Clinical Care Pathways
79 documents
63 care plan and risk assessment templates · 16 emergency clinical pathways
Clinical Care Pathways is the module that turns a policy library into something a nurse can use at three in the morning. It contains two distinct things. The care plan templates are the long-form documents that describe how one person’s condition is managed day to day — what good looks like for this resident, what the early warning signs are, and who to call. The clinical pathways are short, sequenced, decision-first documents for the moments where minutes matter: sepsis, anaphylaxis, choking, hypoglycaemia, a suspected stroke.
Both are written against NICE guidance and, where NICE is silent for a care home setting, against the relevant specialist body — the Resuscitation Council UK, the UK Sepsis Trust, Diabetes UK. Clinically they support Regulation 12, because safe care and treatment is what an inspector is testing when they read a care plan. Evidentially they support Regulation 17, because a care plan that is written, followed and reviewed is the clearest governance evidence a home can produce. They are useful in residential as well as nursing homes: where staff cannot deliver a clinical intervention, the pathway becomes the escalation prompt that gets the right professional there faster.
What this module is written against
Written for England. Every citation below is a CQC regulation, an English statutory instrument, or national guidance an English care home is measured against — no generic UK-wide hedging.
- CQC Regulation 9
- Person-centred care — each plan is built around the individual, their goals and their preferences, not the diagnosis alone.
- CQC Regulation 12
- Safe care and treatment — risk assessed, mitigated, and escalated to the right professional at the right time.
- CQC Regulation 17
- Good governance — care plans and risk assessments are the primary evidence an inspector reads.
- Mental Capacity Act 2005
- The decision-specific capacity assessments and best-interests records that sit inside clinical decision-making.
- NICE guidance
- NG161 falls, CG179 pressure ulcers, NG97 dementia, NG51 sepsis, CG103 delirium, NG31 end of life, NG109 UTI, NG128 stroke, and others cited per document.
- Resuscitation Council UK
- Anaphylaxis, choking and basic life support pathways follow current Resuscitation Council UK algorithms.
What’s in it
Grouped the way a manager would look for them, with what each document does and the regulation it answers to. Every one is personalised on download with your registered manager, your address, your CQC registration ID and 50+ other fields. Subscribers see the live, searchable index in the portal with version numbers and last-reviewed dates.
Emergency clinical pathways
Short, sequenced, decision-first. Written to be followed under pressure by whoever is on shift.
17 documents
Sepsis Recognition and Response
Pathway
Recognition of sepsis using NEWS2, the red-flag criteria in an older adult, and the escalation script for a 999 call.
- NICE NG51
- UK Sepsis Trust
- CQC Reg 12
Anaphylaxis
Pathway
Recognition of anaphylaxis and immediate response, including adrenaline auto-injector use and positioning.
- Resuscitation Council UK
- CQC Reg 12
Choking
Pathway
Recognition of mild versus severe airway obstruction, back blows, abdominal thrusts, and post-event assessment.
- Resuscitation Council UK
- CQC Reg 12
Acute Chest Pain
Pathway
Assessment and immediate response to chest pain, including the aspirin decision and when not to delay for observations.
- NICE CG95
- Resuscitation Council UK
Acute Breathlessness
Pathway
Assessment of sudden breathlessness with the differentials that matter in a care home — PE, cardiac failure, infection.
- NICE NG115
- CQC Reg 12
Stroke — FAST
Pathway
FAST assessment, the time-critical escalation for the thrombolysis window, and what to record on arrival of the ambulance.
- NICE NG128
- CQC Reg 12
Hypoglycaemia
Pathway
Recognition and treatment of a hypo — fast-acting carbohydrate, recheck interval, and the follow-up long-acting carbohydrate.
- Diabetes UK
- TREND-UK
- CQC Reg 12
Hyperglycaemia (DKA and HHS)
Pathway
Recognition and response to hyperglycaemia, diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
- Diabetes UK
- CQC Reg 12
Falls with Suspected Injury
Pathway
Immediate response to a witnessed or unwitnessed fall, including spinal precautions and neurological observation schedule.
- NICE NG161
- CQC Reg 12
Delirium
Pathway
Recognition using 4AT, the reversible causes to exclude first, and how delirium is differentiated from dementia.
- NICE CG103
- CQC Reg 12
Dehydration
Pathway
Recognition and severity assessment of dehydration, oral rehydration measures, and the escalation threshold.
