Outstanding residential care is personalised not packaged, and prevention is far better than dealing with the results of poor care. Yet driving improvement in service provision requires a process of continuous organisational learning to embed best practice. This unique resource provides all that is needed to create a framework for assessing a care home’s strengths and weaknesses and taking the first steps on the road towards an ‘Outstanding’ rating. Drawing on decades of inspection experience, Terri Salt provides a suite of forms and templates that – with appropriate planning, discussion and collaboration – can serve as the basis for a full quality assessment as well as being built into a regular cycle of monitoring and continuous improvement. Using these tools, staff can learn to enjoy the experience of delivering the very best care to patients – and leaders can provide them with the tools and freedom required to do so.