The ‘standards’ is used as a collective term to describe both the headline outcomes and the descriptive statements which set out the standard of care a person can expect. The headline outcomes are:
- I experience high quality care and support that is right for me
- I am fully involved in all decisions about my care and support
- I have confidence in the people who support and care for me
- I have confidence in the organisation providing my care and support
- I experience a high quality environment if the organisation provides the premises
The Health and Social Standards are for everyone. Irrespective of age or ability, we are all entitled to the same high quality care and support. The Care Inspectorate and Healthcare Improvement Scotland will take into account the Standards when carrying out their inspections and quality assurance and when making decisions about registered care and health services. The Standards can be applied to a diverse range of services from child-minding and daycare for children in their early years, housing support and care at home for adults, to hospitals, clinics and care homes. You can find out more and download a copy of the Health and Social Care Standards here or read the full text of the standards below.
1: I experience high quality care and support that is right for me
Dignity and respect
1.1 I am accepted and valued whatever my needs, ability, gender, age, faith, mental health status, race, background or sexual orientation.
1.2 My human rights are protected and promoted and I experience no discrimination.
1.3 If my independence, control and choice are restricted, this complies with relevant legislation and any restrictions are justified, kept to a minimum and carried out sensitively.
1.4 If I require intimate personal care, this is carried out in a dignified way, with my privacy and personal preferences respected.
1.5 If I am supported and cared for in the community, this is done discreetly and with respect.
1.6 I get the most out of life because the people and organisation who support and care for me have an enabling attitude and believe in my potential.
1.7 I am supported to discuss significant changes in my life, including death or dying, and this is handled sensitively.
1.8 If I experience care and support in a group, the overall size and composition of that group is right for me.
1.9 I am recognised as an expert in my own experiences, needs and wishes.
1.10 I am supported to participate fully as a citizen in my local community in the way that I want.
1.11 I can be with my peers, including other people who use my service, unless this is unsafe and I have been involved in reaching this decision.
Responsive care and support
Assessing my care and support needs
1.12 I am fully involved in assessing my emotional, psychological, social and physical needs at an early stage, regularly and when my needs change.
1.13 I am assessed by a qualified person, who involves other people and professionals as required.
1.14 My future care and support needs are anticipated as part of my assessment.
1.15 My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices.
1.16 As a child or young person needing permanent alternative care, I experience this without unnecessary delay.
Choosing my care and support
1.17 I can choose from as wide a range of services and providers as possible, which have been planned, commissioned and procured to meet my needs.
1.18 I have time and any necessary assistance to understand the planned care, support, therapy or intervention I will receive, including any costs, before deciding what is right for me.
Experiencing my care and support
1.19 My care and support meets my needs and is right for me.
1.20 I am in the right place to experience the care and support I need and want.
1.21 I am enabled to live in my own home if I want this and it is possible.
1.22 I can be independent and have more control of my own health and wellbeing by using technology and other specialist equipment.
1.23 My needs, as agreed in my personal plan, are fully met, and my wishes and choices are respected.
1.24 Any treatment or intervention that I experience is safe and effective.
1.25 I can choose to have an active life and participate in a range of recreational, social, creative, physical and learning activities every day, both indoors and outdoors.
1.26 I can choose to spend time alone.
1.27 I am supported to achieve my potential in education and employment if this is right for me.
1.28 I am supported to make informed lifestyle choices affecting my health and wellbeing, and I am helped to use relevant screening and healthcare services.
1.29 I am supported to be emotionally resilient, have a strong sense of my own identity and wellbeing, and address any experiences of trauma or neglect.
1.30 As a child, I have fun as I develop my skills in understanding, thinking, investigation and problem solving, including through imaginative play and storytelling.
1.31 As a child, my social and physical skills, confidence, self-esteem and creativity are developed through a balance of organised and freely chosen extended play, including using open ended and natural materials.
1.32 As a child, I play outdoors every day and regularly explore a natural environment.
Eating and drinking
1.33 I can choose suitably presented and healthy meals and snacks, including fresh fruit and vegetables, and participate in menu planning.
1.34 If I need help with eating and drinking, this is carried out in a dignified way and my personal preferences are respected.
1.35 I can enjoy unhurried snack and meal times in as relaxed an atmosphere as possible.
1.36 If I wish, I can share snacks and meals alongside other people using and working in the service if appropriate.
1.37 My meals and snacks meet my cultural and dietary needs, beliefs and preferences.
1.38 If appropriate, I can choose to make my own meals, snacks and drinks, with support if I need it, and can choose to grow, cook and eat my own food where possible.
2: I am fully involved in all decisions about my care and support
Dignity and respect
2.1 I can control my own care and support if this is what I want.
2.2 I am empowered and enabled to be as independent and as in control of my life as I want and can be.
2.3 I am supported to understand and uphold my rights.
2.4 I am supported to use independent advocacy if I want or need this.
2.5 If I need help managing my money and personal affairs, I am able to have as much control as possible and my interests are safeguarded.
