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Document Review

RAG-rated compliance feedback on your care documents, before Ofsted reads them.

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What it does

Upload a care record: a daily handover, incident or missing report, physical intervention report, risk assessment, behaviour support plan, care plan, keywork session record, young people's meeting record, health record or medical log, or any other document. CareClarity reviews it against all 9 Quality Standards and the Social Care Common Inspection Framework, then returns a Red / Amber / Green rating with specific, evidenced feedback.

How it works

1
Choose the kind of document, from a daily handover or incident report to a care plan or health record, and upload it
2
CareClarity reads the document against all 9 Quality Standards and the SCCIF April 2026
3
Receive a RAG rating (Red / Amber / Green) with specific observations and recommendations
4
Use the feedback to strengthen the document before inspection or review

What it covers

What CareClarity assesses when you upload your handovers, incident and physical intervention reports, risk assessments, support plans, care plans, keywork and meeting records, or health records

All 9 Quality Standards

Each document is assessed against every relevant Quality Standard under the Children's Homes (England) Regulations 2015.

SCCIF alignment

Feedback is framed in the language and evidence expectations of the Social Care Common Inspection Framework April 2026.

Specific observations

Not a generic checklist: CareClarity identifies the specific gaps, strengths, and improvements needed in the document you upload.

RAG rating

A clear Red / Amber / Green rating tells you at a glance where each document stands and what priority to place on revision.

Worked example

See it on a real document

A year of appointments, referrals and follow-ups, all diligently recorded. See how it relates to the nine standards, and what would strengthen it.

Individual Health Care Plan

Fictional sample

Individual Health Care Plan

Example House

Young person	Callum
Age	10 years
Compiled by	Jake
Review date	22 May 2026

1. General practitioner

Registered with Example Medical Centre since March 2025. Out of hours: NHS 111 for advice.

2. Known medical conditions

Callum has no long-term medical conditions. He is on the ADHD pathway; an appointment took place in April 2025 and outcome documentation was delayed because forms were not completed by previous carers. Raised with the social worker, who is chasing.

3. Health chronology

•15.07.25 EHCP now in place to support his needs in education.
•23.12.25 Diagnosis of ADHD confirmed. Medication review booked at the local hospital for 13.01.26.
•02.01.26 GP visit following complaints of exzma like symptoms on his arm. Diagnosed with Keratosis Pilaris; emollient cream and antihistamine solution prescribed twice daily. Callum also raised a personal health concern but declined to be examined, stating he was not mentally prepared and asking to book again when he felt ready. Rebooked for 05.01.26. Skin condition to be followed up 26.01.26.
•05.01.26 Attended the rebooked appointment for his personal health concern. Examined, sample taken, topical treatment prescribed to be self-administered; the doctor explained how to apply it. Key worker session on personal hygiene the same day.
•08.01.26 Callum began declining the treatment, saying the problem had resolved. To be booked for a check before the medication is disposed of.
•09.01.26 Key worker session, personal hygiene follow up, covering his declining of treatment.
•13.01.26 Attended the local hospital for ADHD medication review. Engaged positively.
•26.01.26 Declined the GP follow up on his skin condition. Rebooked for 06.02.26.
•06.02.26 Declined the appointment. Rebooked for 14.02.26.
•14.02.26 Attended. Advised an oil-based emollient as an alternative to the cream; he declined this option.
•03.03.26 Thumb concern raised. Call made to arrange an appointment; after almost an hour on hold the decision was made to call again in the morning and monitor. Key worker session recorded.
•04.03.26 Attended walk-in centre. Examined and supplied with pain relief to take as needed. X-ray arranged for the following day.
•05.03.26 Returned for the x-ray. The x-ray team had left due to staffing. Re-examined; he reported discomfort only at rest. Agreed to return in the morning.
•06.03.26 X-ray taken. A minor fracture was reported and a splint applied. Fracture clinic appointment arranged for the following day.
•07.03.26 Attended fracture clinic. On examination the assessment was minor ligament damage rather than a fracture. Advised to sleep in the splint.
•12.03.26 Follow up clinic. Advised to continue wearing the splint for two weeks. No sport during healing.
•25.03.26 Review. Advised to continue the splint for one further week to complete healing.
•31.03.26 Key worker session so Callum understood what to expect from an ECG.
•01.04.26 Attended for ECG. The appointment was used to set expectations rather than carry out the procedure. Awaiting a letter for the actual appointment.
•14.04.26 Letter received regarding an occupational therapy video call.
•21.04.26 Occupational therapy video call. Thumb reviewed and reported as fine.
•28.04.26 ECG attended. Positive engagement. Staff advised results would be sent to the ADHD team.

4. Allergies

Callum is allergic to blueberries.

5. Dental health

Name of dentist: Example Dental Practice. Surgery address: Sample Dental Practice.

Registered since March 2025. Last check up November 2025; next due July 2026. Two fillings and one extraction at his appointment in June 2025. Staff to support Callum with brushing and educate around dental hygiene.

6. Optical needs

Sight test completed October 2025. No correction required. Next test due October 2027.

7. Hearing needs

Hearing reviewed 2023. No concerns raised at the time.

8. Emotional and mental health needs

Callum is on the ADHD pathway and awaiting the outcome of his medication review. No CAMHS referral is currently open.

9. Therapeutic intervention

Example Children's Charity sessions have been in place since September 2025 and are recorded as ongoing. The referral has been transferred to the Example Service.

Equestrian therapy weekly, arranged through the placing authority.

10. Immunisation and statutory medical

Immunisations up to date per the GP record. Last statutory medical 14.04.26; next due 14.04.27. Callum engaged with his LAC health assessment on 14.04.26.

