One to One Reviews

Ordinarily, one to one care and support is provided to maintain patient safety, avoid harm, and/or promote an individual’s independence. It is frequently used as an additional element to a standard package of care, which may be short- or long-term, or applied intermittently.

It includes close supervision and/or observation of an individual, which must not be restrictive or lead to deprivation of liberty without lawful agreement.

However, while one to one care is frequently instigated, there may be difficulties in having it reviewed regularly. Where this is the case, Liaison Care can help.

Reviews should be evidenced as being required to minimise the likelihood of harm, and/or promoting the achievement of an agreed goal or outcome. Short-term arrangements shouldn’t be in place for longer than is necessary, and all arrangements should present comprehensive evidence of need and/or benefit, as any overly restrictive and obtrusive care can exacerbate the needs and anxieties of an individual.

Where it has been commissioned, any one to one care should also be consistently supplied. The average cost of a one to one arrangement is £2,400 per week. Therefore, where it cannot be reliably delivered or is not required at a restrictive level, one to one arrangements can be substituted with less restrictive options that enhance wellbeing and provide a therapeutic environment, at considerably less cost.

For both the benefit of the individual, as well as the care providers and NHS or Local Authority, it is important that one to one care is reviewed on a regular basis. Liaison Care can provide the necessary support to ensure that this is done to the expected standards of all involved.