ࡱ> rq  Kbjbjt+t+ AA%(]#]4::::h$:4 ( l+0333333$57%3 @ %3I! I!I!I! (R +:: +I! I!*:+,"+ < @0Q:: L+  Comprehensive Risk Assessment Vulnerable Adults & Adults with Illness or Disabilities This document is to be used where serious, complex or multiple risk factors are identified and where it is clear that risk management planning within general community care assessment and service provision, has (or will not) adequately ensure that a service user is protected. E.g. in relation to a specific crisis or where a multi-agency risk management response is required.  SERVICE USER DETAILS Family Name:  FORMTEXT      First Name:  FORMTEXT       Title %  FORMDROPDOWN Gender %  FORMDROPDOWN Swift/FIP No:  FORMTEXT      NHS No:  FORMTEXT      Address:  FORMTEXT      Date of Birth:  FORMTEXT      Telephone:  FORMTEXT      Postcode:  FORMTEXT      Lives Alone? Yes  FORMCHECKBOX  No  FORMCHECKBOX How long at main address?  FORMTEXT      If No - Details of others in household:  FORMTEXT      Religion:  FORMTEXT      Present whereabouts: (e.g. respite, hospital )  FORMTEXT      Date Admitted:  FORMTEXT       Details if admitted under MH Section:  FORMTEXT      Type of home accommodation %  FORMDROPDOWN  Tenure: % FORMDROPDOWN  ETHNICITY and LANGUAGESelected Ethnicity: % FORMDROPDOWN  First language:  FORMTEXT      Interpreter Required?  FORMCHECKBOX  SIGNIFICANT CONTACTSName of person closest to the client / nominated contact:  FORMTEXT      Address:  FORMTEXT      Telephone:  FORMTEXT       Mobile:  FORMTEXT      Postcode:  FORMTEXT       Name of Main Carer (if different from above):  FORMTEXT      Address:  FORMTEXT      Telephone:  FORMTEXT       Mobile:  FORMTEXT      Postcode:  FORMTEXT       Name of GP:  FORMTEXT      Address:  FORMTEXT      Telephone:  FORMTEXT      Postcode:  FORMTEXT       MULTI-AGENCY CONTACTS Is the service user known to any of the following?Hospital? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Day Centre? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       District Nurse? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Social Services? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Residential Home? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Voluntary Agency? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Community Team? FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       Other? (specify) FORMCHECKBOX Name  FORMTEXT      Tel  FORMTEXT      Address  FORMTEXT       RISK HISTORY SUMMARY Clearly outline recent events, crisis and scenarios that illustrate identified risk indicators - including health issues, service refusals, serious harm, abuse, accident or neglect.  FORMTEXT       RISK REDUCTION PLANEach Risk category requires that the Risk level is indicated as below - Critical Risk - Immediate and sustained reoccurrence of risks - seriously threatening health, safety or life. Substantial Risk - History and current problems indicate regular and ongoing risk threatening health & safety. Moderate Risk - Some current and historical risk occurrence indicating intervention may be required. Low Risk - Some initial risk indicators are apparent but may be addressed by general care planning. No Risk - No history or apparent risk indicators. Use the pick list or write in. The Risk level should reflect the highest identified risk factor(s) in each category. Check the relevant box to indicate each identified current risk factor within each category. Below each category record further details and clearly list the proposed interventions/action that will reduce identified risk factors.  Physical Health/Function FORMCHECKBOX  Unstable medical conditions  FORMCHECKBOX  Critical episodes(eg Cardiac, TIA, Fits)  FORMCHECKBOX  Multiple medical conditions  FORMCHECKBOX  Fall(s) Number to date:  FORMTEXT        FORMCHECKBOX  Fracture(s) due to falls. No:  FORMTEXT        FORMCHECKBOX  Recent A&E visits No. of Hospital Admissions in last 12 Months:  FORMTEXT       FORMCHECKBOX  Sustained immobility  FORMCHECKBOX  Unsafe mobility  FORMCHECKBOX  Transferring/manual handling  FORMCHECKBOX  Visual deterioration  FORMCHECKBOX  Auditory deterioration  FORMCHECKBOX  Vocal deterioration  FORMCHECKBOX  Swallowing difficulties  FORMCHECKBOX  Urinary Incontinence FORMCHECKBOX  Faecal Incontinence  FORMCHECKBOX  Pressure sores  FORMCHECKBOX  Malnutrition  FORMCHECKBOX  Dehydration  FORMCHECKBOX  Hypothermia Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT        Mental Health FORMCHECKBOX  Cognitive deterioration  FORMCHECKBOX  Cognitive impairment  FORMCHECKBOX  Short term memory loss  FORMCHECKBOX  Long term memory loss FORMCHECKBOX  Disorientation time/place  FORMCHECKBOX  Depression  FORMCHECKBOX  Self harm/suicidal ideation  