The Outstanding Inside Method

A simple, human framework for culture change in care homes built around 7 needs that matter for residents, staff and families.

THE LENS…

The 7 Human Needs

What every person needs.

Before we think about training, activities, audits or outcomes, we start with something more fundamental:

What does a person need in order to feel human, secure and connected to the life around them?

Outstanding Inside™ uses seven human needs as a lens for looking at the everyday experience of care.

They help us move beyond asking “What care are we providing?” towards a more important question:

“What is it like to experience this care?”

The thinking behind the framework

The Outstanding Inside™ 7 Human Needs framework is informed by the person-centred tradition of dementia care, including Tom Kitwood's five psychological needs: comfort, attachment, inclusion, occupation and identity.

OI develops and reframes that thinking into seven accessible human needs that can be recognised in everyday practice and considered across the whole care-home community people receiving care, the people supporting them and the families who love them.

Because these aren't simply dementia needs.

They're human needs.

The ways we create change…

The Outstanding Inside Way

A person’s experience of care is shaped by more than one thing. Leadership, staff language, dementia understanding, everyday environments and daily practice all work together. Outstanding Inside approaches the home from five connected directions - each serving the same Seven Human Needs.

The Outstanding Inside Way begins with a simple belief: people should not merely be cared for - they should feel seen, safe, able to choose, understood, valued, connected and able to find meaning.

We work across the whole home, from leadership decisions and frontline conversations to mealtimes, shared spaces and the smallest interactions between scheduled activities. We call these everyday moments micro-engagements, because even the briefest encounter can shape how a person experiences their day.

Through five connected areas - culture, dementia understanding, environment, language and evidence - we notice what people experience, understand what sits beneath it, design meaningful change, embed it in everyday practice and evidence the difference.

Because outstanding care is not created only through policies or planned activities. It is created moment by moment, by everyone.

THE METHOD…

A Method for Turning Insight Into Change

The 7 Human Needs give us the lens. The OI Method gives us a way to act on what we see.

NOTICE

See the experience, not just the process.
We look beyond policies and routines to notice what everyday life actually feels like for the people experiencing it.

UNDERSTAND

Ask what sits underneath.
We explore what may be shaping what we see — looking for patterns, unmet needs and the reasons behind everyday experiences.

EMBED

Turn change into everyday behaviour.
Ideas only matter when they become practice. We help translate them into the interactions, routines and environments people experience every day.

DESIGN

Focus change where it matters.
We identify the strongest opportunities for improvement and shape practical responses around the reality of the home.

EVIDENCE

Look again and see what changed.
We return to the lived experience to make improvement visible, understand what is working and identify what needs attention next.

NOTICE → UNDERSTAND → DESIGN → EMBED → EVIDENCE ↻

Because improvement isn't complete when an action is taken. It matters when the experience changes.