Activities, Engagement and Meaningful Occupation Audit - Care Homes

Q1 | Unanswered

Personal interests: Do assessments and conversations identify each person's current interests, life history, strengths, preferred routines and goals, including activities they wish to continue, try or stop?

Q2 | Unanswered

Individual planning: Does each person have a practical activity and engagement plan linked to the outcomes that matter to them, with the support, equipment and arrangements needed to achieve them?

Q3 | Unanswered

Co-production: Are people involved in choosing, planning and reviewing activities, with communication support or advocacy where needed and representatives involved appropriately?

Q4 | Unanswered

Choice and refusal: During observation, can people choose whether, when and how to participate, change their minds or decline without pressure, with alternatives offered sensitively?

Q5 | Unanswered

Variety: Does the programme offer a meaningful range of group, one-to-one, spontaneous, quiet, creative, physical, social and outdoor opportunities that reflects the people living in the home?

Q6 | Unanswered

Everyday occupation: Are people supported to undertake everyday roles they value, such as gardening, helping with meals, caring for belongings or household tasks, at a level they choose and can manage?

Q7 | Unanswered

Residential and nursing needs: Are opportunities adapted for people with complex health needs, fatigue, frailty, limited mobility or nursing needs, with suitable timing, positioning, equipment and clinical advice where required?

Q8 | Unanswered

People in their rooms: Do people who spend time in bed or in their rooms receive regular, personalised opportunities for connection and engagement according to their wishes and abilities?

Q9 | Unanswered

Dementia support: Are people living with dementia offered familiar, adult-appropriate and personalised opportunities, with prompts, sensory approaches and adaptations suited to their response and stage of dementia?

Q10 | Unanswered

Communication and Welsh language: Are preferred language, including Welsh, communication methods and sensory needs supported so people can understand choices and participate comfortably?

Q11 | Unanswered

Culture and identity: Do opportunities reflect people's culture, faith, relationships, identity and personal traditions, with individual preferences guiding celebrations and events?

Q12 | Unanswered

Relationships: Are activities and daily opportunities used to support chosen friendships, relationships, family contact and peer connection while respecting privacy and personal boundaries?

Q13 | Unanswered

Community access: Are people supported to access local places, services, events, faith groups, education or volunteering where wanted, with practical arrangements for transport, staffing and accessibility?

Q14 | Unanswered

Outdoor access: Can people enjoy gardens, fresh air and nature when they wish, with suitable assistance, accessibility and proportionate risk management?

Q15 | Unanswered

Independence and learning: Are activities used to maintain or develop confidence, skills and independence, with staff encouraging people to do what they can and reviewing individual progress?

Q16 | Unanswered

Positive risk-taking: Are activity risks assessed with the person, balancing benefits, preferences and safety, with proportionate controls that enable participation?

Q17 | Unanswered

Consent and privacy: Is consent sought for participation, touch, photographs and sharing activity information, with decision-specific capacity and best-interest processes applied where required?

Q18 | Unanswered

Staffing and continuity: Are there enough staff with suitable skills and time to deliver planned and spontaneous engagement, including evenings, weekends and when the activity lead is absent?

Q19 | Unanswered

Whole-team contribution: Do care, nursing, catering and other staff support meaningful engagement throughout daily routines and communicate what helps each person connect and participate?

Q20 | Unanswered

Staff capability: Do staff and volunteers demonstrate competence in inclusive engagement, communication, dementia support and recognising discomfort, distress or fatigue?

Q21 | Unanswered

Resources and environment: Are activity spaces, equipment, books, music, creative materials and sensory resources suitable, accessible, safe and available when people want to use them?

Q22 | Unanswered

Visitors and partnerships: Are volunteers, entertainers and community partners selected, inducted and supervised appropriately, with arrangements that protect people and match their interests?

Q23 | Unanswered

Response and enjoyment: Do records capture each person's enjoyment, engagement, discomfort, refusal or preferred adaptations, with their response used to shape future opportunities?

Q24 | Unanswered

Isolation and unmet needs: Are people with repeated withdrawal, loneliness, low mood or limited engagement identified promptly, with possible causes explored and suitable support or referrals followed through?

Q25 | Unanswered

Feedback and improvement: Are people and representatives regularly asked about the relevance, choice, timing and quality of opportunities, with changes communicated and checked for benefit?

Q26 | Unanswered

Outcome evaluation: Do reviews show whether engagement supports the person's goals, relationships, sense of purpose, emotional well-being or independence, using feedback and observation as well as attendance records?

Q27 | Unanswered

Equity and barriers: Does the service check who is missing opportunities or receiving less support, address barriers such as cost, language, disability or transport, and review whether access improves?

Q28 | Unanswered

Governance and sustained impact: Are activity and engagement findings included in quality-of-care reviews and provider oversight, with named actions and follow-up confirming sustained improvements in people's daily lives?