Serious Incident Reviews

Published: 09 December 2021

Serious Incident Reviews

The Care Inspectorate assumed responsibility for the oversight of learning from serious incident reviews when it was established in 2011.  The function is underpinned by the Care Inspectorate’s statutory duties under the Public Service Reform (Scotland) Act 2010.  The national guidance for serious incident reviews was developed in partnership with the Scottish Government and Social Work Scotland.   The guidance outlines what is expected of local authorities when a serious incident comes to their attention.

The reporting of serious incidents currently pertains to people who have received a final disposal from court following conviction.  This includes people made subject to the various requirements of a community payback order or a drug treatment and testing order.  It also relates to everyone released from custody subject to statutory social work supervision.  Guidance on the management and delivery of these orders and licences is contained within a variety of national outcomes and standards - Scottish Government collection of justice social work guidance.

When a serious incident occurs the local authority should notify the Care Inspectorate within five working days. The Care Inspectorate provides a quality assurance role in Serious Incident Reviews, by looking at how reviews have been conducted and whether these have been carried out in a robust and meaningful way. The Serious Incident Review guidance with appendixes to submit a notification and review can be found here.

If there are any queries in the meantime please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Please submit the relevant forms/reports through secure email to This email address is being protected from spambots. You need JavaScript enabled to view it.

The notification and review templates can be found here:

The main contact for this work is:

Mike Hendry, Strategic Inspector

Mobile 07388 709834

 

Downloads: 11793

Learning reviews, Initial Case Reviews (ICRS) & Significant Case Reviews (SCRS) – Adults

Published: 09 December 2021

Initial Case Reviews and Significant Case Reviews

National Guidance for Adult Protection Committees Undertaking Learning Reviews was published on 26 May 2022. This sets out that Adult Protection Committees will inform the Care Inspectorate of the decision to proceed with a learning review, or the reasons for not doing so. On completion of a learning review, an anonymised copy of the review report should be sent to us, and a notification of completion submitted.

There will be reviews ongoing that pre-date 26 May 2022. As such, there will be an overlap in submission of learning reviews and of Initial and Signficant Case Reviews which commenced on or after 5 November 2019, and before 26 May 2022.

For the foreseeable future we will accept all reviews, regardless of their structure.

The relevant online notification system for learning reviews, ICRs and SCRs should be used for all submissions. The forms have in built prompts and guidance to support completion.

Please note online submissions require to be completed in one sitting – they cannot be saved when partially completed and then returned to. There is work ongoing to develop this system.

Learning Reviews

For all situations considered under the learning review guidance, a decision notification form should be completed. This electronic notification form is to be completed at the point when a decision has been made to conduct a learning review, or to detail the reasons for not doing so.

A word version of the notification form has been provided here. This could be used to develop the submission, and then be copied into the online version.

Learning review decision notifications should be submitted here: learning review decision notification.

On conclusion of the learning review, an outcome notification form should be completed within seven days of ratification of the outcome of the learning review by the Chief Officers Group.

A word version of the learning outcome notification form has been provided here. This could be used to develop the responses, and then be copied into the online version.

The learning review outcome notification should be submitted here: learning review outcome notification.

Following completion of the learning review outcome notification, an anonymised copy of the learning review report should be sent via secure email to This email address is being protected from spambots. You need JavaScript enabled to view it.

ICR and SCR

A word version of the ICR notification has been provided here. This could be used to develop the responses, and then be copied into the online version.

Adult Protection Committees should note the word version is to support the development of the submission. The submission should however be returned through the online tool.

Adult Protection Committees are required to submit the full ICR report to the Care Inspectorate along with the completed ‘Form B’ (ICR notification) within seven days of ratification of the outcome of the ICR by the Chief Officers Group.

The ICR notification should be submitted here: ICR notification.

The Care Inspectorate, on behalf of Scottish Government, acts as a central collation point for all Significant Case Reviews completed across Scotland at the point at which they are concluded. Further to agreeing the Final Report, in accordance with the steps detailed in The Guidance (2019), Adult Protection Committees should timeously agree a dissemination approach, including submission to the Care Inspectorate.

A word version of the SCR notification has been provided here. This could be used to develop the responses, and then be copied into the online version.

SCR notifications should be submitted here: SCR Reporting Form.

Adult Protection Committees can request to receive a pdf version of the information they submit via the online submission mechanism.

The Care Inspectorate is the central repository for all ICRs and SCRs as a way of supporting learning from these reviews to be shared and implemented more widely. As such, it is important that all reviews that are similar in purpose though not labelled as an ICR, SCR are also submitted.

Following completion of the ICR or SCR, an anonymised copy of the ICR and SCR report as applicable should be sent to us via secure email to This email address is being protected from spambots. You need JavaScript enabled to view it.

The main contact for this work is:

Caroline Doherty, Strategic Inspector

This email address is being protected from spambots. You need JavaScript enabled to view it.

