How to Evidence Choice and Control in Social Care Records

🧠 Blog 3 of 7 in our Person-Centred Care recording series
How do you show that people have choice and control in the way their support is planned, delivered, and reviewed?


🗂 Choice and control shouldn’t just appear in your policy — it should be visible in your everyday records. That means asking the right questions, offering meaningful options, and clearly recording the decisions people make and how they shape their own support.


🎯 Why It Matters

  • CQC inspections assess how much control people have over their care and support.
  • Tender responses increasingly ask about autonomy, coproduction, and tailored care planning.
  • Staff confidence grows when they know how to reflect choice clearly in records.

📋 What to Record

In both care plans and daily notes, your records should show:

  • What options were offered — not just what was delivered.
  • How the person responded and made a decision.
  • Any adaptations made based on preferences or changing needs.
  • When decisions were deferred or support was offered to make a future choice.

📝 Examples That Strengthen Records

  • “John was offered support with his morning routine. He declined help with dressing but requested assistance with shaving.”
  • “Maria was presented with three meal options. She chose to prepare her own toast with minimal support.”
  • “David preferred to attend the appointment later in the day. Transport arrangements were adjusted accordingly.”

These examples go beyond task recording. They show interaction, preference, and adaptation — key markers of person-centred practice.


🔍 Common Pitfalls to Avoid

  • Passive recording: e.g. “Showered, dressed, breakfast” tells you what happened — not who decided it or how.
  • Assumed preferences: Don’t presume someone’s choice just because it’s their routine.
  • Over-reliance on templates: Digital care systems must still allow space for real personalisation.

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Chat on WhatsApp or email Mike.Harrison@impact-guru.co.uk

Updated for Procurement Act 2023 • CQC-aligned • BASE-aligned (where relevant)


📚 Explore the Full Person-Centred Recording Blog Series:


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd — bringing extensive experience in health and social care tenders, commissioning and strategy.

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