Review of adult services in Monmouthshire County Council

The review has two main stages.  The early stage, common for all authorities, includes consideration of advance information, a questionnaire survey of service users and carers, a case file sample, and meetings with senior managers, representatives from partner organisations and groups of service users and carers.  In the later stage, inspectors look in more detail at particular themes or service areas, chosen in the light of the early stage.  In this review, the focus of the detailed stage was:

• What do people want and need and how is that reflected in assessments, care plans, reviews and outcomes?  The review team looked at practice in two of the community care teams
• Protection of vulnerable adults: the team followed three case examples through from the initial referral under the protection of vulnerable adults procedures to the outcomes for those individuals
• Range and quality of services: the team observed the practice of domiciliary services, including home care and occupational therapy, as well as visiting a wide range of other directly provided or commissioned social care services.
• User and care involvement, communication and policy implementation: in particular the team examined the authority’s joint day services review and considered the plans for implementation of its findings
• Planning and commissioning services for younger and older people with mental health needs
• Developing services for older people.

This report summarises the findings and judgements of the review.  Further information about the methods used and the evidence obtained is available on request