Adigo Care
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 26 January 2026, you must ensure that the health and wellbeing needs of people experiencing care that have been assessed as being at risk are accurately monitored, recorded and reviewed. In particular you must ensure that: (a) there is a clear system for ongoing daily recording in care plans, risk assessments and related personal planning documentation when this is required; (b) care plans, risk assessments and related personal planning documentation provide clear and accurate information on the health and care needs, including that which requires monitored and actions to be taken; and (c) staff are aware of the importance of accurately completing care plans, risk assessments and related personal planning documentation, and their accountability in line with professional Codes of Practice. This is to ensure that the quality of care and support provided is consistent with the Health and Social Care Standards (HSCS) which states that: “My future care and support needs are anticipa1. By 26 January 2026, you must ensure people experiencing care have confidence the service received by them is well led and managed. You must support outcomes through a culture of continuous improvement, underpinned by robust investigations when incidents occur and transparent communication with other relevant bodies. This must include, but is not limited to: (a) ensure all staff recognise and report incidences of harm or potential harm; (b) implement a robust system for recording and oversight of all incidents and show actions taken including thorough investigations; (c) liaise with all other relevant bodies, such as health and social care partnerships or Police Scotland as necessary; and (d) submit timeous notifications to the Care Inspectorate as required by our notification guidance entitled: - “Records that all registered care services (except childminding) must keep and guidance on notification reporting”. This is in order to comply with section 53(
1. People experiencing care should have confidence the service received by them is well led and managed. The provider should support better outcomes through a culture of continuous improvement, underpinned by robust and transparent quality assurance processes. This should include, but is not limited to: a) assessment of the service’s performance through effective audit; b) areas for improvement are identified through audit; c) quality assurance data is analysed to inform the actions required to support positive outcomes for people experiencing care, staff learning, and the service's improvement plan; d) implement action plans which set out specific, achievable, and realistic actions required to address; and e) review the effectiveness of actions put in place to ensure these elicit positive outcomes for the health, safety, and welfare of people experiencing care. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which st2. To strengthen opportunities for people to influence service development, the provider should evidence how feedback from people receiving care, staff and stakeholders informs the ongoing service development plan. The plan should include clear, outcome-focused actions that reflect people’s priorities and experiences. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS): This is to ensure the care and support is consistent with the Health and Social Care Standards which state: “I benefit from a culture of continuous improvement, with the organisation having comprehensive and transparent quality assurance processes” (HSCS 4.19).
1. To ensure that people consistently receive the right level of support at the right time, the management team should implement quality assurance processes to monitor visit times and durations. This is to support positive outcomes for people in line with the Health and Social Care Standards, which state: "My needs are met by the right number of people" (HSCS 3.15).
2. To support people’s dignity, comfort, and choice, the provider should ensure that staffing preferences, including gender preferences, are consistently discussed and recorded during initial assessments and care reviews. This will help ensure that people are supported by staff who meet their personal preferences and that these are respected and upheld in day-to-day care delivery. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS): "I can build a trusting relationship with the person supporting and caring for me in a way that we both feel comfortable with" (HSCS 3.8).
1. To support positive outcomes for people, the provider should ensure care plans provide robust detail on assessed needs and preferences for staff to follow. Care notes should be clear and accurate. This should include a quality assurance system to demonstrate managers are involved in the monitoring and the auditing of records. This is to ensure care and support is consistent with Health and Social Care Standards which state: "My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected" (HSCS 1.23).
2. To ensure people experience care and support that is right for them, the provider should improve the quality and consistency of six-monthly reviews. Reviews should be comprehensive, reflect any changes in people’s health and wellbeing, and include input from relevant individuals such as family members, legal representatives, and core staff. Personal plans should be fully updated following reviews to ensure they fully reflect people's current and future needs, risks, choices and wishes. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS): '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).
3. So people can be sure when decisions are made the right people are involved, the service provider should ensure there is a clear record of legal status and who holds specific powers. This is to ensure care and support is consistent with the Health and Social Care Standards which states: "If I am unable to make my own decisions at any time, the views of those who know my wishes, such as my carer, independent advocate, formal or informal representative, are sought and taken into account" (HSCS 2.12).