of their health monitored, that supporting documents are completed and that trained staff have an overview of these. d) There are robust audit trails to ensure that these actions are being adhered to. e)There is a clear note of actions taken following any anomalies. 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 support people's health and wellbeing, the provider should, at a minimum, ensure that reviews are carried out, at least every six months. 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).