The peer team met with ten residents with lived experience and four family or friend carers during the review all of which have lived experience of a learning disability and or neuro diversity. There were no opportunities during the review to talk to people with other lived experiences of care and support. The outcomes from people with lived experience are included within the body of the report, and in particular within the co-production section contained in quality statement three.

Additionally, the information return included a Friends & Family Survey published in February 2024. The survey was completed by 58 people and consisted of six yes or no questions, a final rating question, and a number of free text comments from respondents. The results suggested a high overall level of satisfaction with adult social care:

• Have the staff treated you with dignity and respect (98% answered yes),
• Have you been involved as much as you want to be in decisions about your care and support needs (93% answered yes)
• Where you given the information, you needed about support available (91% answered yes),
• Were you given a variety of options on how your care and support needs could be met (86% answered yes),
• Were possible, has the care and support you received enabled you to live as you wish (81% answered yes),
• Has your family and / or carer been offered a carers assessment (76% answered yes)

The survey also indicated that 87% of respondents were extremely likely or likely to recommend the service. This survey was not referred to during any of the focus groups within the review.

Strengths

There were opportunities for people with lived experience to be engaged in partnership boards and some good, individualised examples of how co-production was being developed and individual stories included within the Councils opening presentation and within some of the focus groups.

Considerations

In general, the voice of people with lived experience did not come across strongly in the peer review. The emphasis within the focus groups was primarily on the strength and value of the system relationships and although the examples provided were positive there are opportunities to strengthen this as staff and partners were struggling to articulate how the way that they are working together is improving outcomes for people.