Mains House
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 31 January 2026, the provider must ensure Mains House is a safe and well-maintained setting for the people who live there, both indoors and outside. To do this, the provider must ensure, as a minimum, but not limited to: a) any planned environmental improvements should take account of good practice guidance such as the ‘King’s Fund’ tool for people living with dementia; b) this guidance is used to inform a detailed service improvement plan which includes: - a plan for access to a safe outdoor space in the near future; - actions required, dates when planning to achieve them by, who is involved; - regular evaluations of progress; - any delays in carrying out actions and identify what the next step is to address any delays; and c) ensure people living in Mains House, and/or their nominated representative and staff are involved in decisions about the improvements in ways which are meaningful to them.
1. To ensure people living within the service can be confident that staff have the necessary training, skills, and competence to provide safe care and support, the service should ensure: a) all staff, including new staff are provided with the necessary skills, knowledge, and competence to recognise and take prompt action in the event of any unexplained bruising to a person’s skin; b) all staff understand their role in adult support and protection; and c) where there are indications of poor practice, this is recognised, and prompt action is taken to address this. This is to ensure that care and support is consistent with the Health and Social Care Standards 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).
2. To ensure people’s health and wellbeing benefits from the best diet for them, the service should: a) ensure people always receive the right support to eat and drink; b) where people are at risk of dehydration, fluid balance charts are accurately maintained; c) appropriate action is taken when people have not met their fluid intake target; and d) regular and effective audit is undertaken to ensure standards in care planning and documentation are maintained. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'If I need help with eating and drinking, this is carried out in a dignified way and my personal preferences are respected.' (HSCS 1.34); and 'My views will always be sought and my choices respected, including when I have reduced capacity to fully make my own decisions.' (HSCS 2.11)
1. To achieve the best outcomes for people and to meet service users' health, safety and wellbeing needs comply with legal responsibilities, the service should: a) ensure the timely and correct submission of notifications to the Care Inspectorate are made in accordance with the Care Inspectorate’s notification guidance for adult care services, March 2025. This is to ensure that care and support is consistent with the Health and Social Care Standards which state that: 'I use a service and organisation that are well led and managed.' (HSCS 4.23); and ‘If I might harm myself or others, I know that people have a duty to protect me and others, which may involve contacting relevant agencies.’ (HSCS 3.24)