title: Using an observational tool to inspect standards in care homes.
abstract: Inspections of service quality in care homes should focus on service users' experience of the care provided. However, this is a particular challenge in services for people with cognitive disabilities. Direct feedback from people in care may be hampered by fear of repercussion, low expectations or sensory and physical difficulties that make taking part in an interview difficult. Directly observing care has always formed an unstructured part of the inspection process. Dementia Care Mapping is too resource intensive to be a suitable tool for regular inspections. Therefore, the Commission for Social Care Inspection (CSCI) felt that a new observational tool was needed.
authors.forename: Ruth
authors.initials: R
authors.lastname: Sander