Crawford House
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To support young people's wellbeing, the service should implement regularly reviewed risk assessments. These should accurately identify risks to young people and staff, whilst complementing other care planning documents. 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). and 'I am protected from harm because people are alert and respond to signs of significant deterioration in my health and wellbeing, that I may be unhappy or may be at risk of harm' (HSCS 3.21).
1. By 28 November 2025, the provider must improve the provision for the health, welfare and safety of young people, being responsive to changes in risk at all times. In particular you must: a. ensure indicators of concern are promptly recognised and effectively responded to b. ensure risk management measures are established and consistently applied c. collaboratively agree risk management measures along with relevant other agencies. This is in order to comply with Regulation 3 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 protected from harm because people are alert and respond to signs of significant deterioration in my health and wellbeing, that I may be unhappy or may be at risk of harm' (HSCS 3.21).
1. To support young people's wellbeing, the provider should ensure all areas of the household are maintained to an appropriate standard of hygiene. 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).
1. By 28 November 2025, the provider must consistently adopt best practice in relation to restrictive practice interventions, including searches. To do this, the provider must, at a minimum: a. ensure these are appropriately recorded, have management oversight and are notified to the Care Inspectorate. 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: 'I experience high quality care and support based on relevant evidence, guidance and best practice' (HSCS 4.11).
2. By 28 November 2025, the provider must ensure that young people’s needs and wishes are maximised through high quality person centred planning. In particular you must: a. implement SMART care plans which are regularly reviewed, quality assured and used consistently to plan and direct safe care, taking young people’s views into consideration b. implement regularly reviewed risk assessments which accurately identify risks to the young person and staff c. ensure that all care planning processes, including care plans, risk assessments, pathway plans and ICSPs correspond and complement each other rather than being independent documents. This is in order to comply with Regulation 5 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 personal plan (sometimes referred to as a care plan) is3. By 28 November 2025, the provider must consistently adopt effective quality assurance and auditing processes to support improvement. To do this, the provider must, at a minimum: a. ensure internal quality assurance processes including regular audits are being undertaken, formally documented and actions reviewed by managers. This should include the external manager role. 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: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.' (HSCS 4.19)
1. To improve outcomes for young people, the organisation should ensure clarity of roles and responsibilities for all staff. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I use a service and organisation that are well led and managed' (HSCS 4.23).
2. To develop and enhance the service for young people, the organisation should review and improve their development plan, including SMART objectives. 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).
3. To ensure young people are cared for by the right number of staff who have the required experience and skill mix to meet their changing needs, the provider should strengthen their staffing analysis process. 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 is provided in a planned and safe way, including if there is an emergency or unexpected event' (HSCS 4.14).