Please complete this form and email to within 10 working days of receipt of the form. The review will not take place unless this form has been completed. Please phone the Fostering Reviewing 0fficer if you have any queries.

Name of Carer / DOB / Ethnic Origin / Religion / Employment
Other household members / DOB / Relationship to carer / Ethnic Origin / Education or employment
Address
Date of last review / Registration date
Approval: Category, Number and PfS level
DBS / Date of last DBS check / Reference Number
Carers
Other household members
Non household members
Does carer qualify for long service award? / Y/N
Name of Supervising social worker
Dates of all visits and summary of support undertaken in last 12 months (please indicate unannounced visits/supervisory visits, and the date the home was inspected, including the bedrooms used for fostering)
Date of visit/contact with carer / Status of Visit:
Support visit/ supervisory visit/ unannounced visit/ telephone support/ other / Placement Children Seen?
Y/N
Any changes of Supervising Social Worker / Y/N
Any allegations/complaints/significant incidents; if yes please give details below. / Y/N
Decisions and recommendations of last review
Have all recommendations been completed? / Y/N
Have there been any changes in the carers’ circumstances or household composition in the review period? (What has been the impact on the carers’ fostering commitment, if any)?
Comment on the carers’ health. (Are there any new health issues since the last review? How do they impact on the carer’s capacity? Do any of the household smoke?
When was the last medical undertaken/ Is a further medical required?

Checks

Comments
Has a safe caring plan been completed and agreed with the individual S/W of the children in placement? / Y/N
Does this include all children in the household? / Y/N
Are there any specific safer caring issues for children in placement and how are they addressed? / Y/N
Are all car documents up to date? (MOT, insurance) / Y/N
Date health and safety checklist reviewed?
Date pet assessment reviewed?
Dated fire safety check

Children currently in placement

Child 1 / Child 2 / Child 3
Name
Social Worker
DOB
Date Placed
Ethnic Origin
Religion
Status of placement eg respite, permanent
Legal status

Children who have left the placement in the review period

Child 1 / Child 2 / Child 3
Name
Social worker
DOB
Date placed
Date placement ended / Reason:
Return home
Unplanned ending
Ethnic origin
Religion
Status of placement eg respite, permanent
Legal status
Any significant comments regarding the care of the children who have left the placement from the child/ren’s social worker, (please note which child comments relate to).
Comment on the carer’s compliance with the fostering policy including recording, confidentiality and health and safety matters.

Assessment

Be Healthy
(Children are cared for in a safe, healthy and nurturing environment. H and S checklist adhered to, appropriate records are kept, children have a healthy diet and exercise, issues of drugs, alcohol and sexual health are discussed, contact with birth parents and siblings are promoted, life story work is kept, the foster carer acts as an advocate for the child, understands child development, ensures that children take part in leisure activities.)
Stay Safe
(Children are protected from all forms of abuse, maintains suitable accommodation, for the number age and needs of children, provides a safe and stimulating environment for individual children, attends child’s reviews, has a commitment to further training)
Enjoy and Achieve
(Values diversity and promotes equality, shows ability to communicate with children, support learning and development under PEP, plays an active role in school – carer partnership, encourage childs self esteem, support children when moving to either independence or another placement)
Make a positive contribution
(Sets appropriate boundaries, helps children with separation and loss issues, maintains confidentiality, adheres and promotes care plan, assesses and acts on this to meet child/ren’s needs, ensures professional development)
Achieve Economic well being
(attends child’s review meetings, teaches the value of material goods, helps the child to develop skills, knowledge and competence necessary for successful adult living)
Comment on standard of accommodation and suitability for undertaking the fostering task
Comment on the carer’s ability to cope with challenging behaviour
Comment on the carer’s ability to work with birth parents and promote contact
Comment on the carer’s ability to work with the Department and other agencies
Foster children’s view of placement
Foster carer’s own children’s views on fostering

Training

Training attended since last review
Any gaps in mandatory training (including refreshers required)
Any task specific training required (dependent on needs of child in placement and needs of foster carer)
Future training and development identified
Is the Personal Development Plan up to date?
Any barriers to attend training?
Training and Support Development Standards (TSDS)
Recommendations and actions to address any issues identified
Changes to approval / Y/N

Supervising Social Worker:

Signed Date