Dignity, Privacy and Respect Audit - Care Homes

Q1 | Unanswered

Person's preferences: Do personal plans explain what dignity, privacy and respect mean to each person, including preferred name, personal-care routines, communication, modesty and who they wish to involve?

Q2 | Unanswered

Respectful interaction: During observation, do staff speak to people kindly, patiently and directly, using their preferred name and avoiding infantilising, dismissive or judgemental language?

Q3 | Unanswered

Listening and response: Are people given time to express themselves, with staff listening, checking understanding and responding to requests or concerns without rushing or speaking over them?

Q4 | Unanswered

Communication and language: Are preferred language, including Welsh where relevant, sensory needs and communication methods respected so people can understand information and express choices?

Q5 | Unanswered

Everyday choice: Can people make meaningful choices about waking, dressing, meals, bathing, activities, visitors and bedtime, with routines adapted to their wishes?

Q6 | Unanswered

Consent before care: Do staff explain care, ask for consent before and during tasks, and respond appropriately when a person hesitates, refuses or withdraws consent?

Q7 | Unanswered

Decision-making support: Are people supported to make their own decisions, with decision-specific capacity assessments and best-interest processes used where required and participation maintained?

Q8 | Unanswered

Private personal care: During washing, dressing, continence support or clinical care, are doors, curtains and screens used effectively and unnecessary exposure or interruptions prevented?

Q9 | Unanswered

Carer preferences: Are preferences about the staff providing intimate care, including gender, familiarity, culture or trauma-related needs, explored and accommodated wherever practicable?

Q10 | Unanswered

Personal pace and comfort: Is care delivered at the person's pace, with attention to pain, discomfort, fatigue, distress and the need for reassurance or breaks?

Q11 | Unanswered

Toileting and continence: Are requests for toileting and continence support answered promptly and discreetly, with hygiene, comfort, choice and privacy maintained?

Q12 | Unanswered

Appearance and identity: Are people supported to choose their clothing, grooming, hair, personal possessions and presentation in ways that preserve identity and self-esteem?

Q13 | Unanswered

Culture and inclusion: Do staff respect culture, faith, beliefs, gender identity, sexuality and relationships, and respond to discriminatory or degrading behaviour promptly?

Q14 | Unanswered

Independence: Do staff encourage people to do what they can for themselves, offering appropriate support and equipment while respecting their wishes and avoiding unnecessary dependence?

Q15 | Unanswered

Private spaces: Can people use their bedroom and suitable private spaces for rest, conversations, visits or clinical discussions, with shared-room privacy managed appropriately?

Q16 | Unanswered

Entering rooms: Do staff and visitors knock, introduce themselves and seek permission before entering bedrooms or handling personal belongings, with any urgent exceptions explained and recorded appropriately?

Q17 | Unanswered

Relationships and intimacy: Are chosen friendships, partnerships and intimate relationships respected and supported with privacy, consent and proportionate safeguarding where needed?

Q18 | Unanswered

Confidential conversations: Are discussions about health, personal care, finances and family matters held discreetly, with information shared only with appropriate people?

Q19 | Unanswered

Records and screen privacy: Are paper records, screens, handover sheets and other personal information protected from being seen or accessed by people who are not authorised?

Q20 | Unanswered

Photographs and monitoring: Are photographs, recordings, family portals and monitoring arrangements managed with appropriate consent or other lawful authority, respect for privacy and ongoing review?

Q21 | Unanswered

Dignified meals: During meals, do staff offer discreet, unhurried assistance, respect preferences and avoid unnecessary exposure, public discussion of needs or undignified presentation?

Q22 | Unanswered

Nursing and complex needs: For people with nursing needs, dementia, disability or limited communication, is dignity protected through adapted explanation, reassurance, positioning and privacy during care and treatment?

Q23 | Unanswered

End-of-life dignity: Are comfort, appearance, privacy, cultural wishes and chosen family presence respected sensitively during end-of-life care and after death?

Q24 | Unanswered

Staff and visitor expectations: Do permanent, agency and new staff, volunteers and visiting professionals understand and demonstrate the home's expectations for dignity, privacy and respectful boundaries?

Q25 | Unanswered

Speaking up and protection: Can people raise concerns about disrespect, humiliation, privacy breaches or poor care safely, with support, advocacy and prompt safeguarding escalation where appropriate?

Q26 | Unanswered

Lived experience: Is feedback about dignity, privacy and respect actively sought from people, including those with communication difficulties, with observation and representative input used appropriately?

Q27 | Unanswered

Incidents and improvement: Are dignity and privacy concerns, complaints and incidents investigated, with learning shared and actions checked for improvement in people's experience?

Q28 | Unanswered

Leadership assurance: Do leaders and the Responsible Individual review dignity, privacy and respect through observation, feedback and quality-of-care reviews, with follow-up demonstrating sustained improvement?