Personalised care plans for adults with disabilities
How We Develop Personalised Care Plans for Adults with Disabilities
What is a personalised care plan?
A personalised care plan is a written plan that explains how an adult’s medical needs, daily support, mobility, communication, routines, preferences and family goals will be supported.
At Saksham by Kriti, care plans are developed collaboratively and implemented by the relevant care team. They are reviewed when a resident’s needs, health, behaviour, abilities or family circumstances change.
Choosing long-term care for an adult with a disability is a deeply personal decision. Families want to know that the person they love will not receive a generic routine, but support that reflects their health needs, abilities, preferences and long-term goals
At Saksham by Kriti, personalised care planning helps us understand each resident as an individual. Our care plans bring together relevant medical information, daily living support, mobility needs, routines, communication preferences, family input and professional recommendations.
Every adult has different strengths, routines, preferences and support needs. Rather than following a standard approach, we develop an individualised care plan that reflects the resident’s health needs, daily routines, communication style, personal goals and family priorities. This helps ensure that care remains meaningful, coordinated and responsive over time.
We provide doctor-led, long-term residential care for adults with disabilities in Gurgaon, supporting families across Delhi NCR. Depending on individual needs, care planning may also support respite care and day care arrangements.
Personalised Care Planning at a Glance
- Individual assessment for every resident
- Physician-led care model
- 24/7 nursing support
- In-house physiotherapy
- Family participation in care planning
- Coordinated multidisciplinary support
- Regular care reviews
- Residential, day care and respite care
Why personalised care planning matters
Adults with Down syndrome, cerebral palsy, severe learning disabilities and multiple disabilities may have very different strengths and support needs. Two adults with the same diagnosis may require completely different levels of help with mobility, communication, personal care, meals, routines and social participation.
A personalised care plan helps the people involved in care work toward shared goals. It also helps families understand how support will be provided and how important information will be communicated.
- A well-developed care plan can help:
- Create consistency between caregivers and healthcare professionals.
- Record the resident’s daily routines and preferences.
- Identify areas where support or supervision is required.
- Encourage participation in daily living activities.
- Coordinate medical, rehabilitation and personal-care information.
- Give families a clear role in care discussions and reviews.
- Support continuity when care needs change over time.
The purpose is not to promise a specific medical outcome. The purpose is to create a clear, realistic and person-centred approach to everyday support.
Our care-planning approach
Our approach is based on four principles:
Person-centred support
We focus on the individual, not only the diagnosis. A resident’s preferences, strengths, communication style, daily routine and personal history are important parts of care planning.
Family partnership
Families often have years of experience understanding what works well for their adult child. Their knowledge helps the care team identify preferences, triggers, routines, medical history and meaningful goals.
Coordinated care
Care planning works best when the relevant people share information and understand their responsibilities. Depending on the resident’s needs, this may involve the supervising doctor, physiotherapist, caregivers, care coordinator, family and external professionals.
Regular review
A care plan should not remain unchanged when a resident’s needs change. Reviews help the team identify what is working, what needs adjustment and whether new professional input is required.
A care plan should not remain unchanged when a resident’s needs change. Reviews help the team identify what is working, what needs adjustment and whether new professional input is required.
Why Families Ask About Care Plans
Families often ask:
- Will my adult child receive individual attention?
- How will doctors know their medical history?
- Will the caregivers understand their daily routine?
- How will my family stay involved?
- This page explains how personalised care planning helps answer these questions and supports long-term residential care.
Our personalised care-planning process
The exact process may vary according to the resident’s needs, service type and available medical information. In general, care planning includes the following stages.
Our Personalised Care Planning Process
Initial enquiry and information gathering
The process begins with a conversation with the family. We learn why the family is exploring residential care, respite care or day care and what kind of support is currently required.
Families may be asked to share information such as:
- Current diagnoses.
- Medical history.
- Medication information.
- Existing reports and assessments.
- Mobility and personal-care needs.
- Communication preferences.
- Eating and swallowing concerns.
- Behavioural patterns.
- Current routines.
- Important family concerns.
- Previous therapies or professional recommendations.
This initial information helps determine whether the requested service may be suitable and what further assessment or discussion may be needed.
Medical and health review
Relevant health information is reviewed through the physician-led care model at Saksham by Kriti. The review may consider current health conditions, medication, previous medical events, nutrition, sleep, skin care, mobility and any concerns identified by the family or treating professionals.
The scope and frequency of medical review depend on the resident’s individual needs. Families should continue to share information from existing doctors and specialists so that care remains coordinated.
Functional and daily-living assessment
Care planning also considers what support the adult needs during everyday activities.
This may include:
- Moving around safely.
- Sitting, standing or positioning.
- Bathing and personal hygiene.
- Dressing.
- Eating and drinking.
- Toileting.
- Communication.
- Participation in activities.
- Social interaction.
- Rest and sleep routines.
- Supervision and safety.
The purpose of this assessment is to understand the right level of assistance. Some residents may need full support in certain areas, while others may be able to participate with prompts, supervision or adapted routines.
