Live In Care Services (24 hour care at home)
Recorded Key Question grade range: 4 — Good View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 16 September 2025, the provider must ensure people's outcomes are supported by consistent and effective systems for delivery of their care. To do this, the provider must, at a minimum: a) Regularly audit all aspects of service delivery and systems. b) Ensure any improvements as a result of audit activity are made timeously. c) Undertake regular observations of staff practice. d) Ensure regular reviews involving people supported and their representatives are carried out. 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 benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance process
1. To ensure that people's health and wellbeing benefits from a robust medication management system, the provider should ensure accurate recordings are completed for the use of 'as required' medication and topical preparations. 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 because people have the necessary information and resources' (HSCS 4.27).
1. To ensure staff have the most up-to-date information to inform their practice and the right support from management to carry out their role confidently, the manager should ensure communication between management and staff, as well as communication within the staff teams, is effective, informative, and supportive. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'I experience a warm atmosphere because people have good working relationships' (HSCS 3.7); and 'I experience high quality care and support because people have the necessary information and resources' (HSCS 4.27).
1. To support people's health and wellbeing and improve the quality of their support, the provider should improve the quality of people's personal care plans. These should provide clear guidance around any identified areas of risk and detail any legal arrangements which are in place to support the person to be involved in the planning of their care and support. 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 fully involved in developing and reviewing my personal plan, which is always available to me' (HSCS 2.17).
1. By 30 May 2025, the provider must ensure people's outcomes are supported by a robust quality assurance system. To do this, the provider must ensure the service is supported by a responsive leadership team who have the skills and capacity to oversee required improvement. 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 benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assur