Oakeshott House
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 27 June 2025 the provider must ensure they keep people safe and healthy by ensuring that all accidents and incidents are properly managed. To do this, the provider must, at a minimum: a) Ensure that staff and management recognise potential harm and understand their duty to report this under the Adult Support and Protection Act (Scotland) 2007. b) Ensure that they adhere to the Care Inspectorate notification guidance for reportable events. c) Implement a system to regularly monitor, review and learn from all accidents, incidents and adult protection concerns. This is to comply with Regulation 4(1)(a) (Welfare of users) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This ensures care and support is consistent with the Health and Social Care Standards, which state: "I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsib1. By 27 June 2025, the provider must ensure that people are supported by a staff group that are appropriately and safely recruited. To achieve this the provider must make sure that all recruitment follows the principles of safer recruitment. This must include, but is not limited to, obtaining appropriate and robust references. Where this is not achievable, the service should apply best practice guidance and adhere to Scottish Social Services codes of practice This is to comply with Regulation 9 (2)(b) & (c) (Fitness of staff) 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: 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes.' (HSCS 3.14).2. By 27 June 2025 the provider must ensure that the service is appropriately staffed, at all times. To do this the provider must, at a minimum, ensure that there is sufficient staff and skill mix to care for service users in a dignified, respectful manner that promotes a positive quality of life and provides safe care and support. This is to comply with Regulation 4(1)(a) (welfare of service users) and Regulation 15(a)(Staffing) 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 needs are met by the right number of people' (HSCS 3.15); and 'I have confidence in people bec
1. To further promote a culture of respect, the service should ensure staff have appropriate training to understand how best to communicate and support people who are living with a cognitive impairment, particularly to avoid or manage any episodes of stress and distress. Knowledge should then be used to design and implement care plans for mental wellbeing. Triggers for stress and distress should be documented along with any tried and tested distraction techniques that can guide staff on how best to support the person during these times. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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).
1. So that people can have confidence in the organisation providing their care and support the service should ensure that robust and effective quality assurance processes are in place. This should include, but is not limited to: (a) The development of an improvement plan that is reflective of improvements identified through audit work. (b) Ensuring actions for improvement within the plan are clear, have ownership, are time specific and are reviewed regularly to determine progress. (c) Consideration of a self evaluation process to monitor continuous improvement. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I use a service and organisation that are well led and managed". (HSCS 4.23)
1. In order that people are able to move around and feel secure in their surroundings, the service should undertake a review of the environment using good practice guidance. This should include but is not limited to: a) easing decision-making and orientation b) reducing agitation and distress c) encouraging independence and social interaction d) promoting safety. 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).