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2.8 Stage 5: Review

1. Definition of Review

A review is a meeting of those previously involved in the development of the protection plan, including the adult. The aim is to monitor the progress and effectiveness of the protection plan. The review meeting can only take place following an enquiry or if urgent action has been taken to protect an adult who is experiencing or at risk of abuse or neglect.

2. Purpose of Review

The purpose of the review is to ensure that the actions agreed in the protection plan have been implemented and to decide whether further action is needed if any. This can include closure of the safeguarding process and / or referral to other processes such as care management or the care programme approach care programme approach (CPA).

3. Roles and Responsibilities

The lead agency managing the safeguarding process will ensure that a review is undertaken where it has been agreed that this is required. All parties to the protection plan must contribute to the review by attendance at the meeting or by producing a report if they are unable to attend.

4. Timescales

A review should be determined by the timescales set at the most recent case conference, or as agreed on the protection plan, but can be called earlier depending on the case or local arrangements. If a date for a review was fixed at the case conference, an earlier review may nevertheless be required in the following circumstances:

  • if the adult has capacity to understand the nature of a review and requests one;
  • if the person representing the best interests of the adult requests a review;
  • if the situation is seen as high risk;
  • where a review is requested by any organisation involved in the delivery of the protection plan;
  • as a result of a request by the person coordinating the protection plan.

5. Process

The review should be attended by all those who are involved in the protection plan and any services that may be able to provide support or need to be involved in the future.

The adult should be enabled to participate in the review on the same basis as for the case conference. The meeting should be held at a venue which enables the adult to fully participate, and this may be in their own home.

The attendance at the review of a carer or a personal representative is on the same basis as their attendance at a case conference.

If a decision is taken that a review is not necessary, the safeguarding adults process will be closed. In this case a decision can be taken that the protection plan should be reviewed as part of the ongoing care management or CPA processes.

If during the review a new concern of abuse or neglect is raised, this should be considered as a new alert.

If a protection plan has been created as a result of the local authority leading safeguarding processes on behalf of a funding authority then the responsibility as regard a review of that plan will rest with the local authority. The discharge of that responsibility may be passed to others, such as the funding authority, but the local authority must be reassured that the protection plan is discharged such that desired outcomes have been achieved and the protection plan does not need further review.

5.1 Actions

The review should:

  • establish to what extent the desired outcomes of the case conference have been met;
  • review the risk assessment;
  • decide in consultation with the adult or their personal representative what changes, if any, need to be made to the protection plan to decrease risk or to make the plan fit more closely with their wishes;
  • establish the views of the adult or their personal representative about the protection plan and/or other matters of importance to them;
  • decide whether any changes/additions are needed to an existing care plan or whether any additional assessments are required;
  • establish whether there is any new information about the incident which requires further action (for example referral to the police or the Disclosure and Barring Service);
  • review who will be responsible for individual actions within the protection plan;
  • decide about ongoing responsibility for the coordination of the protection plan;
  • decide whether there is need for a further review and, if so, set a date;
  • decide whether to close the safeguarding adults process.

5.2 Recording and feedback

At the review the following should be recorded and disseminated:

  • feedback on the protection plan, including the views of the adult and whether desired outcomes have been met;
  • any decisions and actions naming organisations and individuals who have a role to play in the protection plan and who have been undertaking actions agreed during the review;
  • the review notes, copies of which should be sent to all participants including the adult or their personal representative if the adult gives their permission.

If the adult does not have mental capacity and does not attend the review, agreement should be reached about feedback arrangements in accordance with their best interests. This feedback should be provided as soon as possible after the review.

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