Intentions for the next 12 months No. Outcomes Minimum requirements Suggested sources Rating of evidence Substantial Some Limited Evidence Evidence Evidence Assessing my needs and Person-centred assessment Evaluation, satisfaction 1.2 if possible) and surveys, audits, feedback supporting me well family/ advocate involvement as reports. personal needs have been ‘My necessary, to identify and meet Documented examples of assessed to make sure I get health, social, personal and outcomes e.g. move on care that is safe, well-organised emotional needs, outcomes and plans; recording of and flexible, supports my rights preferences, including end of life signposting/ referring on and preferences and leads to support where appropriate. e.g. to nursing. the right outcomes for me, even Up-to-date support/risk Needs assessment, risk if I live in a rural area and no management plans, linked clearly management and person matter how complex my needs and to accurate assessment, for all centred plans owned by situation are.’ service users, including those with and developed with the cultural background and ‘My complex needs. individual, in a format that communication needs are taken Promotion of independence suits them, involving others into account. I can explain my balanced with effective risk as appropriate. needs properly, or a family management; move on/ Staff induction/ training, member or advocate can explain
Intentions for the next 12 months No. Outcomes Minimum requirements Suggested sources of evidence Rating Substantial Evidence Some Evidence Limited Evidence 1.2 Assessing my needs and supporting me well ‘My personal needs have been assessed to make sure I get care that is safe, well-organised and flexible, supports my rights and preferences and leads to the right outcomes for me, even if I live in a rural area and no matter how complex my needs and situation are.’ ‘My cultural background and communication needs are taken into account. I can explain my needs properly, or a family member or advocate can explain Person-centred assessment if possible) and family/ advocate involvement as necessary, to identify and meet health, social, personal and emotional needs, outcomes and preferences, including end of life support where appropriate. Up-to-date support/risk management plans, linked clearly to accurate assessment, for all service users, including those with complex needs. Promotion of independence balanced with effective risk management; move on/ Evaluation, satisfaction surveys, audits, feedback reports. Documented examples of outcomes e.g. move on plans; recording of signposting/ referring on e.g. to nursing. Needs assessment, risk management and person centred plans owned by and developed with the individual, in a format that suits them, involving others as appropriate. Staff induction/ training,