Care Planning and Person-Centred Care Audit - Domiciliary Care

Relevant CQC Fundamental Standards

Regulation 9: Person-centred care Regulation 11: Need for consent Regulation 12: Safe care and treatment Regulation 17: Good governance

Answered 0 / 30(0% complete)

Note: This is the "clipboard" version of the audit. Only allocate tasks to users once you are satisfied that the audit is complete and accurate. Once saved, it is added to your Compliance Calendar as the final version for that month, where you can allocate tasks, upload evidence, and manage actions.

Score

N/A counts as Yes (full credit). Unanswered reduces the score until completed.

Breakdown

0 Yes •0 No •0 N/A •30 Unanswered

0%100%

Answers Overview

Yes

N/A

Unanswered

Questions

0/30 answered

Q1 | Unanswered
When a care plan is created, is there evidence that the person and/or their representative actively shaped the support, rather than the plan being written only by the provider?
Evidence to check
- • Initial assessment records showing the person's input
- • Representative, advocate or family involvement where appropriate
- • Care plan reflects what the person wants, refuses or prefers
- • Evidence that the person was offered choice and control from the start
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q2 | Unanswered
Does the care plan reflect the person as an individual, including their preferences, values, cultural needs, routines, relationships, goals and what matters to them?
Evidence to check
- • Personal history, preferences and routines recorded
- • Cultural, religious or lifestyle needs clearly identified
- • Care workers can describe the person beyond their care tasks
- • Daily care records show preferences are respected in practice
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q3 | Unanswered
Are care plans reviewed when needs change, and do scheduled reviews result in meaningful updates rather than repeated statements with no evidence of change?
Evidence to check
- • Care plan review records
- • Updates after hospital admission, falls, illness, medication changes or changed preferences
- • Review notes show what was discussed and changed
- • No outdated or contradictory information remains in the care plan
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q4 | Unanswered
Do staff have access to the current care plan before and during visits, and are they alerted promptly when the plan changes?
Evidence to check
- • Digital or paper care plan access checked
- • Staff know where to find current information
- • Care plan version or update history is clear
- • Handover, alerts or messages show staff were informed of changes
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q5 | Unanswered
When care records, spot checks or observations are reviewed, is there evidence that staff follow the care plan in real visits?
Evidence to check
- • Care notes match planned support
- • Spot checks or observations confirm care is delivered as planned
- • Staff can explain key support needs and risks
- • Any gaps between planned and delivered care are investigated
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q6 | Unanswered
Do care plans include clear outcomes and practical actions that promote the person's independence, confidence, wellbeing and preferred way of living?
Evidence to check
- • Outcomes are personal and meaningful to the person
- • Actions describe how staff should support independence
- • Care notes show progress or barriers
- • Outcomes are reviewed and changed when needed
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q7 | Unanswered
Are risk assessments built into the care plan in a way that balances safety with independence, choice and positive risk-taking?
Evidence to check
- • Risk assessments linked to care plan actions
- • Risks are person-specific, not generic
- • Control measures are proportionate and practical for home care
- • The person's choices and rights are considered when managing risk
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q8 | Unanswered
Is consent for care clearly documented and reflected in how staff provide support during visits?
Evidence to check
- • Consent records for care and support
- • Staff seek consent before care tasks
- • Refusals or limits of consent are recorded
- • Care plan reflects what the person has agreed to
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q9 | Unanswered
Where there are concerns about capacity, are decision-specific mental capacity assessments completed and reflected in the care plan?
Evidence to check
- • Mental capacity assessments are decision-specific
- • Best-interest decisions recorded where the person lacks capacity
- • Care workers understand how the person should be supported to decide
- • Capacity is reviewed when circumstances change
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q10 | Unanswered
Where relevant, are advance decisions, end-of-life wishes and future care preferences recorded sensitively and followed in practice?
Evidence to check
- • Advance care plan or end-of-life preferences recorded
- • DNACPR or ReSPECT documentation where applicable
- • Family, advocate or professional involvement where appropriate
- • Staff know where to find and follow the person's wishes
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q11 | Unanswered
Does the care plan explain how the person communicates, understands information and expresses choices, including any hearing, visual, cognitive or speech needs?
Evidence to check
- • Communication needs recorded clearly
- • Use of hearing aids, glasses, communication aids or interpreters where needed
- • Staff can explain how the person communicates pain, distress, consent or refusal
- • Information is provided in a way the person can understand
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q12 | Unanswered
Is the care plan holistic, covering physical, emotional, social, psychological and practical needs rather than only task-based care?
Evidence to check
- • Care plan covers wellbeing, emotional support and social needs
- • Practical home support needs are included where relevant
- • Care records show emotional and social support is provided
- • Staff understand what matters to the person, not only what tasks are due
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q13 | Unanswered
Is there evidence that the person is offered genuine choice about how, when and by whom care is delivered?
Evidence to check
- • Preferred visit times, routines and staff preferences recorded
- • Records show choices are offered during visits
- • Concerns about timing, missed preferences or unsuitable staff are acted on
- • The person's feedback influences rota or support arrangements where possible
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q14 | Unanswered
When health, wellbeing, mood, behaviour, mobility or home circumstances change, are these changes recorded, escalated and reflected in the care plan promptly?
Evidence to check
- • Care notes show changes in condition or circumstances
- • Office, family or professionals informed where needed
- • Care plan and risk assessments updated after changes
- • Staff are informed before the next relevant visit
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q15 | Unanswered
