Source · Care Inspectorate

Willow House Care Home

Provider Holmes Care Group Scotland Ltd Type Care Home Service Location Anstruther Last graded 15 Jan 2026

Recorded Key Question grade range: 3–4 — Adequate  View on Care Inspectorate

Key Question scores

Six-point scale
Support and wellbeing
3
Care and support planning
4
Setting
3
Staff team
3
Leadership
4
Care, play and learning
—

Requirements & recommendations

1 requirement · 5 recommendations

Verbatim text from the Care Inspectorate datastore. Requirements cite a specific regulation and deadline; recommendations are good-practice guidance against the Health and Social Care Standards.

Visit: 29 September 2025
Requirement 1

1. By 15 December 2025, you must ensure that people experience care in an environment that is safe and minimises the risk of infection. In particular you must:

a) Ensure that furnishings and mattresses are clean and safe.

b) Ensure that processes such as enhanced cleaning schedules and robust quality assurance checks of furnishings and mattresses are in place and any identified issues are remedied without delay.

c) Ensure that clinical waste is managed safely following national guidance.

This is in order to comply with Regulation 4(1)(a) and (d) and Regulation 10 (2)(b) and (d) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 211/210).

This is in order 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 5.2

· Deadline: 15 December 2025
Recommendation 1

1. To promote positive outcomes for individuals, the provider must ensure that care records are accurate, sufficiently detailed, and clearly reflect the care and support planned and delivered. Additionally, there should be evidence of regular, ongoing monitoring and evaluation of these records to effectively track health and wellbeing. 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).

Recommendation 2

2. To ensure sufficient, safe and effective oversight of people’s medication, the provider must ensure robust systems are in place to monitor medication over stock and accurately record carry forward balances on medication administration records. This is to ensure 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) .

Recommendation 3

1. The provider should ensure that people are supported by a staff team that are skilled and confident. Development opportunities should include but not be limited to: Engagement and meaningful days, dementia care and stress and distress. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states 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).

Recommendation 4

1. To promote responsive care and make sure that people have the right care at the right time, the provider should ensure its review processes are effective in identifying inaccuracies within care records and evaluate whether the care being provided meets people's needs, wishes and outcomes.

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 benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS 4.19).

Recommendation 5

2. To support people’s wellbeing, the provider should ensure that end of life care is subject to early assessment and care planning which involves that person and/or their representatives to ensure their choices, wishes and preferences are documented and met when they become unwell.

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).

Registry facts

Service no: CS2023000114
Provider no: SP2020013480
Ownership: Private
Registered places: 40
Registered: 24 April 2023
Council area: Fife
Health board: Fife
Integration authority: Fife
Risk band: HIGH

Complaints upheld

2025/26: 1