Will is a 39 year old man with cognitive disability that creates some communication and some physical co-ordination issues. You provide home care for him and follow the requirements outlined in his individualised plan.

With prompts and guidance Will can complete many personal care practices himself, but you provide basic assistance with undressing, dressing and grooming and you oversee his bathing. He prefers to take a bath rather than a shower. He enjoys listening to the radio while in the bath. He prefers you to trim his beard, which he likes to keep neat.

He is capable of communicating effectively, although slowly, and he often has difficulty processing his thoughts.

He has Meals on Wheels delivered at lunchtime, 3 times a week. On the other week days his sister will call in to make him a sandwich for lunch. He has fresh groceries delivered to his unit and pre-prepared meals that he can heat up for dinner at weekends. You assist him with putting the delivered foods away and storing them correctly. You also assist with the next fortnight's order.

Will's mobility must be monitored as it can fluctuate depending on his mood and general wellbeing. He has a walking frame he can use if he feels it is necessary. Sometimes you have to provide support for him to get out of bed in the morning. You often discuss Will's on-going needs with him and his family.

You recently did a routine inspection of his home environment and believe that there are a few minor adjustments that could be made to reduce risk, increase his safety and comfort and contribute to his on-going independence. Identified issues relate to the cleaning of the unit, grab rails and pictures or diagrams that act as prompts. You conduct research to identify aids that will assist him with dressing and with eating and drinking skills. He currently uses unmodified crockery and cutlery. You also investigated technical aids that could assist with developing and maintaining his communication skills, independence and self-care skills.

To whom will you report any proposed changes and how should they be recorded?