Placement Planning Meeting

PLACEMENT PLANNING MEETINGS AGREEMENT

Please refer to NCC policy on Placement Planning. Placement Referral and Individual Placement Agreement to aid in completing this form.

KEY INFORMATION
Name of Child / Young Person / Carefirst ID
Date of Birth / Legal Status / Choose an item.
Name of Carers
Placement Address / (details)
Agency / In-house / Choose an item. /
Name of Provider
Type of Placement / Choose an item. /
Start Date of Placement
Date of Planning Meeting
Reasons Child Young Person became Looked After / Moved placement / (details)
Objective / Expected Outcome of Placement / Choose an item.
Estimated Length of Placement
Proposed Exit Plan
(details)
List of all paperwork provided to Carer/Unit
Passport / Yes No
Birth Certificate / Yes No
Savings Book / Yes No
Other – (Please specify) / Yes No
Other – (Please specify) / Yes No
Has an inventory of clothing / personal items been completed? / Yes No
Comments
Completed by
Date Completed
Who have copies been sent to? / (details)
Additional Clothing Requirements and estimated costs / (details)
Key Professional Contact Details in Local Authority / Name
Team
Phone no
E-mail address
Contact details for Key Worker / Supervising Social Worker / Name
Team / Provider
Phone no
E-mail address
CONTACT
Details of planned contact arrangements
Person 1 / Person 2 / Person 3
Frequency
Type of contact
Attendees
Venue
Transport Arrangements
Formal
Informal
Supervised
Unsupervised
Is there a Court Order relating to Contact / Yes No
(details)
Are there any specific bail conditions? / Yes No
(details)
What is the agreement regarding disclosure of carers contact details and address.
(details)
Please provide a brief history of how this child / young person came to be looked after.
(details)
Please provide details of previous placements, and their reason for ending. / Date placement started / Length in placement / Reason for ending placement
Placement 1 / Choose an item. /
Placement 2 / Choose an item. /
Placement 3 / Choose an item. /
Placement 4 / Choose an item. /
Placement 5 / Choose an item. /
HEALTH
Please list any known Disabilities/Health Conditions/ Medical Diagnosis
(details)
Medication Details
(details)
Details of specialist Care and/or equipment required
(details)
Details of known allergies / fears / phobias
(details)
Details of any assessed therapeutic needs
(details)
Has this child / Young Person been referred to any specialist services (eg. CAMHS)? / Yes No
Date of referral
Details of Involvement
(details)
Date of Initial Health Check/Medical
Details of any matters arising from Health Check
(details)
Date of planned ongoing Health Checks
Details of any matters arising from Health Check
(details)
Date of last Opticians Appointment
Details of any matters arising from Opticians visit
(details)
Date of last Dentist Appointment
Details of any matters arising from Dentist visit
(details)
Details and Dates of any other future Health Appointments
(details)
Is this child / young person registered disabled? / Yes No
Is the Child/YP in receipt of DLA? / Yes No
If ‘No’, does this child / young person require an application for DLA? / Yes No
EDUCATION / EMPLOYMENT / TRAINING
Is this Child / Young Person in Education, Employment or Training / Choose an item.
No of Hours attending per week
Details of days and hours to attend / (details)
Name of Establishment
Address of Establishment / (details)
Tel No
E-Mail address
Does this child / young person have SEN Statement? / Yes No
If ‘Yes’, when was last review date?
If ‘No’, is an assessment required? / Yes No
Does this child / young person have a PEP in place? / Yes No
Date of last PEP (if applicable)
Please provide details of any agreed Educational Support Needs
(details)
Transport Arrangements for Education/Employment/Training, (including who is responsible, and any cost implications)
(details)
Day-care/ Supervision needs if not in Full time Education/Training/Employment
(including who is responsible, and any cost implications)
(details)
Any other information regarding
Education / Employment / Training
(details)
HERITAGE / DIVERSITY
Specific Ethnicity of child / young person
Is this a matched placement / Yes No
Does this child / young person have any individual needs in respect of the following areas / Diet / Yes No
Clothing / Yes No
Traditions / Yes No
Religion / Worship / Yes No
Personal Self Care / Yes No
Language / Yes No
Local Resources / Yes No
Social Community Activities / Yes No
Please provide details of any of the above needs that have been identified
(details)
Placement support needs required to meet heritage / diversity needs
(details)
Have any training/support needs been identified for Carer/Key worker? / Yes No
Please provide details
(details)
Has the child / young person previously lived in a family/community with strong links to their heritage/ethnicity? / Yes No
Please provide details
(details)
How will this be continued/facilitated
(details)
Have the child / Young Persons Heritage and diversity needs been appropriately met in a previous placement, or at home? / Yes No
Choose an item.
Please provide details of how these have been met previously.
(details)
Any other information regarding Heritage / Diversity
(details)
RISK MANAGEMENT
Are there any safeguarding issues presented by the child / young person regarding the following?
Alcohol / Substance Misuse / Yes No
Self Harming / Suicide attempts / Yes No
Absconding behaviour / Yes No
Physical aggression / Yes No
Verbal aggression / Yes No
Bullying behaviour / Yes No
Fire starting / Yes No
Violent / Offending behaviour / Yes No
Sexualised behaviour / Yes No
Racist Behaviour / Yes No
Other (please specify) / Yes No
Proposed Management Strategies to deal with any risks identified above
(details)
Do any family members / associates present any known risks? / Yes No
Please Provide name and relationship to the child / Young Person
(details)
Proposed Management Strategies
(details)
Past abuse issues and any related to behaviour
(details)
Proposed Management Strategies
(details)
