XClose Printable View|Paper: PortraitLandscape|Font:SmallMediumLargeLargest|Print page now

North Somerset Council
REFERRAL & ASSESSMENT TEAM
Tel:
Fax:
Core Assessment
Details of Child:
Family Name / Given Names
Actual DOB / Gender
Ethnicity / Primary Language
Primary Address / Telephone
Mobile
CSSR Case No
Secondary Address / Current Address
Core Assessment Dates

Date Referral Received

Core Assessment Commenced

Core AssessmentDue

Core Assessment Completed
Useful Information
Undertaking the Core Assessment
Click here for information about undertaking this assessment
Key Research Sources
Click here to view Research Sources for this assessment
Information
Families should be provided with the following information

Complaints procedures
Date provided

Information on access to records
Date Provided

Other relevant/available information (please specify)
Date provided

Feedback questionnaire for parents/carers
Date provided

Information for parents/carers
Date provided
Date(s) child and family members seen/interviewed
List is empty
Agencies currently involved with the child/family
(for looked after children details of the following professionals should be recorded: mentor, SENCO, designated teacher).
Role / KeyAgency / Professional / Contributed / Details
School / - /
Questionnaire, scales or other instruments used in assessment

Questionnaire, scales or other instruments used in assessment / / Yes / / No

Questionnaire, scales or other instruments used in assessment / Instrument used / Date used
Details concerning a core assessment

D1 Please give the reason(s) for undertaking the core assessment
Key Dates
The Government’s Objectives for Children’s Social Services (1999) requires the core assessment to be completed within 35 working days of the start date. S47 enquiries should be undertaken as part of a core assessment (para 5.33 of Working Together 1999). Therefore a core assessment should begin at the same time that a s47 enquiry is initiated.

Date Referral Received / 06-Jul-2011

Core Assessment Commenced / 01-Aug-2011

Core AssessmentDue

Core Assessment Completed

D2 Where a child/parent has a disability or where they have specific communication needs (e.g. impairment affecting communication or English is not the first language), what actions have been taken to address this i.e. use of an interpreter or a signer, or an advocate to ascertain the child's/parent's views?
Health

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to health.
Child's developmental needs

Health : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the child's health needs. Note when an issue is not relevant.

H1 Child is generally well / / Yes / / No

Notes and evidence

H2 Weight/height at expected level / / Yes / / No

Notes and evidence

H3 Hearing/vision is satisfactory / / Yes / / No

Notes and evidence

H4 Child has a regular sleep pattern. / / Yes / / No

Notes and evidence

H5 Child eats an adequate and nutritious diet. / / Yes / / No

Notes and evidence

H6 Participates in activities e.g. sports,dance or similar
activity. / / Yes / / No

Notes and evidence

H7 Child's immunisations are up to date. / / Yes / / No

Notes and evidence

H8 Child frequently wets thebed / / Yes / / No

Notes and evidence

H9 Soils without physical explanation / / Yes / / No

Notes and evidence

H10 Has had many accidental injuries. / / Yes / / No

Notes and evidence
Parental capacity

Health : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

H11 Child is given an appropriate, adequate and nutritious diet including fluids / / Yes / / No

Notes and evidence

H12 Parent provides a safe environment for the child. / / Yes / / No

Notes and evidence

H13 The home, including the child's bed, is clean. / / Yes / / No

Notes and evidence

H14 Child's medical and dental appointments are generally kept / / Yes / / No

Notes and evidence

H15 Injuries have always been appropriately attendedto. / / Yes / / No

Notes and evidence

H16 Parent gives comfort if child is ill or injured / / Yes / / No

Notes and evidence

H17 Child is protected from abuse. / / Yes / / No

Notes and evidence

H18 Parent/carer provides regular and consistent routines for the child (mealtimes, bedtimes, bath times). / / Yes / / No

Notes and evidence
Education

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to education, cognitive and language development..
Child's development needs

Education : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the child's cognitive and language development needs. Note when an issue is not relevant.

E1 Child is happy to go to school. / / Yes / / No

Notes and evidence

E2 Child arrives at school on time. / / Yes / / No

Notes and evidence

E3 Child has a friend at school. / / Yes / / No

Notes and evidence

E4 Child has a good relationship with a member of staff. / / Yes / / No

Notes and evidence

E5 Child responds appropriately to adult instruction. / / Yes / / No

Notes and evidence

E6 Is disruptive or displays troublesome behaviour at school. / / Yes / / No

Notes and evidence

E7 Child's lack of concentration impedes learning. / / Yes / / No

Notes and evidence

E8 The child has a statement of Special Educational Needs / / Yes / / No

Notes and evidence

E9 Child has been excluded from school in the previous school year. / / Yes / / No

