Morar at St. Andrews
Recorded Key Question grade range: 3–4 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 05 December 2025, the provider must ensure that service users experience a service which is well led and managed, and which results in continuous improved outcomes for service users through a culture of self-assessment and development, underpinned by robust and transparent quality assurance processes. To do this, you must, at a minimum: a) ensure that there is a sufficient quality assurance system in place to continually monitor and evaluate the quality of the service provision to help inform improvement and development of the service b) maintain a record of areas for improvement within the provision of care detailing the actions to be taken, the timescales within which action is to be taken, the individual with the responsibility for furthering improvement, and the expected outcome. This is to comply with Regulations 3 and Regulation 4(1)(a) of The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210). This is1. By 05 December 2025, to ensure that people's care and support needs are met, the provider must ensure staffing arrangements are safe and effective. To do this, the provider must, at a minimum: a) regularly assess and review people's care and support needs b) demonstrate how the outcome of people's assessments are used to inform staffing number and arrangements c) implement quality assurance systems to evaluate care experiences and assess if staffing arrangements are effective in providing responsive, person-centred support. This is in order to comply with section 7(1)(a) 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)
2. By 05 December 2025, the provider must ensure people and staff are kept safe by ensuring staff are appropriately supported and trained. To do this the provider must, at a minimum, ensure: a) all staff receive and complete the provider's induction, and mandatory training, including refresher training when appropriate b) ensure that staff receive all appropriate training necessary to enable them to carry out the tasks they are to perform c) ensure that staff practice is observed and evaluated d) ensure an ongoing training plan is in place d) supervision sessions with staff should be planned and carried out on a regular basis, with appropriate records kept of each sessions. This is to comply with section 8(1)(a) 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: 'I have confidence in people because they are trained, competent and skilled,3. By 05 December 2025, the provider must ensure the health, welfare and safety of people by making certain all relevant staff are registered with with an appropriate registering body. This is to comply with Regulations 4(1)(a), and 9(2)(c) 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 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)
1. To support a culture of responsive and continuous improvement, which meets the health and wellbeing needs of supported people and their loved ones, the provider should ensure they proactively share all relevant information that impacts on service delivery. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'I experience high quality care and support because people have the necessary information and resources.' (HSCS 4.27)
1. To support people's independence and right to make their own choices, the provider should ensure a process is in place to enable people to have access to their own money at all times. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: 'If I need help managing my money and personal affairs, I am able to have as much control as possible and my interests are safeguarded.' (HSCS 2.5)
1. To ensure staff maintain effective infection control practice, the provider should ensure personal protective equipment (PPE) is available and accessible to staff at the point of care delivery. 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)
2. To support people's wellbeing and dignity, the provider should ensure continence products are stored in a discreet manner. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: 'If I require personal intimate care, this is carried out in a dignified way, with my privacy and personal preferences respected.' (HSCS 1.4)
1. 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)
2. To promote responsive care and ensure that people have the right care at the right time, the service provider should ensure that people have accessible, person-centred care plans in place, that offer clear and up to date guidance to support staff. 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)