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Scotland unveils new inspection framework from April

Scotland’s Care Inspectorate has unveiled a new inspection framework for care homes to take effect from April 2022.

The new Quality framework for care homes for adults and older people will base inspections and quality assurance around six key questions:

  • 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 planned?  

For each question there will be up to five quality indicators, with illustrations of ‘very good’ or ‘weak’ quality.

The final key question, What is our overall capacity for improvement? comprises a global judgement based on evidence and evaluations from all other key areas. The judgement is a forward-looking assessment, but also takes account of contextual factors which might influence the capacity of an organisation to improve the quality of services in the future. Such factors might include changes of senior staff, plans to restructure, or significant changes in funding.

Specific changes also include the following:

  • removing key question 7 and adding a new quality indicator 1.5, ‘People’s health and wellbeing benefits from safe infection prevention and control practice and procedure’, which reflects the introduction of the infection-prevention and control manual for older people and adult care homes.
  • changing the focus of quality indicator 1.4, ‘People experience meaningful contact that meets their outcomes, needs and wishes’, to reflect the importance of meaningful contact and relationships as set out in Scottish Government’s ‘Open with Care’ guidance. Information from the previous quality indicator 1.4 is now incorporated into the rest of the framework.
  • introducing ‘core assurances. These are some things we will always look at on our inspections because they are key areas that are essential to a service being safe.

The revised framework also merges formerly separate quality frameworks for care homes for adults and older people into a single document.  

Providers can access toolkit resources and take part in a webinar on Wednesday 9 March, 2-3.30pm.  Registration is online.


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