Planning for what matters most
Every individual we support has a voice to express their goals, preferences, and needs, through collaborative and person-centred care planning.
We take a holistic, whole-person approach, which meets not only clinical but also emotional, mental, physical, social, sexual, and spiritual wellbeing needs.
Each person we support has a My Exemplar Care Profile. This is hosted in Nourish Better Care, a widely used digital care management platform, and includes robust care planning for over 16 care domains.
Mental health and wellbeing
Including:
Care plans for cognition and mental capacity, mental wellbeing and communication, observations, and positive behaviour support (secondary and tertiary)
Mental health care plan for confirmed mental health diagnoses
Activity scripts
Person-centred planning meeting notes
Safe environment
Including:
Care plan for safe environment
Risk assessment for safe smoking (if relevant)
Risk assessment for the use of emolient creams (if relevant)
Mobilisation
Including:
Care plan for mobilisation
Risk assessments for bed rails and falls
Moving and handling assessment
Splint application record and checklist (if relevant)
Hygiene and elimination
Including:
Care plans for oral hygiene, hygiene, elimination, catheter, and stoma
Continence assessment and chart
Relevant risk assessments e.g. mouth care risk assessment
Diet and fluids
Including:
Care plans for diet and fluids, choking, and diabetes
Risk assessments and records including dietary notification form, MUST, food and fluid intake records
Catheter PEG/RIG/BGT button change record (if relevant)
Enteral feeding assessment and record (if relevant)
Screening for adults at risk of choking
Breathing
Including:
Care plan for breathing
Breathing assessment
Care plans, assessments, and records for tracheostomy/laryngectomy and invasive respiratory requirements (if relevant)
Altered state of consciousness
Including:
Care plans for epilepsy and autonomic dysreflexia
Skin integrity
Including:
Care plans for skin integrity and wounds
Skin integrity check record
Bed mattress audit and check record
Waterlow risk assessment
Body map
Medication
Including:
Care plan for medication
Alteration of medicines form
Self administration of medication assessment
Sleep
Including:
Care plan for sleep
Sleep assessment
Death and dying
Including:
Care plan for death and dying
DNACPR/ReSPECT form
Other
Including short-term care plans such as:
Infections
Vaccinations
Occupational therapy and physiotherapy
Including:
Care plans for occupational therapy and physiotherapy (if relevant)
Relevant assessments, risk assessments, and records
A collaborative approach
Wherever possible, people help create their own care plans using proven tools and approaches, such as:
good day/bad day
one-page profiles
Planning Alternative Tomorrows with Hope (PATH).
These tools not only empower people to share what matters most to them but also enable us to tailor support that makes a meaningful difference.
Whether identifying goals, understanding personal routines, or planning milestones, the care profile is a live document that truly represents the individual.
Reducing risks in non-restrictive ways
At the heart of our care planning is a flexible, person-centred approach to risk management.
Many of the people we support live with complex needs that require careful, clinically informed decisions to balance safety with independence.
We work with each person to understand their needs, preferences, and goals, putting personalised plans in place that reduce risks without unnecessary restrictions.
Through ongoing assessments and collaborative planning with families and professionals, we empower people to make informed choices while staying safe.
This flexible, clinically informed approach helps people live full, meaningful lives, with support tailored to their individual circumstances.
Focus on empowerment, not control
People have a right to make choices, even if those choices involve risks. We help them take positive, well-managed risks to promote independence.
A collaborative approach
Done from admission, we explore the specific factors contributing to the risks people face. We work closely with them to implement strategies to support their independence and safety.
Enhancing lives in meaningful ways
Risk management shouldn’t be a hinderance. We make sure people enjoy their lives in ways that matter to them as individuals, minimising harm as much as possible.
Continuity of care for quicker responses
Every unit is staffed by a consistent team. Colleagues understand people’s needs so can respond quickly when necessary, reducing the risk of harm.
Real-time digital care planning through Nourish
Our partnership with Nourish, an NHS Assured Supplier of social care technology, enables us to record, plan, and coordinate care in real-time.
Using secure, accurate digital records supports better decision-making and more effective teamwork.
With portable hand-held devices, our teams can capture and analyse data instantly, allowing for more responsive, tailored care. Information flows smoothly across shifts and teams, with care notes immediately accessible to colleagues whenever they need them.
The system also supports greater involvement from people in reviewing and shaping their care plans, promoting independence and ensuring their wishes and preferences remain at the heart of their care.
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