Review Care Act 2014. Outline of content Introduction Introduction Keeping plans under review Keeping plans under review Planned review Planned.

Review

Care Act 2014

Outline of content

Introduction Keeping plans under review Planned review Unplanned review Requested review Revision of the plan Timeliness and regularity of reviews Summary

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Introduction

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Review

The aim of review is to ensure all people with a plan can reflect on: what’s working and not working what might need to change

The review process should be: person-centred outcomes focused accessible proportionate to the needs to be met

The process must involve the person needing care and the carer where feasible, and an independent advocate where relevant

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Keeping plans under review

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Changes to circumstances

What’s working

What’s not working

Any changes required

Outcomes achieved

New outcomes Personal budgets

Changes to support

networks

Is person satisfied with

plan

Routes to reviewing

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Planned review

• Date set with the individual during the planning process

Unplanned review

• Resulting from a change in needs or circumstances

Requested review

• Person, carer, advocate or interested party makes a request

Planned review

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Review

Proportionate

Date and time

Combined plans

aligned

Unplanned review

A review should be conducted if circumstances have changed in a way that may affect the efficacy, appropriateness or content of the plan. For example: a carer is no longer able to provide the same level of care evidence of a deterioration of the person’s physical or mental

wellbeing a safeguarding alert

The person or their representatives should be kept fully involved and informed of what is occurring, the timescales involved and any likely consequences

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Requested review

Upon receipt of a reasonable request to conduct a review, the local authority must consider this and judge the merits of conducting one

The authority must involve the person, carer and an independent advocate where relevant

A review should be performed unless the local authority is reasonably satisfied that the plan remains sufficient

If not conducting a review the reasons should set out in an accessible format along with details of how to pursue the matter if the person remains unsatisfied

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Revision of the plan

The development of a revised plan must involve the person, their representative or independent advocate

Where a revision is necessary the local authority must, where appropriate, carry out a re-assessment, using the processes involved in the original assessment and care planning processes, revising the plan and personal budget accordingly

The re-assessment process should not start from the beginning, but pick up from what is already known about the person and should be proportionate

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Timeliness and regularity of reviews

In the absence of any request for a review, or any indication that circumstances may have changed, the local authority should conduct a periodic review of plan no later than every 12 months

The review should be performed as quickly as is reasonably practicable

It should not contain any surprises and must not be used to arbitrarily reduce a care and support package

Any reduction to a personal budget should be the result of a change in need or circumstance

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Summary

The local authority is under an ongoing duty to keep the person’s plan under review

The whole review process should be person-centred, outcome focused, accessible and proportionate, and must involve the person

The right to request a review applies not just to the person receiving the care, but to others supporting them or interested in their wellbeing

Periodic reviews and reviews in general must not be used to arbitrarily reduce a care and support package

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