Innovation and Continuous Improvement Audit - Care Homes

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  • Q1: Is there a culture of continuous improvement embedded in the care home’s values, leadership, and staff development?
  • Q2: Are improvement ideas regularly generated from staff, residents, families, and professionals?
  • Q3: Are changes to practice or service delivery based on evidence, learning, and best practice (e.g., NICE, SCIE)?
  • Q4: Are new initiatives piloted, evaluated, and adapted before full implementation across the home?
  • Q5: Are care delivery innovations focused on improving outcomes, safety, or experience for residents?
  • Q6: Are staff encouraged and supported to share new ideas or solutions to problems they encounter?
  • Q7: Are lessons learned from incidents, audits, complaints, or near misses used to drive changes?
  • Q8: Are quality improvement projects tracked and evaluated for effectiveness, impact, and sustainability?
  • Q9: Are reflective practice sessions or improvement huddles held regularly to build learning into daily care?
  • Q10: Are external sources of innovation (e.g., CQC reports, sector journals, webinars) used to inform service development?
  • Q11: Are residents and relatives involved in co-designing or reviewing improvement ideas?
  • Q12: Are innovations inclusive, accessible, and tailored to meet the diverse needs of the resident population?
  • Q13: Are digital tools or technologies trialled to improve care planning, safety, or communication?
  • Q14: Are there systems to measure whether innovation efforts have improved quality or resident satisfaction?
  • Q15: Are unsuccessful initiatives reviewed to identify learning without assigning blame?
  • Q16: Are staff roles or workflows reviewed regularly to identify efficiency or care delivery improvements?
  • Q17: Is training updated to reflect new approaches, regulations, or technologies introduced through improvement work?
  • Q18: Are there examples of how innovation has reduced risk, increased independence, or enhanced dignity for residents?
  • Q19: Are achievements and improvements celebrated across the team to reinforce a positive culture?
  • Q20: Is quality improvement leadership embedded in management roles and reflected in strategic planning?
  • Q21: Are KPIs, audits, and feedback used to prioritise which areas need improvement or redesign?
  • Q22: Are multi-disciplinary contributions encouraged when developing care innovations (e.g., involving physios, GPs, or OTs)?
  • Q23: Are innovations communicated clearly to all staff, with ongoing support and training for implementation?
  • Q24: Is the home proactive in seeking external partnerships or funding to support innovation (e.g., pilot programmes)?
  • Q25: Is continuous improvement activity monitored at governance level and included in inspection readiness?