Once developed the service user's plan will be reviewed monthly and updated to reflect any changing needs and ensure that the objectives for health, personal and social care are actioned. Any plan is developed with the involvement of the service user.

Family and relatives will be encouraged to participate in the Service User's daily routine as far as is practicable, and are invited to monthly formal reviews. Service Users and their Relatives are always welcome to chat with a member of the Care Staff if they have any concerns.

The Service Users Plan is reviewed at three levels:

	Daily on a shift-to-shift basis. At staff shift changeover the Service User's daily care notes are handed by the out-going shift to staff on the in-coming shift and the Service User's responses and activity patterns discussed as needed. Changes to the Service Users Plan may be proposed at this point.
	At the end of the four week settling-in period.
	Thereafter a formal review is held with Care Staff on a six monthly and then annual basis. Unless otherwise noted by changing needs.
	Health and Safety
	Personal Care Tasks
	Care Assistants Responsibilities

All amendments to the care plan will require the authorisation of the Home Manager or Senior Carer; certain amendments may require the authorisation of the Service User's GP.

All amendments to the Service Users Plan are recorded in full.