11. Staff responsibilities

•Staff to support Callum to attend all health appointments.
•Staff to administer medication as prescribed and record administration.
•Staff to record all health interactions in the health file.
•Staff to escalate any concerns to the shift leader.

12. Other information

LAC nurse allocated. Young person is not assessed as competent to hold or self-administer medicine.

Page 1 of 1

See the review as

The full report a Manager, Deputy Manager or Responsible Individual gets.

A saved CareClarity review of the plan above. Nothing is uploaded.

Your Feedback Report

Individual Health Care Plan

Overall Summary

The plan gives a detailed health chronology, records Callum's choices about appointments, and covers GP, dental, optical, hearing, therapeutic and statutory health needs. Development areas are a medication section that does not match his ADHD diagnosis, outcomes and follow-up left open on several entries, and a few internal inconsistencies an inspector would query.

Strong practice

Developing

Priority area

What is this standard? This standard is about the overall quality of care provided. Ofsted look at whether children receive care that is consistent, appropriately tailored to their needs, and delivered in a purposeful way that promotes their welfare and development.

✦ What you did well

Plan covers GP, dental, optical, hearing, immunisations and chronology, with a personalised response to Callum's circumstances.

↑ Development opportunities

Contradictions would prompt inspector queries: self-administration, unnamed dentist address, unrecorded condition, and an 'Other information' section limited to medicine competence.

✎ Suggestions

Reconcile the 'self-administered' treatment with the 'not competent' statement.
Correct the dentist name and surgery address mismatch.
State the personal health concern's diagnosis and the sample outcome.
Record the missing 'Other information' content, such as consent arrangements.

Ofsted Inspection Lens

An inspector would be likely to ask who is responsible for the self-administration contradiction, the incomplete ADHD outcome and the unresolved declined treatments, and whether management oversight (Regulation 13 leadership; Regulation 23 medicines) is evidenced.

Your key development focus: Resolve the self-administration and competence contradiction, complete the ADHD record, and add named actions with manager sign-off.

Your review

Individual Health Care Plan

How it relates to the Quality Standards

A detailed health chronology showing consistent follow-up of appointments and Callum's wishes being respected. It is weaker on his current medication, a contradiction about self-administration, and a live health concern left without a clear record of what follows.

How to strengthen it

Pointers, most important first. The words stay yours to write.

1
Health & wellbeing
Section 12 says Callum cannot self-administer medicine, yet the 05.01.26 entry has him self-applying prescribed treatment.
Check which is correct and make both entries agree, including how staff supervise application of any treatment.
2
Health & wellbeing
The plan does not say what ADHD medication Callum takes, or the outcome of the 13.01.26 medication review.
Record the current medication, dose, timing and agreed review date, so staff on shift know what to administer and watch for.
3
Health & wellbeing
The treatment for his personal health concern was stopped 08.01.26, but no check or sample result appears afterwards.
Trace whether the check before disposal took place and what the result was. If unknown, record who is chasing it.
4
Care planning
Several threads end without an owner or date: ECG results, ADHD pathway paperwork, the skin follow-up and the open personal concern.
For each open item, show who is responsible, what is awaited and when it will be checked.
5
Health & wellbeing
The dentist entry gives two different practice names, and the hearing review dates from 2023.
Confirm the correct dentist details against the practice record, and note whether a hearing recheck is due.

The nine standards

4 green, 2 amber, 0 red, 3 not relevant to this document

1
Quality & purpose of care
Nothing in this plan bears on the quality and purpose of care beyond health.
Not relevant
2
Children's views, wishes & feelings
Records Callum declining examination, asking to rebook when ready, and being prepared for his ECG.
Green
3
Education
Notes his EHCP being in place; education is otherwise outside this plan.
Green
4
Enjoyment & achievement
Records weekly equestrian therapy and a no-sport instruction during his thumb recovery.
Green
5
Health & wellbeing
Strong chronology, but current medication, the self-administration contradiction and the open personal health matter are unclear.
Amber
6
Positive relationships
Key worker sessions are recorded alongside his declining of treatment, and Example Children's Charity sessions are ongoing.
Green
7
Protection of children
No safeguarding concern is recorded in this plan.
Not relevant
8
Leadership & management
This is a plan, not a record of leadership or management.
Not relevant
9
Care planning
Staff responsibilities are listed, but there are no named owners or dates for outstanding follow-ups.
Amber

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Who uses it

Built for children's residential care teams

Registered Managers reviewing care plans and risk assessments

Responsible Individuals conducting quality assurance

Deputy Managers preparing documentation for inspection

Team Leaders and Residential Support Workers checking a record before it goes to their manager

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Document Review

What CareClarity assesses when you upload your handovers, incident and physical intervention reports, risk assessments, support plans, care plans, keywork and meeting records, or health records

All 9 Quality Standards

SCCIF alignment

Specific observations

RAG rating

See it on a real document

Individual Health Care Plan

1. General practitioner

2. Known medical conditions

3. Health chronology

4. Allergies

5. Dental health

6. Optical needs

7. Hearing needs

8. Emotional and mental health needs

9. Therapeutic intervention

10. Immunisation and statutory medical

11. Staff responsibilities

12. Other information

Your Feedback Report

Overall Summary

Ofsted Inspection Lens

Your review

How it relates to the Quality Standards

How to strengthen it

The nine standards

Built for children's residential care teams

Try Document Review free

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Ofsted or CQC: Children's Home Registration

Children's Home Ofsted Inspection Preparation

SCCIF 2026 Explained: Children's Homes

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