9.1.5 Family and Friends Referral and Viability Assessment |
Foster Placements and Assessments for Court
Referral form may be used as child's background history for Panel approval so please ensure it gives an adequate of picture of the child and case planning
Referrer & Practice Manager: |
| Team & telephone number: |
Child's detailsChild's Name: DOB/Gender/Ethnicity: |
| Carefirst Number: |
| Current Legal Status/Is Child Subject to a Child Protection Plan? |
| Address: |
| School/Nursery: |
| Siblings/DOB/Legal Status: |
| Genogram: (please attach) |
Brief Description of the Child: |
Birth FamilyMothers Name & DOB: |
| Address: |
| Ethnic Origin: |
| Father's Name & DOB: |
| Ethnic Origin: |
| Does father have parental responsibility? (If yes, father's address) |
Details of Family/Friends Requiring AssessmentName(s) & DOB(s): |
| Address/telephone number: |
| Gender/Ethnic Origin: |
| Marital/Partnership Status/Duration of? |
| Relationship to child(ren): |
| Details of other children and adults living in this household/DOB/relationship to proposed carer: |
| Reason for Proposed Placement / Date of placement if child already placed / Is this a Short Term Foster Placement or potential Permanent Placement / what is the Care Plan for the child? |
| How has carer been identified/Has FGC been held (please give details) |
Legal timescales:(Please note: a full assessment for Court takes 3-4 months from the time we receive letter of instruction). |
| Please identify important reports/documents on the shared drive that will inform the assessment. |
What do you want from the Family & Friends Team? a) A Court Report in Care Proceedings |
b) A Full Assessment for Panel c) Both the above We are aware that plans can change over time and that the original referral request may be added to. |
Viability Assessment The carers need to be aware that a full assessment will be undertaken in addition to the brief viability assessment. They must agree to the necessary checks being carried out for every adult living in the home. These include formal checks with the Criminal Records Bureau and the List of Children with a Child Protection Plan. The prospective carers will need to have a full medical with their G.P. They will need to nominate three referees who will be CPR checked and who will need to provide a written reference and be prepared to be interviewed. These checks do not have to be undertaken by fieldwork if the Family and Friends Team are undertaking the full assessment. |
a) Accommodation |
b) Financial situation/Employment |
c) Previous Family Court Proceedings/Assessments |
d) Parenting experience/impact on own children |
e) Areas of concern (Is the family aware of the reasons for this child needing to be 'looked after'? What is their understanding of the CYPT's concerns and do they accept the issues of child protection? Are they able to work openly with professionals?) |
f) Contact (Do the prospective carers envisage any difficulties in being able to supervise and support contact for the child with other members of the birth family, current/long-term?) |
g) Health (A full medical will be part of the full assessment but prospective carers should be asked at this stage about their state of health and any previous problems.) |
h) Support networks (Do the prospective carers have adequate support networks? What support will be needed, now or in the future?) |
i) Conclusions (Is this a viable placement for this child/children? What areas/concerns regarding the viability of this placement require further assessment/investigation?) |
| Date referral completed: |
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