Castle Lodge
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. To ensure people receive person centred care and have the opportunity to access outside space, and their local community, the staff dependency assessment tool used to determine staffing levels should be reviewed and updated to reflect these aspects of care. 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 ‘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).
1. By 8 September 2025, the provider must ensure people receive adequate support, supervision and assessment in respect of the prevention and management of falls. This should include a meaningful post falls analysis which looks at any follow up action to be taken for that person to reduce reoccurrence and the identification of 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 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); and 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance proc1. By 8 September 2025, the provider must ensure that there are suitably trained and competent staff working in the service in such numbers and skill mix to effectively meet the health, welfare, and safety needs of the people living in the service. This is to comply with section 7 of the Health and Care (Staffing) (Scotland) Act 2019. 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 8 September 2025, the provider must provide the Care Inspectorate with an environmental improvement plan, laying out in detail works required and expected completion dates. Furthermore, the provider must provide the Care Inspectorate with monthly progress reports of environmental improvements until agreed works are complete. This is to comply with Regulation 10(2)(a) and (b) (Fitness of premises) 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 environment is secure and safe' (HSCS 5.19); and '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’s skin integrity is maintained, people should be supported to reposition at regular intervals. This is to ensure 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).
2. To ensure people receive their medication as prescribed, the service should ensure medication administration records are fully completed, accurate and up to date. 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).
1. To ensure people benefit from a culture of continuous improvement, the provider should develop their quality assurance processes to ensure areas for improvement are identified. Actions should be prioritised and undertaken timeously based on the level of risk. 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 ensure support for staff learning and development, the provider should undertake an analysis of staff training requirements and develop effective systems to assess the impact training has on staff practice and how this improves outcomes for people. This is to ensure that 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); and 'I experience high quality care and support based on relevant evidence, guidance and best practice'. (HSCS 4.11).
1. To ensure that people are supported well, the service should ensure that personal plans, health charts and daily notes are accurate, sufficiently detailed, and reflective of the care/support planned or provided. 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).