Carlingwark House
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Enforcement
Requirements & recommendations
1. By 23 August 2026, the provider must ensure that people’s continence needs are consistently assessed and supported. In order to ensure that people receive the right care at the right time, and that continence care is delivered in a person-centred and respectful manner. To do this, the provider must, at a minimum: a) Ensure continence assessments and personal plans are accurate, up to date, and reflect each person’s current needs and preferences, including how continence will be promoted. b) Ensure monitoring systems evidence continence care is delivered consistently and appropriately. c) Ensure staff have the knowledge and skills to support continence care effectively and respectfully. This is to comply with Regulation 4(1)(a) (Welfare of users) and Regulation 5(1) (Personal plans) 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 consi1. By 23 August 2026, to ensure the safety, health, dignity and wellbeing of people experiencing care, the level of staffing on each shift and in each department must be adequate to provide the assessed level of support to people at all times. To do this, the provider must, at a minimum: a) Ensure there are sufficient staff on duty in all departments who are competent and who are meeting the physical and social support needs of people using the service; b) Ensure staff are deployed appropriately to ensure that people receive assistance with their care needs at times that meet their needs and preferences; c) Ensure staffing assessments fully consider people’s changing needs, observations, environmental factors and feedback from people, relatives and staff. This is in order to comply with section 7(1)(a) & (b) and (2) of the Health and Care (Staffing) (Scotland) Act 2019. This is to ensure that care and support is consistent with the Health
1. To improve people’s wellbeing and quality of daily life, the provider should ensure people have regular and meaningful opportunities to take part in activities, maintain relationships and access their local community. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "I can choose to have an active life and participate in a range of recreational, social, creative, physical and learning activities every day, both indoors and outdoors." (HSCS 1.25)
2. To support people’s health, wellbeing and enjoyment of meals, the provider should improve the consistency and quality of food provision and ensure people have access to a varied and nutritious diet. This should include, but is not limited to, ensuring information to guide catering staff is accurate and up to date, and that snacks and choices, including fresh fruit and vegetables, are consistently available to people. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning." (HSCS 1.33)
1. To support effective governance and sustained improvement, the provider should strengthen quality assurance systems to ensure accurate, consistent recording and clear oversight of practice. This should include, but is not limited to, ensuring outcomes are clearly recorded, centrally aligned and regularly reviewed. This should include recording across key systems such as audits, financial checks and safer recruitment. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "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, wellbeing and safety, the provider should improve infection prevention and control arrangements and ensure a consistently clean, safe and well-maintained environment. This should include, but is not limited to, ensuring cleaning is carried out consistently across all areas, equipment and furnishings are regularly checked and maintained, and sufficient housekeeping resources are in place. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment." (HSCS 5.24)
2. To ensure people live in a safe, comfortable and well-maintained environment, the provider should ensure environmental issues are addressed promptly and that redecoration and improvement plans are clearly identified, progressed and completed in a timely way. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment." (HSCS 5.24)
1. To ensure people receive safe, consistent and person-centred care, the provider should improve the recording and evaluation of care to demonstrate that support is delivered in line with assessed needs. This should include, but is not limited to, ensuring monitoring records such as repositioning, fluid intake and personal care needs are consistently completed, accurate and regularly reviewed to inform care and identify any gaps or risks. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: "My care and support meets my needs and is right for me" (HSCS 1.19)
1. To support staff wellbeing and development, the provider should ensure all staff receive regular supervision in line with the provider's supervision policy. This should include maintaining accurate supervision records and offering opportunities for reflective discussion. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that: "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)
1. By 25 January 2026, the provider must ensure that quality assurance systems are robust and consistently used to identify, act on, and learn from areas of concern. This is to ensure that people experience care that is safe, well managed, and continuously improving. To do this, the provider must, at a minimum: a) Ensure all relevant issues identified through audits and monitoring are accurately recorded. b) Ensure timely and effective action is taken in response to identified concerns. c) Clearly document actions taken, outcomes achieved, and any lessons learned. 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 use a service and organisation that are well led and managed." (HSCS 4.23)
1. To ensure staffing arrangements continue to meet people’s needs, the provider should ensure that staffing assessments take into account environmental factors such as the layout of the building and communal areas, as well as feedback from people using the service, their representatives, and staff. 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 "People have time to support and care for me and to speak with me." (HSCS 3.16)
