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Inspection and evidence · The one number you have never had

One number for how a resident is really doing

Owners track occupancy, agency spend and falls. They have never had a single honest measure of how a resident is really doing, until now.

An elderly woman with arms stretched out with a happy smile on her face standing in front of the sea.

Owners have a number for almost everything:

  • occupancy
  • agency spend
  • medication errors
  • falls

What they've never had is a number for the thing families actually care about most: how is this resident, really, not clinically but as a person, and is that getting better or worse?

We built one.

We call it the Journey Score, and it is a single measure per resident, tracked over time, that reflects how engaged and well someone is across their living hours.

Journey Score: our measure of resident wellbeing

Journey Score is not a vanity metric.

It is built from things that genuinely indicate wellbeing:

  • how often a resident takes part
  • how activities affect their mood
  • whether they are socially connected or drifting,
  • whether engagement is consistent or sporadic, and
  • how well what is offered actually matches the person
Screenshot of a journey score and how it will appear to a user: the score (92 out of 100) appears on the left of the image with Margaret Thompson name and personal details on the right. Under the Journey Score is a list of "what makes up the score" which shows Participation 4.8 out of 5, Mood impact 4.5; Social engagement 4.6; Consistency 4.7 and Personalisation match 4.2). The line for personalisation match is in amber (indicating that this is a declining number) and the other numbers are all green, showing she is stable.
How the Journey Score displays in More Days Studio.

The point of compressing that into one tracked number is not to reduce a human being to a figure. It is to make a drift visible before it becomes a crisis.

A resident whose score slides over 3 weeks is telling you something a busy team might miss in the day-to-day: she is withdrawing, and now is the moment to act, not after the fall, the weight loss or the family complaint that a sharper eye would have pre-empted.

For an owner with more than one home, the value compounds.

You can see engagement health across every home at a glance, the way you already see occupancy, without a site visit or a phone call.

The home where 3 residents are quietly disengaging shows up before the inspector finds it. The home performing well across the board is visible too, and that is worth knowing when you are deciding where to put your attention.

There is a discipline to using a number like this well. A score is a prompt to look closer, but is never a replacement for looking.

The team still knows the resident better than any metric does.

What the number does is direct attention: it tells you where to point the human judgement you already have, so the quiet decline gets noticed as fast as the loud emergency.

This is the part of care that has never had instrumentation.

The clinical side is measured to the decimal.

The living hours, the part that most shapes whether a resident has a life worth living, has been run on intuition and memory.

Intuition and memory are good, but they do not scale across forty residents and a changing rota, and they leave no trail.

A single honest number, tracked over time, for the part of care that decides whether someone is thriving. That is what the living hours have been missing. Meet our Journey Score at More Days Studio. 

430 words · Inspection and evidence