| Accommodation and Meals |
A private or shared room, communal areas, housekeeping, laundry support,
and regular meals with drinks and snacks.
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Room and communal-area support is provided every day. Meals are generally
offered at set times, with snacks and drinks available according to the home’s routine.
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Care assistants, domestic staff, catering staff, and supervisory staff.
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The resident can usually express preferences about meals, room routines,
clothing, privacy, and where they spend their time.
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Staff record relevant preferences, dietary requirements, allergies,
weight concerns, and any changes in eating or drinking.
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| Daily Life and Activities |
Social activities, hobbies, exercise suited to ability, entertainment,
communal events, relaxation, and opportunities to maintain family or community connections.
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Activities may be offered daily or several times each week, depending on
the home’s programme and residents’ interests.
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Activity coordinators, care staff, volunteers, visiting professionals,
and sometimes community groups.
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Residents may choose whether to participate, suggest activities, and
follow personal interests at their own pace.
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Staff observe participation, mood, communication, mobility, and social
interaction, then update the care plan when appropriate.
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| Personal Hygiene |
Assistance with washing, bathing or showering, oral care, shaving,
hair care, continence care, dressing, and changing clothes.
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Support is arranged around the resident’s needs and preferred routine.
Some tasks may be needed more than once a day.
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Trained care assistants and, where needed, nurses or other health professionals.
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The resident’s consent, dignity, privacy, cultural preferences, and
preferred times should be respected.
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Staff document the level of assistance required and report changes such
as skin problems, pain, reduced mobility, or signs of infection.
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| Mobility and Transfers |
Help with walking, repositioning, getting in and out of bed or a chair,
and using mobility aids or specialist equipment.
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Support may be required during transfers, personal care, meals, and
whenever the resident moves around the home.
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Care assistants, nurses, physiotherapists, occupational therapists,
and trained moving-and-handling staff.
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The resident is encouraged to do as much as safely possible and to use
agreed mobility aids correctly.
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Mobility, falls, balance, pain, and changes in functional ability are
reviewed and may lead to a reassessment of equipment or staffing needs.
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| Medication Support |
Safe storage, reminders, administration when required, recording doses,
and monitoring for possible side effects or missed medication.
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Medication is given according to the prescriber’s instructions, which
may include specific times or intervals.
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Nurses or other staff who are trained and authorised under local rules
and the home’s medication policy.
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Residents should receive information about their medicines and may manage
them independently if assessed as able and safe to do so.
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Medication administration records, clinical observations, pharmacy
reviews, and communication with prescribers are used to identify concerns.
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| Nursing and Clinical Care |
Monitoring long-term conditions, wound care, continence support, pain
management, clinical observations, and coordination with external health services.
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The frequency depends on the person’s medical condition, treatment plan,
and changes in health.
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Registered nurses, doctors, pharmacists, therapists, and other qualified
health professionals.
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Residents should be involved in decisions, care planning, treatment
discussions, and advance-care planning where appropriate.
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Clinical records, care reviews, vital-sign checks when indicated, and
referrals are used to track health and respond to deterioration.
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| Nutrition and Hydration |
Support with menu choices, modified-texture diets, eating and drinking,
fluid intake, and dietary needs related to health or swallowing difficulties.
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Support is provided at meals and whenever assistance with drinks or
snacks is needed.
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Care staff, catering staff, nurses, dietitians, and speech and language
therapists when clinically required.
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Residents can communicate food preferences, cultural requirements,
allergies, dislikes, and preferred ways of eating where possible.
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Staff may monitor intake, weight, swallowing safety, nutritional risk,
and signs of dehydration, escalating concerns when necessary.
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| Dementia and Cognitive Support |
Consistent routines, orientation support, reassurance, communication
adapted to the person, meaningful activities, and assistance with decision-making.
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Support is integrated throughout the day and adjusted as cognition,
mood, behaviour, or communication changes.
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Care assistants, nurses, dementia specialists, psychologists, therapists,
and family members where appropriate.
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The resident’s history, preferences, communication style, routines, and
personal identity should guide the care approach.
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Staff record changes in cognition, mood, behaviour, sleep, appetite,
distress, and possible triggers to inform the care plan.
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| Emotional and Social Well-Being |
Companionship, respectful communication, emotional reassurance, support
during adjustment, and opportunities to maintain relationships.
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Support is available as part of everyday care, with additional help when
a resident shows signs of loneliness, anxiety, or low mood.
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Care staff, nurses, activity staff, social workers, counsellors, family,
and other appropriate professionals.
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Residents can identify preferred visitors, activities, communication
methods, and sources of comfort whenever they are able to do so.
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Staff monitor mood, behaviour, engagement, sleep, appetite, and reported
concerns, and arrange further assessment when needed.
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| Safety and Emergency Response |
Risk assessments, falls prevention, infection-control procedures, fire
safety, safeguarding, emergency procedures, and access to urgent medical help.
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Safety checks are ongoing. Emergency action is taken immediately when a
serious risk or sudden change in health occurs.
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Trained care staff, nurses, managers, emergency services, and relevant
health or safeguarding professionals.
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Residents should be informed about safety measures and supported to make
choices while risks are assessed and managed proportionately.
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Incidents, accidents, safeguarding concerns, infections, and near misses
are documented, reviewed, and reported according to applicable requirements.
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| Care Planning and Reviews |
A personalised plan describing assessed needs, preferences, routines,
risks, goals, communication methods, and required support.
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The plan is reviewed regularly and whenever the resident’s needs,
condition, preferences, or circumstances change.
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The resident, family or representative where appropriate, care staff,
nurses, managers, and involved health or social-care professionals.
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The resident’s wishes and consent should be central to planning, unless
lawful decision-making arrangements apply.
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Daily records, handovers, care reviews, incident reports, health
assessments, and feedback are used to update the plan.
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| Family Communication and Visiting |
Contact with relatives and friends, visits, communication about changes
in health, and involvement in agreed care decisions.
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Arrangements depend on the resident’s preferences, visiting policies,
health considerations, and family circumstances.
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Care staff, nurses, managers, residents, relatives, and representatives.
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Residents can usually decide who they want to involve, subject to privacy,
consent, and applicable legal arrangements.
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Important updates, concerns, requests, and agreed actions are recorded
and shared with authorised people appropriately.
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