Skills for Care
Top

Single Assessment Framework version

All services - change

GO Online: Inspection toolkit

Print this page

Responding to people's immediate needs

Caring services will need to be effectively resourced to ensure that you can respond promptly to people’s immediate care needs. This requires a combination of safe staffing levels and team members able to identify and minimise discomfort, concern, or distress.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Responding to people's immediate needs

Duration 01 min 46 sec

Caring means being able to respond to people’s needs promptly and in a way that minimises distress and provides the comfort and support they need.

To be able to respond to people’s immediate needs, you will need to ensure that the service has enough staff to be flexible and give over more time to support people when needed. This is true of both residential and community-based services.

It also will require you to ensure staff have the right values and training to recognise where additional levels of care are needed by individuals. Effective communication will be essential, alongside other softer skills.

From monitoring changes in people to listening intently to their needs, your care team should be able to respond to additional needs and the service is suitably resourced to enable this to happen.

The person you support may need more time to express their views and wishes, additional emotional support, or extra help to alleviate discomfort such as pain relief. Whatever the need, the CQC will want to know how these elements of their care have been managed.

The CQC inspectors will ask people, their family, friends and potentially advocates about how promptly members of the care team respond and whether this support meets their needs. Managers and staff will be asked to share their own experiences and positive examples of your flexibility.

The CQC may be interested in associated documented evidence, including Care Plans, training records, staff rotas etc.

To learn more about how you can meet this area of CQC inspection, take a look at GO Online.

Watch the film here: https://vimeo.com/787631322

Recommendations

These recommendations act as a checklist to what the CQC will be looking for. Skills for Care has reviewed hundreds of inspection reports and identified these recommendations as recurring good practice in providers that meet CQC expectations.

The CQC is non-prescriptive, which means they don’t tell you what must be done in order to meet their Quality Statement. These recommendations are not intended to be a definitive list and some recommendations might not be relevant to your service. We hope they help you reflect on what evidence you might wish to share with the CQC.

Responding to people's immediate needs

  • We can evidence how we respond to immediate care needs as part of our day-to-day delivery of care.
  • We can provide documented evidence of how we have promptly adjusted care to respond to the changing needs of the people we support.
  • We have plans in place to manage anticipated declines in health needs (e.g., crisis plans and strategies to manage fluctuating abilities/needs).
  • We ensure our staff team are effectively trained and supported to know how to monitor deterioration and use tools to respond to immediate care needs (e.g., RESTORE2, SBARD Communication tool, Advance Care Planning etc).
  • We build a consistent team around a person who get to know them well and recognise if something is not quite right.
  • We empower our staff to prioritise immediate care needs and wishes at the time they occur.
  • In addition to our ongoing monitoring of people’s care, our staff team listens to their concerns to identify any further action needed.
  • Our staff team are effective communicators who engage people in discussions about their immediate needs and an appropriate response respectful of their wishes.
  • We use tools and technology (e.g., DisDat, Pain Check etc.) to help staff recognise the signs that a person who is non-verbal is in pain.
  • We have clear escalation procedures and available expertise for our staff team to refer to when responding to immediate care needs (e.g., an on-call rota/extra support out-of-hours).
  • We provide access to additional resources and support to help respond to people’s immediate care needs, such as adaptive equipment, pain relief medication etc.
  • We use assistive technology to ensure assistance to meet people’s immediate needs can be provided in the least restrictive way.
  • When people we support need to decide on a change to their care, we provide sufficient time to allow them to process and make informed choices.
  • Our staff are able to dedicate extra time to providing support to help people manage their worries and anxieties.
  • We effectively document how we have responded to immediate care needs, ensuring these are reflected in handover notes, care plans and other records.
  • Where appropriate and agreed with the person we support, we will also update family, friends, and advocates on changes to their care needs.
  • Where appropriate, we respond to people with challenging or distressed behaviour in a safe, prompt, and person-centred way.

Developed in partnership with