Family discussion
Families are invited to share information about the resident’s personality, routines, preferences and long-term priorities.
Useful questions may include:
- What does the resident enjoy?
- How do they communicate their needs?
- What situations cause discomfort or distress?
- What helps them feel calm?
- What routines are important to them?
- What foods or activities do they prefer?
- What daily tasks can they do independently?
- What support is already working at home?
- What are the family’s biggest concerns?
- What would a good day look like for the resident?
This discussion helps ensure that the care plan is practical and respectful.
Setting realistic care goals
Goals are based on the resident’s current needs, strengths and circumstances. They should be meaningful, measurable where possible and realistic for long-term support.
Examples may include:
- Participating more actively during meals.
- Following a familiar daily routine.
- Using an established communication method.
- Taking part in a preferred activity.
- Improving comfort during positioning.
- Participating in personal-care routines.
- Maintaining mobility and flexibility according to professional recommendations.
- Increasing opportunities for social participation.
Goals are not promises of a cure or guaranteed independence. They are practical areas of focus that help guide everyday care.
Preparing the personalised care plan
The relevant information is brought together in a written plan. Depending on the resident’s needs, the plan may include:
- Personal profile and preferences.
- Medical information.
- Medication details.
- Daily routine.
- Personal-care support.
- Mobility and positioning guidance.
- Eating and nutrition considerations.
- Communication methods.
- Behaviour and emotional support.
- Therapy or rehabilitation recommendations.
- Activity preferences.
- Safety considerations.
- Family communication preferences.
- Emergency information.
- Short-term and long-term goals.
- Review arrangements.
The care plan should be understandable to the people responsible for implementing it. It should also be updated when important information changes.
Implementation in daily care
A care plan is useful only when it is reflected in daily practice. Caregivers use the plan to guide personal care, routines, meals, activities, communication and safety support.
Where relevant, professional recommendations are incorporated into daily routines. For example, a physiotherapy recommendation may guide positioning, mobility or stretching support. Additional specialist input may be coordinated according to individual clinical needs, family preferences and the recommendations of the treating team.
Regular review and adjustment
Care plans are reviewed according to the resident’s needs and the care team’s processes. A review may be needed when there is a change in:
- Health.
- Medication.
- Mobility.
- Eating or swallowing.
- Communication.
- Behaviour.
- Sleep.
- Personal-care needs.
- Family circumstances.
- Service requirements.
Families remain important participants in this process. Their observations can help the team identify changes that may not be visible during a single assessment.
What a personalised care plan may include
A care plan is different for every resident, but it may address the following areas.
The purpose of this assessment is to understand the right level of assistance. Some residents may need full support in certain areas, while others may be able to participate with prompts, supervision or adapted routines.
Implementation in daily care
This may include relevant diagnoses, medications, allergies, medical history, appointments and information from treating doctors.
Mobility and positioning
The plan may record how the resident moves, what assistance is required and what positioning or mobility recommendations should be followed.
Personal care and daily living
This may include support with bathing, dressing, eating, toileting, grooming and other daily activities.
Communication
The plan may explain how the resident communicates preferences, discomfort, choices or requests. This can include speech, gestures, signs, communication devices, pictures or familiar cues.
Routines and preferences
Predictable routines can help residents feel more comfortable. The plan may include preferred activities, meal routines, rest periods, social preferences and ways to support transitions.
Behaviour and emotional support
The plan may record known triggers, signs of discomfort, calming strategies and communication approaches. Any behavioural support should be respectful, proportionate and based on the resident’s needs.
Family communication
The plan may record how the family prefers to receive updates, participate in reviews and share important information.
How families contribute to care planning
Families are partners in the care-planning process. Their input may help the team understand details that are difficult to capture in a short assessment.
Families can support care planning by sharing:
- Medical records and current reports.
- Medication details.
- Information about previous therapies.
- Preferred routines.
- Communication methods.
- Food preferences.
- Sleep patterns.
- Known triggers.
- Calming strategies.
- Cultural and family preferences.
- Information about past successes and challenges.
Families can also ask questions about how the plan will be implemented, who will be involved and when reviews will take place.
How our care team supports the plan
Care planning is connected to Saksham by Kriti’s multidisciplinary care model. Depending on the individual’s needs, relevant input may come from:
- Supervising doctor or physician.
- Physiotherapist.
- Trained caregivers.
- Care coordinator or care manager.
- Family members.
- Existing treating doctors.
- External rehabilitation professionals, where appropriate.
Not every resident requires the same professionals or the same type of support. The care model is adjusted according to the resident’s needs, the agreed care plan and appropriate professional recommendations.
Read more about our approach on:
Personalised care across our services
Our care-planning approach can support different types of care, depending on the resident’s needs and the service being considered.
