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Table 2 CH4-HL ratings states from best to worst

From: Adapting the adult social care outcomes toolkit (ASCOT) for use in care home quality monitoring: conceptual development and testing

Domain title Domain description
Best outcome Residents have outstanding quality of life in this area. All residents are being cared for and supported in a consistently personalised way with their wishes and feelings being taken into account.
  Residents have good quality of life in this area. All residents are cared for and supported in a way that meets their needs.
  Residents have an inadequate quality of life in this area. Some residents are not having their needs met and there are enough issues to affect their quality of life although there is no immediate risk to their health.
Worst outcome Residents have a poor quality of life in this area. Residents’ needs are not being met and their physical or psychological health is being put at risk because there are so many issues or because the issues are so serious.