Care homes for adults adopt Scotland’s new inspection framework

New ways of inspecting care homes for adults started in Scotland on Monday 20 May, reflecting Scotland’s Health and Social Care Standards which focus on people’s human rights, wellbeing and personal experiences of care. 

Care homes for people with learning disabilities, mental health problems, and physical and sensory impairments, blood borne viruses and addictions will follow the self evaluation framework for care homes for older people launched in July 2018, and will now all come under one framework.

The new inspection approach uses a series of key questions to try to understand the impact care has on people.

The key questions are: 

  • How well do we support people’s wellbeing?
  • How good is our leadership?
  • How good is our staff team?
  • How good is our setting?
  • How well is our care and support planned?

Each of the key questions has a number of quality indicators associated with it, and each key question has two illustrations to show what a care home might look like at different levels of quality.

Inspectors will look at a range of quality indicators on an inspection, and use the illustrations to help them evaluate quality on the six-point scale of unsatisfactory, weak, adequate, good, very good and excellent. Inspectors will provide an overall evaluation for the key questions that they inspect, and also detailed evaluations for each of the quality indicators. The precise key questions and quality indicators that inspectors look at will depend on the specific care service, but will always include resident wellbeing, how care is planned and the outcomes people experience.

Scotland’s Care Inspectorate says the new model follows significant consultation and engagement and that it will “not be unfamiliar to people who have experienced recent inspections”. However, there will be a growing emphasis on evaluating the impact of care and support, focusing on the importance of assessment, care planning and reviews

Keep up to date with the changes and find more details about them on the Care Inspectorate’s inspections page .


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