Belleaire House
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To keep people safe, the provider should ensure all staff are clear about their role and responsibility in relation to being aware of, recording, monitoring, escalating and overview of health and wellbeing information and concerns. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I experience high quality care and support because people have the necessary information and resources." (HSCS 4.27).
1. By 20 December 2025, the provider must improve the management of individuals’ nutrition to keep people safe and support their wellbeing. This should include ensuring the consistency of peoples’ meal time experiences. The management team must ensure staff throughout the service have appropriate knowledge and awareness of their role to support peoples nutritional needs. 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 is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning." (HSC 1.33)
2. By 20 December 2025, to keep people safe the provider should ensure that medication is managed safely and effectively in line with best practice guidance and organisational policy. In order to do this, the provider should at a minimum:- - Improve the consistency of medication administration and recording - ensure concerns and issues are identified quickly and effectively, to minimise risk - ensure staff understanding of their responsibility in relation to medication administration and recording. - ensure staff recognise the importance of their role in quality assurance in relation to medication administration and recording. - ensure effective audit processes are implemented to give assurance that medication is being administered safely, in line with prescribers instructions and organisational policy. This is to comply with Regulation 4 (a) (Welfare of user3. By 20 December 2025, the provider must ensure communication and recording in relation to health and wellbeing needs is consistent across the service to keep people safe and promote their health and wellbeing. This should include, but not be restricted to, monitoring charts being completed accurately, be reviewed, and appropriate actions taken where required. This is to comply with Regulation 4 (a) (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: ' I experience high quality care and support because people have the necessary information and resources." (HSCS 4.27)
1. To support better outcomes for people, the provider should ensure access to meaningful engagement and connection is linked to people's choice and preferences. This should include ongoing interactions, which provide stimulation and validation either alongside peers or one to one, throughout the day. Consideration should be given to people's emotional, social, physical, spiritual and development needs. Organised activities should be effectively evaluated to inform future plans. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: "I can maintain and develop my interests, activities and what matters to me in the way that I like." (HSCS 2.22)
1. To continue the improvement journey, the provider should ensure that quality assurance is well led to ensure people experience consistently good outcomes. This should include at a minimum:- a. the registered manager having complete oversight of the service and ongoing key day to day activities b. the organisation ensuring audits are fit for purpose and effective in improving outcomes for people. c. quality audits and action plans should be accurate, up-to-date and lead to the necessary action to achieve improvements without delay c. utilising evidence based information to review and update quality assurance tools, to ensure they are effective and driving forward improvement. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "I benefi