Resource Type Guidance

A quality framework for care homes for adults and older people

The primary purpose of this quality framework is to support services to evaluate their own performance.  It is then used by inspectors to provide independent assurance about the quality of care and support.  By setting out what we expect to see in a high-quality service, we can also help support improvement. 

We have also produced a set of self-evaluation tools to support services to assess how well they are doing against key areas from our quality framework and highlight  where they need to support improved outcomes for people.

Within the framework we have included a scrutiny toolbox, which provides examples of the scrutiny actions we may use in evaluating the quality of provision.  The resources below are key practice documents that we think will help care services in their own improvement journey.  These are listed under each relevant key question.

Key question 1. How well do we support people’s wellbeing?

Quality Indicator 1.1: People experience compassion, dignity and respect

Key improvement resources

Charter for involvement

Equality and human rights

Guidance for care providers in Scotland using CCTV 

Guidance on human rights charter for technology and digital in social care

Health and Social Care Standards

Hidden surveillance

Mental health strategy for Scotland

Mental Welfare Commission resources

National trauma training programme

Older people in care homes-Sex, sexuality and intimate relationships

Proud to care: LGBT and dementia

Rights, respect and recovery: alcohol and drug treatment strategy

Psychology and psychological interventions in dementia

Scottish Recovery Consortium

Spiritual care matters

The quality principles

Transforming psychological trauma: a knowledge and skills framework for the Scottish workforce

World Health Organisation – Quality Rights:  promoting the rights of people with mental health conditions, psychosocial, intellectual, and cognitive disabilities 


Quality Indicator 1.2: People get the most out of life

Adult protection and social care

Autism strategy for Scotland

Care home guidance for people with learning disabilities who have dementia

Care about physical activity

Care workers compendium of digital resources

Dementia learning and promoting excellence

Dementia resources for the deaf community

Disability Rights UK – doing sports differently

General standards for neurological care and support 2019

Good communication standards 

Guidance for delivering meaningful activity

Information on supporting people with complex needs and sight loss

Information resources on person-centred practice

Jenny’s diary – supporting conversations about dementia with people who have a learning disability

Let's get active, connected and included resource

Lounging around sketchbook

Mental Health Foundation – Recovery information

Scottish recovery network – peer support resources

See Hear – strategic framework for meeting the needs of people with a sensory impairment

Supporting people with an intellectual/learning disability and advanced dementia moving into a care home

The keys to life

Wellness recovery action plan

Quality Indicator 1.3: People’s health and wellbeing benefits from their care and support

Key improvement resources

Accessible health information

Alcohol-related brain damage

Blood monitoring of type 2 diabetes

Care Experience Improvement Model (CEIM) 

Eating and drinking well in care: good practice guidance for older people

Essentials of safe care

Falls prevention for people with learning disabilities

Guidance about medication, personal plans, review, monitoring and record keeping in residential care services

Guidance for care of people prescribed clozapine in care homes 

Guidance for social care services for supporting people living with HIV in Scotland

Guide for those caring for a vegan or vegetarian 

Guide for vegetarians and vegans who require texture-modified diet

Healthcare framework for adults living in care homes

Hospital passport: for people with a learning disability coming into hospital 

Intermediate care including reablement

Mental Welfare Commission good practice guides: covert medication

My health passport: resource for autistic people who might need hospital treatment

Notifications about controlled drugs: guidance for providers, 2015

Palliative and end of life care resources

Physical deterioration and escalation tool for care settings

Pressure ulcers measurement toolkit

Pressure ulcer safety cross

Promoting continence for people living with dementia and long-term conditions

Royal College of Nursing: Eyes Right. Helping non-ophthalmic health care professionals deliver quality care safely 

Safe administration of medication: modules 1-3 (Scottish Social Services Council)

Safe swallowing practice note (care homes)

Scottish commission for learning disability healthy eating healthy living pack

Sexual health framework 2015-2020

Standards for prevention and management of pressure ulcers 

Supporting better oral care in care homes

Tissue viability

Tissue viability toolkit

Trauma informed practice – National trauma training plan and resources

Quality Indicator 1.4: People experience meaningful contact that meets their outcomes, needs and wishes

Key improvement resources

Bringing generations together

Care Inspectorate information on supporting meaningful connection

Consenting adults: Capacity, rights and sexual relationships

Health and Social Care Standards for visiting and staying connected: Guidance for providers

My home life

Open with  care - supporting meaningful contact in care homes: guidance

Supporting people to keep in touch when care homes are not accepting visitors

Supporting personal relationships

Restoring relationships toolkit


Quality Indicator 1.5: People's health and wellbeing is supported and safeguarded by infection prevention and control practices

Key improvement resources

Covid-19 – living with dementia in care homes

Guidance on prevention and control of clostridium difficile infection (CDI) in health and social care settings in Scotland

Healthcare associated infection (HAI) standards

National infection prevention and control manual 

Norovirus – guidance for care homes

Norovirus - guidance for care homes poster

Preventing infection in social care settings (app)

Safe management of the care environment

Workforce wellbeing support



Key question 2. How good is our leadership?

Key question 3. How good is our staff team?

Quality Indicator 3.1: Staff have been well recruited

Key improvement resources

National health and social care workforce plan: part two

Knowledge and skills framework for Health and Care staffing in Scotland

Scottish Code of Practice for the international recruitment of health and social care personnel

SSSC / Care Inspectorate - safer recruitment through better recruitment

SSSC / NES social care induction framework

Values-based recruitment

Values-based recruitment toolkit

Quality Indicator 3.2: Staff have the right knowledge, competence and development to support people

Key improvement resources

Achieving effective supervision – IRISS insight

Codes of practice for social service workers and employers (SSSC)

Common core skills and national occupational standards (SSSC) 

Employer responsibilities–supporting staff with registration

Framework for continuous learning (SSSC)

Frequently asked questions about SSSC registration

Open badges

Prepping for practice – induction guidance 3.2

Professional standards of practice and behaviour for nurses, midwives and nursing associates

Scottish Social Services Council - supervision guidance

The wellbeing hub

Quality Indicator 3.3: Staffing arrangements are right and staff work well together

Key improvement resources

Care home staffing model

Guidance for providers on the assessment of staffing

Health and Care (Staffing) (Scotland) Act 2019

Information and resources on safe staffing

Safe Staffing programme information

The changing functional needs and dependency of people living in care homes

Workforce information 


Key question 4. How good is our setting?

Key question 5. How well is our care planned?

Joint adults and older people quality framework and self-evaluation toolkit

We held a webinar on 9 March 2022 for people working in care homes for adults and older people. The webinar explained the changes made within the updated Quality framework for care homes for adults and older people, and also introduced staff to the self-evaluation toolkit which had emerged from the learnings of our previous work on Covid-19 Self-evaluation toolkit for key question 7 and from discussions with services and inspectors.

Quality improvement programmes and topics

Quality improvement activity led by the Care Inspectorate, including recent practice resources and initiatives

Care homes for adults

Care homes can provide all aspects of a person’s accommodation, support, nursing and personal care or support

Care homes for older people

Care homes can provide all aspects of a person’s accommodation, support, nursing and personal care or support