Quality statement 2: Recording mouth care needs in care plans

Quality statement

Adults living in care homes have their mouth care needs recorded in their personal care plan.

Rationale

Mouth care needs and the plan of support to address these needs should be recorded in the personal care plan for adults living in care homes. This will help to make sure that action is taken to meet the person's needs, and that their needs are regularly reviewed and updated.

Quality measures

Structure

Evidence of local arrangements for adults living in care homes to have their mouth care needs recorded in their personal care plan.

Data source: Local data collection, for example, mouth care policies.

Process

Proportion of adults living in a care home who have their mouth care needs recorded in their personal care plan.

Numerator – the number in the denominator who have their mouth care needs recorded in their personal care plan.

Denominator – the number of adults living in a care home.

Data source: Local data collection, including audits of personal care plans.

Outcome

Care staff awareness of individual residents' mouth care needs.

Data source: Local data collection, for example, staff interviews and surveys.

What the quality statement means for different audiences

Service providers (care homes) ensure that adults living in care homes have their mouth care needs recorded in their personal care plan, which is regularly reviewed and updated.

Health and social care practitioners (care staff in care homes) record the mouth care needs of adults living in care homes in their personal care plans. Practitioners regularly review the personal care plan and update it when mouth care needs change.

Commissioners (commissioners of care home services) ensure that care homes record adults' mouth care needs in their personal care plan, which is regularly reviewed and updated.

Adults living in care homes have a record of any help and support they need with their mouth care included in their written care plan. The care plan will be reviewed and updated if the support they need changes.

Source guidance

Oral health for adults in care homes (2016) NICE guideline NG48, recommendation 1.2.4