This chapter has been refreshed following a legal review in March 2024.
Under Section 27 of the Care Act 2014, the local authority must keep Care and Support / Support Plans under periodic review. This means they must have a system or process in place to ensure that reviews are carried out and monitored in a manner appropriate to the needs and circumstances of the person / carer whose plan it is.
Because every person / carer is different, the Care Act does not specify the frequency in which a Care and Support / Support Plan review must take place. However, the Care and Support statutory guidance does expect the local authority to endeavour to carry out a review as follows:
The Local Authority is expected to proactively monitor and set more regular reviews as required where people have particular complex needs or are in high risk situations.
Reviewing a Direct Payment is not the same as reviewing a Care and Support/Support Plan. Where the person is managing their personal budget through a Direct Payment any reviews of the Direct Payment should normally coincide with the Care and Support/Support Plan review.
For details about the Direct Payment Review see Reviewing a Direct Payment.
There are several recognised routes to reviewing a Care and Support Plan/Support Plan.
Planned reviews are agreed and set as part of the Care and Support Planning process or through general monitoring. Because they are planned, both the Local Authority and the person receiving the Care and Support (or the carer receiving Support) are able to prepare for the Review and information about what to expect from the review can be provided in a timely way.
Unplanned reviews result from a sudden change in need or circumstance, such as the person going into hospital or becoming unwell. As soon as the Local Authority becomes aware of the change and the possibility that the current Care and Support Plan/ Support Plan may need to be revised it should arrange to carry out the review. Because the unplanned review is exactly that, the person/carer will not be as prepared for the review as they would have been had they known it was going to occur. Consequently, consideration should be given to how best to prepare them and any additional support they may need to engage in the review process.
This is where a person receiving Care and Support, the carer or any other party requests a review of the Care and Support/Support Plan. The Local Authority should consider all requests for a review and has a duty to carry out a review when the request is reasonable. The Care Act expects the Local Authority to have a clear process for considering requests for a review so that decisions are made fairly and consistently.
Where the Local Authority declines to complete a review following a request it must set out its decision and reasons in writing to the person making the request, along with information about what action they can take if they remain unsatisfied with the decision.
The review should be:
Often the nature of the review method is determined by the likely outcome of the review process at the time that the review request was made or the Care and Support/ Support Plan was scheduled for general review. In all cases, the review should be performed in a timely manner and reflect the views and wishes of the person/carer about how the review should be carried out.
The Care and Support statutory guidance describes a range of review options that should be available:
A light touch review can be carried out for any review method. It is the term given to a less intense review that is proportionate to the circumstances in which it is taking place. It can be carried out when the person has requested a small or temporary change to their Care and Support/Support Plan that does not suggest a change in their needs or in the existing personal budget amount. It involved the Local Authority being satisfied that it has gathered sufficient information to confidently agree the outcome of the review.
The review process should be person centred and outcomes-focussed. It should always involve the person and any carer they have.
IMPORTANT TO KNOWIt is important to remember that what is being reviewed is the Care and Support Plan/Support Plan and not the person/carer's needs.
The following broad elements should be included in all reviews, regardless of the method of review. Wherever possible, the person whose review it is should be aware of these before the review process begins:
Where the person/carer has substantial difficulty in being involved in the review, and there is no appropriate person to facilitate their involvement, they are entitled under the Care Act to independent advocacy.
Where a person with Care and Support needs lacks capacity they may also be eligible to advocacy under the Mental Capacity Act.
For information about the duty to provide independent advocacy and different types of advocacy that may be appropriate during a review see The Duty to Provide an Independent Advocate.
Although not strictly required, the person carrying out the review of a Care and Support/Support Plan should meet the requirements of a person who carries out an assessment. This is so that the person has the necessary expertise to recognise when a reassessment may be required. In summary, these are that:
Where the person/carer has a diagnosis of Autism or is Deafblind additional requirements apply. For details of these and information about all of the requirements to be considered when deciding who should carry out a review see Who Should Carry Out the Assessment?
The Local Authority retains responsibility for making sure that general reviews are carried out, that any required revisions are made to the Care and Support/Support Plan and that eligible needs continue to be met. However, the Care and Support statutory guidance does allow for the Local Authority to delegate the physical act of review to another party if it considers this to be appropriate. In all cases the Local Authority should still assure itself as to the outcome of the review and operate a sign-off approach. The people that the Local Authority could delegate the review to include:
Where the Local Authority requests another person or agency carry out a review on its behalf that agency or person is generally obliged to co-operate with the request. For information about the duty to co-operate see Co-Operation.