4.1 Describe what factors should be considered when reviewing support for the journey

This guide will help you answer 4.1 Describe what factors should be considered when reviewing support for the journey.

After a journey has taken place, it is important to review the support provided. Reviewing helps identify what went well and what could be improved for future journeys. It is essential for improving care quality, maintaining safety, and supporting the individual’s well-being.

A thorough review considers a range of factors. This ensures future journeys are better planned, risks are managed, and the needs of everyone involved are met.

The Individual’s Experience

The person’s view must be central to the review.

• Ask how they felt about the journey—safe, comfortable, anxious, or confused.
• Find out if their needs were met (e.g., medication, rest, privacy, dignity).
• Note any preferences for future journeys, such as route, music, or support from a familiar person.

For people who struggle to communicate, look for non-verbal signs—did they appear relaxed, upset, or uncomfortable? Use simple questions, pictures, or prompts to gather feedback.

Safety and Risk Management

Consider all safety-related issues.

• Did any accidents, incidents, or near misses take place during the journey?
• Was the vehicle safe and suitable?
• Were mobility aids, seat restraints, and equipment used correctly?
• Did staff follow risk assessments and the journey plan?
• Were there any unexpected hazards, such as weather issues or traffic congestion?

Address any gaps by updating risk assessments and procedures.

Communication

Review how information was shared throughout the journey.

• Was the journey plan shared with all staff involved?
• Did everyone understand the person’s needs and the plan?
• Were families or other professionals updated at key points?
• Was clear and appropriate language or communication methods used for the individual?

Check if technology (like phones or tracking apps) worked well.

Timings and Organisation

Timely and well-organised journeys reduce stress.

• Did the pick-up and drop-off happen at the agreed times?
• Was time allowed for comfort breaks and care tasks?
• Was there enough time to support the individual without rushing?
• Did traffic, weather, or other delays affect the schedule? How were these managed?
• Was backup transport available if needed?

Highlight any organisational issues to improve future planning.

Support Given During the Journey

Evaluate the help provided before, during, and after travel.

• Did staff follow the journey plan and personal care instructions?
• Was support offered for mobility, medication, or personal care as needed?
• Did the person feel supported, reassured, and respected?
• Were comfort and dignity maintained at all times?
• Did staff respond well to problems—such as illness, accidents, or distress?

Spot gaps or strengths in the care provided.

Emotional and Psychological Well-Being

Check the impact of the journey on the person’s emotions.

• Was the person calm and settled—or anxious and upset—during the journey?
• How did staff support any distress, confusion, or challenging behaviour?
• Were strategies for reassurance and distraction used successfully?

Review if further steps could help reduce anxiety next time.

Involvement of Others

Look at how families, carers, and professionals supported the journey.

• Was key information from families considered and used?
• Were handovers managed smoothly at both start and end points?
• Were there any problems with involvement—such as miscommunication or misunderstandings?

Adjust planning to strengthen joint working.

Equipment, Facilities, and Resources

Review all items and facilities used.

• Was the vehicle clean, accessible, and comfortable?
• Did all equipment (seat belts, clips, mobility aids) work properly?
• Was enough food, drink, and medication available throughout?
• Were appropriate facilities (like toilets) available where needed?

Note if anything needs improving for next time.

Documentation and Record Keeping

Check that all necessary records were kept.

• Was the journey recorded clearly, including timings and any incidents?
• Were medication and care records updated as required?
• Were feedback and outcomes from the journey included?

Accurate records help improve quality and meet legal standards.

Learning and Improvement

Focus on lessons learned.

• What worked well, and why?
• Which problems were encountered, and how were they solved?
• What could help make the journey safer, smoother, or more enjoyable?
• Do staff need extra training or better tools?
• Does the journey plan need to change?

Use these insights to update the journey plan and risk assessment for the future.

Final Thoughts

Reviewing support for a journey means asking, listening, observing, and learning. Consider the person’s experience, their safety, the effectiveness of communication and planning, and how staff performed their role. Record your findings, share them with your team, and make practical changes for future journeys. This continuous review supports safer, happier, and more reliable journeys in health and social care.