2.6 I am as involved as I can be in agreeing and reviewing any restrictions to my independence, control and choice.
2.7 My rights are protected by ensuring that any surveillance or monitoring device that I or the organisation use is necessary and proportionate, and I am involved in deciding how it is used.
2.8 I am supported to communicate in a way that is right for me, at my own pace, by people who are sensitive to me and my needs.
2.9 I receive and understand information and advice in a format or language that is right for me.
2.10 I can access translation services and communication tools where necessary and I am supported to use these.
2.11 My views will always be sought and my choices respected, including when I have reduced capacity to fully make my own decisions.
2.12 If I am unable to make my own decisions at any time, the views of those who know my wishes, such as my carer, independent advocate, formal or informal representative, are sought and taken into account.
2.13 If a decision is taken against my wishes, I am supported to understand why.
2.14 I am fully informed about what information is shared with others about me.
2.15 I am enabled to resolve conflict, agree rules and build positive relationships with other people as much as I can.
2.16 If I am fostered, my foster family is supported to fully include me in family life.
Responsive care and support
2.17 I am fully involved in developing and reviewing my personal plan, which is always available to me.
2.18 I am supported to manage my relationships with my family, friends or partner in a way that suits my wellbeing.
2.19 I am encouraged and supported to make and keep friendships, including with people my own age.
2.20 If I need or want to move on and start using another service, I will be fully involved in this decision and properly supported throughout this change.
2.21 I take part in daily routines, such as setting up activities and mealtimes, if this is what I want.
2.22 I can maintain and develop my interests, activities and what matters to me in the way that I like.
2.23 If I need help with medication, I am able to have as much control as possible.
2.24 I make informed choices and decisions about the risks I take in my daily life and am encouraged to take positive risks which enhance the quality of my life.
2.25 I am helped to understand the impact and consequences of risky and unsafe behaviour and decisions.
2.26 I know how different organisations can support my health and wellbeing and I am helped to contact them if I wish.
2.27 As a child, I can direct my own play and activities in the way that I choose, and freely access a wide range of experiences and resources suitable for my age and stage, which stimulate my natural curiosity, learning and creativity.
3: I have confidence in the people who support and care for me
Dignity and respect
3.1 I experience people speaking and listening to me in a way that is courteous and respectful, with my care and support being the main focus of people’s attention.
3.2 If I experience care and support where I live, people respect this as my home.
3.3 I have agreed clear expectations with people about how we behave towards each other, and these are respected.
3.4 I am confident that the right people are fully informed about my past, including my health and care experience, and any impact this has on me.
3.5 As a child or young person, I am helped to develop a positive view of myself and to form and sustain trusting and secure relationships.
3.6 I feel at ease because I am greeted warmly by people and they introduce themselves.
3.7 I experience a warm atmosphere because people have good working relationships.
3.8 I can build a trusting relationship with the person supporting and caring for me in a way that we both feel comfortable with.
3.9 I experience warmth, kindness and compassion in how I am supported and cared for, including physical comfort when appropriate for me and the person supporting and caring for me.
3.10 As a child or young person I feel valued, loved and secure.
3.11 I know who provides my care and support on a day to day basis and what they are expected to do. If possible, I can have a say on who provides my care and support.
3.12 I can understand the people who support and care for me when they communicate with me.
3.13 I am treated as an individual by people who respect my needs, choices and wishes, and anyone making a decision about my future care and support knows me.
Responsive care and support
3.14 I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes.
3.15 My needs are met by the right number of people.
3.16 People have time to support and care for me and to speak with me.
3.17 I am confident that people respond promptly, including when I ask for help.
3.18 I am supported and cared for sensitively by people who anticipate issues and are aware of and plan for any known vulnerability or frailty.
3.19 My care and support is consistent and stable because people work together well.
3.20 I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities.
3.21 I am protected from harm because people are alert and respond to signs of significant deterioration in my health and wellbeing, that I may be unhappy or may be at risk of harm.
3.22 I am listened to and taken seriously if I have a concern about the protection and safety of myself or others, with appropriate assessments and referrals made.
3.23 If I go missing, people take urgent action, including looking for me and liaising with the police, other agencies and people who are important to me.
3.24 If I might harm myself or others, I know that people have a duty to protect me and others, which may involve contacting relevant agencies.
4: I have confidence in the organisation providing my care and support
Dignity and respect
4.1 My human rights are central to the organisations that support and care for me.
4.2 The organisations that support and care for me help tackle health and social inequalities.
4.3 I experience care and support where all people are respected and valued.
4.4 I receive an apology if things go wrong with my care and support or my human rights are not respected, and the organisation takes responsibility for its actions.
