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SL07-Person-Centred Care Policy

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Person-Centred Care Planning Policy

1. Purpose

The purpose of this policy is to ensure that all individuals receiving supported living services are provided with care and support that is tailored to their specific needs, preferences, and aspirations. {{org_field_name}} is committed to delivering high-quality, person-centred care that aligns with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, particularly Regulation 9 – Person-Centred Care, and the Care Act 2014. We achieve this by fostering a culture of respect, dignity, and collaboration, ensuring that each service user is actively involved in their care planning and decision-making process.

{{org_field_name}} is registered with the Care Quality Commission to carry out the regulated activity of {{org_field_regulated_activity}} for {{org_field_service_users_bands}} in supported living settings.

2. Scope

This policy applies to all staff, including support workers, managers, and other personnel involved in the assessment, planning, delivery, and review of care for tenants within our supported living service. {{org_field_name}} ensures that all team members are fully trained and equipped to deliver care that respects individual needs and promotes independence and well-being.

3. Principles of Person-Centred Care

{{org_field_name}} places the person using the service at the centre of the assessment, planning, delivery and review of their care and support.

Care and support must:

The person using the service will be involved in decisions about their care and support as much as they wish and are able to be.

Family members, friends, advocates and other representatives will be involved where:

A relative or person described as “next of kin” does not automatically have legal authority to make decisions on behalf of an adult.

Where a person lacks capacity to make a particular decision, {{org_field_name}} will act in accordance with the Mental Capacity Act 2005. Capacity will be considered in relation to the specific decision at the time it needs to be made, and any decision made on behalf of a person who lacks capacity must be made in their best interests and using the least restrictive available option.

Staff will actively listen to people, recognise their strengths and support them to retain or develop their independence wherever possible.

4. Person-Centred Care Planning Process

4.1 Assessment of Needs

Before {{org_field_name}} begins providing Personal Care, an assessment of the person’s needs, preferences, abilities, risks and desired outcomes will be completed.

The assessment will be carried out collaboratively with:

The person will be supported to participate as fully as possible in their assessment. Information will be provided in a way they can understand, and reasonable adjustments will be made where required.

Where appropriate and lawful, the assessment may also include information from:

The assessment will be completed by a person with the appropriate knowledge, skills and competence for the assessment being undertaken.

The assessment will consider, where relevant:

The assessment will distinguish between what the person can do independently, what they can do with support and what staff need to do on their behalf.

The person’s own views, preferences and desired outcomes must be clearly recorded and must not be replaced solely by the views of professionals or family members.

Where there is reason to doubt the person’s capacity to make a particular decision, capacity will be assessed in accordance with the Mental Capacity Act 2005.

Relevant nationally recognised evidence-based guidance will be considered where applicable when assessing and planning the person’s care.

The outcome of the assessment will form the basis of the person’s individual care and support plan.

4.2 Development of Care Plans

Following assessment, an individual care and support plan will be developed collaboratively with the person using the service or, where appropriate, a person lawfully acting on their behalf.

Family members, friends, advocates and other representatives will be involved where the person wishes them to be involved or where there is another lawful basis for their involvement.

Relevant health and social care professionals will be involved where their input is required to ensure that the plan is safe, appropriate and consistent with the person’s assessed needs.

The care and support plan will clearly record, where applicable:

The plan must clearly distinguish between:

The person will be provided with information about their care and support in a format that they can understand. Reasonable adjustments, accessible formats, communication aids, interpretation or advocacy will be arranged where required.

The person will be given opportunities to discuss the available options and, where relevant, the risks and benefits associated with different approaches to their care and support.

The completed plan will be made available to staff who need the information to provide care safely and consistently, subject to appropriate confidentiality and information-governance requirements.

Staff must familiarise themselves with the current care and support plan before providing care and must follow the agreed plan unless an immediate change is required to protect the person from harm or respond appropriately to a change in circumstances.

4.3 Implementation of Care Plans

Our care staff are trained to follow support plans precisely while remaining flexible to accommodate any immediate needs or changes in the service user’s condition. We encourage tenants to take an active role in their daily care by promoting self-care and independence where possible. Care workers are trained to observe and record any concerns or changes in health and well-being, ensuring that appropriate action is taken swiftly.

4.4 Monitoring and Review

Care and support plans will be monitored continuously through day-to-day care delivery and formally reviewed at agreed intervals.

A formal review will take place at least annually, and sooner whenever circumstances indicate that the existing plan may no longer accurately reflect the person’s needs, preferences, risks or desired outcomes.

An earlier review will be undertaken where relevant following:

The person using the service will be actively involved in each formal review to the maximum extent possible.

Where appropriate, the review may also involve:

The review will consider:

All agreed changes will be recorded promptly.

Staff involved in providing care will be informed of relevant changes before the revised arrangements are implemented wherever practicable.

The updated plan will include the date of the review and the next agreed review date.

5.  Consent and Decision-Making

{{org_field_name}} will ensure that care and treatment is provided in accordance with Regulation 11 – Need for consent and the Mental Capacity Act 2005.

Consent will be obtained from the relevant person before care or treatment is provided where consent is required.

Consent must be:

Information about proposed care and support will be provided in a manner the person can understand. This will include, where relevant:

Reasonable adjustments will be made to support communication and decision-making. This may include:

Consent may be expressed verbally, in writing or through appropriate non-verbal communication or behaviour where the person’s intention is clear.

Consent is an ongoing process and will not be treated as a one-off event. Staff will continue to seek and confirm consent throughout care delivery as appropriate.

