Resources: Living

CHOICE+ Checklists

  • Resource Type: Toolkit
  • Posted On: October 22, 2018
  • Author/Source: Dr. Heather Keller and the Schlegel-UW Research Institute for Aging
  • Audience(s): Leaders and managers, Staff / team members

CHOICE+ is an innovative program that aims to improve the mealtime experience for residents in long-term care. Two user-friendly checklists were created as part of the program to help teams improve their mealtime practices and enhance the dining environment.


CHOICE+ is an innovative program that aims to improve the mealtime experience for residents in long-term care. It focuses on developing relationship-centred practices and enhancing the dining environment.

The CHOICE+ program is made up of six principles:

  • Connecting: having meaningful conversations and socializing
  • Honouring Dignity: respecting decisions, choices and preferences
  • Offering Support: supporting residents based on individual needs
  • Identity: knowing and accepting residents as unique individuals
  • Creating Opportunities: supporting active mealtime participation
  • Enjoyment: creating a warm and welcoming dining environment

To learn more about the program and additional resources, view the CHOICE+ program page.

CHOICE+ Checklists

As part of the CHOICE+ program, two user-friendly checklists were created to help teams in long-term care work towards achieving the CHOICE+ principles:

  1. Mealtime Practices Checklist:  Encourages person-centred practices at mealtimes
  2. Dining Room Checklist:  Helps to make dining rooms welcoming, comfortable, and enjoyable

These self-assessment checklists encourage team members to reflect on their current mealtime practices (e.g., “Are we honouring residents’ seating preferences?”, “Are we greeting residents by their preferred name?”, “Are we describing food choices clearly?”), and provides examples of how to apply the principles in practice.

Long-term care teams can use the CHOICE+ checklists to:

  • Understand their current strengths in supporting residents at mealtimes
  • Get ideas of simple strategies to try in their day-to-day practice
  • Spark discussion at team meetings and help develop plans for practice change

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About the Ontario Centres for Learning, Research and Innovation in Long-Term Care

The Ontario CLRI is funded by the Ministry of Health, and the Ministry of Long-Term Care, and hosted at Baycrest Health Sciences, Bruyère, and the Schlegel-UW Research Institute for Aging.

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