Parkholme
Recorded Key Question grade range: 3 — Adequate View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 18 May 2026, the provider must ensure people live in an environment that is safe and effectively cleaned. To do this the provider must, at a minimum: a) Ensure cleaning products and chemicals, including products for sanitary areas, align with national best practice guidance. b) Implement cleaning schedules and standard operating procedures that guide staff on best practice guidance, and evidence regular cleaning. c) Ensure staff have the knowledge, competency and skills needed for effective infection prevention and control in the environment. d) Ensure audits of the environment evaluate the standards of cleanliness and effectiveness of infection prevention and control within the service. This is to comply with Regulation 4(1)(a) and 10(2)(d) 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 Health and Social Care Standards (HSCS) which s
1. To ensure that people are comfortable and maintain their dignity, the provider should develop clear care plans to support good continence care for all people. This should result in people being supported to use the toilet regularly. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states: “My care and support meets my needs and is right for me.” (HSCS 1.19)
2. To ensure that people have a fulfilled life, the provider should ensure that people benefit from structure in their day with meaningful activities at home, and personalised activities that maximise opportunities for people to enjoy their local community. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which states: “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. To ensure that people benefit from a culture of continuous improvement, the provider should ensure that leaders investigate all unplanned events, including when concerns are raised about care and support. This should result in a recorded investigation with a clear action plan detailing how people’s experiences will be improved. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which states: “I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.” (HSCS 4.19)
1. To ensure that people experience the support they need at the right time, the provider should review how staff are allocated to support people. This should result in all people’s needs being met consistently. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which states: “My care and support is consistent and stable because people work together well.” (HSCS 3.19)
1. To ensure that people experience safe, meaningful, and planned care, the provider should ensure all care plans are reviewed and current. This should result in detailed person-centred care plans that reflect people’s health and wellbeing needs, including care plans that enhance meaningful activity. This is to ensure that care and support is consistent with Health and Social Care Standards (HSCS) which states: “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)
1. By 10 February 2026, to ensure people are respected and treated with compassion, the provider must take immediate steps to ensure people experience dignified and respectful care at all times. To do this the provider must, at a minimum: a) Maximise people’s opportunity to make choices, and where decisions are made for people, ensure there are clear care plans and permissions to support this. b) Ensure any restriction or restraint on a person’s liberty is ethical, legal and safe. This must consider the individual person and the impact on the wider household, and be supported with clear care plans and permissions. c) Ensure staff and leaders have the necessary training, knowledge and competence to support people who need help to make decisions. d) Develop staff knowledge and competence in promoting choice, dignity and respect through increased awareness of the Health and Social Care Standards. This is to comply with Regulation 4(1)(a), 4(1)(b), and 4(1)(c) of The Social Care and Social1. By 10 February 2026, the provider must ensure people’s needs and wishes are met by a well deployed and effective staff team. To do this, the provider must, at a minimum: a) Demonstrate how the outcome of people’s assessments is used to inform staffing numbers and arrangements. b) Regularly assess and review people’s care and support needs and wishes, and plan staffing accordingly. This should consider people’s wishes for meaningful and stimulating activities. c) Review how people are allocated staff, to ensure consistency of support throughout the day. d) Review communication systems to ensure essential information, such as health appointments or changes in health, are shared with the wider staff team. e) Ensure there is a suitable contingency plan in place to ensure people’s safety and wellbeing during periods of low staffing. 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 i1. By 15 January 2026, the provider must ensure that people are safe and live in a comfortable and clean environment. To do this the provider must, at a minimum: a) Ensure that all necessary health and safety checks and audits are completed regularly, by suitably skilled staff. b) Develop and implement an audit of the environment. This should include, but is not limited to, an assessment of people’s comfort, regular checks of temperature, and infection prevention and control standards throughout the home. c) Ensure people benefit from a safe, clean and well-furnished home, taking individual preferences and national best practice guidance into account. d) Take immediate steps to reduce harm, when environmental issues are identified through regular checks and audits. e) Ensure a clear contingency plan is in place, to direct leaders and staff on how to keep people safe should issues arise in the home. This is to comply with Regulation 4(1)(a), 4(1)(d),10(c) and 10(d) of The Social Ca
1. By 10 November 2025, the provider must ensure that people experience care and support that is safe and meets their needs. To do this the provider must, at a minimum: a) ensure people experience care and support at the right time, to meet their needs and wishes b) ensure care plans and risk assessments accurately reflect people’s needs and wishes c) ensure staff are aware of, and follow, people’s care plans and risk assessments d) ensure staff are sufficiently trained in all aspects of people’s care and support needs. This should include, but is not limited to, invasive medication. This is to comply with Regulation 4(1)(a) 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: “Any treatment or intervention that I experience is safe and effective.” (HSCS 1.24)
1. By 10 November 2025, the provider must ensure that people are safe, and benefit from effective quality assurance systems, audits and tools. To do this the provider must, at a minimum: a) review current audit tools and processes to ensure that they result in improved safety for people. This should include, but is not limited to, health and safety and environmental audits b) ensure that audits and checks are carried out regularly, by suitably skilled staff c) ensure leaders monitor and respond when people’s experiences do not meet expected standards d) develop and implement a programme of competency assessments, to ensure that the quality of care provided by staff meets people’s needs. This should include but is not limited to Percutaneous Endoscopic Gastrostomy (PEG) care and support. This is to comply with Regulation 4(1)(a) 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
1. To ensure that people experience positive and enriching care, the provider should ensure that people are treated with dignity and respect at all times. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state that: “I experience care and support where all people are respected and valued.” (HSCS 4.3)
2. To ensure people receive the correct level of care and support, the provider should ensure that people have their level of capability assessed for administration of medications. This should result in medication being administered appropriately, considering best practice guidance. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which states that: "Any treatment or intervention that I experience is safe and effective." (HSCS 1.24)
1. To ensure that people have sufficient staff to meet their needs, the provider should review staff deployment. This should result in staff having clear accountability for people’s care and other associated tasks needed for the day to day running of the service. 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; "My care and support is consistent and stable because people work together well." (HSCS 3.19)
1. To ensure that people live in a safe environment, the provider should ensure cleaning products used meet best practice guidance and are stored safely. 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)