FORMCHECKBOX  Ideation of harm to others FORMCHECKBOX  Delusions/Paranoia  FORMCHECKBOX  Visual hallucination  FORMCHECKBOX  Auditory hallucination Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT      Behaviour/Compliance FORMCHECKBOX  Serious self neglect  FORMCHECKBOX  Unable call emergency assistance  FORMCHECKBOX  Wandering  FORMCHECKBOX  Discontinuation of service  FORMCHECKBOX  Refusal of support/treatment FORMCHECKBOX  Refusing access to service  FORMCHECKBOX  Failure to keep appointments  FORMCHECKBOX  Alcohol misuse  FORMCHECKBOX  Drug misuse  FORMCHECKBOX  Unsafe driving FORMCHECKBOX  Threats to others  FORMCHECKBOX  Physical harm to others Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT       Medication FORMCHECKBOX  Multiple/complex medication  FORMCHECKBOX  Unable to self administer  FORMCHECKBOX  Forgetting to take medication FORMCHECKBOX  Discontinued medication  FORMCHECKBOX  Non reviewed complex regime  FORMCHECKBOX  Adverse side effects FORMCHECKBOX  Recent hospital discharge with new medication. Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT       Social & carer support FORMCHECKBOX  Social isolation  FORMCHECKBOX  Lives alone  FORMCHECKBOX  Recent bereavement  FORMCHECKBOX  Concern from relatives/friends  FORMCHECKBOX  Carer has deteriorating health  FORMCHECKBOX  Breakdown of carer support  FORMCHECKBOX  Carer stressed/depressed  FORMCHECKBOX  Threat of withdrawal by carer FORMCHECKBOX  Carer refusing support  FORMCHECKBOX  Recent victim of crime  FORMCHECKBOX  Homelessness Other:  FORMTEXT      Risk factors involving a carer should trigger a carer's assessment or reassessment.Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT        Abuse NB Allegations of abuse trigger the Protection of Vulnerable Adults Procedure and AP1 form completion. FORMCHECKBOX  Physical  FORMCHECKBOX  Institutional  FORMCHECKBOX  Sexual FORMCHECKBOX  Neglect  FORMCHECKBOX  Psychological  FORMCHECKBOX  Discriminatory FORMCHECKBOX  Financial Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN Intervention/Action to Reduce Risk  FORMTEXT       Home Environment FORMCHECKBOX  Inadequate heating  FORMCHECKBOX  Unsafe for mobility/trip hazard  FORMCHECKBOX  Fire risk (smoking, electrical etc)  FORMCHECKBOX  Domestic accident (appliances, gas ) FORMCHECKBOX  Serious disrepair  FORMCHECKBOX  Serious unsanitary condition  FORMCHECKBOX  Infestation  FORMCHECKBOX  Damp FORMCHECKBOX  Insecure access  FORMCHECKBOX  No smoke alarm Other:  FORMTEXT      Current Risk Level % :  FORMDROPDOWN  Intervention/Action to Reduce Risk  FORMTEXT       Persons identified as being at risk FORMCHECKBOX  Service User  FORMCHECKBOX  Main Carer FORMCHECKBOX  Family members Details:  FORMTEXT       FORMCHECKBOX  Child/Children (Inform and liase with Child Protection) Details:  FORMTEXT       FORMCHECKBOX  Staff member Details:  FORMTEXT       FORMCHECKBOX  Visiting services staff Details:  FORMTEXT       FORMCHECKBOX  Other residents/patients/neighbours Details:  FORMTEXT       FORMCHECKBOX  General public  CONTINGENCY PLANNING List key risk areas that may re-occur/increase and actions required to manage this. Outline steps that will be taken if service user discontinues services or treatment, or withdraws from care plan. E.g. follow up call or visit, case conference, review, multi agency communication, plans to re-engage user. FORMTEXT       Risk Assessment Conducted By - Name: FORMTEXT      Role % FORMDROPDOWN Team %  FORMDROPDOWN Tel:  FORMTEXT      Email: FORMTEXT      Signed : Date:  FORMTEXT      Recommended Review Date:  FORMTEXT      Approved by Line Manager - Name:  FORMTEXT       Signed: Date: FORMTEXT       Copies to be distributed to all relevant professionals involved. FORMCHECKBOX  File  FORMCHECKBOX  Service User  FORMCHECKBOX  Carer/Family  FORMCHECKBOX  GP  FORMCHECKBOX  REACH Team FORMCHECKBOX  Community Nurse  FORMCHECKBOX  OT  FORMCHECKBOX  Hospital Team  FORMCHECKBOX  Social Services  FORMCHECKBOX  RRT FORMCHECKBOX  MHCOP  FORMCHECKBOX  Mental Health team  FORMCHECKBOX  Psychiatrist  FORMCHECKBOX  Home Care provider Other:  FORMTEXT       RA1 (Version 3.0) Comprehensive Risk Assessment  PAGE 2  DATE \@ "dd/MM/yy" 05/07/05 RA1  EMBED Word.Picture.8  .2^`xz|*,.0L좙~ˢpˢjbCJOJQJUj5CJUmHj&b5CJU5CJj5CJUCJjCJOJQJUmHjaCJOJQJUjCJOJQJU5CJOJQJ CJOJQJ5B*CJOJQJ>*CJOJQJ CJOJQJ jU jUmH)CDc.02^`x$(($*$$Tl`4'  $$$lV& $ CDc.02^`R PRTD x    J T X Z  " & t 6 8 : h j  T V X "\LNP~   ^R Phwr($>$$Tl?4F /'$(($>$$Tl`4FH~'LNPnp (*>@BLNPRTjl׮ާޣוׇקyקjeCJOJQJUjheCJOJQJUjdCJOJQJU5CJ CJOJQJj|dCJOJQJUjCJOJQJUmHjdCJOJQJU CJOJQJ5CJOJQJjCJOJQJUjdcCJOJQJU/PRTD x ̄^Y$3$$Tl40/'3$$Tl40/'$$3$$Tl?40/'`    " > @ B D x z |     0 2 F H J T 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