KEY POINTS

  • Whenever a new service is arranged, follow up checks should be made within one to two weeks to ensure all is well.
  • Not all interventions are open services. We should close cases of people who do not receive ongoing support once we are satisfied the intervention is in place and meeting need.

This chapter was added to the APPP in December 2018.

1. Defining Ongoing Support

The term ‘ongoing support’ describes care and support services or interventions that remain classed as an ‘open service’ for which someone needs to remain open to a key team to monitor and have a review scheduled.

Not all interventions provided by Adult Care are classified as ongoing support and, consequently, where these are the only services provided, once a situation is settled and we have ensured the interventions have met the need, the case does not need to remain open to a key worker or key team, and there is no requirement for formal reassessment.

2. Checking Effectiveness

In all circumstances where support services or interventions have been arranged, practitioners should ensure that checks are made within the first week and no later than two weeks to ensure the initial effectiveness of those interventions. This should involve establishing with the customer, representatives and providers, where required, that the plan is fulfilling needs and making any necessary adjustments. This activity should usually be conducted as a desktop / telephone exercise unless circumstances suggest a visit is required.

This is not a review. The phone contact or visit should be recorded in the customer’s case notes. If this check finds a significant change in needs then a review should be undertaken by bringing forward any previously scheduled review with a reassessment undertaken as required.

3. Minor Equipment

Minor equipment is not classed as an ongoing service and should not remain as an open service on the person’s record. Where a person’s only support service is minor equipment, they are not required to remain as an open case and do not require a review. Once the assessor has satisfied themselves that the equipment ordered has arrived and is doing the job it was intended to do, the case may be closed.

Minor equipment is classed as equipment where, once issued, the council is not classed as having an ‘ongoing relationship’ with it. Once it has been issued and the assessor is satisfied that it is doing what it was intended to do, the ‘service’ can be closed.

Cases may be kept open with a review scheduled wherein the assessor judges this to be necessary, for example, in cases of rapidly deteriorating conditions.

Bath lifts, whilst not classed as minor equipment due to their ongoing maintenance needs should be managed in the same way as minor equipment and unless there are sound reasons for keeping a case open for review, cases should be closed where there are no other ongoing services. The ongoing maintenance checks for this equipment will be managed by the Lincolnshire Community Equipment Service provider.

4. Managing Changes and Breaks in Services

The Changes and Breaks in Services Guidance details how practitioners should manage these occurrences.