fix(assessments): enable engine by default and wire into live UI

The assessment engine was built but opt-in and hidden: flag defaulted
off, no sidebar entry, and no settings toggle. Default assessments_engine
on, auto-seed catalog when empty, add Settings toggle and Assessments
nav, and surface guidance from the patients list.

app/Http/Controllers/Care/AssessmentController.php

@@ -294,6 +294,7 @@ class AssessmentController extends Controller
             $this->features->enabled($this->organization($request), CareFeatures::ASSESSMENTS_ENGINE),
             404,
         );
+        $this->features->ensureAssessmentCatalog();
     }
 
     protected function authorizeCapture(Request $request): void

app/Http/Controllers/Care/ConsultationController.php

@@ -47,7 +47,11 @@ class ConsultationController extends Controller
         $canPrescribe = $permissions->can($member, 'prescriptions.manage');
         $canGenerateBill = $permissions->can($member, 'bills.manage');
 
-        $assessmentsEnabled = app(CareFeatures::class)->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE);
+        $careFeatures = app(CareFeatures::class);
+        $assessmentsEnabled = $careFeatures->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE);
+        if ($assessmentsEnabled) {
+            $careFeatures->ensureAssessmentCatalog();
+        }
         $canViewAssessments = $assessmentsEnabled && $permissions->can($member, 'assessments.view');
         $canCaptureAssessment = $assessmentsEnabled && (
             $permissions->can($member, 'assessments.capture')

app/Http/Controllers/Care/OutcomeController.php

@@ -94,6 +94,7 @@ class OutcomeController extends Controller
             $this->features->enabled($this->organization($request), CareFeatures::ASSESSMENTS_ENGINE),
             404,
         );
+        $this->features->ensureAssessmentCatalog();
     }
 
     protected function authorizePatient(Request $request, Patient $patient): void

app/Http/Controllers/Care/PathwayController.php

@@ -149,6 +149,7 @@ class PathwayController extends Controller
             $this->features->enabled($org, CareFeatures::ASSESSMENTS_ENGINE),
             404,
         );
+        $this->features->ensureAssessmentCatalog();
     }
 
     protected function authorizePatient(Request $request, Patient $patient): void

app/Http/Controllers/Care/PatientController.php

@@ -102,7 +102,11 @@ class PatientController extends Controller
         $suiteEmailReady = app(\App\Services\Billing\PlatformEmailClient::class)->isConfigured();
         $suiteSmsReady = app(\App\Services\Billing\PlatformSmsClient::class)->isConfigured();
 
-        $assessmentsEnabled = app(CareFeatures::class)->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE);
+        $careFeatures = app(CareFeatures::class);
+        $assessmentsEnabled = $careFeatures->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE);
+        if ($assessmentsEnabled) {
+            $careFeatures->ensureAssessmentCatalog();
+        }
         $canViewAssessments = $assessmentsEnabled && $permissions->can($member, 'assessments.view');
         $canCaptureAssessment = $assessmentsEnabled && (
             $permissions->can($member, 'assessments.capture')

app/Http/Controllers/Care/SettingsController.php

@@ -7,6 +7,7 @@ use App\Http\Controllers\Care\Concerns\ScopesToAccount;
 use App\Models\Branch;
 use App\Services\Care\AppointmentPatientNotifier;
 use App\Services\Care\AuditLogger;
+use App\Services\Care\CareFeatures;
 use App\Services\Care\CarePermissions;
 use App\Services\Care\PlanService;
 use App\Services\Billing\PlatformEmailClient;
@@ -45,6 +46,8 @@ class SettingsController extends Controller
         $suiteEmailReady = $platformEmail->isConfigured();
         $suiteSmsReady = $platformSms->isConfigured();
 
+        $careFeatures = app(CareFeatures::class);
+
         return view('care.settings.edit', [
             'organization' => $organization,
             'canManage' => $canManage,
@@ -53,6 +56,7 @@ class SettingsController extends Controller
             'canViewTeam' => $permissions->can($member, 'admin.members.view'),
             'hasBranchesFeature' => $plans->hasFeature($organization, 'branches'),
             'canUseQueueIntegration' => $plans->canUseQueueIntegration($organization),
+            'assessmentsEngineEnabled' => $careFeatures->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE),
             'messagingSmsReady' => $suiteSmsReady || $credential->hasValidSms(),
             'messagingEmailReady' => $suiteEmailReady || $credential->hasValidBird(),
             'suiteMessagingReady' => $suiteEmailReady || $suiteSmsReady,
@@ -82,6 +86,7 @@ class SettingsController extends Controller
             'logo' => ['nullable', 'image', 'mimes:jpeg,png,jpg,webp,svg', 'max:2048'],
             'remove_logo' => ['nullable', 'boolean'],
             'queue_integration_enabled' => ['nullable', 'boolean'],
+            'assessments_engine' => ['nullable', 'boolean'],
             'notify_appointment_booked_sms' => ['nullable', 'boolean'],
             'notify_appointment_booked_email' => ['nullable', 'boolean'],
             'notify_video_scheduled_sms' => ['nullable', 'boolean'],
@@ -92,6 +97,14 @@ class SettingsController extends Controller
         $settings['onboarded'] = true;
         $settings['facility_type'] = $validated['facility_type'];
 
+        $rollout = is_array($settings['rollout'] ?? null) ? $settings['rollout'] : [];
+        // Explicit save so opt-out is stored (engine defaults ON when unset).
+        $rollout[CareFeatures::ASSESSMENTS_ENGINE] = $request->boolean('assessments_engine');
+        $settings['rollout'] = $rollout;
+        if ($rollout[CareFeatures::ASSESSMENTS_ENGINE]) {
+            app(CareFeatures::class)->ensureAssessmentCatalog();
+        }
+
         // Queue integration is Pro/Enterprise only — free plans cannot enable it.
         $wantsQueue = $request->boolean('queue_integration_enabled');
         if ($wantsQueue && ! $plans->canUseQueueIntegration($organization)) {