A person with capacity has the right to:

Where consent is refused or withdrawn, staff will respect the decision and record it appropriately. Any resulting risks or concerns will be discussed with the person and escalated where necessary.

A person will be presumed to have capacity unless it is established otherwise.

Where there is reason to doubt a person’s capacity to make a particular decision, capacity will be assessed in accordance with the Mental Capacity Act 2005. Capacity assessments will be:

A person will not be treated as lacking capacity merely because they make a decision that others consider unwise.

Where the person lacks capacity to make the relevant decision, any decision made on their behalf will be made in accordance with the Mental Capacity Act 2005, including the requirement to act in their best interests and use the least restrictive option.

Family members or next of kin do not automatically have authority to consent to care or make decisions on behalf of an adult.

Where another person is said to have legal decision-making authority, {{org_field_name}} will verify the nature and scope of that authority. This may include:

Advocacy will be considered where the person requires additional support to understand, communicate or participate in decisions, including statutory advocacy where the relevant legal criteria are met.

All significant consent, refusal, capacity and best-interest decisions will be appropriately recorded in the person’s care records.

6. Safeguarding and Risk Management

The safety of our tenants is our top priority. Each care plan includes a detailed risk assessment to identify potential hazards and outline mitigation strategies. Our care staff are trained to identify and report safeguarding concerns promptly, ensuring that appropriate interventions are taken to protect vulnerable individuals. We also promote a culture of open communication where tenants feel safe to voice concerns and discuss their care without fear of judgment or repercussions.

7. Staff Training and Competence

We ensure that all staff receive comprehensive training on person-centred care principles, effective communication, and best practices in care planning. Regular training sessions and workshops are conducted to update staff on regulatory changes and reinforce our commitment to high-quality care. {{org_field_name}} also provides opportunities for continuous professional development to enhance staff competence and confidence in delivering personalised care.

8. Record Keeping, Confidentiality and Information Governance

{{org_field_name}} will maintain accurate, complete, contemporaneous and secure records relating to each person using the service.

Records associated with person-centred care planning will include, where relevant:

Records will be completed promptly and must clearly identify:

Records must not be falsified, retrospectively altered without an appropriate audit trail, or written in a misleading manner.

Personal information will be handled in accordance with the UK General Data Protection Regulation, the Data Protection Act 2018 and applicable confidentiality requirements.

Access to care records will be restricted to authorised persons who require access for a legitimate and lawful purpose.

Information will only be shared where there is an appropriate lawful basis and the sharing is necessary and proportionate.

Where information is shared with relatives, friends, advocates or other representatives, staff will consider:

People using the service have data-protection rights in relation to their personal information, including the right of access subject to applicable legal provisions.

Where a person considers personal information to be inaccurate or incomplete, they may request rectification in accordance with applicable data-protection legislation.

Accurate historical care records will not normally be deleted or rewritten simply because a person disagrees with an entry. Where appropriate, corrections, supplementary information or the person’s disagreement may be recorded while preserving an appropriate audit trail.

Care records will be stored securely, retained for the applicable retention period and disposed of securely when retention is no longer required.

9. Complaints and Feedback

We value feedback from tenants, their families, and staff as a crucial component of service improvement. A clear and accessible complaints procedure is in place to address any concerns or grievances. All complaints are taken seriously, investigated thoroughly, and resolved in a timely and transparent manner. We also actively seek feedback through surveys, meetings, and regular communication to ensure continuous improvement in our care planning and service delivery.

10. Governance, Audit and Compliance

{{org_field_name}} will maintain effective governance systems to monitor compliance with this policy and the quality of person-centred care planning.

The Registered Manager has day-to-day responsibility for ensuring that care-planning systems are effectively implemented and monitored.

Quality assurance activity will include appropriate audits of:

Audits will consider whether:

Where a shortfall is identified:

{{org_field_name}} will actively seek feedback concerning person-centred care planning from:

Feedback will be recorded, reviewed and used to identify improvements.

Themes arising from:

will be analysed as part of governance arrangements.

The Registered Manager will ensure that identified improvements are implemented without unnecessary delay and monitored to completion.

Governance arrangements themselves will be periodically reviewed to ensure that they remain effective and capable of identifying risks, quality concerns and opportunities for improvement.

11. Legal and Regulatory References

This policy is informed by and should be read in accordance with the following legislation and regulatory guidance:

Care Quality Commission – Regulation 9: Person-centred care
https://www.cqc.org.uk/guidance-regulation/providers/regulations-service-providers-and-managers/health-social-care-act/regulation-9

Care Quality Commission – Regulation 11: Need for consent
https://www.cqc.org.uk/guidance-regulation/providers/regulations-service-providers-and-managers/health-social-care-act/regulation-11

Care Quality Commission – Regulation 17: Good governance
https://www.cqc.org.uk/guidance-providers/regulations/regulation-17-good-governance

Department of Health and Social Care – Care and Support Statutory Guidance
https://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-statutory-guidance

Office of the Public Guardian – Mental Capacity Act 2005 Code of Practice
https://www.gov.uk/government/publications/mental-capacity-act-code-of-practice

12. Policy Review

This policy will be reviewed at least annually and sooner where necessary following:

The Registered Manager is responsible for ensuring that the policy remains current, relevant to the regulated activity and consistent with related organisational policies.

Changes to this policy will be communicated to relevant staff. Where amendments affect staff practice, appropriate briefing, training or competency assessment will be provided.

Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.

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