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  • Adult Care Risk Assessment

    Adult Care Risk Assessment

  • Manchester & Stockport Office

    107 Wellington Road North
    Stockport, SK4 2LP

    Tel: 0161 975 5999
    (9am – 5pm Monday to Friday)

    Out of Hours: 07713 161 542
    (5pm - 10pm Monday to Friday)
    (7am - 10pm Satursday & Sunday)

    Rochdale Office

    160 Oldham Road
    Rochdale, OL11 1AG

    Tel: 01706 355 588
    (9am – 5pm Monday to Friday)

    Out of Hours: 07900 741 032
    (5pm - 10pm Monday to Friday)
    (7am - 10pm Satursday & Sunday)

    Liverpool Office

    136 Mill Lane
    Old Swan
    Liverpool, L13 4AH

    Tel: 0151 318 2255
    (7am – 10pm Monday to Sunday)

     
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  • Support Plan

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  • Next of Kin & Emergency Contact

  • Next of Kin

  • Emergency Details

  • Access Information

  • Care and Medicine Information

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  • Mobility & Dexterity

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  • Please ensure a bodymap is provided within the file

  • Pharmacy Information

  • Doctor Information

  • All About Me

    This section will enable us to have a clear picture of your lifestyle, preferences, wishes and daily routines. 
  • Whats Important to me?

  • Hobbies and interests

    Outline previous work or social interests, hobbies, leisure pursuits, family background, cultural/religious beliefs 
  • Personal Care and Well-being

    Are you able to do the following unaided?
  • Communication

  • Managing Continence

  • Mental Health and Cognition

  • Please ensure a copy of the purple form is provided

  • Eating and Drinking

  • Religious Observations

  • Visit Information

  • Please describe how you would like to be supported on each visit

  • Environment / Home Risk

    This assessment is to be carried out to ensure that your home is safe for staff to attend and that there are no risks to you whilst we deliver your service. Your assessor will ask you some questions and check different working areas in your home for safety
  • Outside the home

  • Inside the home

  • Smoking risk assessment

    Please remind the service user that, as from July 1st 2007, there were new laws about no smoking in public and work places. At HG Care Services, we understand that this is your home and you have a right to smoke. Equally, our staff have the right to a smoke free work place. This assessment is designed to help establish a workable situation suitable for all. 
  • If no, please inform Social Services

  • Household Safety Hazards

  • Kitchen

  • Bathroom

  • Electrical

  • Stairs/pathway

  • Moving & Handling Assessments

  • About the Care Setting

  • About the tasks

  • About the carers

  • Care Service Contract          

  • Agreement between HG Care Services (hereinafter called "The Organisation"), and you (Hereinafter called "The Client"), relating to the provision of care provision and support.
     
    In all cases the word “visit” will relate to the undertaking of care duties at the address, as agreed and specified in the appropriate Client Care Plan.


    The Organisation agrees to undertake Client visits at times agreed on the care plan.
     
    The fee rates for services provided will be subject to assessment of individual requirement
     
    Cost of service:
    ** If you require additional support outside of local authority care plan. **
     
    If you are funding privately, the cost of care will be calculated as follows.
     
    Total day-time hours x cost per hour
               
    Total Cost starts from £25.00 per hour, subject to review and complexity.
     
    Bank Holidays and public holidays, including Christmas Eve and New Year’s Eve, will be charged at double the rates quoted in part 3
     
    Terms & Conditions for Payment of Fees:
     
    Payment of fees for services provided will be the responsibility of the Client or authorized representative.
    Fees will be invoiced directly to the Client on a monthly basis, at the end of the month in which care services have been provided. Payment is required in full within 30 days of the date of the invoice.
     
    6.     The Organisation undertakes to provide sufficient staff resources to ensure that the Client’s needs are met. In this respect the following are relevant:
     
    a.     The Organisation will do all it can to ensure compatibility between Care Worker and Client, an arrangement which is satisfactory to both parties. Where unforeseen circumstances such as staff sickness or other absences require a replacement Care Worker to undertake the care duties, the Organisation will ensure continuity of compatibility as far as possible.
    b.     The Organisation’s Care Staff will at all times carry with them proper means of identification. This will include Identity Cards or badges, and compliance with the Organisation’s Uniform Policy unless the Client has specifically requested otherwise.
     
    7.     Cancellation of Visits by the Client:
     
    The Client or his / her authorised representative is required to give a minimum of 48 hours’ notice directly to the office to cancel a visit. Cancellations made in less than 48 hours will attract the usual service charge for the visit.
     
    8.     Cancellation of Care Service Contract:
     
    This Care Service Contract may be cancelled by either party by giving appropriate notice in writing. A minimum of 2 weeks’ notice of cancellation is required.
     
    Call times
     
    Whilst we always undertake to provide a punctual service and to arrive at the scheduled call times, the nature of our work means that staff are subject to traffic conditions as well as irregular and acute work requirements which may arise earlier on any particular day. Notwithstanding, we expect 100% of calls to be within thirty minutes of the scheduled time.

  • On behalf of the organisation

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  • Clear
  • On behalf of the client

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  • Clear
  • Should be Empty: