Admissions and Discharge/Transition Audit - Care Homes

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