Notes and evidence

Note number of days / Date / Event Type / Details / Impact
01-Jun-2011 / Start New School / Registered in new school:

E10 Child has had unauthorised absences in previous school year. / / Yes / / No

Notes and evidence

Note number of days / Date / Event Type / Details / Impact
01-Jun-2011 / Start New School / Registered in new school:

E11 Child has taken SATs. / / Yes / / No

Notes and evidence

Note results if taken / View Child / Young Person's Qualifications
Parental capacity

Education : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

E12 Parent/carer regularly attends school meetings/events / / Yes / / No

Notes and evidence

E13 If child is not achieving at school / / Yes / / No

there is an Individual Education Plan / / Yes / / No

there is a statement of Special Educational
Needs. / / Yes / / No

Notes and evidence

E14 Responsible, known adults take
and fetch the child from school / / Yes / / No

Notes and evidence

E15 Parent/carer shows an interest in the child's school work. / / Yes / / No

Notes and evidence

E16 Parent/carer places great pressure on child to achieve. / / Yes / / No

Notes and evidence

E17 Parent/carer regularly reads, tells stories,
plays counting games,watches TV with child / / Yes / / No

Notes and evidence

E18 Parent/carer supports regular school attendance. / / Yes / / No

Notes and evidence

E19 Child's toys/books/school work are looked
after. / / Yes / / No

Notes and evidence
Emotional and behavioural development and self care skills

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to emotional and behavioural development.
Child's developmental needs

Emotional and behavioural development : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the child's cognitive and language development needs. Note when an issue is not relevant.

B1 Child is usually happy. / / Yes / / No

Notes and evidence

B2 Able to make and keep friends of his/her own age. / / Yes / / No

Notes and evidence

B3 Child can say what is on his/her mind or discuss worries,
disappointments or irritations with a trusted adult. / / Yes / / No

Notes and evidence

B4 Child shares/takes turns with others. / / Yes / / No

Notes and evidence

B5 Child has some understanding of the
concept of ownership. / / Yes / / No

Notes and evidence

B6 Child's challenging/disruptive behaviour
affects his/her safety. / / Yes / / No

Notes and evidence

B7 Child is deliberately hurting him/herself. / / Yes / / No

Notes and evidence

B8 Child preoccupied with violence. / / Yes / / No

Notes and evidence

B9 Child bullies other children. / / Yes / / No

Notes and evidence

B10 Child wanders from home. / / Yes / / No

Notes and evidence

B11 Child spends long periods alone. / / Yes / / No

Notes and evidence
Parental capacity

Emotional and behavioural development : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

B12 Parent/carer loves the child unconditionally
(i.e. without strings attached). / / Yes / / No

Notes and evidence

B13 Child's whereabouts are always known / / Yes / / No

Notes and evidence

B14 Child is comforted when frightened or distressed. / / Yes / / No

Notes and evidence

B15 Parent uses a variety of positive methods to get the child to behave. / / Yes / / No

Notes and evidence

B16 Child is protected from witnessing odd or frightening adult
behaviour. / / Yes / / No

Notes and evidence

B17 Child is responded to in a relatively consistent and predictable manner. / / Yes / / No

Notes and evidence

B18 Parents/carers generally support each other in applying family rules. / / Yes / / No

Notes and evidence

B19 Child is frequently left alone. / / Yes / / No

Notes and evidence

B20 Child is exposed to frequent criticism/ hostility. / / Yes / / No

Notes and evidence

B21 Child is hit or physically chastised. / / Yes / / No

Notes and evidence
Identity and social presentation

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the young person is suffering, or is likely to suffer significant harm in relation to identity and social presentation.
Child's developmental needs

Identity : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the child's identity and social presentation needs. Note when an issue is not relevant

ID1 Child is self confident. / / Yes / / No

Notes and evidence

ID2 Child takes pride in his/her appearance. / / Yes / / No

Notes and evidence

ID3 Child takes pride in achievements / / Yes / / No

Notes and evidence

ID4 Child is able to stand up for him/
herself appropriately / / Yes / / No

Notes and evidence

ID5 Child has a developing sense
of his/her own culture. / / Yes / / No

Notes and evidence

ID6 Child knows full name/birth date/address / / Yes / / No

Notes and evidence

ID7 Child can identify
important relatives. / / Yes / / No

Notes and evidence

ID8 Child is comfortable with his/her
own racial identity. / / Yes / / No

Notes and evidence
Parental capacity

Identity : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

ID9 Child's clothes are clean: not soiled with urine,excrement, or food. / / Yes / / No

Notes and evidence

ID10 Parents see the child as having unique strengths and encourages them / / Yes / / No

Notes and evidence

ID11 Child's dress is appropriate for age, gender, culture and religion and where necessary, impairment. / / Yes / / No

