Please use the information above and create a detailed plan for the individual to be supported with their domestic needs. Please specify days and times and who would carry out this task (family, support workers, friends etc.

Support required:

  • Do not need any support
  • Need some support
  • Verbal prompt
  • Need full support
  • Need equipment
  • do not use/need that

Please highlight the support required from the list below.

  • Deep cleaning of my house/ flat
  • Washing up daily
  • Cleaning my toilet
  • Cleaning my shower
  • Cleaning my bathroom
  • Cleaning my sink
  • Making my bed
  • Changing my bedsheet  
  • Clean my floor
  • Hoover
  • Dust
  • Laundry
  • Ironing
  • Emptying bins
  • Other

My Domestic Support Plan

Please use the information above to create a detailed plan that supports the person with their domestic and cleaning support.

My Desired Outcomes for Domestic Support

In this section, please highlight the person’s desired goals in relation to domestic support e.g., ‘I would like to be able wash up after myself/ do some dusting in my room’. Please detail how this goal will be met and what/who needs to be involved.