Communication preferences, BSL, lip-reading, and accessible information

A resident's communication needs should be established with them, not guessed by staff. NHS England's Accessible Information Standard requires services to identify, record, flag, share, meet, and review information and communication needs. In practice this means recording the specific supports the person needs rather than relying on a label such as "hard of hearing".

Common communication preferences

• British Sign Language: some residents may prefer BSL and may need an interpreter for complex conversations.
• Lip-reading: works only with good lighting, unobstructed view of the face, natural speech, and minimal visual distraction.
• Written or typed information: helpful for some people but not automatically suitable for everyone.
• Hearing aids, hearing loops, or other assistive devices: these can help, but they do not remove the need for clear communication.
• Visual prompts and routines: whiteboards, printed schedules, and visual alerts can reduce uncertainty in care-home life.

The Accessible Information Standard also warns against assumptions. A person who uses hearing aids may still rely on lip-reading or another method. A Deaf BSL user may need information in BSL rather than standard written English. Families can help, but they should not replace direct communication with the resident.

Do not record only "deaf" or "hard of hearing" and assume that is enough. Good care records what the person needs, what works, and what should be avoided.