1. By 29 October 2025, the provider must ensure that people consistently receive appropriate standards of personal care. This includes support with nail care, oral hygiene, and that any choices and preferences are respected. This is to ensure people’s basic care needs are met in a way that protects their health, dignity, and human rights. To do this, the provider must, at a minimum: a) ensure personal care is delivered regularly and in line with each person’s assessed needs and preferences b) maintain accurate and up-to-date care records that reflect the care provided c) ensure staff can identify when individuals require support with personal care and respond appropriately d) implement effective monitoring and management oversight to ensure care is not missed or delayed. This is to comply with Regulation 4(1)(a) and 4(1)(b) (Welfare of users) and Regulation 5(1) (Personal plans) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 20112. By 29 October 2025, the provider must ensure that people’s continence needs are consistently assessed and supported. In order to ensure that people receive the right care at the right time, and that continence care is delivered in a person-centred and respectful manner. To do this, the provider must, at a minimum: a) ensure continence assessments are accurate, up to date, and reflect each person’s current needs and preferences b) ensure continence care plans clearly outline how support will be provided, including how continence will be promoted c) ensure staff have the knowledge and skills to support continence care effectively and respectfully d) ensure individuals who are able or prefer to use toilet facilities are supported to do so at the right time e) ensure monitoring systems evidence continence care is delivered consistently and appropriately. This is to comply with Regulation 4(1)(a) (Welfare of users) and Regulation 5(1) (Personal plans) of The Social Care and Social W3. By 29 October 2025, the provider must ensure people benefit from meaningful activity and person-centred support. In order to meet their mental, social and physical needs. To do this, the provider must, at a minimum: a) develop a personalised programme of activities with each individual that is part of a person centred care plan b) account must be taken of the abilities, life histories and preferences of individuals c) increase opportunity for meaningful interaction in and out with group activities; including access to the community. 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 2011/201). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I can choose to have an active life and participate in a range of recreational, social, creative, physical and lea1. By 29 October 2025, the provider must ensure that management oversight is effective in identifying and addressing areas for improvement in the service. To do this, the provider must, at a minimum: a) implement robust quality assurance systems that identify deficits in care, including meaningful activity, personal care, and staff interaction b) ensure that management presence in the service is regular, purposeful, and used to monitor the quality of care and staff practice c) take timely and effective action in response to identified concerns, with clear records of actions taken, outcomes achieved, and lessons learned 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 2011/201). This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I us1. By 29 October 2025, to ensure the safety, health, dignity and wellbeing of people experiencing care, the level of staffing on each shift must be adequate to provide the assessed level of support to people at all times. To do this, the provider must, at a minimum: a) ensure there are sufficient staff on duty who are competent and who are meeting the physical and social support needs of people using the service b) ensure staff are deployed appropriately to ensure that people receive assistance with their care needs at times that meet their needs and preferences c) undertake a thorough evaluation of all the current needs of people who use the service and use the findings to ensure that there are sufficient staff on duty d) evidence that assessed staffing levels have considered the layout of the building, communal areas and include feedback from people, their representatives and staff This is in order to comply with section 7(1)(a) & (b) and (2) of the Health and Care (Staff1. By 29 October 2025, the provider must ensure that the environment is consistently maintained to a standard that promotes safety, comfort, and wellbeing for people using the service. To do this, the provider must, at a minimum: a) complete outstanding environmental upgrades and ensuring they are reflected in the service’s environmental improvement plan b) addressing maintenance issues promptly, including upkeep and repairs to internal and external areas c) improving wayfinding and bedroom signage to support orientation d) ensuring lighting is adequate and safe throughout the premises e) fire safety recommendations are planned and addressed promptly This is to comply with Regulation 4 (1) (a) (b) (Welfare of service users) and 14 (b) (Facilities in Care Homes) of The Social Care and Social Work Improvement Scotland (Requirements for Care
1. To support people’s health and wellbeing, kitchen staff should have access to the most up-to-date information about individuals’ nutritional needs and preferences. 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. To support effective quality assurance and continuous improvement, the provider should ensure that all relevant issues identified during audits are consistently and accurately recorded. This should include, but not be limited to, ensuring that actions and outcomes are clearly documented. 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).
2. To support meaningful involvement, the provider should improve how people experiencing care, relatives, and staff share their views and experiences. This should include exploring preferred ways to give feedback, increasing opportunities for engagement, and using observation to understand people’s experiences and the home environment. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: ‘I am actively encouraged to be involved in improving the service I use, in a spirit of genuine partnership’ (HSCS 4.7) and ‘I experience high quality care and support based on relevant evidence, guidance and best practice’ (HSCS 4.11).
1. The provider should ensure that all personal plans contain clear, individualised strategies that reflect each person’s needs, preferences, and routines. This includes consistent detail on how to support people during episodes of stress or distress, and how to promote independence in daily life. This is to ensure that care and support is consistent with 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).
Conditions of registration
To provide a non nursing care service to a maximum of 30 older people over the age of 65 years.
To complete the required improvements within the timescales as agreed with the Care Inspectorate detailed in the home's Improvement Plan which must be publicly displayed within the care home.