Admissions and Discharge/Transition Audit - Care Homes
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- Q1: Is there a clear admissions policy outlining pre-assessment, planning, and resident involvement processes?
- Q2: Are prospective residents and families provided with accessible information about the home before admission?
- Q3: Is a comprehensive pre-admission assessment completed, covering physical, emotional, cognitive, and social needs?
- Q4: Are risks identified and addressed during admission planning (e.g., falls, medication, nutrition, safeguarding)?
- Q5: Are transition plans agreed with external professionals (e.g., hospitals, social workers) to ensure continuity of care?
- Q6: Is consent (or best interest decision-making) clearly recorded for new residents who lack capacity?
- Q7: Are residents welcomed on arrival with a planned introduction to staff, routines, and other residents?
- Q8: Are new residents supported through orientation and settling-in, including routines, choices, and reassurance?
- Q9: Are care plans and risk assessments completed promptly after admission and shared with relevant staff?
- Q10: Are medication reconciliation and handover documents reviewed and acted on immediately on admission?
- Q11: Are residents’ wishes, preferences, and life history gathered early to support personalised care?
- Q12: Are families or advocates involved in the transition process and supported during the settling-in period?
- Q13: Is there a review of the resident’s experience within the first 6 weeks to check satisfaction and adjust care plans?
- Q14: Are residents discharged in a planned, safe manner with full communication to receiving settings or family?
- Q15: Is discharge coordinated with community teams, housing, transport, and prescriptions where needed?
- Q16: Are residents supported emotionally during discharge or transition (e.g., with memory items, goodbye events)?
- Q17: Are discharge summaries or transfer records complete, accurate, and sent securely to the next provider?
- Q18: Are any safeguarding or risk issues escalated prior to discharge if appropriate services are not in place?
- Q19: Is consent obtained for information sharing and follow-up during transitions to home or other settings?
- Q20: Are discharge or end-of-placement reviews held to reflect on outcomes and resident feedback?
- Q21: Are lessons from admissions or discharges (e.g., delays, documentation issues) used to improve systems?
- Q22: Are emergency admissions handled in a way that prioritises safety, comfort, and early reassessment?
- Q23: Is the home’s capacity to safely admit new residents reviewed in line with staffing, skills, and resources?
- Q24: Are admission and discharge practices audited regularly and discussed in governance or inspection planning?
- Q25: Is resident and family feedback on the admission and discharge process collected and used for improvement?