Outcome based practice is efficient in providing care which is person centred. Although, the problem with outcome-based practice can be that a healthcare professional is seen as a “facilitator” rather than an expert. Due to this, individuals are allowed to make “unwise” decisions and the care staff are to follow their decisions to ensure they are in control of their own care. One example of this was when an individual wanted to carry out their own personal care. This individual was physically capable of carrying out the task, but there were concerns that she lacked the ability to remember to carry out her personal care effectively. To meet this individual’s person-centred needs we created a care plan and built an en-suite shower to enable the individual to have their independence, despite previous history of the individual not taking care of themselves appropriately. Unfortunately, after a few months of following their care plan the individual was not caring for themselves well, causing the individual to have health implications and care staff had to change her CarePlan and to support her during her personal care.