Support Needs & Environmental Risk Assessment

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0130 248 1515

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Support Needs & Environmental Risk Assessment

Name

Address

CareFirst

Date

Support Manager

Patch

Information included in this Service User pack

Medication

Medication Moving & Handling Risk Assessment GAP plan Stair Risk Assessment Taking Service User out of the home Review updates

Service User RAG Status (emergency situations)

Medication

RED… Where medication is taken or substantial needs. All services that are currently delivered would need to be provided AMBER. May be ok for call to be provided later in day or lives with a family member who can provide some of the call and the Service User would not be at risk if staff did not arrive at usual time. May be ok to condense calls i.e. provide lunch and leave tea and drink for later. All this with prior agreement only. GREEN. non-essential care which can be changed to another day or not provided at all – e.g. bathing service , shopping , cleaning or Service User can manage without support for a short period of time.

Information included in this Service User pack

Name

Address

CareFirst

Date of Birth

Religion

NEXT OF KIN

Next of Kin Name:

Next of Kin Address:

Next of Kin Post Code:

Next of Kin Post Phone Number

EMERGENCY CONTACT

EMERGENCY CONTACT Name:

EMERGENCY CONTACT Phone Number:

G.P. CONTACT DETAILS

G.P. CONTACT DETAILS Name:

G.P. CONTACT DETAILS Address:

G.P. CONTACT DETAILS Phone Number :

Visits to be provided We do not provide time specific calls except for some medication or hospital appointments on request

Date

Time

ACCESS TO THE HOME Our process is that if we are unable to gain entry to your home and we cannot establish that you are safe we will contact the police. This may result in them making the decision to force entry.

ENVIRONMENTAL RISK ASSESSMENTS

Visits to be provided We do not provide time specific calls except for some medication or hospital appointments on request

Kitchen Lounge Bathroom Toilet Loose mats/rugs/wires/trailing cables around the home Hard floor surfaces- wipe any spillages to avoid slipping 0 Use RCD when using any electrical appliance

Outside Area

Visits to be provided We do not provide time specific calls except for some medication or hospital appointments on request

Carer to observe for raised/uneven paths walkways and steps to prevent trips Carer to observe for fallen leaves/moss/mud to prevent slips Carer to observe for isolated areas and use torches in hours/places of darkness

Please make a note of any potential hazards and the precautions to reduce the risk

MEDICATION

Does the Service User require assistance to Mobilise

Yes No

How does this person mobilise? (equipment)

Communication

Health Conditions

Religious & Cultural Needs- Interests & Hobbies

MENTAL AWARENESS & Personal Safety & CWCA equipment

Consider if • Community Psychiatric Nurse involved • Memory problems • Behavioural changes • Community Mental Health Team involved • Attends a memory clinic This list is not exhaustive

HYDRATION & NUTRITION/strong>

Consider if • Has individual eating & swallowing guidance • Help required with drinking • Uses a drinking aid • Doesn’t feel pain/burns • Drinks should be cooler • Has food allergies (specify) This list is not exhaustive

PERSONAL CARE

Consider if • Needs help into Bed • Toileting • Assistance with Clothes/Hygiene • Bath/Shower • Out of Bed • Pressure Care • Continence Care This list is not exhaustive

PRACTICAL HOUSEHOLD TASKS

onsider what they do now and what they would like to do

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CQC overall rating

Good

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