End of Life and Palliative Care Audit - Care Homes

Q1 | Unanswered

Is there a policy in place for end of life and palliative care that aligns with national guidelines (e.g., NICE, Gold Standards Framework)?

Q2 | Unanswered

Are staff trained in end of life care, communication, and supporting residents and families through bereavement?

Q3 | Unanswered

Are residents’ wishes for end of life care discussed and documented in advance care plans?

Q4 | Unanswered

Are Do Not Attempt CPR (DNACPR) decisions clearly recorded and reviewed regularly?

Q5 | Unanswered

Are advance decisions or statements respected and included in the care plan?

Q6 | Unanswered

Are staff aware of residents’ preferred place of care and preferred place of death?

Q7 | Unanswered

Is spiritual, cultural, or religious support provided in line with the resident’s preferences at the end of life?

Q8 | Unanswered

Is anticipatory medication available and administered in line with professional guidance and protocols?

Q9 | Unanswered

Are palliative medications stored, monitored, and documented securely and correctly?

Q10 | Unanswered

Are pain and symptom management needs reviewed regularly by trained staff or external professionals?

Q11 | Unanswered

Are multidisciplinary professionals involved in end of life planning (e.g., GPs, district nurses, hospices)?

Q12 | Unanswered

Are residents and their families involved in decision-making, and are changes clearly communicated?

Q13 | Unanswered

Are individual care plans updated promptly following changes in a resident’s condition or prognosis?

Q14 | Unanswered

Are residents supported to maintain dignity and comfort throughout the final stages of life?

Q15 | Unanswered

Are staff supported emotionally and practically during and after the death of a resident?

Q16 | Unanswered

Is bereavement support offered to families and carers before and after a resident’s death?

Q17 | Unanswered

Are after-death procedures respectful, timely, and carried out in line with policy and family wishes?

Q18 | Unanswered

Are incidents or concerns about end of life care reviewed and used to improve practice?

Q19 | Unanswered

Is feedback from families on end of life care collected and used to develop the service?

Q20 | Unanswered

Are residents with complex conditions referred appropriately to palliative care specialists?

Q21 | Unanswered

Are staff trained in recognising and responding to signs of deterioration or terminal decline?

Q22 | Unanswered

Are visual or sensory impairments considered in the delivery of compassionate end of life care?

Q23 | Unanswered

Are nutrition, hydration, and comfort support addressed in the last days of life with sensitivity?

Q24 | Unanswered

Are any concerns around capacity or best interest decisions properly assessed and documented?

Q25 | Unanswered

Is the effectiveness of end of life care reviewed in governance meetings and quality reports?

Q26 | Unanswered

Are care environments adapted to ensure privacy, quiet, and comfort for the dying resident?

Q27 | Unanswered

Are residents’ choices around personal appearance, rituals, or final arrangements respected?

Q28 | Unanswered

Is there a consistent, respectful approach to informing other residents about a peer's passing?

Q29 | Unanswered

Are end of life care champions or leads designated to guide and support good practice?

Q30 | Unanswered

Are any delays in receiving palliative input or equipment escalated appropriately and recorded?