Well-being and Personal Outcomes Audit - Care Homes

Q1 | Unanswered

Well-being framework: Does the service have a clear, current approach to promoting well-being and personal outcomes that reflects the Social Services and Well-being (Wales) Act, CIW's inspection framework and the statement of purpose?

Q2 | Unanswered

Leadership: Do leaders use feedback, observation, personal-plan reviews and quality information to understand whether people experience improved well-being and achieve the outcomes that matter to them?

Q3 | Unanswered

Knowing the person: Before and throughout support, are each person's history, strengths, identity, communication, culture, relationships, interests, routines and aspirations understood well enough to shape their personal outcomes?

Q4 | Unanswered

Personal outcomes: Are outcomes in personal plans meaningful, individual, written in the person's own voice where possible and focused on what matters to them rather than solely on tasks or service routines?

Q5 | Unanswered

Participation: Are people supported to identify, agree, review and change their own outcomes, with accessible information, advocacy, communication support and sufficient time where needed?

Q6 | Unanswered

Choice and control: Do people exercise genuine day-to-day choice and control over their routines, care, food, clothing, visitors, activities, sleep, personal space and use of time?

Q7 | Unanswered

Independence: Are people enabled to maintain, regain or develop skills and independence through encouragement, adapted equipment, accessible environments and proportionate support rather than having tasks done unnecessarily?

Q8 | Unanswered

Positive risk-taking: Are risks to independence, relationships, activities and community life assessed with the person and managed proportionately so that safety does not unnecessarily limit rights or opportunity?

Q9 | Unanswered

Dignity and respect: Do observations and feedback show that people are treated with kindness, privacy, respect and patience, and that their personal identity and preferences are upheld?

Q10 | Unanswered

Relationships: Are people supported to maintain and develop relationships with family, friends, partners, peers, advocates and communities that are important to them?

Q11 | Unanswered

Community involvement: Do people have meaningful opportunities to access and contribute to community life, including local places, education, volunteering, faith, culture, events and services where this is wanted?

Q12 | Unanswered

Meaningful occupation: Are activities, everyday roles and one-to-one opportunities based on individual interests, strengths and goals, including for people who do not wish or are unable to join group activities?

Q13 | Unanswered

Emotional well-being: Are signs of loneliness, low mood, anxiety, withdrawal, distress or loss of interest identified early and responded to with personalised support, professional input or environmental changes where appropriate?

Q14 | Unanswered

Physical well-being: Are people supported to maintain health, mobility, nutrition, hydration, sleep, comfort and access to healthcare in ways that connect to their own goals and quality of life?

Q15 | Unanswered

Communication and language: Are communication needs, preferred language including Welsh where relevant, sensory needs and accessible formats actively used so each person can understand, express themselves and take part?

Q16 | Unanswered

Culture, faith and identity: Are people supported to live in accordance with their culture, religion or belief, language, gender identity, sexuality and other aspects of identity without discrimination or avoidable barriers?

Q17 | Unanswered

Personal environment: Are bedrooms and shared spaces personalised, comfortable, accessible and used in ways that support privacy, belonging, orientation, social connection and chosen activities?

Q18 | Unanswered

Consent and rights: Are people supported to make their own decisions wherever possible, and are consent, capacity, advocacy and best-interest processes applied in a way that protects rights and involvement?

Q19 | Unanswered

Family and representative involvement: Where the person wants this or it is appropriate, are families, representatives and advocates involved in understanding personal outcomes and supporting their achievement while the person's wishes remain central?

Q20 | Unanswered

Daily practice: Do staff know what matters to each person and use personal-plan information consistently in everyday interactions, support and handovers?

Q21 | Unanswered

Reviewing progress: Are personal outcomes reviewed at meaningful intervals and after changes in need or circumstance, with evidence of what has progressed, what has not worked and what will change next?

Q22 | Unanswered

Evidence of impact: Does the service gather evidence from the person, observation, records and feedback to show whether support is improving quality of life, independence, relationships, confidence or emotional well-being?

Q23 | Unanswered

Barriers and escalation: Are barriers to achieving outcomes, such as staffing, transport, health changes, inaccessible information, equipment delays or external-service delays, identified, escalated and followed through?

Q24 | Unanswered

Staff capability: Do staff have suitable induction, training, supervision and reflective support to deliver strengths-based, rights-based and outcome-focused care in practice?

Q25 | Unanswered

Feedback and concerns: Are people regularly asked in ways they can use about their quality of life, relationships, choice, activities and care experience, and are concerns used to make improvements?

Q26 | Unanswered

Equity and inclusion: Does the service check whether any people or groups experience poorer access, less choice, isolation, reduced participation or poorer outcomes, and take action to address this?

Q27 | Unanswered

Governance and learning: Are well-being and personal-outcome findings analysed through the quality-of-care review, with actions, owners, timescales and checks that improvement is sustained?

Q28 | Unanswered

Lived experience: Can people, representatives and staff describe concrete examples of how the service has helped people achieve outcomes that matter to them, beyond completion of care-plan paperwork?