Care Planning and Risk Enablement Audit - Supported Living

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  • Q1: Are care and support plans developed collaboratively with the tenant and/or their representatives?
  • Q2: Do support plans reflect what matters most to the individual, including personal goals and daily routines?
  • Q3: Are plans strengths-based, focusing on what the tenant can do and how they can be supported to do more?
  • Q4: Are care plans reviewed regularly and updated following changes in need, risk, or preferences?
  • Q5: Do support plans cover all aspects of life, including health, wellbeing, housing, relationships, and community involvement?
  • Q6: Are tenants given copies of their plans in a format they understand and agree with?
  • Q7: Are support plans person-centred, accessible, and culturally sensitive?
  • Q8: Are risk assessments person-specific and proportionate, promoting choice while managing potential harm?
  • Q9: Is there evidence of positive risk-taking being supported to promote independence and self-confidence?
  • Q10: Are any restrictive practices identified, justified, and reviewed in line with best interest or positive behaviour support principles?
  • Q11: Are plans in place for situations such as refusing care, missing appointments, or wanting to self-medicate?
  • Q12: Are emergency contacts, contingency arrangements, and escalation procedures included in the support plan?
  • Q13: Are care plans developed in conjunction with housing providers, health professionals, and other stakeholders where necessary?
  • Q14: Do plans include strategies for communication support, mental health needs, and emotional wellbeing?
  • Q15: Are goals and outcomes clearly defined, realistic, and tracked over time?
  • Q16: Are support plans aligned with tenancy responsibilities and respectful of the person’s legal rights?
  • Q17: Are the tenant’s preferences around who delivers their support reflected in the rota or scheduling process?
  • Q18: Do support plans include information on how decisions are made, especially where there is fluctuating capacity?
  • Q19: Are reviews held in a timely and inclusive way, with tenant input recorded and respected?
  • Q20: Are family, friends, or advocates appropriately involved in planning and reviews, if agreed by the individual?
  • Q21: Are changes in physical or mental health clearly documented and acted on within the plan?
  • Q22: Is there clear documentation around medication needs, prompting, or administration responsibilities?
  • Q23: Are health action plans or hospital passports included or referenced where appropriate?
  • Q24: Are support workers aware of and confident in using the care plan to guide daily support?
  • Q25: Is there consistency in how staff follow and document care delivery in line with the plan?
  • Q26: Are plans reviewed after incidents, safeguarding concerns, or near misses to ensure risk is still proportionate?
  • Q27: Are digital or paper care planning systems secure, accessible, and used consistently?
  • Q28: Is the language used in plans respectful, empowering, and easy to understand?
  • Q29: Are plans clearly linked to broader life goals such as education, work, volunteering, or relationships?
  • Q30: Is care planning performance audited regularly and used to inform quality improvement initiatives?