Needs Assessment & Support Plan – Start Again Project

Step 1 of 8

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Resident's Name(Required)

First Last

Needs Assessment(Required)

Did you agree to this Initial Needs assessment?

Date(Required)

DD slash MM slash YYYY

Property Address(Required)

Street Address Address Line 2 City Postcode

THIS IS A CONFIDENTIAL DOCUMENT

This means that the only people who can have access to this information are YOU and the staff on a ‘need to know’ basis. If you would like to see any information that is kept on files about you, please contact the Support Staff. We will only share information on this Support Plan with others where you agree that we can. You have the right to discuss matters with support staff in confidence and the right to be treated fairly, equally and in the knowledge that your cultural beliefs will be respected.

WHY DO YOU NEED A NEEDS ASSESSMENT AND SUPPORT PLAN

It will help you to identify things that you need support with and to plan who is going to do what, how, when. It shows how we agree to measure the progress that has been made on meeting this need and when we will know it has been met. It will also help us to provide you with the most appropriate support to help you maintain your independence and wellbeing. The Housing Benefit Dept require us to record and monitor services we provide to you, and to demonstrate that they are appropriate to your individual needs and wishes. This document will form part of that evidence.

WHAT IF YOUR CIRCUMSTANCES CHANGE?

We will review your support when necessary, however, you are most welcome to discuss them at any time. If you have any major changes in your circumstances we will automatically review your support needs and compile a new support plan with you.

YOUR SUPPORT PLAN AGREEMENT

This Needs Assessment details what I consider to be my main support needs and the actions that are planned to met them. I am signing this to say:

I agree with its contents or, if I do not agree, I have been given the opportunity to record my comments on this form.(Required)

Yes

I agree that SAP Birmingham staff can exchange confidential information about me on a need to know basis.(Required)

Yes

I agree to my Support Plan being seen by the Housing Benefit team when they carry out a review of the service.(Required)

Yes

I can confirm that I have been offered a copy of this Support Plan before signing the document.(Required)

Yes

I can confirm that I have been advised prior to this Support Plan being carried out that it is my right to have a person of my choice to accompany, represent or advocate for me if I wish.(Required)

Yes

PERSON COMPLETING NEEDS ASSESSMENT/SUPPORT PLAN(Required)

First Last

SERVICE USER(Required)

First Last

PERSON COMPLETING NEEDS ASSESSMENT/SUPPORT PLAN(Required)

I agree to the above statements.

SERVICE USER(Required)

I agree to the above statements.

Completing Signature(Required)

Please Sign

Service User Signature(Required)

Please Sign

1. ACHIEVE ECONOMIC WELLBEING

To assess my benefit entitlement

a) your H/B claim is active
b) Address any benefit issues you may have
c) Check you are claiming for all you entitlements

Benefits active and maximised

To set up a bank/savings account

a) Agreeing on what type of account is required
b) Collecting and complete account forms
c) Ensuring account is active and being used
d) Re-activate old account(s) – if necessary

Account(s) active

To develop and follow a budget plan

a) Discussion and completion of income and expenditure Form
b) Discussion and completion of budget plan agreement
c) Establish and review success of budget

Budget plan completed

To reduce any debts/loans etc

a) Assessment of debt/loan amounts
b) Gathering of paperwork on those owed money
c) Agreement on a repayment plan
d) On-going review of commitment to repayment plan

Debts reduced or cancelled

To recoup any money owed by others

a) Assessment of actual amounts owed and contacting of debtors
b) Broker repayment plan(s) and make offer(s) of repayment
c) On-going review and/or the overseeing of repayments

Payments received/being received

To learn how to shop wisely/prudently

a) Discussion on shopping and spending habits
b) Agreement on relevant shopping/buying strategies
c) Implementation of spending plan and review timescales

Lower shopping costs

2. ENJOY AND ACHIEVE

To access opportunities in employment

a) Production of Curriculum Vitae/work history
b) Agreement on appropriate job opportunities and job hunting strategy
c) Interview techniques/confidence building programmes

Employment secured

To access opportunities in training and/or education

a) Agreement on appropriate training needs/desires
b) Searching local training providers for relevant courses
c) Enrolment on course(s) and on-going review of attendances

New skills learned

To access leisure; social; cultural; faith activities

a) Discussion on what relevant and appropriate activities are of interest
b) Sourcing where such opportunities are available
c) Engagement in activities with a review of on-going relevancy

