When Does a Care Plan need to be Updated?

When arranging home care services for an elderly loved one, it’s paramount to ensure that they receive tailored care that caters to their specific needs. To achieve this, home care agencies, like We Care Together, create individualised care plans. If you’re unfamiliar with the process of receiving home care or what care plans entail, read on. In this article, we delve into care plans and discuss the crucial moments when they require updates.


What Constitutes a Care Plan?

A care plan is an extensive document that meticulously outlines the care requirements of an elderly individual. Each care plan is custom-crafted to suit the unique needs of the client and is typically developed in collaboration between home care managers, the elderly individual, and their family. This document serves as a reference for every member of the care team, ensuring that the right care and support are consistently provided. A typical care plan encompasses:

Assessment of Needs: A thorough evaluation of the elderly individual’s health, daily living requirements, and personal preferences.

Goals and Objectives: Clear statements outlining the intended outcomes of the care services, such as improved mobility or enhanced mental health.

Interventions and Strategies: Specific care services, actions, or treatments intended to achieve the predetermined goals outlined in the plan.

Monitoring and Review: Scheduled dates and procedures for regular assessments to evaluate the effectiveness of the care being provided, facilitating necessary adjustments.


When Should a Care Plan Be Revised?

Ensuring that a care plan remains current and relevant is vital. Regularly reviewing care plans helps ensure that any emerging needs are promptly addressed and that subtle changes are not overlooked.

Over time, circumstances evolve, which can lead to changing care requirements. Here are specific occasions when a care plan warrants revisiting and updating:

Change in Health and Well-Being: Significant changes in an elderly individual’s health, whether improvement or deterioration, necessitate adjustments to the care plan. A diagnosis of a medical condition, for instance, will typically impact the level of care required. Mental health considerations are equally important, with companionship care services often being as vital as domestic care services.

After a Hospital Discharge: Hospital stays can alter an elderly individual’s care needs. Following a hospital discharge, additional support may be required to aid in the transition back to their home. Medical recommendations from the hospital should also be incorporated into the care plan.


Introduction of New Medications: Whenever new medications are prescribed or treatment regimens change, the care plan should be updated to reflect these alterations. This is crucial to prevent medication errors and ensure the accurate administration of medications during home care visits.

Change in Personal Circumstances: Occasionally, changes in personal circumstances can directly impact the care plan. For example, if a family caregiver obtains new employment or relocates, rendering them unable to provide care at specific times, the care plan may need adjustment to ensure that professional care is provided instead. This underscores the importance of involving families in the care plan process.

At the Individual’s Request: Elderly individuals receiving home care may express new preferences or concerns. These should always be taken seriously, and the care plan should be adjusted to accommodate their requests whenever feasible. Home care services should be person-centred, with all wishes given due consideration.


Keeping a care plan up-to-date is essential to ensure that elderly individuals continue to receive the best possible care tailored to their evolving needs. It is a dynamic document that should adapt as circumstances change, enabling the delivery of top-quality home care services.