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Recorded Key Question grade range: 1–3 — Unsatisfactory View on Care Inspectorate
Key Question scores
Enforcement
Requirements & recommendations
1. By 1 August 2026 the provider must ensure that people are supported safely and in accordance with their assessed need. Moving and assisting assessments must be up-to-date, accurately reflect people's current abilities, and provide clear guidance to staff. Staff must consistently follow moving and assisting procedures and use the correct equipment in line with best practice guidance. The provider must implement effective oversight arrangements to monitor moving and assisting practices, and take prompt action where practice does not meet expected standards. This is in 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). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: By 1 August 2026 the provider must ensure people's medication is administered as prescribed. Where medication is prescribed on a PRN ('as required') basis, there should be clear protocols in place to guide staff on the circumstances in which the medication should be administered. Medication administration should be recorded clearly, and the effectiveness of PRN ('as required') medication should be monitored and recorded. This is in 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). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'Any treatment or intervention that I experience is safe and effective' (HSCS 1.24).
1. By 1 August 2026 the provider must ensure that all accidents, incidents and concerns relating to people's safety and wellbeing are recorded, reported, and acted upon in line with organisational guidelines and statutory duties. Records must be accurate, and demonstrate the actions taken to reduce the risk to people. Where required, notifications must be submitted to the Care Inspectorate, and referrals made to other regulatory bodies or agencies, including Adult Support and Protection referrals. The provider must establish effective oversight and arrangements to monitor accidents and incidents to identify lessons learned and improve outcomes for people. This is in 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). This is to ensure that care and support is consistent with the Health and Social Care S1. By 1 August 2026 the provider must ensure people's care and support is reviewed regularly. To do this, the provider must, at a minimum: a) ensure reviews take place at least every six months, or sooner where a person's needs change or a review is requested b) ensure records of review meetings are kept. Records should include discussions, decisions made, and any actions taken at the review, these should also be shared with people's legal proxies where applicable. This is to comply with the Regulation 5(2)(b) 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: 'I am fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).
1. In order to support residents, relatives, and visitors, particularly those who have visual or cognitive impairment, to recognise and easily identify staff working in the service, the provider should ensure staff consistently wear name badges as part of their uniform and verbalise their names so residents are aware of who is supporting them and providing direct personal care. Staff uniforms worn should be consistent with their employer or agency. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS), which state that: 'I feel at ease because I am greeted warmly by people and they introduce themselves’ (HSCS 3.6).
1. By 16 April 2026, the provider must ensure that people are supported by staff, including bank and agency, who have completed mandatory training relevant to their role, and received supervision which promotes reflection and best practice. This must include, but is not limited to: a) documented supervision and appraisal for staff, at intervals outlined in the organisation’s policy b) ensuring that all mandatory staff training is up-to-date, and recorded appropriately c) ensuring that quality assurance checks in relation to staff practice are planned and undertaken, including observations of practice. This is in order to comply with section 8 of the Health and Care (Staffing) (Scotland) Act 2019 and 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: s1. By 16 April 2026, the provider must ensure that ongoing repairs and maintenance to the building and facilities are completed, and that future maintenance or improvements are identified and planned. The must include, but is not limited to: a) repairs to the internet connectivity within the building to ensure it is fit for purpose b) repairs and changes to internal doors within the building to ensure these are in good condition and can be used safely c) ensuring the environment is assessed regularly to identify improvements, this may be through use of a tool such as the 'King's Fund Tool' d) ensure that identified improvements are actioned promptly. This is in order to comply with Regulation 10(1)(2) 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
1. The service should ensure that people experience safe and effective support with the administration of their medication through suitably detailed protocols for the administration, recording, and reviewing of PRN 'as required' medication. This is to ensure that care and support is consistent with the Health and Social Care Standard (HSCS) which state that: 'Any treatment or intervention that I experience is safe and effective' (HSCS 1.24)
1. The management team should submit relevant notifications to the Care Inspectorate as outlined in the notification guidance. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which state that: ‘I use a service which is well led and managed’ (HSCS 4.23).
Conditions of registration
To provide a care service to a maximum of 35 older people over the age of 65 years.
Within the maximum of 35 people aged over 65 years a service can be provided to two named individuals under the age of 65 years as specified in the variation granted on 4 July 2025.
The provider will complete environmental improvements in relation to:
A. Emergency lighting installation sprinkler system installation hot & cold water system upgrade external repairs.
B. Kitchen
C. Laundry
D. Windows
E. Floor Coverings
F. Bathrooms and wet rooms
G. Hand washing sinks
H. Decor
I. Grounds paths and walkways.
J. Quiet room
K. Lighting
L. Ensuite facilities and access to toilets
M. Domestic Services room
N. Storage
O. Staff Welfare Accommodation
as detailed in the improvement plan agreed with the Care Inspectorate at registration dated 23 June 2021 The improvement plan must be displayed along with the Certificate of registration. Any proposed change to the improvement plan must be agreed with the Care Inspectorate.
The provider will complete care and support improvements in relation to:
P. Requirement 1. (R1)
Q. Requirement 2 (R2)
R. Requirement 3 (R3)
S. Requirement 4 (R4)
T. Requirement 5 (R5)
U. Areas for Improvement (AFI)
as detailed in the improvement plan agreed with the Care Inspectorate at registration dated 23 June 2021 The improvement plan must be displayed along with the Certificate of registration. Any proposed change to the improvement plan must be agreed with the Care Inspectorate.