Do care plans include accurate medication support requirements, including the person's level of independence, allergies, risks and monitoring arrangements?
Evidence to check
- • Medication support plan matches MAR or eMAR records
- • Level of support is clear: self-managing, prompting, assisting or administering
- • Allergies and medication risks are recorded
- • Changes in medication are updated promptly in the care plan
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q16 | Unanswered
Are people actively encouraged and supported to take part in care reviews in a way that suits their communication, capacity and preferences?
Evidence to check
- • Care review notes include the person's views
- • Accessible methods used where needed
- • Advocate or representative involvement where appropriate
- • The person's disagreement, refusal or requested changes are recorded
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q17 | Unanswered
Are goals, achievements and progress reviewed with the person, and are successes recognised where this matters to them?
Evidence to check
- • Goal progress recorded in reviews or care notes
- • Achievements linked to independence, confidence or wellbeing
- • Goals changed when they are achieved or no longer relevant
- • The person's own view of progress is recorded
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q18 | Unanswered
Where support with nutrition, hydration or meals is provided, does the care plan reflect the person's preferences, risks, dietary needs and required monitoring?
Evidence to check
- • Meal preferences, cultural needs and dietary requirements recorded
- • Nutrition and hydration risks identified
- • Food and fluid monitoring used where required
- • Concerns about appetite, weight loss, choking or dehydration are escalated
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q19 | Unanswered
Are personal care tasks described in a way that protects dignity, privacy, choice and the person's preferred routine?
Evidence to check
- • Personal care guidance includes dignity and privacy preferences
- • Care notes show personal care is delivered respectfully
- • Staff know how the person prefers intimate care to be provided
- • The person's gender, cultural or modesty preferences are considered
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q20 | Unanswered
Are family members, advocates or representatives involved appropriately, while keeping the person's wishes, consent and confidentiality central?
Evidence to check
- • Representative or family involvement recorded
- • Consent to share information is clear
- • The person's own views are recorded separately from family views
- • Advocate involvement considered where the person needs support to be heard
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q21 | Unanswered
Is professional input, such as GP, district nurse, SALT, OT, physiotherapy, dietitian, mental health or social work advice, added to the care plan and followed in practice?
Evidence to check
- • Professional referrals and advice recorded
- • Care plan updated after professional input
- • Staff know and follow the professional guidance
- • Follow-up actions and outcomes are recorded
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q22 | Unanswered
Is support adjusted when feedback, incidents, complaints, missed visits, changing needs or outcomes show that the current plan is not working?
Evidence to check
- • Feedback and complaints reviewed against care plans
- • Incidents or missed visits lead to care plan review where needed
- • Changes to support are recorded and communicated to staff
- • The person is asked whether changes have improved their care
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q23 | Unanswered
Are staff trained and supported to understand and use person-centred care plans during real home visits?
Evidence to check
- • Training records for person-centred care and care planning
- • Induction includes how to read and follow care plans
- • Supervision or spot checks discuss care plan use
- • Staff can explain how they adapt support to the person
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q24 | Unanswered
Is feedback from people using the service collected, listened to and used to improve care plans and daily care practice?
Evidence to check
- • Service user feedback, surveys or review notes
- • Compliments, complaints and concerns reviewed
- • Changes made as a result of feedback
- • People are told what action was taken where appropriate
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q25 | Unanswered
Do daily care records support the goals, risks, preferences and actions set out in the care plan, rather than only listing completed tasks?
Evidence to check
- • Daily notes link to care plan outcomes and risks
- • Records show progress, refusals, changes and concerns
- • Care notes reflect the person's preferences and wellbeing
- • Gaps between care records and care plan are identified and corrected
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q26 | Unanswered
Across a sample of care plans, are records written in respectful, personalised language that avoids labels, assumptions or task-only descriptions?
Evidence to check
- • Care plan wording is respectful and person-centred
- • No judgemental or institutional language
- • The person's strengths, choices and abilities are included
- • Care guidance describes how to support the person, not just what to do to them
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q27 | Unanswered
Are missed, late or shortened visits reviewed for their impact on the person's care plan, risks, outcomes and wellbeing?
Evidence to check
- • Missed, late or shortened visit records
- • Impact on medication, meals, personal care or safety considered
- • Person and family informed where appropriate
- • Care plan or rota adjusted to prevent recurrence
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q28 | Unanswered
Are care plans updated after hospital discharge, emergency attendance or significant professional review before staff provide changed care?
Evidence to check
- • Hospital discharge information or professional updates
- • Care plan amended before or immediately after care resumes
- • Medication, mobility, nutrition or equipment changes reflected
- • Staff informed of changes before the next visit
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q29 | Unanswered
Does the care plan include how staff should support the person to remain safe in their own home while respecting their right to make choices?
Evidence to check
- • Home safety and environmental risks recorded
- • Positive risk-taking considered
- • Risks are managed without unnecessarily restricting the person
- • Staff know when to escalate unsafe home conditions
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.
Q30 | Unanswered
Do care plan audits check whether plans are accurate, current, personalised and followed in practice, rather than only checking whether sections are completed?
Evidence to check
- • Care plan audit records
- • Audit includes care records, staff feedback and service user feedback
- • Actions from audits are followed up
- • Repeated generic or outdated plans are escalated through governance
Supporting Notes
No notes yet.
Notes are stamped with your name, date and time.

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