Partnership and Multi-Agency Working Audit - Care Homes

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  • Is there a partnership working policy or framework in place that outlines expectations for multi-agency collaboration?
  • Are care home staff clear on the roles and responsibilities of external professionals (e.g., GPs, social workers, therapists)?
  • Are contact details and communication preferences for key external partners kept up to date and easily accessible?
  • Are external professionals regularly involved in care planning and reviews for residents with complex needs?
  • Are multidisciplinary team (MDT) meetings held regularly and documented with clear actions?
  • Are joint working protocols agreed for safeguarding, discharge planning, and crisis escalation?
  • Are health professionals (e.g., district nurses, SALT, podiatry) contacted appropriately and involved promptly when required?
  • Is consent obtained and recorded before sharing information with external partners, unless under safeguarding exceptions?
  • Are hospital discharge plans shared in full and reviewed to ensure continuity of care and medication safety?
  • Are partnerships with pharmacies reviewed regularly to ensure timely medication supply and clear communication?
  • Are any communication breakdowns with external professionals logged and followed up constructively?
  • Are relatives and legal representatives included in key discussions with external agencies when appropriate?
  • Are decisions made by professionals (e.g., DNACPR, capacity assessments) clearly recorded and shared with care staff?
  • Are residents supported to attend external appointments and follow-ups in a dignified and timely manner?
  • Is the home part of local health and care forums, safeguarding boards, or integrated care networks where appropriate?
  • Are quality assurance visits or joint audits with commissioners or NHS partners welcomed and used for improvement?
  • Are social workers or commissioners involved in reassessments or funding reviews as care needs change?
  • Are partnership outcomes and barriers reviewed at governance level and used to improve systems?
  • Are external agencies informed when a resident experiences a significant change in condition or incident?
  • Are best interest meetings involving external stakeholders carried out for decisions affecting residents who lack capacity?
  • Are care home staff trained to advocate for residents and escalate when professional responses are delayed or absent?
  • Are local mental health, dementia, or end-of-life services actively engaged in care for relevant residents?
  • Are safeguarding procedures aligned with the local authority’s multi-agency protocols and guidance?
  • Is information from professionals (e.g., assessment reports, prescriptions) accurately transcribed into care records?
  • Are joint working successes or improvements shared internally to boost team confidence and integration culture?