Measuring Outcomes of Just Enough Support in Adult Social Care

Just enough support must be demonstrably effective, not just well-intentioned. Providers need clear outcome frameworks to evidence that reduced support levels are improving independence, wellbeing and quality of life.

This approach aligns strongly with Recording & Evidencing Person-Centred Care and Quality Monitoring & Assurance.

Why Outcome Measurement Matters

Without measurable outcomes, least restrictive practice can be misunderstood as cost-cutting or risk-taking. Clear evidence protects both individuals and providers.

Operational Example: Independence Outcome Tracking

A supported living provider introduced independence outcome trackers linked to daily living skills. Progress was reviewed monthly, showing clear improvements in confidence and autonomy following reduced staff input.

Choosing the Right Indicators

Effective outcome measures focus on:

  • Skills development and independence
  • Confidence and wellbeing
  • Reduction in restrictive interventions

Operational Example: Linking Outcomes to Support Reviews

Support plan reviews were redesigned to link outcomes directly to support hours. Where outcomes improved, support levels were adjusted accordingly, with changes clearly documented.

Commissioner and Regulator Expectations

Commissioners expect providers to demonstrate impact, not just activity. Inspectors look for evidence that outcomes inform decision-making and support adjustments.

Embedding Outcome-Led Practice

When outcome measurement is embedded into everyday practice, just enough support becomes a defensible, transparent and sustainable approach to care delivery.


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

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