Commissioner and CQC Expectations for Person-Centred Planning in ABI
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Person-centred planning is a core regulatory and commissioning requirement in acquired brain injury services. However, inspection feedback consistently highlights gaps between stated commitment to person-centred care and the evidence available in practice. Commissioners and CQC assess not only whether plans exist, but whether they genuinely shape support.
This article explains commissioner and CQC expectations for person-centred planning in ABI services. It should be read alongside CQC Inspection and Person-Centred Planning & Strengths-Based Support.
How person-centred planning is assessed
Inspectors look for consistency between plans, daily practice and outcomes, particularly where cognition or insight is impaired.
Commissioner and inspector expectations
Expectation 1: Plans that drive delivery. Inspectors expect staff to understand and apply person-centred plans in day-to-day support.
Expectation 2: Ongoing review. Commissioners expect plans to be reviewed and adapted as needs change.
Operational example 1: Staff practice alignment
An ABI provider ensured staff could clearly explain how plans shaped routines and risk decisions during inspection.
Common inspection gaps
Typical gaps include generic language, outdated plans and poor evidence of involvement.
Operational example 2: Closing documentation gaps
A service improved inspection outcomes by simplifying plans and strengthening review records.
Evidencing involvement and choice
Inspectors expect evidence of supported involvement, even where capacity fluctuates.
Operational example 3: Involvement audit trails
A provider introduced clear audit trails showing how views were sought and revisited.
Preparing for inspection scrutiny
Providers should ensure:
- Plans are current and accessible
- Staff understand individual goals
- Reviews and learning are documented
Meeting expectations consistently
ABI services that embed person-centred planning into everyday practice demonstrate stronger compliance and inspection confidence.
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