Appropriate physical / verbal reassurance
(details)
Is there an up to date Family Safer Care Policy
Foster Care Only / Yes No
(If ‘NO’, please enter details under agreed actions)
How will this need to be modified/revised to meet this Child/YP needs
(details)
BEHAVIOUR AND ROUTINE
Details of any known Emotional or Behavioural Difficulties
(details)
Recommended Management Strategies for the above
(details)
Have any training/support needs been identified for Carer/Key worker?
(details)
Details of any agreed Therapeutic/Counselling Arrangements /Requirements
(details)
Current Daily Routine
(details)
Current Bed Time Routine
(details)
Sleeping Arrangement
(details)
Favourite Foods
(details)
Disliked Foods
(details)
Future plans in respect of routine changes
(details)
How will these be managed?
(details)
Who will take responsibility for helping Child / Young Person to understand house / home / unit rules?
(details)
How will this be managed?
(details)
Delegated responsibility for decisions in respect of:
Delegated to who
Sleepovers
Parties
Trips
Family Holidays
Hair Cuts
Other (please specify)
Arrangements for access to and use of
Computer / Laptop
Internet
Mobile phone
House Phone
TV in Bedroom
LIFE CHANCES
Details of Child/YP’s Life Chances : hobbies/interests/clubs/ social /sporting activities
Chance 1 / Chance 2 / Chance 3
Frequency
Times
Transport Arrangements / (details) / (details) / (details)
Supervision/support Arrangements / (details) / (details) / (details)
Equipment Requirements / (details) / (details) / (details)
Please provide details of any other matters relating to Behaviour and Routine
(details)
PLACEMENT SUPPORT AND SUPERVISION
Frequency of Childcare Social Worker Visits
Date of next Planned Visit
Date of next 3 way meeting
(Carer / Social Worker / Supervising Social Worker)
Date of most recent LAC Review
Date of next LAC Review
Current Approval details
Foster Care Only / (details)
Is a variation of Approval required?
Foster Care Only / Yes No
If ‘Yes’ please give details
(details)
Is an exemption required?
Foster Care Only / Yes No
If ‘Yes’ please give details
(details)
Date of exemption/variation/risk assessment
Foster Care Only / (details)
Review date of exemption/variation/risk assessment
Foster Care Only / (details)
Has a Risk Assessment been carried out on this placement? / Yes No
If ‘NO’, when will this be completed / (details)
Frequency of Supervision of Foster Carer
Foster Care Only / (details)
Frequency of Supervision of Key worker
Residential Care Only / (details)
Placement Recordings and Reporting Arrangements, including any Observations / Assessmentsrequired
(by foster carer or key worker)
Report / Recording / Frequency
(How often) / Distribution
(Who to) / Format
(E-mail / Fax / etc)
Detail any currentarrangements for
Day / Respite Care / (details)
Transport / (details)
FINANCE
Agreed Weekly Amount of Pocket Money
Is this to be given directly to the Child / young person or saved
Arrangements for this
(details)
Agreed weekly amount of Savings
Does the Child / young person have a savings account? / Yes No
(If ‘NO’ please detail under agreed actions)
Is this money paid directly into the child / young persons savings account? / Yes No
(If ‘NO’ please provide details on how this is paid)
Amount in savings account at date of Placement Planning Meeting
Does the Child / young person have a separate current account? / Yes No
(If ‘NO’ please detail under agreed actions)
Amount in current account at date of Placement Planning Meeting
Is a cheque to be passed on for current savings / Yes No
Weekly spending on
Clothing and Personal Items
Leisure and Education
Arrangements for funding of holidays
Does this child / young person receive Disability Living Allowance (DLA)? / Yes No
Agreed Arrangements for the use of the Disability Living Allowance(DLA)
% to be saved
% to be spent
% to be used for maintenance
Arrangement for any variation on the above
(details)
Has a separate DLA Account been opened in Child/YP name / Yes No
(if no please detail under agreed actions)
Arrangements for recording and monitoring how the DLA is spent
(details)
If YPA please detail arrangements for purchasing own clothing/personal items/leisure activities etc
(details)
Please detail any additional costs/discretionary payments/funding for support services and arrangements for these
(details)
Please note there are agreed minimum amounts, for pocket money, savings, birthdays and holidays. (Please contact PMS / Fostering for details)
AGREED ACTIONS
Please detail all agreed actions in the following section.
In addition, ensure all attendees are at the Placement Planning Meeting.
Sign and date this agreement and that copies are also sent to the IRO and PMS
(These objectives should be taken from the original referral form)
Be Healthy
Objectives for placement / (details)
Agreed actions to meet objectives / (details)
Timescale / (details)
Ownership / (details)
Review date
Stay Safe
Objectives for placement / (details)
Agreed actions to meet objectives / (details)
Timescale / (details)
Ownership / (details)
Review date
Enjoy & Achieve
Objectives for placement / (details)
Agreed actions to meet objectives / (details)
Timescale / (details)
Ownership / (details)
Review date
Make a Positive Contribution
Objectives for placement / (details)
Agreed actions to meet objectives / (details)
Timescale / (details)
Ownership / (details)
Review date
Achieve Economic Wellbeing
Objectives for placement / (details)
Agreed actions to meet objectives / (details)
Timescale / (details)
Ownership / (details)
Review date
Are the Placement Support Team involved in this case? / Yes No
If ‘NO’, is there a plan to refer this case to The Placement Support Team? / Yes No
If ‘YES’, are details included in agreed actions / Yes No
Please provide details of any other agreed actions in the space below.
(details)
SIGNATURE SHEET
Please ensure this is completed at the Placement Planning Meeting
Name / Role / Contact No / Signature / Date

Placement Planning Meetings Agreement – Final version – 11th July 2011