A quality framework for support services (not care at home)
The primary purpose of this quality framework is to support services to evaluate their own performance. Inspectors then use it 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.
- Quality framework for support services (not care at home)
- Self-evaluation tools and guidance for support services
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
Children’s human rights – Children and Young People’s Commissioner Scotland: Seven golden rules for participation and other rights information
Information from the Scottish Human Rights Commission: Good practice guides
- Rights, risks and limits to freedom
- Human rights in mental health services
- Covert medication
- Working with the AWI Act,
- Decisions about technology.
Quality indicator 1.2: People get the most out of life
Quality indicator 1.3: People’s health and wellbeing benefits from their care and support
Resources - Eat Well Age Well: Resources about the prevention, detection and treatment of malnutrition and dehydration amongst older adults living at home in Scotland.
You are our eyes and ears: Pocket guide supporting consistent monitoring and identifying changes in wellbeing.
Quality Indicator 1.4: People are getting the right service for them
Principles of good transitions 3: Scottish Transitions Forum, including the autism and life shortening conditions supplements.
Supporting and empowering Scotland’s citizens: National action plan for technology enabled care.
Quality indicator 1.5: People's health and wellbeing is supported and safeguarded by infection, prevention and control practices
Communication for people with sensory loss during the Covid-19 pandemic: advice for health and social care staff.
Key measures for infection prevention and control: A guide for social care workers providing care in an individual’s home.
Key Question 2. How good is our leadership?
Quality indicator 2.1: Vision and values inform practice
Quality Indicator 2.2: Quality assurance and improvement is led well
Quality indicator 2.3: Leaders collaborate to support people
Quality indicator 2.4: Staff are led well
Key Question 3. How good is our staff team?
Quality indicator 3.1: Staff have been well recruited
Quality Indicator 3.2: Staff have the right knowledge, competence and development to support people
Safe Staffing Programme
Quality Indicator 3.3: Staffing arrangements are right and staff work well together
Key Question 4. How good is our setting?
Quality indicator 4.1: People benefit from high quality facilities
Quality Indicator 4.2: The setting promotes people’s independence and inclusion
Key Question 5. How well is our care planned?
Quality indicator 5.1: Assessment and personal planning reflects people’s outcomes and wishes
- personal plans
- advance statements
- power of attorney
- supported decision making
Quality indicator 5.2: Carers, friends and family members are encouraged to be involved