Residential care for adults with disabilities
Residential care involves full-time living with structured support. Read more about [residential care for adults with disabilities in Delhi NCR]
Down syndrome support
Care planning for an adult with Down syndrome may consider communication, daily living, health monitoring, routines, social participation and family goals. Read more about
Cerebral palsy care
Care planning for an adult with cerebral palsy may consider mobility, positioning, comfort, personal care, communication and physiotherapy recommendations. Read more about
Severe learning disability care
Care planning may help coordinate supervision, communication, routines, daily-living support and meaningful activities. Read more about
Respite care
For short-term stays, the care plan should help the team understand the resident’s routine, medication, personal-care needs, communication and family preferences. Read more about
Day care
For day-care arrangements, planning may focus on daytime routines, activities, therapy recommendations, personal care, communication and safe participation. Read more about
An example of personalised care planning
Consider a resident who needs support to participate more comfortably during meals.
The care plan may record:
- Preferred seating position.
- Level of assistance required.
- Communication cues.
- Meal routine.
- Foods that are preferred or avoided.
- Signs of discomfort.
- Relevant professional recommendations.
- The family’s observations.
- How progress will be reviewed.
This is only an example. The right approach depends on the resident’s individual assessment, health needs and recommendations from the relevant care professionals.
What families can ask before choosing a care home
When comparing residential-care options, families may wish to ask:
- How do you assess a new resident?
- How is family information used?
- Who contributes to the care plan?
- How are medical records and medications managed?
- How do caregivers follow professional recommendations?
- How are changes in health or behaviour recorded?
- How often are care plans reviewed?
- How are families updated?
- What happens if the resident’s needs change?
- Can the resident continue seeing existing doctors?
- What support is available during respite or transition periods?
These questions can help families compare care homes based on coordination, communication and long-term suitability rather than accommodation alone.
Discuss Your Family's Care Planning Needs
If you are considering residential care, respite care or day care for an adult with a disability, our team can help you understand the next steps.
Call us to discuss your family’s needs or schedule a visit to Saksham by Kriti in Gurugram.
Frequently asked questions
A personalised care plan is a written plan describing how an adult’s medical needs, daily support, routines, communication, mobility, preferences and family goals will be addressed.
Depending on the resident’s needs, contributions may come from the supervising doctor, physiotherapist, trained caregivers, care coordinator, family members, existing doctors and external rehabilitation professionals where appropriate.
No. Each care plan is based on the resident’s individual abilities, health needs, daily routines, communication, preferences, risks and family goals.
Families share important information about the resident’s medical history, routines, preferences, communication, triggers and support needs. They may also participate in care discussions and reviews.
Care plans are reviewed according to the resident’s needs and the care team’s processes. A review may also be required after a significant change in health, medication, mobility, behaviour or family circumstances.
Yes. A care plan may be updated when the resident’s needs, abilities, health, preferences or circumstances change.
Yes. Existing medical records, reports and professional recommendations can help the care team understand the resident and coordinate support appropriately.
Care planning may also be used for respite and day-care arrangements, depending on the resident’s needs, the service being considered and the information required for safe, coordinated support.
No. A care plan provides a structured and coordinated approach to support. It cannot guarantee a particular medical, therapeutic or developmental outcome.
You can contact Saksham by Kriti to discuss your adult child’s needs, current support, medical information and the care option you are considering.
Editorial review
This page has been prepared by the Saksham by Kriti Editorial Team to explain how our multidisciplinary care model supports long-term residential, day care, and respite care services for adults with disabilities.
The content reflects our organisational care processes and physician-led approach to coordinated long-term care.
Prepared by: Saksham by Kriti Editorial Team
Last Updated: August 2026
Other Services
Activities for Adults With Disabilities: Meaningful Daily Routines & Ideas
Discover meaningful activities for adults with disabilities, from physical, creative and cognitive activities to social and life-skills activities. Learn how personalised daily routines can support choice, participation and independence.
Can Adults With Cerebral Palsy Live Independently? A Guide to Supported Living, Residential Care, and Future Planning
When your child with a developmental disability transitions from a teenager into a young adult, the quiet comfort of childhood routines is often replaced by a pressing, deeply emotional question: What happens when they turn 18 and face the world as an adult? For parents navigating this specific life-stage anxiety, it is entirely common to feel overwhelmed by the long-term choices ahead.
Cost of Residential Care for Disabled Adults in Gurgaon (2026 Guide)
Wondering how much residential care costs for adults with disabilities in Gurgaon? This 2026 guide breaks down monthly fees, deposits, what’s included, and how to compare care homes in Delhi NCR.
Our Team
Dr. Sanjeev Tyagi | Medical Leadership at Saksham by Kriti
Medical Leadership at Saksham by Kriti Dr. Sanjeev Tyagi Dr. Sanjeev Tyagi is an anaesthesiologist, intensivist, and pain physician with more than 25 years of
Dr. Abhishek Kumar Bajpai
At Saksham by Kriti in Gurugram, he contributes to rehabilitation programmes for adults living with Cerebral Palsy, Down Syndrome, Severe Learning Disabilities, and other lifelong conditions that may affect movement, posture, balance, coordination, or physical function. Every rehabilitation plan is developed with the individual’s abilities, goals, and overall care requirements in mind, supporting meaningful progress while respecting personal dignity and independence.