Care and Support Plan and Risk Assessment Audits

by | 19/08/2026

To meet regulatory requirements and support high-quality, person-centred care, Care and Support Plans must be accurate, up to date, comprehensive, and developed with the active involvement of the individual wherever possible. Regular audits help ensure plans remain current, relevant, and compliant.

Care and Support Plan Audits

Each section of the Care and Support Plan should be reviewed as part of the audit process, including:

  • One-Page Profile
  • Health and Wellbeing
  • Communication
  • Personal Care
  • Mobility
  • Moving and Assisting
  • Medication
  • Nutrition and Hydration
  • Financial Support
  • Community Access and Engagement
  • Domestic Tasks
  • Shopping
  • Companionship and Relationships
  • Night-Time Support
  • Other Individual Support Needs

Audit Checklist

The following are examples of areas to review. This list is not exhaustive and should be adapted to reflect individual circumstances and organisational requirements.

  • Is the Care and Support Plan within its review date?
  • Has the plan been formally reviewed as required?
  • Is all personal information accurate and up to date?
  • Is a current photograph included?
  • Does the One-Page Profile include:
    • Preferred name
    • Allergies
    • Current medication
    • Key worker
    • Next of kin
    • Date of birth
    • Medical diagnoses (where applicable)
    • GP surgery
    • Dentist
    • NHS number
    • Dietary requirements
    • DNACPR/ReSPECT information
    • Treatment Escalation Plan (TEP), where applicable
  • Is medication information current and accurate?
  • Does the plan promote an enabling approach that supports independence?
  • Is the content person-centred and reflective of the individual’s preferences and wishes?
  • Is the plan written in the first person where appropriate?
  • Are goals, outcomes, and aspirations included within each relevant section?
  • Has consent been sought and documented where required?
  • Is there evidence of a Lasting Power of Attorney (LPA), where applicable?
  • Is there a clear record of who was involved in the planning process and what was agreed?

Risk Assessment Audits

All relevant risk assessments should be reviewed regularly to ensure they remain accurate, proportionate, and reflective of the individual’s current needs.

Types of Risk Assessments

The following list provides examples of risk assessments that may need auditing. It is not exhaustive and should be adapted to local requirements.

  • Mobility Risk Assessment
  • Falls Risk Assessment (Multi-Factorial Risk Assessment – MFRA)
  • Moving and Assisting Risk Assessment
  • Health and Safety Risk Assessment
  • Fire Evacuation Risk Assessment, including Personal Emergency Evacuation Plans (PEEPs)
    • General fire risk assessments should be held within the Care and Support Plan.
    • PEEPs should be stored in the designated grab bag and be readily accessible.
  • Environmental Risk Assessment, including bedroom safety
  • COSHH Risk Assessment
  • Breathing Risk Assessment
  • Nutrition and Hydration Risk Assessment, including choking and swallowing risks
  • Risk Feeding Assessment
  • Malnutrition Universal Screening Tool (MUST)
  • Skin Integrity Risk Assessment, for example Waterlow
  • Personal Care Risk Assessment
  • Condition-Specific Risk Assessments, such as:
    • Parkinson’s disease
    • Dementia
    • Diabetes
    • Other long-term conditions
  • Medication Risk Assessment
  • Shopping Risk Assessment
  • Community Access Risk Assessment
  • Domestic Activities Risk Assessment
  • Night-Time Support Risk Assessment
  • Other Individual Risk Assessments

Audit Considerations

When reviewing risk assessments, consider:

  • Is the assessment in date and reviewed within required timescales?
  • Does it accurately reflect the individual’s current needs and risks?
  • Are control measures clear, proportionate, and effective?
  • Is there evidence of the individual’s involvement and consent where appropriate?
  • Have changes in circumstances, health, behaviour, or environment been reflected?
  • Are staff guidance and actions clear and consistent with the Care and Support Plan?
  • Have any identified actions been completed and documented?

This structured approach helps ensure care records remain person-centred, compliant, and supportive of safe, effective care delivery.