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Conducted on
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Prepared by
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Location
Access
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Are there any problems accessing the house ? eg. Steep driveway, stairs, gates, isolation of house
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Do you have mobile phone reception at your house ?
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Is there suitable parking or on the street?
Risks
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Will there be anyone else present during our visit ? If so who ?
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Do you have a dog or other pets?
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Can you ensure they are restrained whilst we visit ?
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Do you or anyone in the house smoke ? (Advise of no smoking policy)
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Are you aware of any behaviors of concern which may arise during our visit ?<br>Such as any violence within the home, Inappropriate or antisocial behavior towards others<br>If so what are the behavioural triggers eg gender, age,
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In relation to your medical history are there any biological hazards which need to be considered?<br>Such as Flu or any other contagious illness?
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Are there hazardous substances or chemicals which need to be considered?<br>Such as cleaning chemicals or Cytotoxics?
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Is a second person required ?
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Visit to proceed ?
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Identified requirements and interventions
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