FAIR ACCESS TO CARE SERVICES

Risks to a person's health and safety (mental and physical health) and/or risks to the health and safety of others.

· Risk of serious harm, injury or neglect (intentional or accidental)

· Lack of capacity to appreciate danger e.g. fire risk

· Evidence of frequent falls

· Accommodation is hazardous or person is homeless

· Risk of causing serious harm to others

· Health problems make it very difficult to live safely at home alone without support

· Person is highly dependent on the assistance of others to use aids, equipment and medication.

· Requires someone to monitor safety

· Terminal stages of illness

· Carers health is being adversely affected

· Risk of abuse includes physical, sexual or emotional abuse (the vulnerable adult procedure to be instigated)

Risks to an individual's choice and control over the immediate environment.

· Requires constant support and supervision to express and exercise choices about daily living (on a daily basis)

· Needs extensive adaptations or modifications to live independently in own home (could include access to and within a property)

· Unable to manage financial affairs/is at risk of financial abuse

Risks to daily routines - an individual's ability to look after personal care, domestic needs and other daily routines.

· Needs intensive, daily care with personal care needs (e.g. transfers, washing, dressing, using the toilet. This can include help to the carer

· Unable to manage hygiene cleaning, laundry, meals, shopping and there is no family member, carer, friend to help

· Without the provision of aids or adaptations (could include access to and within a property) the disabled person will be unable to carry out any of the above tasks

· Carer is no longer able or willing to provide support and assistance with above (includes young carers)

Risks to an individual's involvement in work, education, family life and social networks and community activities.

· Requires specialist support /services from SS at least 3 times per week to access and maintain work/training and education otherwise their vocational development and financial independence is threatened

· There is a risk to a carer's employment because of caring responsibilities

· Carer requires a planned break in order to sustain caring role

· Needs specialist support to maintain social relationships outside the home -contact at least 3 times per week

· Without considerable assistance the disabled person cannot provide care to or supervise their child

· Without active intervention, such as counselling, vital relationships will breakdown

Risks to Health and Safety (mental and physical) of an individual and risks to the health and safety of others.

· Concerns about actual or potential abuse which triggers the vulnerable adults procedure

· Individual's behaviour poses an identifiable risk of serious harm, injury or neglect (intentional or accidental) to themselves or others

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Risks to an individual's choice and control over the immediate environment.

· Needs help and support to communicate and exercise choice about daily living - needs may fluctuate but require a minimum of one visit per week

· Needs adaptations or modifications to live independently in own home (could include access within or to the property)

· Needs help to manage financial affairs (on a weekly basis) and there is nobody else who is able to assist.

· May be at risk of financial abuse

Risks to daily routines - individual's ability to look after personal care, domestic needs and other daily routines.

· Requires a significant amount of help with personal care needs (e.g. transfers, washing, dressing, using the toilet). This can include help to the carer. A minimum of 3 hours assistance per week

· Has unpredictable and/or increasing needs and without assistance the situation would deteriorate rapidly

· Needs time limited support from qualified staff to regain their independence

· Without provision of aids or adaptations the disabled person will be unable to carry out most of the above tasks (could include access within or to the property)

· Needs help and supervision to manage hygienic cleaning, laundry, meals, shopping and there is no family member, carer, friend to help. Minimum of 3 hours per week

· Carers needs a minimum of 3 hours per week support and assistance or the situation will break down.

Risks to an individual's involvement in work, education, family life and social networks and community activities.

· Requires the specialist support and co-ordination of SS (minimum involvement of one contact visit per week) to sustain their involvement in work/training and education (this includes training in personal living skills)

· Requires specialist support from SS to develop and maintain relationships outside the home - minimum contact once per week

· Needs assistance to carry out many aspects of their parenting role and cannot assume sole charge for sustained periods of time e.g. when a partner is away from home

· Key relationships have broken down and this is having a detrimental effect on an individual's mental health

· Carer is under stress and may not be able to sustain their caring role

Risks to daily routines - an individual's ability to look after personal care, domestic needs and other daily routines.

· Unable to carry out - a strip wash, hygienic cleaning and heat up meals on a regular basis and this poses a threat to their physical wellbeing

PROPOSED THRESHOLD

NEEDS ABOVE THE THRESHOLD WILL BE ELIGIBLE FOR A SERVICE(S)

Risks to involvement in work, education, family life and social networks and community activities.

· Can maintain involvement in work/training/education with help and support from other statutory agencies and voluntary organisations but some assistance would enhance their development and opportunities

· Needs some assistance and/or encouragement to participate in social and community activities.

· Some aspects of the parenting role such as taking the children out or to school cannot be undertaken.

Risks to daily routines - an individual's ability to look after personal care, domestic needs and other daily routines.

· Has difficulty maintaining their house to preferred standard of cleanliness but it does not pose a threat to their physical wellbeing

· Assistance with some domestic tasks would improve a person's quality of life but is not essential to maintain their physical wellbeing. This would apply to needs for which there are readily available services at reasonable cost - cleaning, laundry, meals and shopping and pharmacy services

· Has difficulty bathing but is able to have a strip wash

· Aids may help with some tasks but these are readily available from specialist shops and Independent Living Centres and do not require a specialist assessment

· Bathing aids and rails would assist a person but they are able to manage a strip wash

Risks to an individual's involvement in work, education, family life and social networks and community activities.

· Is able to maintain their involvement in work/ training/education with help and support from other statutory and voluntary organisations

· Experiences diminishing social activity which has an impact on quality of life

· Can take part in family life but additional support could enhance their role