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{{org_field_name}}

Registration Number: {{org_field_registration_no}}

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Developing and Managing Care Plans Policy

1. Purpose and Scope

The purpose of this policy is to outline how {{org_field_name}} develops, implements, and manages individualised care plans for service users. Care plans are essential tools for delivering safe, effective, and person-centred care, ensuring that each individual’s unique needs, preferences, and goals are met. This policy ensures that care plans are developed in collaboration with service users, their families, and other relevant stakeholders.

This policy applies to all staff involved in the assessment, development, delivery, and review of care plans. It covers all aspects of care planning, including initial assessments, risk assessments, monitoring, and regular reviews to maintain high-quality care.

2. Policy Statement

{{org_field_name}} is committed to:

• Developing person-centred care plans tailored to each individual’s needs.
• Promoting choice, dignity, and independence.
• Ensuring that care plans are flexible, regularly reviewed, and updated as needs change.
• Engaging service users, families, and healthcare professionals in collaborative care planning.
• Maintaining accurate documentation for accountability and quality assurance.

We believe that comprehensive care planning enhances the quality of life for service users while promoting safety and well-being.

3. Legal and Regulatory Framework

This policy aligns with the following legislation and guidelines:

• Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
• Care Act 2014
• Mental Capacity Act 2005
• Data Protection Act 2018 (GDPR)
• NICE Guidelines for Care Planning and Support
• CQC Fundamental Standards

4. Principles of Care Planning

The following principles guide our approach to care planning:

1. Person-Centred: Each care plan reflects the individual’s needs, preferences, values, and goals.
2. Collaborative: Care plans are developed in partnership with the service user, family, and healthcare professionals.
3. Flexible and Dynamic: Plans are regularly reviewed and adjusted based on changing needs.
4. Outcome-Focused: Goals and desired outcomes are clearly defined and monitored.
5. Risk-Aware: Risk assessments inform safe care delivery without compromising choice.

5. Care Plan Development Process

5.1 Initial Assessment: The care planning process begins with a comprehensive initial assessment, including:

• Health conditions, disabilities, and medical history.
• Personal preferences, lifestyle, and cultural considerations.
• Communication needs and sensory impairments.
• Emotional, psychological, and social well-being.
• Mobility, nutrition, and personal care requirements.

5.2 Risk Assessment: A detailed risk assessment identifies potential hazards and safeguards, covering:

• Falls, medication management, and mobility support.
• Home environment and emergency procedures.
• Safeguarding concerns and abuse prevention.

5.3 Person-Centred Planning: Following assessment, a detailed care plan is developed, including:

• Daily routines and preferred methods of care.
• Medication management, including PRN (as-needed) medications.
• Nutritional needs, including dietary preferences and restrictions.
• Personal care, hygiene, and continence support.
• Emotional and social well-being activities.
• Communication strategies and advocacy needs.

6. Care Plan Implementation

Once developed, the care plan is shared with the service user and care team. Key steps include:

• Staff Briefing: Care workers receive comprehensive training on the care plan.
• Documentation: Care plans are stored securely and accessible to authorised staff.
• Service User Involvement: Service users and families are encouraged to provide feedback.
• Monitoring: Care delivery is monitored to ensure adherence to the care plan.

7. Communication and Collaboration

Effective communication ensures the successful implementation of care plans:

• Regular meetings with service users and families.
• Collaboration with healthcare professionals, including GPs and community nurses.
• Clear documentation of care activities and any concerns.

8. Reviewing and Updating Care Plans

Care plans are reviewed regularly to ensure they remain relevant and effective:

• Monthly Reviews: Care staff conduct monthly reviews of care delivery and outcomes.
• Formal Reviews: Comprehensive reviews are conducted every six months or sooner if needs change.
• Feedback: Service users, families, and staff provide input during reviews.
• Amendments: Care plans are updated immediately following changes in condition or preferences.

9. Risk Management and Safeguarding

Risk assessments are integral to care planning, ensuring safe and effective support:

• Identifying risks to health, safety, and well-being.
• Implementing mitigation strategies while respecting individual choice.
• Regularly reviewing risk assessments and updating care plans accordingly.

10. Staff Training and Competency

All staff involved in care planning receive comprehensive training, including:

• Person-centred care principles.
• Risk assessment and management.
• Effective communication and documentation.
• Safeguarding and mental capacity considerations.

Staff competency is assessed regularly through supervision, observation, and feedback.

11. Documentation and Record-Keeping

Accurate documentation ensures continuity and accountability in care delivery:

• Care plans are maintained in both digital and paper formats.
• Daily care logs record all activities, observations, and concerns.
• Confidentiality is maintained in line with GDPR requirements.

12. Quality Assurance and Continuous Improvement

We ensure the quality of care planning through:

• Regular audits of care plans and documentation.
• Service user feedback and satisfaction surveys.
• Analysis of incidents and complaints.
• Continuous staff training and policy updates.

13. Complaints and Concerns

Service users and families are encouraged to raise concerns about care plans. Our process includes:

• Acknowledging complaints within 24 hours.
• Investigating and addressing issues promptly.
• Reviewing care plans based on feedback.

14. Policy Review and Updates

This policy is reviewed annually or sooner if regulatory changes occur. Updates are communicated to staff, and additional training is provided as required.

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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.