- CQC Reg 14
- CQC Reg 12
Urinary Tract Infection
Pathway
Diagnosis in an older adult without over-relying on dipstick, antibiotic stewardship, and recognising urosepsis.
- NICE NG109
- UKHSA antimicrobial guidance
Deep Vein Thrombosis and Pulmonary Embolism
Pathway
Recognition and immediate management of suspected DVT or PE, including the escalation urgency for each.
- NICE NG158
- CQC Reg 12
Seizure Management
Pathway
Management of a seizure, recognition of status epilepticus, rescue medication authorisation, and post-ictal care.
- NICE NG217
- CQC Reg 12
NEWS-Flagged Deterioration
Pathway
What to do when a NEWS2 score crosses threshold — observation frequency, who to call, and the SBAR handover.
- RCP NEWS2
- NICE NG51
- CQC Reg 12
End of Life — Last 48 Hours
Pathway
Recognising dying, symptom control in the final hours and days, anticipatory medicines, and family support.
- NICE NG31
- Gold Standards Framework
- CQC Reg 9
Admission and Transfer Pack
Pathway
The clinical information set that moves with a resident on admission, hospital transfer or return.
- CQC Reg 12
- NICE NG27
Long-term condition care plans
Condition-specific plans written so the care is described, not just the diagnosis.
21 documents
Diabetes Care Plan
Care plan
Monitoring regime, insulin or oral therapy, hypo and hyper action plan, foot and eye surveillance, and annual review.
- NICE NG28
- Diabetes UK care home guidance
- CQC Reg 9
Dementia Care Plan
Care plan
Person-centred plan across early, mid and late stage — orientation, routine, distress triggers, and communication approach.
- NICE NG97
- CQC Reg 9
- MCA 2005
Parkinson’s Care Plan
Care plan
Time-critical medication timing, on-off fluctuation, swallow risk, mobility, and falls prevention.
- NICE NG71
- CQC Reg 9
- CQC Reg 12
Motor Neurone Disease Care Plan
Care plan
Progressive weakness, communication aids, respiratory and swallow deterioration, and advance care planning.
- NICE NG42
- NICE NG31
- CQC Reg 9
Multiple Sclerosis Care Plan
Care plan
Relapse and progression management, fatigue, spasticity, continence, and heat sensitivity.
- NICE NG220
- CQC Reg 9
Huntington’s Care Plan
Care plan
Movement, cognitive and behavioural change together, with nutrition and choking risk given equal weight.
- CQC Reg 9
- CQC Reg 12
Stroke Care Plan
Care plan
Post-stroke rehabilitation, swallow and communication needs, positioning, and secondary prevention.
- NICE NG128
- CQC Reg 9
Cardiac Care Plan
Care plan
Heart failure and ischaemic disease management — fluid balance, weight monitoring, symptom escalation.
- NICE NG106
- CQC Reg 9
COPD Care Plan
Care plan
Inhaler technique, rescue pack use, exacerbation recognition, and oxygen safety.
- NICE NG115
- CQC Reg 9
Chronic Kidney Disease Care Plan
Care plan
Fluid and dietary management, medication review, and the signs of decline that need a same-day call.
- NICE NG203
- CQC Reg 9
Liver Disease Care Plan
Care plan
Ascites, encephalopathy, nutrition and bleeding risk, with the escalation triggers spelled out.
- NICE NG50
- CQC Reg 9
Cancer Care Plan
Care plan
Treatment side effects, pain and symptom control, and coordination with oncology and community palliative teams.
- NICE NG142
- CQC Reg 9
Frailty Care Plan
Care plan
Comprehensive frailty plan — polypharmacy, sarcopenia, falls, and anticipatory care decisions.
- NICE NG56
- CQC Reg 9
Mental Health Care Plan
Care plan
Mood, psychosis or anxiety management, medication monitoring, and relapse indicators for this person.
- CQC Reg 9
- CQC Reg 12
Learning Disability Care Plan
Care plan
Reasonable adjustments, communication method, health surveillance, and the annual health check.
- Health and Care Act 2022 s.181
- Equality Act 2010
- CQC Reg 9
Autism Care Plan
Care plan
Sensory profile, routine and predictability, communication preferences, and meltdown versus distress differentiation.
- Health and Care Act 2022 s.181
- NICE CG142
- CQC Reg 9
Bariatric Care Plan
Care plan
Equipment safe working loads, transfer technique, skin folds and hygiene, and dignity in personal care.
