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Single Assessment Framework version

All services - change

GO Online: Inspection toolkit

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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.

Introducing Person-centred care

Duration 01 min 38 sec

This area of inspection will look at how people - or those with authority to act on their behalf - are actively engaged in the planning of the care and support that they – or their loved ones - receive.

This is about how successful your service is in engaging people in planning their care, taking into account their personal goals and ambitions. It will look at your initial assessments of care needs and how this continues to evolve.

Person-centred care plans means that staff understand the people they support, including their personal history, interests, and aspirations.

The CQC interviews with people, friends and relatives are likely to explore views around the care planning process and how their views are included. Meanwhile, the inspector’s discussions with managers and staff will check understanding and examples of person-centred care in practice.

If they visit the service, inspectors will observe how person-centred is being delivered … and how closely this aligns with the care plans.

Documented evidence in the form of the following may be reviewed:

  • care assessments
  • care plans and reviews
  • complaints and compliments
  • and staff training records.

Take a look at GO Online for resources, practical examples and recommendations to help you to strengthen your person-centred care.

Watch the film here:

Recommendations

These recommendations act as a checklist to what the CQC will be looking for. ²»Á¼Ñо¿Ëù 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.

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.

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