4.5 If possible, I can visit services and meet the people who would provide my care and support before deciding if it is right for me.
4.6 I can be meaningfully involved in how the organisations that support and care for me work and develop.
4.7 I am actively encouraged to be involved in improving the service I use, in a spirit of genuine partnership.
4.8 I am supported to give regular feedback on how I experience my care and support and the organisation uses learning from this to improve.
4.9 I can take part in recruiting and training people if possible.
4.10 As a child or young person unable to live with my immediate family, I can live with wider family members alongside my brothers and sisters if I want this and where it is possible and safe.
Responsive care and support
4.11 I experience high quality care and support based on relevant evidence, guidance and best practice.
4.12 I receive proper notice and I am involved in finding an alternative if the service I use plans to close or can no longer meet my needs and wishes.
4.13 I have enough time and support to plan any move to a new service.
4.14 My care and support is provided in a planned and safe way, including if there is an emergency or unexpected event.
4.15 I experience stability in my care and support from people who know my needs, choices and wishes, even if there are changes in the service or organisation.
4.16 I am supported and cared for by people I know so that I experience consistency and continuity.
4.17 If I am supported and cared for by a team or more than one organisation, this is well co-ordinated so that I experience consistency and continuity.
4.18 I benefit from different organisations working together and sharing information about me promptly where appropriate, and I understand how my privacy and confidentiality are respected.
4.19 I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes.
4.20 I know how, and can be helped, to make a complaint or raise a concern about my care and support.
4.21 If I have a concern or complaint, this will be discussed with me and acted on without negative consequences for me.
4.22 If the care and support that I need is not available or delayed, people explain the reasons for this and help me to find a suitable alternative.
4.23 I use a service and organisation that are well led and managed.
4.24 I am confident that people who support and care for me have been appropriately and safely recruited.
4.25 I am confident that people are encouraged to be innovative in the way they support and care for me.
4.26 If I have a carer, their needs are assessed and support provided.
5: I experience a high quality environment if the organisation provides the premises
Dignity and respect
5.1 I can use an appropriate mix of private and communal areas, including accessible outdoor space, because the premises have been designed or adapted for high quality care and support.
5.2 I can easily access a toilet from the rooms I use and can use this when I need to.
5.3 I have an accessible, secure place to keep my belongings.
5.4 If I require intimate personal care, there is a suitable area for this, including a sink if needed.
5.5 I experience a service that is the right size for me.
5.6 If I experience care and support in a group, I experience a homely environment and can use a comfortable area with soft furnishings to relax.
5.7 If I live in a care the premises are designed and organised so that I can experience small group living, including access to a kitchen, where possible.
5.8 I experience a service as near as possible to people who are important to me and my home area if I want this and if it is safe.
5.9 I experience care and support free from isolation because the location and type of premises enable me to be an active member of the local community if this is appropriate.
5.10 If I experience 24 hour care, I am connected, including access to a telephone, radio, TV and the internet.
5.11 I can independently access the parts of the premises I use and the environment has been designed to promote this.
5.12 If I live in a care home, I can control the lighting, ventilation, heating and security of my bedroom.
5.13 If I live in a care home, I can decide on the decoration, furnishing and layout of my bedroom, including bringing my own furniture and fittings where possible.
5.14 If I live in a care home and there are separate facilities for people who support and care for me, these are in keeping with the homely environment.
5.15 If I am an adult living in a care home I can choose to see visitors in private and plan for a friend, family member or my partner to sometimes stay over.
Responsive care and support
5.16 The premises have been adapted, equipped and furnished to meet my needs and wishes.
5.17 My environment is secure and safe.
5.18 My environment is relaxed, welcoming, peaceful and free from avoidable and intrusive noise and smells.
5.19 My environment has plenty of natural light and fresh air, and the lighting, ventilation and heating can be adjusted to meet my needs and wishes.
5.20 I have enough physical space to meet my needs and wishes.
5.21 I am able to access a range of good quality equipment and furnishings to meet my needs, wishes and choices.
5.22 I experience an environment that is well looked after with clean, tidy and well maintained premises, furnishings and equipment.
5.23 If I live in a care home, I can use a private garden.
5.24 If I live in a care home and want to keep a pet, the service will try to support this to happen.
5.25 As a child or young person living in care home, I might need or want to share my bedroom with someone else and I am involved in this decision.
5.26 As an adult living in a care home, I have my own bedroom that meets my needs but can choose to live with and share a bedroom with my partner, relative or close friend.
5.27 As an adult living in a care home, I have enough space for me to sit comfortably with a visitor in my bedroom.
5.28 As an adult living in a care home, I have ensuite facilities with a shower and can choose to use a bath if I want. If I live in a small care home that has not been purpose built, I might need to share a bathroom with other people.