Support plan

Title Page

Risk Assessment

Does the client present a known risk to her/himself or others?
Details
Mental health/Neglect (self and/or home)
Details
Abuse (Physical, mental, financial, substance)
Details
Physical safety or at risk from others
Details
Suitability/location of furniture within the flat (risk of client getting trapped/burnt)
Details
Cultural/social isolation (encourage and support any interest in hobbies)
Details
PEP completed
Details
Add assessment of risk?
Assessment of risk
Action required
Low Level Risk
A low level risk would be one where no further action needs to be taken at the current time or an action needs to be noted for checking on the next visit. This would include incidents such as:
Client describing loneliness and mild depression
Medium Level Risk
This is where an action or incident is noted and discussed with the client and an action needs to be taken within a month of the assessment. Scheme Manager will check up on the client in one month. This would be an incident such as:
Client advises they have considered using drugs or alcohol to ease their depression.
High Level Risk
If a client is identified as high risk there will be an immediate and urgent action to take. This will need to be dealt with as a priority and may include liaising with other agencies to enable to risk to be reduced. For example: Scheme Manager discovers the client has tried to harm himself or herself or take their own life.
Overall client risk rating

This assessment is to ensure that the safety of the Scheme Manager and Client is maintained whilst the support service is carried out.
Where is the support visit carried out?
Is a joint visit required?

Please check the following boxes to show which benefits are currently being claimed.
Private pension
Housing benefit
Supporting people grant
State retirement benefit
State widows benefit
Pension credit
Job seekers allowance
Disability living allowance
State rate
Mobility
State rate
Attendance allowance
State rate
Incapacity benefit
Severe disablement
Carers Allowance
Winter fuel payment
Other
Please state
Do you think you are receiving all your benefits entitlement?
Would you like an appointment with a benefits advisor?
Comments

My Support Plan has been reviewed by me and the Scheme Manager and I agree with its contents, which includes the individual risk assessment.

In order to ensure needs and support planning are client focused, it is your choice whether your support plan is reviewed on a 6 monthly or annual basis.
(Please remember you can ask us to review your Support Plan at any time).
Support plan to be reviewed
Who will sign this agreement?
Client's signature
Client's comments
Advocate's full name
Advocate's signature
Comments
Scheme Manager's signature
Scheme Manager's comments
Would the client like a copy of the support plan?
Has tenancy audit been conducted?