- LOLER 1998
- CQC Reg 12
- CQC Reg 10
Deafblind and Sensory Loss Plan
Care plan
Communication method, environmental adaptation, and the specialist assessment route for dual sensory loss.
- Care Act 2014 Care and Support (Deafblind) Guidance
- Accessible Information Standard DCB1605
LGBTQ+ Care Plan
Care plan
Identity, chosen family, history-taking without assumption, and end-of-life wishes recorded respectfully.
- Equality Act 2010
- CQC Reg 9
- CQC Reg 10
Palliative Care Plan
Care plan
Symptom control alongside active treatment, with the specialist palliative referral route stated.
- NICE NG142
- CQC Reg 9
End of Life Care Plan
Care plan
Advance care plan, preferred place of care and death, ReSPECT status, and who must be called when the time comes.
- NICE NG31
- MCA 2005
- CQC Reg 9
Care area plans and clinical risk assessments
The per-need plans and scored assessments that make up the working body of a care file.
31 documents
Falls Prevention Care Plan
Care plan
The individual falls plan following assessment — environment, footwear, medication review, and supervision level.
- NICE NG161
- CQC Reg 12
Falls Risk Assessment
Risk assessment
Multifactorial falls risk assessment, scored, with the interventions each factor triggers.
- NICE NG161
- CQC Reg 12
Pressure Care Plan
Care plan
Repositioning schedule, surface and equipment, skin inspection frequency, and nutrition support.
- NICE CG179
- CQC Reg 12
Pressure Risk Assessment
Risk assessment
Scored pressure ulcer risk assessment with the equipment provision that follows from the score.
- NICE CG179
- CQC Reg 12
Nutrition and Hydration Care Plan
Care plan
Dietary requirements, texture, fortification, assistance level, and the monitoring the plan requires.
- CQC Reg 14
- NICE CG32
- IDDSI framework
MUST Risk Assessment
Risk assessment
Malnutrition Universal Screening Tool scoring with the action plan for each risk category.
- BAPEN MUST
- CQC Reg 14
Choking Risk Assessment
Risk assessment
Swallow risk, IDDSI level, supervision requirement, and the SALT referral trigger.
- IDDSI framework
- CQC Reg 12
- CQC Reg 14
Continence Care Plan
Care plan
Continence promotion, toileting pattern, product specification, and skin protection.
- NICE CG171
- CQC Reg 9
Mobility Care Plan
Care plan
Transfer method, equipment, walking aid, and the number of carers each movement requires.
- Manual Handling Ops Regs 1992
- CQC Reg 12
Moving and Handling Risk Assessment
Risk assessment
The task-by-task handling assessment: sling size, hoist type, technique, and what must never be attempted alone.
- Manual Handling Ops Regs 1992
- LOLER 1998
Pain Management Care Plan
Care plan
Pain profile, assessment tool used, analgesia ladder, and non-pharmacological measures that work for this person.
- CQC Reg 9
- CQC Reg 12
Sleep Care Plan
Care plan
Night routine, night checks, and the plan for a resident whose sleep is reversed or disturbed.
- CQC Reg 9
- CQC Reg 10
Bedrails Risk Assessment
Risk assessment
Entrapment risk, alternatives considered, consent or best-interests basis, and inspection frequency.
- MHRA bedrail guidance
- MCA 2005
- CQC Reg 12
Behaviour Support Plan
Care plan
Positive behaviour support: triggers, early signs, de-escalation that works, and the restrictive interventions ruled out.
- NICE NG10
- CQC Reg 13
- MCA 2005
Behaviour — Risk to Others
Risk assessment
Risk to co-residents, staff and visitors, with the environmental and staffing controls that reduce it.
- NICE NG10
- CQC Reg 12
- CQC Reg 13
Self-Harm and Suicide Risk
Risk assessment
Risk indicators, means restriction, observation level, and the mental health escalation route.
- NICE NG225
- CQC Reg 12
- CQC Reg 13
Wandering and DoLS Risk
Risk assessment
Walking with purpose, exit-seeking, and the point at which restriction becomes a deprivation of liberty.
- MCA 2005 Sch A1
- CQC Reg 13
- NICE NG97
Going Out Risk
Risk assessment
Supported access to the community — the assessment that enables it rather than the one that prevents it.
