Admissions and Discharge/Transition Audit - Care Homes

Q1 | Unanswered

Is there a clear admissions policy outlining pre-assessment, planning, and resident involvement processes?

Q2 | Unanswered

Are prospective residents and families provided with accessible information about the home before admission?

Q3 | Unanswered

Is a comprehensive pre-admission assessment completed, covering physical, emotional, cognitive, and social needs?

Q4 | Unanswered

Are risks identified and addressed during admission planning (e.g., falls, medication, nutrition, safeguarding)?

Q5 | Unanswered

Are transition plans agreed with external professionals (e.g., hospitals, social workers) to ensure continuity of care?

Q6 | Unanswered

Is consent (or best interest decision-making) clearly recorded for new residents who lack capacity?

Q7 | Unanswered

Are residents welcomed on arrival with a planned introduction to staff, routines, and other residents?

Q8 | Unanswered

Are new residents supported through orientation and settling-in, including routines, choices, and reassurance?

Q9 | Unanswered

Are care plans and risk assessments completed promptly after admission and shared with relevant staff?

Q10 | Unanswered

Are medication reconciliation and handover documents reviewed and acted on immediately on admission?

Q11 | Unanswered

Are residents’ wishes, preferences, and life history gathered early to support personalised care?

Q12 | Unanswered

Are families or advocates involved in the transition process and supported during the settling-in period?

Q13 | Unanswered

Is there a review of the resident’s experience within the first 6 weeks to check satisfaction and adjust care plans?

Q14 | Unanswered

Are residents discharged in a planned, safe manner with full communication to receiving settings or family?

Q15 | Unanswered

Is discharge coordinated with community teams, housing, transport, and prescriptions where needed?

Q16 | Unanswered

Are residents supported emotionally during discharge or transition (e.g., with memory items, goodbye events)?

Q17 | Unanswered

Are discharge summaries or transfer records complete, accurate, and sent securely to the next provider?

Q18 | Unanswered

Are any safeguarding or risk issues escalated prior to discharge if appropriate services are not in place?

Q19 | Unanswered

Is consent obtained for information sharing and follow-up during transitions to home or other settings?

Q20 | Unanswered

Are discharge or end-of-placement reviews held to reflect on outcomes and resident feedback?

Q21 | Unanswered

Are lessons from admissions or discharges (e.g., delays, documentation issues) used to improve systems?

Q22 | Unanswered

Are emergency admissions handled in a way that prioritises safety, comfort, and early reassessment?

Q23 | Unanswered

Is the home’s capacity to safely admit new residents reviewed in line with staffing, skills, and resources?

Q24 | Unanswered

Are admission and discharge practices audited regularly and discussed in governance or inspection planning?

Q25 | Unanswered

Is resident and family feedback on the admission and discharge process collected and used for improvement?