S5 is not mandatory EFFECTIVE Key Line of Enquiry S5, E5, R3 and W4 are not mandatory What evidence do you have What action or change will you make What resource will you need (people or tool) E1 How do people receive effective care, which is based on best practice, from staff who have the knowledge and skills they need to carry out their roles and responsibilities? • Are people supported to have their assessed needs, preferences and choices met by staff with the necessary skills and knowledge? • Do staff have effective support, induction, supervision, appraisal and training, including on any specialist equipment they may have to use? • Are people receiving care in the community effectively matched with staff to make sure they are compatible? • Does the service have links with organisations that provide guidance and training linked to best practice in leadership and the specific
• How does the service make sure that people know who their lead clinician and nurse are and how to contact them? • Are referrals made quickly to relevant health services when people’s needs change? E5 How are people’s individual needs met by the adaptation, design and decoration of the in-patient or day hospice? • How are people involved in decisions about the environment in the hospice? • How are people’s diverse care, cultural and support needs met by the premises? • What arrangements are there to ensure people have access to appropriate space: o in gardens and other outdoor spaces o to see and look after their visitors o for meaningful activities o to spend time together o to be alone? • How do the signs, the decoration and other adaptations to the premises help to meet people’s needs and promote their independence? • What facilities are there to meet
• How are people assured that information about them is treated confidentially and respected by staff? • Do people have the privacy they need? • Are people treated with dignity and respect at all times? • Can people can be as independent as they want to be? • Do staff understand and promote respectful and compassionate behaviour within the staff team? • Are people’s relatives and friends able to visit without being unnecessarily restricted? • How does the service make sure that staff understand how to respect people’s privacy, dignity and human rights? • How does the service make sure that young adults are afforded choice and flexibility about their privacy and the amount of parental involvement in their care management and support, after moving into adult services? • What arrangements are there for making sure that the body of a person who has died is cared for in a culturally sensitive and dignified way?
RESPONSIVE Key Line of Enquiry S5, E5, R3 and W4 are not mandatory What evidence do you have What action or change will you make What resource will you need (people or tool) R1 How do people receive personalised care that is responsive to their needs? • How do people or, where appropriate, those acting on their behalf contribute to the assessment and planning of their care, as much as they are able to? • How does the service make sure people’s views about their strengths and levels of independence and health and what their quality of life should be, are taken into account? • How are people supported to have care plans that reflect how they would like to receive their care, treatment and support? These should include their personal history, individual preferences, interests and aspirations,
and should make sure they have as much choice and control as possible. • How are people supported to develop an advance personalised care plan (if they want one) which details their end of life care wishes? • How does the service make sure that people who have living wills, or advanced directives, have these taken into account by staff? • How does the service make sure that people in the last days of life, whose condition may be unpredictable and change quickly, have this identified quickly and, where required, have rapid access to support, equipment and the administration of medicines? • How are people supported to follow their interests and take part in social activities and, where appropriate, education and work opportunities? • How are people encouraged and supported to develop and maintain relationships with people that matter to them and avoid social isolation? • How are people’s preferences and choices for their end of life care clearly recorded, communicated, kept under review and acted on? • How are people given the care and support they need, in terms of their age, disability, gender, gender identity, race, religion, belief or sexual orientation?