- MCA 2005
- CQC Reg 9
- Human Rights Act 1998 Art. 8
Off-Site Activity
Risk assessment
Trip planning: staffing ratio, medicines, mobility, emergency contact, and transport safety.
- HSWA 1974
- CQC Reg 12
- CQC Reg 9
Night-Time Risk
Risk assessment
Overnight risk profile — call bell access, night checks, and staffing sufficiency after dark.
- CQC Reg 12
- CQC Reg 18
Smoking Risk
Risk assessment
Smoking risk for a resident, including fire-retardant provision, supervision, and oxygen incompatibility.
- RRO 2005
- Health Act 2006
- CQC Reg 12
Hot Water Risk
Risk assessment
Scald risk in bathing and hand washing, and the thermostatic controls that mitigate it.
- HSE HSIS5
- CQC Reg 15
Infection Risk
Risk assessment
Individual infection risk — colonisation, devices, wounds — and the precautions each requires.
- Hygiene Code (HSCA 2008)
- CQC Reg 12
Financial Vulnerability
Risk assessment
Susceptibility to financial abuse or exploitation, and the safeguards put in place.
- CQC Reg 13
- MCA 2005
- Care Act 2014 s.42
Pet Risk
Risk assessment
Resident or visiting pets — allergy, infection, trip hazard, and welfare responsibility.
- Hygiene Code (HSCA 2008)
- CQC Reg 15
Visitor Risk
Risk assessment
Risk assessment for a visitor whose presence raises a safeguarding or safety concern, with proportionate conditions.
- CQC Reg 9A
- CQC Reg 13
Contractor Risk
Risk assessment
Contractors working in occupied areas — supervision, dust and noise, DBS position, and permit requirements.
- HSWA 1974
- CDM 2015
- CQC Reg 15
Electrical Equipment
Risk assessment
Resident-owned electrical items — testing, condition, and the safe-use conditions agreed.
- Electricity at Work Regs 1989
- CQC Reg 15
Lone Working
Risk assessment
The individual lone-working assessment for a specific role or shift pattern.
- HSWA 1974
- Management of H&S at Work Regs 1999
Extreme Weather
Risk assessment
Individual vulnerability in heatwave or cold — hydration, room temperature, and medication effects.
- UKHSA Adverse Weather and Health Plan
- CQC Reg 12
Personal Emergency Evacuation Plan
Care plan
The resident-level evacuation plan, cross-referenced to the fire strategy and reviewed on mobility change.
- RRO 2005
- Equality Act 2010
Capacity, consent and personal profile
The Mental Capacity Act documents that sit inside clinical decisions, plus the person-first records that make a care file readable.
10 documents
MCA Capacity Assessment
Assessment
The general two-stage capacity assessment template, decision-specific and time-specific.
- MCA 2005 ss.2–3
- CQC Reg 11
Capacity — Residence
Assessment
Capacity to decide where to live, the decision most likely to be scrutinised in a DoLS assessment.
- MCA 2005
- MCA Code of Practice
- CQC Reg 11
Capacity — Medical Treatment
Assessment
Capacity to consent to or refuse a specific treatment, including refusal of a life-sustaining intervention.
- MCA 2005 s.4
- CQC Reg 11
Capacity — Financial
Assessment
Capacity to manage money and property, and the point at which the Office of the Public Guardian is involved.
- MCA 2005
- CQC Reg 11
Capacity — Sexual Relations
Assessment
Capacity to consent to sexual relations, assessed against the correct legal test rather than a best-interests one.
- MCA 2005
- Sexual Offences Act 2003
- CQC Reg 13
Best Interests Meeting
Record
The structured best-interests meeting record — attendees, options weighed, the person’s wishes, and the decision reached.
- MCA 2005 s.4
- CQC Reg 11
One Page Profile
Care template
What matters to this person, on a single page, at the front of the file where a new carer will actually read it.
- CQC Reg 9
Life Story Workbook
Care template
The structured life history built with the resident and family, used to inform care and conversation.
- CQC Reg 9
- NICE NG97
Communication Passport
Care template
How this person communicates, what their signals mean, and what to do when they cannot make themselves understood.
- Accessible Information Standard DCB1605
- CQC Reg 9
- Equality Act 2010
Personal Goals
Care template
The resident’s own goals, recorded in their words, with the support needed to work towards them.
- CQC Reg 9
- Care Act 2014
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