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

The Health and Social Care Standards

Mental health strategy for Scotland

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

National trauma training programme

Rights, respect and recovery: alcohol and drug treatment strategy

Psychology and psychological interventions in dementia

The quality principles

Mental Welfare Commission resources

Equality and human rights

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

Scottish Recovery Consortium

Guidance for care providers in Scotland using CCTV 

Hidden surveillance

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

Charter for involvement

Proud to care: LGBT and dementia

Spiritual care matters

De-mystifying spiritual care

Quality Indicator 1.2: People get the most out of life

The keys to life

Autism strategy for Scotland

Good communication standards 

Scottish recovery network – peer support resources

Wellness recovery action plan

Information on supporting people with complex needs and sight loss

Information resources on person-centred practice

Mental Health Foundation – Recovery information

Disability Rights UK – doing sports differently

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

Dementia learning and promoting excellence

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

General standards for neurological care and support 2019

Care about physical activity

Lounging around sketchbook

Let's get active, connected and included resource

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

Key improvement resources

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

Notifications about controlled drugs: guidance for providers, 2015

Mental Welfare Commission good practice guides: covert medication

Alcohol-related brain damage

Standards for prevention and management of pressure ulcers

Scottish commission for learning disability healthy eating healthy living pack

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

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

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

Falls prevention for people with learning disabilities

Sexual health framework 2015-2020

New guidance for social care services for supporting people living with HIV in Scotland – Care Inspectorate

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

Accessible health information

Care Experience Improvement Model (CEIM) 

Palliative and end of life care resources

Intermediate care including reablement

Tissue viability

Blood monitoring of type 2 diabetes

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

Essentials of safe care

Supporting better oral care in care homes

Tissue viability toolkit

Physical deterioration and escalation tool for care settings

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

Key improvement resources

Bringing generations together

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

My home life

Supporting personal relationships

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

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

National infection prevention and control manual 

Winter (21/22), Respiratory Infections in Health and Care Settings Infection Prevention and Control (IPC) Addendum

Safe management of the care environment

Covid-19 compendium

COVID-19 information and guidance for care homes And COVID-19 incident or outbreak tool 

Influenza – guidance for care homes 

Norovirus – guidance for care homes

Norovirus - guidance for care homes poster

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

Healthcare associated infection (HAI) standards

Key question 2. How good is our leadership?

Quality Indicator 2.1: Vision and values inform practice

Key improvement resources

Scottish Social Services Council - supervision guidance

Scottish Social Services Council - steps into leadership

Guidance for providers and applicants on aims and objectives

TURAS Leadership and Management Programmes

Quality Indicator 2.2: Quality assurance and improvement is led well

Key improvement resources

The Model for Improvement and associated resources

SCLD – Using scrutiny to drive outcomes and associated resources

Adults with incapacity: template policy for adult services

Duty of candour guidance

National occupational standards (NOS)

EFQM excellence model

Leadership development activities – Scottish Social Services Council

The Public Services Reform (The Scottish Public Services Ombudsman) (Healthcare Whistleblowing) Order 2020

Learning from adverse events through reporting and review: A national framework for Scotland 2019

NES quality improvement learning and tools

Improvement support booklet

Improvement support booklet 2.2

Care Experience Improvement Model (CEIM)

Clinical and care governance framework

Governance for quality social care in Scotland

Quality Indicator 2.3: Leaders collaborate to support people

Key improvement resources

Scottish Social Services Council - steps into leadership

Information Commissioner’s guide to data protection, including GDPR

Partnerships and Co – conversation openers

National wellbeing hub for staff

SSSC staff guidance, wellbeing and learning resources

Quality Indicator 2.4: Staff are led well

Key improvement resources

Steps into leadership - SSSC

Leadership development activities – Scottish Social Services Council 

Everyday leadership from the frontline

Guidance on development of policy and procedure

Achieving effective supervision

Key question 3. How good is our staff team?

Key question 4. How good is our setting?

Key question 5. How well is our care planned?

How we support improvement

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