Notes and evidence

ID12 Parents support the child who is exposed to racism or bullying. / / Yes / / No

Notes and evidence

ID13 Parent/carer shows pride in child. / / Yes / / No

Notes and evidence

ID14 Child has the opportunity to learn own cultural traditions/ language / / Yes / / No

Notes and evidence

ID15 Child is taught respect/toleration of others and of different family/cultural traditions. / / Yes / / No

Notes and evidence

ID16 Child is accepted as family member. / / Yes / / No

Notes and evidence
Family and social relationships

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to family and social relationships.
Child's developmental needs

Family and social relationships : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the child's identity and social presentation needs. Note when an issue is not relevant

F1 Child shows strong attachment to a parent. / / Yes / / No

Notes and evidence

F2 Child is relaxed with parents/carers / / Yes / / No

Notes and evidence

F3 Child plays happily with siblings and familiar peers / / Yes / / No

Notes and evidence

F4 Child is gentle and kind to children and animals. / / Yes / / No

Notes and evidence

F5 Child has a friend. / / Yes / / No

Notes and evidence

F6 Child's sexual knowledge and behaviour is age-appropriate / / Yes / / No

Notes and evidence

F7 Child frequently looks after younger brothers and sisters. / / Yes / / No

Notes and evidence

F8 Child frequently looks after parent/carer. / / Yes / / No

Notes and evidence
Parental capacity

Family and social relationships : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

F9 Child has a long-term, stable relationship with at least one adult. / / Yes / / No

Notes and evidence

F10 There is continuity of carers. / / Yes / / No

Notes and evidence

F11 A limited number of known, appropriate adults deliver intimate care. / / Yes / / No

Notes and evidence

F12 Parents/carers' relationships with others provide a good example to the child. / / Yes / / No

Notes and evidence

F13 Siblings are generally gentle with the child / / Yes / / No

Notes and evidence

F14 Child is protected from witnessing or becoming involved in adult sexual behaviour. / / Yes / / No

Notes and evidence

F15 Child sees friends outside school. / / Yes / / No

Notes and evidence

F16 Child is discouraged from violent or cruel behaviour. / / Yes / / No

Notes and evidence
Social Presentation

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to family and social relationships.
Child's developmental needs

Social Presentation : Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Add notes and evidence on the young person's needs relating to family and social relationships. Note when an issue is not relevant.

P1 Child is not provocative or challenging in appearance or behaviour. / / Yes / / No

Notes and evidence

P2 Child values adult attention. / / Yes / / No

Notes and evidence

P3 Child is happy to talk/communicate about family and home / / Yes / / No

Notes and evidence

P4 Child is overly friendly with adult strangers. / / Yes / / No

Notes and evidence

P5 Child is self-confident and open with peers. / / Yes / / No

Notes and evidence

P6 Child relates differently and appropriately towards known people and strangers. / / Yes / / No

Notes and evidence
Parental capacity

Social Presentation : Parenting Capacity recorded during Initial Assessment, PFAAR & PFAAR REG8
Notes and evidence on the family strengths or issues. Consider parents'/carers' capacity for basic care, ensuring safety, emotional warmth, guidance and boundaries, and stability. Note when an issue is not relevant.

P7 Parents/carers ensure that child's personal hygiene is adequate / / Yes / / No

Notes and evidence

P8 Parents/carers teach appropriate behaviour. / / Yes / / No

Notes and evidence

P9 Parents/carers encourage the child to be self-confident. / / Yes / / No

Notes and evidence

P10 Parents/carers praise the child for good social behaviour. / / Yes / / No

Notes and evidence

P11 Child is encouraged to join in organised social activities. / / Yes / / No

Notes and evidence

P12 Parents/carers relationships with neighbours and those in authority are generally harmonious. / / Yes / / No

Notes and evidence

P13 The family feels accepted by the local community. / / Yes / / No

Notes and evidence

P14 Family members are engaged in criminal/anti-social activities / / Yes / / No

Notes and evidence
Self Care skills

Social worker's summary
Please record details of areas of strength, specific details of any areas of unmet need and any evidence which suggests the child is suffering, or is likely to suffer significant harm in relation to family and social relationships.
Child's developmental needs

Selfcare Skills: Child's Needs recorded during Initial Assessment, PFAAR & PFAAR REG8
Add notes and evidence on the young person's needs relating to family and social relationships. Note when an issue is not relevant.

S1 Child has age appropriate self-care skills can attend to
own personal hygiene (i.e. bathe, clean teeth, brush hair). / / Yes / / No

Notes and evidence

S2 Child has a realistic
sense of personal
danger. / / Yes / / No

Notes and evidence

S3 Child can get drinks and some food for him/herself appropriate to age. / / Yes / / No