A support plan is a ‘plan’ and is therefore subject to change. It is a guide to be followed in order to support the person effectively. Circumstances and needs change, and unless these changes are reported and recorded, the plan of support may stay the same and will not fulfil its original purpose. It is the responsibility of the person who will be providing the hands-on support to notice the small changes. All changes or signs of discomfort must be recorded immediately and reported to line manager/ supervisor so the individual can be reassessed and appropriate changes to care can be implicated into the service users care plan.
Reviews are essential because care situations very rarely remain the same for long periods of time. As circumstances change, the package of care may need to be reviewed in the light of those changes. At agreed intervals, all of the parties involved should come together to reflect on whether or not the package of care is continuing to do the job it was initially set up to do. If there were no reviews, the arrangements would continue for years regardless of whether they were still meeting care needs. A review will gather together all the information about the circumstances of the person, the service provided and the service provider. It will give all those concerned with the care of the person the opportunity to express their opinions and to be involved in a discussion about how effective care provision has been and the changes that need to be made.
Any review should attempt to obtain the views of as many people as possible who are involved in the care of the person. The most important people at the review are the service user and their family and the individuals that care for them on a daily basis. The person providing services from the care plan are a very important contributor. The care manager/coordinator is also central to the review process, as is any organisation providing the care. It is also