Innovation and Improvement Audit - Domiciliary Care

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  • Is there a culture that encourages innovation and continuous improvement across all staff levels?
  • Are staff regularly asked for ideas to improve care quality, efficiency, or user experience?
  • Is there a clear process to evaluate and implement suggestions from staff or service users?
  • Are innovative practices or pilot projects tracked for effectiveness and impact?
  • Is service user feedback used proactively to co-design or improve services?
  • Are new technologies or digital tools trialled to enhance care planning, communication, or safety?
  • Is there a register or log of service improvements, pilots, or change initiatives?
  • Are changes to policy or practice based on evidence, research, or best practice standards?
  • Are lessons learned from incidents or complaints translated into clear service improvements?
  • Are service users involved in shaping or reviewing improvements and new ideas?
  • Are staff empowered to lead small projects or tests of change in their areas?
  • Are the impacts of changes measured (e.g., improved outcomes, reduced risk, user satisfaction)?
  • Is a quality improvement plan (QIP) actively maintained and updated with progress tracking?
  • Are examples of innovation shared across teams and celebrated as good practice?
  • Are external best practices or sector innovations regularly reviewed and considered for adoption?
  • Are partnerships developed with local health, care, or voluntary sector bodies to innovate collaboratively?
  • Do audits or data analysis directly inform service development or corrective actions?
  • Are quality improvement outcomes discussed in team meetings and governance forums?
  • Are staff trained in quality improvement methods (e.g., PDSA cycles, root cause analysis)?
  • Is there a non-punitive culture around mistakes that encourages learning and innovation?
  • Are inspection or peer review findings used as springboards for strategic change?
  • Are service changes inclusive and accessible, considering diverse needs and digital literacy?
  • Is innovation visible in day-to-day care, such as personalised activity planning or assistive technology?
  • Are barriers to improvement (e.g., time, systems, training) identified and addressed by leadership?
  • Are managers supported to lead and evaluate improvement activities as part of their role?
  • Is there funding or resourcing allocated to support innovation or pilot schemes?
  • Are you able to demonstrate how improvements have directly enhanced care or staff experience?
  • Are changes documented clearly and embedded into updated policies and procedures?
  • Is continuous improvement a standing item in governance, team meetings, and appraisals?
  • Are national initiatives (e.g., NHS innovation programmes, CQC pilot tools) considered and trialled where applicable?