Accessing outside hobbies/interests

To access volunteering opportunities

a) Discussion on interests and skills as a starting criteria
b) Investigation of what relevant schemes are available that fit this criteria
c) Agreement volunteering commitment with on-going review of usefulness

Volunteering place secured

To be supported in ‘move-on’ aspirations

a) Discussion on level of independent living skills and readiness for move-on
b) Agreement on a move-on strategy (areas, type of accommodation etc)
c) Contacting relevant organisations and completion of forms

Moved- On

To be supported in specific issues of equality and diversity

a) Discussion on relevant equality and diversity support needs
b) Internal or external arrangement of support delivery
c) Delivery and on-going review of support received/delivered

Successful support delivered

3. BE HEALTHY

To register with a GP

a) Locate GP, if already registered, and seek to transfer to local surgery
b) If not already registered, register at nearest appropriate local surgery
c) Initiate first visit first visit for a basic health check-up

Registered with a GP

To register with a Dentist

a) Locate dentist, if already registered, and seek transfer to local surgery
b) If not already registered, register at nearest appropriate local surgery
c) Initiate first visit for a basic dental check-up

Registered with a dentist

To better manage/improve physical health

a) GP assessment of current physical health condition
b) Set targets for physical health improvement
c) Agreement on a relevant health improvement plan
d) On-going commitment review

Improved physical health

To better manage/improve mental health

a) GP assessment of current mental health condition
b) Set targets for mental health improvement with relevant plan produced
c) Commitment to plan with on-going review

Improved mental Health

To reduce substance misuse – drugs and/or alcohol

a) Assessment of current substance misuse (amount and regularity etc)
b) Discussion and agreement on reduction strategy
c) Set up specialist agency support package, if required.
d) On-going review/support in regard to the reduction plan

Reduced substance misuse and improved health

To access support services

a) Agreement on the necessity of other support
b) Contacting of relevant agencies and setting up initial appointment(s)
c) On-going review of attendances/commitment and benefit

Attendance at support Agency

To follow a healthy diet

a) Discussion and assessment of current eating habits
b) Discussion and agreement on an improvement strategy/plan
c) On-going review of commitment to plan

Improved physical health

To maintain good personal hygiene

a) Discussion and assessment of current personal hygiene habits
b) Discussion and agreement on an improvement strategy/plan
c) On-going review of commitment to plan

Improved personal hygiene

4. STAY SAFE

To maintain the accommodation

a) Discussion in regard to accommodation needs/issues
b) Discussion in regard to tenancy obligations and agreement to comply
c) On-going review of accommodation needs and compliance

Settled accommodation

To minimise risk of harm to/from others

a) Discussion and assessment on vulnerability and/or anger management
b) Agreement and commitment to a harm minimisation plan/strategy
c) Undertaking of helpful support and/or programmes to raise awareness
d) On-going review of adherence to the plan/strategy

Reduced risk of harm

To develop Independent living skills

a) Assessment of current living skills/abilities
b) Agreement of areas of development and commitment to improvement plan
c) On-going review of development

Improved living skills

5. MAKING A POSITIVE CONTRIBUTION

To address anti-social behaviour

a) Discussion on tenancy and legal obligations
b) Agreement on a behaviour improvement plan/strategy
c) On-going review of behavioural support needs

Reduced anti-social behaviour

To comply with statutory orders etc in relation to offending behaviour

a) Discussion on the expectations and implications of the statutory orders
b) Agreement on committing to the support plan offered by Probation
c) On-going review of offending behaviour and attendance at Probation

Improved compliancy

To change offending behaviour

a) Discussion on the causes for the offending behaviour
b) Agreement and commitment to a reducing offending behaviour plan
c) On-going review including commitment to outside specialist agencies

Reduced re-offending

To avoid unhelpful social networks and establish positive ones

a) Discussion and agreement on developing positive support networks
b) Agreement to a strategy of finding new/other interests
c) On-going review of behaviour and relationship support needs

Positive social and supportive networks

6. RESIDENT’S REQUESTED SUPPORT NEED

Needs Support?(Required)

Yes

Confirmation the resident is requesting support.

Agreed Needs(Required)

Some, or all, action/tasks required to address this need

Support Outcome

Details of any comments the service user wishes to have noted upon the contents of this completed Support Plan:

PLEASE OFFER A COPY OF THIS SUPPORT PLAN TO THE SERVICE USER UPON COMPLETION

Service User Email

Enter Email Confirm Email

Only to be used to send a copy of this support plan to the service user.