Recording needs, handover, and escalating hearing concerns

Consistent deaf-aware care relies on clear records. When staff note what works for a resident and share it at handover, avoidable communication problems and repeated distress are much less likely.

What to record clearly

• The person's preferred communication method: for example BSL, lip-reading, written prompts, slower face-to-face speech, or a combination.
• What helps and what does not: use of a hearing loop, good lighting, one person speaking at a time, avoiding speaking from another room, and similar practical points.
• Hearing-aid details: whether they use one or two aids, usual wearing times, charging or battery routine, where aids are stored, and common faults.
• Important risks: repeated missed call-outs, hearing aids being lost in laundry, inability to hear alarms, or distress during personal care when communication is poor.
• Review points: any new hearing changes, repeated equipment failure, or increasing complexity of communication needs.

When to escalate

• Sudden or rapid hearing loss: requires urgent medical assessment, not routine handover.
• Ear pain, discharge, or suspected infection: report promptly for clinical review.
• Repeated hearing-aid failure or loss: inform the manager, family, GP, district nurse, or local hearing-aid service as appropriate.
• Complex discussions: consider involving a communication professional or arranging more detailed communication planning.
• Denied access to hearing aids or other communication aids: this can indicate neglect if it contradicts the person's care and support plan.

For managers and senior staff

If communication needs are not recorded clearly, they are unlikely to be met consistently. Good deaf-aware care depends on reliable systems as well as staff skills.