Downloads: 11102

Learning reviews (children and young people)

Published: 09 December 2021

Learning reviews (children and young people)

The Care Inspectorate, on behalf of the Scottish Government, acts as a central collation point for all learning reviews carried out by Child Protection Committees (CPCs) in Scotland. 

The Care Inspectorate is responsible for reviewing the effectiveness of the processes for each learning review and for providing feedback to individual Chief Officer Groups and CPCs.

All learning reviews reports will be shared with the Care Inspectorate.  The National Guidance for Child Protection Committees for Undertaking Learning Reviews published in September 2021, clearly sets out that CPCs will inform the Care Inspectorate of their decision on whether to carry out a learning Review.  On the completion of a learning review, a copy of the full report should be sent to us.

Notifications

CPCs are required to notify the Care Inspectorate of their decision to proceed or not to proceed to a learning review using the Care Inspectorate’s eform system. To do so, the CPC needs to have a user account to log into the system.

Submission of Learning Review Reports

Please submit the full Learning review Report through our secure email to This email address is being protected from spambots. You need JavaScript enabled to view it.

The main contact for this work is:

Maureen Wylie, Strategic Inspector

This email address is being protected from spambots. You need JavaScript enabled to view it.

Mobile: 07717 423154

Other information

Downloads: 12987

Deaths of young people in continuing care

Published: 09 December 2021

Deaths of young people in continuing care

Local authorities are required to submit written notification to the Care Inspectorate of any death of a young person in receipt of continuing care as soon as is reasonably practicable.

Please complete attached form - DCC1

Please note this is separate from the duty of a registered care service to notify us of the death of a service user. These are submitted separately via the registered services eforms.

More information about notification and reporting arrangements can be found here.

Please submit all relevant forms/reports through secure email to
This email address is being protected from spambots. You need JavaScript enabled to view it. 

The main contact for this work is: 

Karen McCormack, Strategic Inspector or Sharon Telfer, Strategic Inspector  Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Downloads: 13479

Deaths of young people receiving aftercare provision

Published: 09 December 2021

Deaths of young people receiving aftercare provision

Local authorities are required to submit written notification to the Care Inspectorate of any death of a young person in receipt of aftercare provision as soon as is reasonably practicable.

Please complete attached form - DAC1

Please note this is separate from the duty of a registered care service to notify us of the death of a service user. These are submitted separately via the registered services eforms.

More information about notification and reporting arrangements can be found here.

Please submit all relevant forms/reports through secure email to 
This email address is being protected from spambots. You need JavaScript enabled to view it. 

The main contact for this work is: 

Karen McCormack, Strategic Inspector or Sharon Telfer, Strategic Inspector  Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Downloads: 7666

Deaths of Looked After Children

Published: 09 December 2021

Deaths of Looked After Children

Local authorities are required to submit written notification within 24 hours of any death of a looked after child to the Care Inspectorate.  

Please complete attached form – DLC1

Please note this is separate from the duty of a registered care service to notify us of the death of a service user. These are submitted separately via the registered services eForms

More information about notification and reporting arrangements can be found here.

Please submit all relevant forms/reports through secure email to This email address is being protected from spambots. You need JavaScript enabled to view it. 

The main contact for this work is: 

Karen McCormack, Strategic Inspector or Sharon Telfer, Strategic Inspector  Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Downloads: 8203

Changes to notifications of deaths of looked after children and deaths of young people in continuing care or receiving aftercare provision

Published: 09 December 2021

Changes to notifications of deaths of looked after children and deaths of young people in continuing care or receiving aftercare provision

New arrangements for reviewing and learning from the deaths of children and young people came into force on 1 October 2021.   

The establishment of the National hub for reviewing and learning from the deaths of children and young people and recently published national guidance for child protection committees undertaking learning reviews will require changes to the ways in which local authorities review the deaths of looked after children and young people experiencing care.  

More information about these changes can be found here.

Downloads: 8460

Notification on controlled drugs

Published: 09 December 2021

Notification on controlled drugs

Providers should notify the Care Inspectorate to any adverse events and concerns involving schedule 2, 3, 4, and 5 controlled drugs used in care settings, when they occur, and while the service user is receiving care in the care service.

Please note, it is a legal requirement for care services to notify the Care Inspectorate of the matters listed in this document. Where the requirement is limited to a specific type of care service, this is detailed in the guidance.

Care services and local authorities must use our eForms system to make these notifications.

Downloads: 9400

Portal or eForms?

Published: 22 March 2021

We have moved a number of our forms from our eForms system to the new portal.  If you are wanting to notify us of a change to your service, the table below will advise what system to use. 

Our eForms system will continue to be used for annual returns and notifications, (the things you are required to tell us about,) as we continue our digital transformation programme.    

