Cathkin House
Recorded Key Question grade range: 2–4 — Weak View on Care Inspectorate
Key Question scores
Requirements & recommendations
1. By 27 April 2026, the provider must ensure people experiencing care, have confidence the service received by them is well-led and managed. You must support better outcomes through a culture of continuous improvement and transparent communication with governing bodies. This must include, but is not limited to: a) ensure all staff recognise and report incidences of harm, or potential harm b) there are accurate records kept of all relevant incidents c) liaise with all governing bodies and d) submit 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 regulations 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 the care and sup2. By 25 May 2026, the provider must ensure that people experience safe, compassionate and person-centred care, by establishing effective leadership and a positive staff culture, that supports the wellbeing and safety of people living in the service. To do this, the provider must, at a minimum: a) ensure staff feel safe, supported and able to raise concerns, including through whistleblowing when they feel working practices are discriminatory, inappropriate or unsafe for any reason b) ensure that all concerns raised by staff are listened to, responded to and acted on appropriately to improve practice and c) implement effective leadership approaches that promote professionalism, accountability, and a culture of respect, openness and learning. This is to comply with Regulation 4 (1) (a) (Welfare of users) and Regulation 15 (b) (i) (Staff training) of the Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2
1. To support the health and wellbeing of all people living in the service, the provider should review the dining experience of the residents, and ensure identified improvements are recorded and actioned. This should include ensuring people are offered a choice in a way that suits their individual needs. This is to ensure that care and support is consistent with the Health and Social Care Standards which state: “I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning" (HSCS 1.33), and “My views will always be sought and my choices respected, including when I have reduced capacity to fully make my own decisions.” (HSCS 2.11).
2. To ensure people experience safe, effective and person-centred care, the provider should improve the quality and consistency of daily care recordings, including oral care and continence care. This should include ensuring that documentation clearly reflects the level of support provided, is accurate and is completed consistently. This is to ensure care and support is consistent with the Health and Social Care Standards which state: "My care and support meets my needs and is right for me." (HSCS 1.19).
1. To ensure that quality assurance processes reliably identify risks and drive improvement, the provider should strengthen internal audit and assurance systems, so they accurately reflect practice and effectively evaluate key areas of service delivery. This should include ensuring that internal and external audits are robust, consistent and capable of detecting concerns that may impact people’s health, wellbeing and safety. This is to ensure 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), and “I use a service and organisation that are well-led and managed.” (HSCS 4.23).
2. To protect people's welfare and support learning when things go wrong, the provider should ensure that all complaints and concerns are recorded, responded to and managed in line with the service’s own policy. This is to ensure care and support is consistent with the Health and Social Care Standards which state that, “I know how, and can be helped to make a complaint, or raise a concern about my care and support.” (HSCS 4.20), and “If I have a concern or complaint, this will be discussed with me, and acted on without negative consequences for me.” (HSCS 4.21).
1. To ensure people experience safe, consistent and compassionate care, the provider should improve how staff observations of practice are recorded, monitored and used to support ongoing learning and development. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state: “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 because people have the necessary information and resources.” (HSCS 4.27).
1. To support a high-quality environment and uphold people’s dignity, the provider should ensure that appropriate and discreet storage solutions are in place for equipment and continence products. This should include improving current arrangements, so that communal spaces are kept free from inappropriate storage and maintain a homely, dignified environment. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS), which state that, “I experience an environment that is well-looked after with clean, tidy and well maintained premises, furnishings and equipment.” (HSCS 5.22).
1. To ensure people experience care and support that is right for them, personal plans for people who experience increased stress and anxiety should be improved. Information should clearly direct staff on strategies to recognise, support and reduce levels of distress experienced. This is to ensure care and support is consistent with the Health and Social Care Standards which state: "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).