Observation of Care Audit - Care Homes

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  • Are staff interactions with residents respectful, warm, and person-centred?
  • Do staff speak to residents using their preferred name and in a calm, friendly tone?
  • Are staff attentive and responsive when residents are speaking, using active listening and appropriate eye contact?
  • Is there evidence of staff offering choice and involving residents in decisions about their care and routine?
  • Are residents supported in a way that maintains their dignity and privacy (e.g., closing doors, covering during personal care)?
  • Do staff knock and wait before entering resident rooms or private spaces?
  • Are staff patient and unhurried in their approach, especially when supporting residents with complex needs?
  • Do staff explain what they are doing before and during care tasks (e.g., washing, assisting with meals or mobility)?
  • Is care delivered in a way that promotes independence and avoids unnecessary dependency?
  • Are interactions warm and human – not task-focused or rushed – even during busy periods?
  • Are residents spoken to as adults, with appropriate language, tone, and respect for their cognitive abilities?
  • Is there evidence of compassion in how staff respond to distress, discomfort, or emotional needs?
  • Do staff adapt communication techniques appropriately for people with dementia, sensory impairment, or cognitive challenges?
  • Are non-verbal cues (e.g., smiling, touch, gestures) used appropriately to provide reassurance or connection?
  • Are residents included in conversations and not spoken about in front of them without involvement?
  • Are cultural, religious, and personal preferences respected in daily routines, language, and approaches?
  • Are residents encouraged and supported to express their preferences, wishes, or concerns?
  • Is time made for meaningful interactions (e.g., chatting, laughing, storytelling), not just task-based exchanges?
  • Are residents treated as individuals with unique needs, not generalised or treated as a group?
  • Do residents appear comfortable, relaxed, and trusting in the presence of staff?
  • Are residents supported with appropriate touch and reassurance (e.g., holding hands, a gentle pat) where appropriate and welcomed?
  • Is emotional wellbeing promoted alongside physical care (e.g., through validation, empathy, active listening)?
  • Are residents encouraged and supported to engage in activities or interaction during observations?
  • Are residents who are withdrawn or disengaged gently encouraged or checked on by staff?
  • Is there evidence of positive staff relationships with residents built over time (e.g., shared stories, inside jokes, mutual respect)?
  • Do staff take time to explain options to residents with limited understanding rather than assuming incapacity?
  • Are residents’ responses to care (e.g., smiles, expressions of thanks, comfort) noted as positive?
  • Are concerns about dignity or care quality addressed immediately and appropriately if observed?
  • Is observation conducted in a way that does not intrude or create discomfort for the resident?
  • Are observations shared in governance or supervision processes to support learning and recognition?