A written plan typically recorded after an assessment, addressing the needs and risks associated with the Subject of care and setting out goals and instructions for the care they will receive. The Subject of care should have the opportunity to be fully involved in the plan and to say what their priorities are. If the Subject of care is in a care home or attends a day service, the plan for their daily care may also be called a care plan.
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Care Actors perform, complete and authorise Care plans that address the:
that the Subject of care has.
Care plans target Goals for the Subject of care within the context of Observations about the Subject of care, in particular, their:
Care plans determine the set of Instructions for the provision of care based on these Goals.
Observations such as Needs, Risks, Safeguarding concerns, Strengths, Wishes and Preferences can be recorded before, during (and after) care planning and/or assessment. Observations about the Subject of care should be available during the care planning process.
To receive planned care and support the Subject of care is required to give Informed Consent or if the Subject of care does not have Mental Capacity the Proxy for subject of care is required to express Informed Consent for the Care plan.