1.
Child/young person's Name:
2.
Name of Staff:
3.
Have the actions from the last review been completed?
YES
NO
If NO why not?
4.
What has been successful for the child/young person since the last meeting?
5.
What are the main issues of concern that still need to be addressed?
Care Plan
6.
Do you know what the care plan is for the child/young person?
YES
NO
7.
Is this in line with the internal Placement Plan?
YES
NO
8.
Are you updated regularly by the Social Worker in respect of the current plan?
YES
NO
9.
Are your objectives/outcomes clear?
YES
NO
10.
Do you feel anything needs changing or amending in the plan?
YES
NO
If YES what?
12.
What impact are the current arrangements having on the placement?
13.
Do you have the appropriate paper work in place?
Yes
No
Personal Education Plan (PEP)
Personal Education Plan (PEP) Yes
Personal Education Plan (PEP) No
Medical Consent
Medical Consent Yes
Medical Consent No
Core Assessment
Core Assessment Yes
Core Assessment No
Placement Information Record (PIR)
Placement Information Record (PIR) Yes
Placement Information Record (PIR) No
Placement Request
Placement Request Yes
Placement Request No
Risk Assessment
Risk Assessment Yes
Risk Assessment No
Looked after Child (LAC) Health Assessment
Looked after Child (LAC) Health Assessment Yes
Looked after Child (LAC) Health Assessment No
HEALTH
15.
Are there any physical health concerns you currently have in relation to the child/young person?
YES
NO
If YES what?
17.
Are they registered with a Doctor?
YES
NO
18.
Are they registered with a Dentist?
YES
NO
19.
Are there any issues around emotional health or behaviour?
YES
NO
If YES please explain
21.
Do you require further support in managing this?
YES
NO
EDUCATION
23.
Is the child/young person in education?
PART TIME
FULL TIME
NONE
24.
Do you understand the targets in the Personal Education Plan (PEP) if they have one?
YES
NO
25.
Are there current issues regarding behaviour in School/College
YES
NO
If YES please explain
27.
Are there any other concerns about the child/young person while at School/College
YES
NO
If Yes what?
29.
Are there any transport issues?
YES
NO
If YES what?
31.
Do you know your expectations around support in the unit e.g. homework, attendance?
YES
NO
SUPPORT SERVICES
14.
What support services or other agencies are currently involved?
YES
Youth Offending Team (YOT)
Youth Offending Team (YOT) YES
Parent Support Worker (PSW)
Parent Support Worker (PSW) YES
Community Support Team (CST)
Community Support Team (CST) YES
Sessional Support Services (Sessional)
Sessional Support Services (Sessional) YES
Drug Alcohol Rapid Response Team (DARRT)
Drug Alcohol Rapid Response Team (DARRT) YES
Action For Children (Action for Children)
Action For Children (Action for Children) YES
Child Adolescent Mental Health Services (CAMHS)
Child Adolescent Mental Health Services (CAMHS) YES
Advocacy (Tros Gynnal)
Advocacy (Tros Gynnal) YES
Family Group Conferences (CWLWM)
Family Group Conferences (CWLWM) YES
Any Other:
32.
Are there any issues with the input from these agencies
YES
NO
If YES please explain
34.
Do you require further services or support from any other agency or support service?
YES
NO
If Yes please explain
CONTACT
37.
Do you know what the current contact arrangemtns are for the child/young person?
YES
NO
38.
Is this manageable within the unit?
YES
NO
If NO please explain
40.
Does contact impact on the placement?
YES
NO
If YES please explain
42.
Does the contact plan need updating?
YES
NO
43.
Is communication going well with the family in relation to the placement and contact?
YES
NO
If NO please explain
45.
Are there any issues with family or friends that are having a negative impact on the placement?
YES
NO
If YES please explain
47.
Date completed (DD/MM/YY format):
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