GO Online: Inspection toolkit

Person-centred care

Central to being a responsive service is your ability to deliver person-centred care. It’s one of the issues that the CQC is likely to explore the most as part of the monitoring and inspection process.

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.

Person-centred care

• We can evidence how we provide person-centred care and respond to the needs and preferences of the people we support.
• We work closely with the people we provide care and support to in order to understand what is important to them.
• We provide consistent levels of person-centred care across our service, ensuring everyone is able to live as independently as possible.
• The people we support are central to deciding and reviewing their care plan. We ensure that all care is planned with the people we support (and/or their families) rather than for them.
• We clearly document any changes that have been made in the care plan and ensure these are signed off by the person (and/or their family).
• We provide ample notice for review meetings with the people we support (and/or their families). This enables them time to think about what they would like to discuss.
• We ensure that every care plan is detailed, person-centred and clearly describes the care, treatment, and support needs of the person we support. Where appropriate, we ensure health action plans are produced.
• We ensure risks and associated mitigations are reflected in the care plan. This includes documenting clear procedures for staff to follow to minimise risk.
• Our care plans include people’s interests, preferences and things that are important to them (including their culture, religion, etc.).
• We ensure our care plans are produced in a way that everyone who needs to use or review them understands them.
• Our care plans include information about people’s capacity and detail how they should be involved in their care and lifestyle choices (including making decisions for themselves or where best interest discussions may be needed).
• We keep all care plans regularly updated and these are adjusted to levels of support required as people’s needs change.
• Our staff are effectively inducted, trained and supervised so they understand their responsibilities around completing, using, reviewing and updating care plans.
• Where relevant, we can evidence how we have engaged with family, friends and advocates with the authority to act on behalf of an individual.
• We ensure our staff – including volunteers and temporary workers - have enough time to read an individual’s care plans and associated documentation (e.g., handover notes) before they commence supporting them.
• Where relevant to our service, the people we support who’ve had a stroke have a structured health and social care review at six months and one year after the stroke, and then annually. This is in accordance with NICE quality standards.
• Where relevant to our service, people who have the symptoms and signs of physical problems are recognised and recorded as part of their care plan. This is in accordance with NICE Quality Standards.
• Where relevant to our service, the people we support who are growing older with a learning disability are involved in developing a plan for the future and reviewing it at least annually. This is in accordance with NICE Quality Standards.

---

Developed in partnership with