Commissioner Guidance for CCGs, Local Authorities and NHS area teams:
Checking quality of reviews and support plans
Transforming Care: A National Response to Winterbourne View requires an end to all inappropriate placements by 2014, so that every person with a learning disability and or autism with complex needs and behaviours which challenge receives the right care in the right place.
Commissioners from each CCG, Local Authority and NHS area team must ensure that regular, high quality individual reviews are taking place. The Joint Improvement Board has produced guidance for care managers on what makes a good review, which should be used in conjunction with this guidance for commissioners, to ensure that reviews consider the needs of the whole person, resulting in outcomes based personalised support plans. The following areas need to be considered when checking that individual reviews have been carried out.
What consideration been given to recent quality assurance and compliance information, including CQC inspections, local service audits or clinical quality reviews?
This should include seeking information about use of restraint, use of medication, safeguarding referrals, attendance at emergency services, any admissions to Accident and Emergency.
What evidence is there that the person and their family have been fully involved in the review process?
This should include timely access to information, advice and independent advocacy in formats that are accessible.
Can the review process demonstrate that there has been a reflection on the purpose for each person’s admission/placement and the reasons for them remaining in this service?
This should include evidence of outcome-focused person centred plans.
Has full consideration been given to the person being able to receive support in a local community based setting?
If this is not considered appropriate or possible at the current time, have the plans to make this possible been recorded with timescales.
Can you demonstrate that the review decision has been made as a result of a full multi disciplinary/agency discussion, involving the person and their family or independent advocate?
Include details of key professionals and others involved in decision making and dates of any meetings.
Does each person have an outcome based support plan that is in an appropriate accessible format to the individual?
Consider whether the support plan is owned by the individual. How can it be evidenced that the support plan is implemented, reviewed and updated as appropriate?