CH149-Stroke Awareness, Prevention, and Care Policy
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Registration Number: {{org_field_registration_no}}
Stroke Awareness, Prevention, and Care Policy
1. Purpose
This policy ensures that all staff at {{org_field_name}} understand the importance of stroke awareness, are equipped to identify signs of a stroke, respond promptly and appropriately, and support individuals with stroke-related conditions. It sets out clear protocols for early identification, timely emergency response, prevention strategies, rehabilitation, and the delivery of person-centred post-stroke care. The policy supports compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, particularly Regulation 9 (Person-centred care), Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding), and Regulation 17 (Good governance). It also aligns with the principles of the Care Act 2014, especially in promoting independence, well-being, and dignity.
2. Scope
This policy applies to all care and support staff, managers, health professionals, and visiting practitioners working under or in partnership with {{org_field_name}}. It includes staff involved in care planning, direct care delivery, risk assessments, and emergency response. It applies to both existing people we support living with the effects of stroke and individuals at increased risk due to medical history, lifestyle, or age. This policy ensures that stroke care is proactive, coordinated, and tailored to individual needs and preferences.
3. Related Policies
This policy must be read alongside:
- CH07 – Person-Centred Care Policy
- CH08 – Dignity and Respect Policy
- CH11 – Safe Care and Treatment Policy
- CH12 – Meeting Nutritional and Hydration Needs Policy
- CH13 – Safeguarding Adults from Abuse and Improper Treatment Policy
- CH18 – Risk Management and Assessment Policy
- CH27 – Staff Supervision, Training and Development Policy
- CH34 – Confidentiality and Data Protection (GDPR)-Service User Policy
- CH36 – Initial Assessment and Care Planning Policy
- CH38 – End of Life and Palliative Care Policy
4. Policy Details
4.1 Stroke Awareness and Staff Training
All staff must be trained in recognising the early warning signs of stroke using the FAST (Face, Arms, Speech, Time) approach. Training includes understanding different types of strokes (ischemic, haemorrhagic, and transient ischaemic attacks – TIAs) and their common symptoms. Staff receive refresher training annually and new staff receive this as part of their induction. Ongoing education includes how strokes affect cognition, mobility, speech, mood, and independence, and how to adjust support accordingly. Knowledge is assessed through competency checks and scenario-based reviews during supervisions.
4.2 Emergency Response Protocol
In the event of suspected stroke, staff must immediately call 999 and inform the paramedics using FAST information and observed symptoms. Emergency contact details for the individual are retrieved, and family or next of kin are notified where appropriate. A senior on duty informs the Registered Manager {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}} without delay. The person’s care plan is reviewed post-event and updated to reflect any new health needs or support interventions. Staff document the incident clearly, including time of onset, actions taken, and professional advice received.
4.3 Risk Assessment and Prevention Strategies
At the point of assessment and during routine reviews, staff assess each person’s stroke risk using clinical history, lifestyle factors, mobility levels, and medication. People with conditions such as hypertension, diabetes, atrial fibrillation, or obesity are flagged for preventative measures. These include regular blood pressure monitoring, medication support, healthy diet planning, hydration encouragement, smoking cessation assistance, and support with mobility and gentle exercise. These interventions are reviewed regularly and documented in the individual’s care plan.
4.4 Person-Centred Post-Stroke Care and Rehabilitation
Care plans for individuals who have experienced a stroke are developed with input from the person, their family, and healthcare professionals. Plans are tailored to the individual’s physical, emotional, and communication needs and include achievable goals to promote recovery and independence. Care may include:
- Support with mobility using aids or equipment
- Speech and language therapy exercises
- Assistance with daily living activities (eating, dressing, hygiene)
- Emotional and psychological support for anxiety, depression, or frustration
- Encouraging social engagement to reduce isolation Staff receive instructions specific to the person’s capabilities and preferred communication methods, ensuring care is respectful, dignified, and empowering in line with Regulation 10 (Dignity and Respect).
4.5 Communication and Collaboration with Health Professionals
We work closely with NHS stroke rehabilitation teams, occupational therapists, physiotherapists, dietitians, and GPs. External professionals are invited to contribute to care reviews and rehabilitation planning. Recommendations are implemented and progress is tracked through regular care reviews. Any concerns or deterioration are escalated promptly. Information sharing is done securely and in compliance with CH34 – Confidentiality and Data Protection (GDPR).
4.6 Supporting Family Involvement and Advocacy
We actively involve family members, legal representatives, and advocates in care planning and reviews. Families are informed of stroke risks and how to support their loved one in a meaningful and safe way. We provide emotional support and education about post-stroke recovery. Where the person lacks capacity, decisions are made in their best interests in accordance with the Mental Capacity Act 2005 and recorded accordingly.
4.7 Equipment and Environmental Adaptations
Where necessary, the environment is adapted to support post-stroke mobility and safety. This may include grab rails, anti-slip mats, seating support, adapted utensils, and bed or bathroom aids. Any assistive technology is introduced with full risk assessment, consent, and staff training. Equipment is maintained and checked in accordance with Regulation 15 (Premises and Equipment) and our health and safety protocols.
4.8 Monitoring and Quality Assurance
Care plans, risk assessments, and health monitoring records for individuals affected by or at risk of stroke are reviewed monthly or more frequently if their needs change. Audits are carried out to ensure compliance with this policy and outcomes for people supported are tracked. Complaints, incidents, or concerns related to stroke care are investigated thoroughly and used to inform training and quality improvement. This process is managed under the oversight of the Registered Manager and reported to the Nominated Individual {{org_field_nominated_individual_first_name}} {{org_field_nominated_individual_last_name}}.
5. Policy Review
This policy is reviewed annually, or sooner in response to changes in legislation, CQC guidance, or evidence from audits, incidents, or clinical practice developments.
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.