The examples below provide insight into how other Good or Outstanding rated services are succeeding in this area of inspection.
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Putting people at the heart of assessments
People were placed at the centre of a thorough, person-centred assessment process that began before they moved into the service. The registered manager usually visited people in their own homes, encouraging family members to be involved where appropriate, to gain a detailed understanding of the person's life history, preferences, routines, interests and expectations of residential care. Families described being actively involved in these assessments, helping to ensure all aspects of the person's needs were understood. An initial care plan was then developed and shared with the person and their family, providing an opportunity to ask questions and suggest changes. This collaborative approach ensured care plans accurately reflected each person's wishes, needs and preferences from the outset.
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Care provider: Brook House Care 国产乱伦
Date published: July 2026
Recognising and responding to changing needs
Staff knew people well and understood how they presented when they were well, enabling them to quickly recognise subtle changes that might indicate a need for reassessment. They confidently described the signs they looked for and immediately alerted managers when a person's needs changed. We saw evidence of one person's changing needs being acted on promptly, with appropriate equipment sourced without delay to help them maintain their independence and regain important daily living skills. The person was visibly pleased to continue doing things for themselves as a result. One family member also described how staff worked diligently from the outset to build trust and support a smooth transition into the service, laying the foundation for personalised, responsive care.
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Care provider: Burlington Hall Care 国产乱伦
Date published: July 2026
Thorough assessments with communication support
The service always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. The provider carried out an assessment of people’s dementia needs, the staff received additional support in the form of communication coaching which had a positive impact of meeting people’s needs.
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Care provider: Pytchley Court Nursing 国产乱伦
Date published: October 2024
Comprehensive personalised assessment matching
The service always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.
Everyone who wished to use the service had their needs thoroughly assessed before their care began. Assessments were very comprehensive and included information about people’s needs, likes, dislikes and what made them comfortable. One relative told us, “We were totally and fully involved in the assessment and then we made up a care plan all together. What they like what makes them feel comfortable.”
The assessments included people’s lifestyle choices and hobbies to enable the provider to match staff to the person. Relatives commented how well-matched staff were to their loved ones. One relative said, “After the assessment they suggested the match. It worked; they are just so comfortable together.”
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Care provider: Kulera Care
Date published: October 2024
Collaborative personalised care planning
People and their relatives had been involved in their assessments and regular reviews of their needs. A person told us, “I go out a lot and its written down in my plan, staff take me. I can look at my plan.” Another said, “I have helped write my care plan so I know what is in it and when it needs to be changed.”
Staff said they could easily read about people’s needs and choices as care plans were clear, accessible and up to date. A staff member said, “We have had a lot of training and discussion on making sure we write people’s daily records in a good and clear way. Also, we say how they feel and what choices they made.” We noted a good staff ratio, ensuring that they could adequately meet the needs of the people living at the service.
There was a system in place to ensure assessments looked at people’s needs and wishes. People's care plans were personalised, holistic and based on their strengths and aspirations. People’s care plans included an assessment of need, as well as risk assessments which included using equipment, going into the community, mobility, pressure care and eating and drinking. The manager explained how they assessed the needs of people, for example visiting a person in hospital to discuss if Ashview was suitable for them but also considered the needs and welfare of those already living at the service.
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Care provider: Ashview
Date published: September 2024
Exceptional personalised transition support
The way in which people's need were assessed was exceptional and fully supported people to start living at the service in a positive way. Some people had recently started living at the service and the registered manager told us how they had assessed people’s needs. Assessments focused primarily on people’s individual preferences and support needs and how to maximise their involvement in the assessment process.
Staff went out of their way to visit people multiple times in places they currently lived to get to know them and how they liked to be supported. This filtered in to detailed care plans and risk assessments which gave full detail about how best to support people. People living at the service had lived in other services for a long period of time and found transition difficult. However, thanks to the approach of the staff and management team people had settled into the service remarkably well and were happy and comfortable.
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Care provider: The Limes
Date published: August 2024
How comprehensive assessment of needs can make a huge difference to the person's quality of life
Staff completed a comprehensive assessment of people's needs before they started to provide care and support. This assessment included the views and experiences of the person, their family and professionals who knew them well.
These holistic assessments reflected a philosophy of support that placed the person fully at the centre and respects their history, family culture and traditions. For one person with very complex support needs this philosophy had been made explicit in a written document that underpinned all their care and support.
The CQC were told by staff, professionals and relatives this enhanced and innovative approach had underpinned support that had made a huge difference to the person's quality of life resulting in markedly less distress and increased participation in their community and activities that brought them pleasure.
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Care provider: Dimensions Dorset West
Date published: January 2023
Emulating how that person lives to find the best fit
Preadmission assessments are very thorough. The service uses the opportunity to emulate how that person lives to when they come into the home and see if they are the right fit. They then complete a six-week review with people and their families. The services use the feedback to enhance their lives through improvement.
One person took more time to settled in and as staff got to know that person better, they realised it was do with the person's room. As a result, with consultation with the person and their family, the person moved rooms. The familiarity of the room made it easier for the person to settle in.
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Care provider: The Royal Star & Garter 国产乱伦 - High Wycombe
Date published: January 2023
Building a picture of the person
One autistic person with complex needs had been told by their landlord they needed to find a new home. The provider facilitated a full assessment of the person's needs, including their complex sensory needs.
Staff worked with other professionals to build a picture of the person and realised they were far more complex than anyone appreciated. Because this assessment work had not been done before this led to both a greater and a new understanding of the autistic person's needs.
This enabled the person to receive a correct diagnosis and be supported to find the correct placement.
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Care provider: Avenues South East
Date published: November 2022
Using a broad range of processes to assess need
People, and where appropriate families, were involved in pre-admission assessments to establish their care and support needs.
When people had specific clinical needs specialist health professionals had been involved in assessments. This included specialist nurses working in the community palliative care team and physiotherapists.
Assessments were completed using nationally recognised assessment tools that reflected best practice and met legal requirements. The assessments also included any specialist equipment needed such as pressure relieving mattresses and moving and handling equipment.
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Care provider: Burwood Nursing 国产乱伦
Date published: September 2022