If you are require any assistance, please email This email address is being protected from spambots. You need JavaScript enabled to view it. or call 0345 600 9527 Monday to Friday between 09:00 - 16:00 

Current eForm title

Complete on portal

Complete on existing eForm

Absence of a manager for more than 28 days

 

Yes

Accident

 

Yes

Allegation of abuse concerning a service user

 

Yes

Allegation of misconduct by provider or persons employed in the care service

 

Yes

Appointment of liquidators/receivers

 

Yes

Change of a manager

Yes

 

Change of a provider

Yes

 

Change of a service name

Yes

 

Change of committees or associations

Yes

 

Change of contact details

Yes

 

Change of a managers name

Yes

 

Change of ownership/change of officers

Yes

 

Change of a person’s who are partners

Yes

 

Change of premises

Yes

 

Change of a provider’s address

Yes

 

Change of a provider’s name

Yes

 

Change of a service address

Yes

 

Controlled drug medication incident

 

Yes

Death of a service provider

 

Yes

Death of a service user

 

Yes

Equipment breakdown having significant effect on the service

 

Yes

Incident

 

Yes

Increase or decrease in staff WTE by 10% (housing support, nurse agency, support service care at home only)

Yes

 

Injury to service user

 

Yes

Outbreak of infectious disease

 

Yes

Person living on premises becomes 16 years of age (C/M only)

 Yes

Person moves out/in to premises (C/M only)

Yes


 

Planned refurbishment or alteration or extension of premises

 
Yes

Proposed application to cancel the service

Yes

 

Provision of respite care (care home service only)

 

Yes

Unfitness of manager

 

Yes

Unfitness of provider – criminal offences

 

Yes

Unfitness of provider – financial

 

Yes

Downloads: 62425

Guide to using the portal

Published: 22 March 2021

Creating an account

To register for an online account and link your current service information to the portal please read:

To create your online portal account visit: https://portal.careinspectorate.gov.scot/Account/Register

Managing access to your service or provider

You can also grant additional user access to the service information.  For example, a provider may want to allow a service manager access to a service, in order for them to view service information, submit applications and update service details.

Find out how to add a new user with service access

Find out how to add a user with provider access.

If you have access to a service on the eForms system, you can also use this to grant access on the digital portal. Please read our guidance on granting access to a service or provider.

Registering a new care service

You can apply to register a new care service using the digital portal. If you are an individual applicant, please see our guidance for contents of the application form for an individual applicant. If you are an organisation, please see our guidance for contents of the application form for an organisation.

We also have guidance to support you with accepting your conditions and becoming registered, and how to withdraw an application to register a care service.

If you need to add or amend a service managers details while you are in the process of registering a care service, please see our guidance for adding and amending managers details.

You can request advice from our registration team before you submit your application form using the portal. To do this, you must create an application to register a care service and fill in some details first.  If you need support with this please see our guide for requesting advice.

Viewing and changing  your service and provider details

For support with seeing your service details, please read our guides to viewing your service and provider details.

You can apply to change your service details such as change of manager or change the service address. These changes will require Care Inspectorate approval. 

You can also update (without the need for approval) your contact details –  email address and phone numbers and these will be updated on your record immediately.

Please see our guidance for changing service details and changing provider details for support with this.

Apply to become inactive 

You can apply online to become inactive.  Registered services must operate within the legal framework laid out within the Public Services Reform (Scotland) Act 2010, (the “Act”).  We have policy where any service can make an application to stop operating for up to 12 months, without having to cancel their registration.  Where such an application is granted, a service will be referred to as ‘inactive’. 

Reasons for a service to be treated as inactive would be limited to:  

  • refurbishment of premises
  • provider has caring responsibilities for a limited period of time
  • provider maternity leave
  • provider health issues.

There may be, on occasion, other exceptional circumstances, which we may consider on an individual basis. 

If you need help with this form, please read our guide to becoming inactive.

Apply to cancel a service 

Any registered service can voluntarily apply to cancel their registration, giving a minimum of three months’ notice.   

If you want to cancel your registration, you can now complete the application to cancel a care service form through your portal account.  This must be completed  before we can progress with your cancellation.   

If you need help with this form, please read our guide to cancelling a service

Apply to vary conditions of registration

If you need to vary, (add, amend or remove) the conditions of registration of your service, you should in the first instance discuss this with the inspector responsible for your service.  You will now be able to make an application to vary the conditions of your registration on the portal.  Note, you are currently only able to have one application for variation in progress at a time.

Unless otherwise agreed with us, the date the variation is to take effect from must not be less than three months after the date of application.  We can only grant or refuse an application to vary a condition – we cannot change the detail of the variation that you have originally requested.  However, whilst the application is still in progress you can update/amend the application yourself within the portal.  Where you subsequently decide that you no longer wish the variation request to be progressed, for instance, if it is no longer necessary due to a change of circumstances, then you should discuss this with whoever has been dealing with your application.  You must then withdraw the application via the portal, and we will receive automatic notification of this.

If you need help with this form, please read our If you need help with this form, please read our guide to a variation for a premises based service and guide a variation for a non-premises based service.

 

Downloads: 42387

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