As part of the Peer Challenge, a case file audit was carried out on seven the cases, the Peer Team were able to speak to one family member of a person involved in the cases to understand their lived experience. This was a small cohort of case files audits but in line with the number that is likely to be undertaken by CQC.

Strengths

Assessments were proportional, managed within a reasonable timescale and there was evidence of direct payments being used.

Considerations

The assessments reviewed were very single issue focused. The peer team were concerned that potential risk factors were not identified and that solutions were focused on fixing an individual problem rather than promoting independence.

The Council will get to select the cases it presents to CQC, and it may wish to identify cases that present the strengths and demonstrate the outcomes of the integrated model.