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LANCASHIRE COMMON ASSESSMENT FRAMEWORK (CAF)
Date assessment started: 15/09/2017
Date assessment completed: 27/10/2017
Version no: 1
PART 1 (Complete once per Family)
Details of child (ren) and/or young people being assessed:
Surname Forename Alias DOB/ EDD
*Ge
nd
er
CAF URN
*Eth
nic
ity
co
de
*Re
ligio
n
Co
de
Pre
se
nt
at
asse
ssm
en
t
(Y/N
)
School/ Nursery/ Further Education
Simpson Fiona
21/11/03 F 23456 16 7 Y Pleasant High School
Harrison Harry H 07/07/14 M 23457 01 3 Y Happy Tots Nursery
*relates to guidance notes at the back of the assessment form
Please note asylum status below* (please see guidance at the back of the assessment form)
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Has the family come to the UK under a refugee resettlement programme, such as the Syrian Resettlement
Programme, the Gateway Protection Programme or the Vulnerable Children Resettlement Scheme?:
YES NO
Child/young person’s address (es): (Please state which child the address relates to if they live at different addresses)
Address 10 Coronation Street, Colne Name of child(ren) All
Postcode AB13 4DE Tel 01234 56778
Address Name of child(ren)
Postcode Tel
Details of parents/carers:
Name Crystal Taylor Relationship Mother
Gender Female DOB 17/07/87
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Ethnicity* 01 Address 10 Coronation Street, Colne
PR (parental
responsibility) Yes Postcode AB13 4DE
Name John Harrison Relationship Stepfather to Fiona
Gender Male DOB 6/6/67
Ethnicity* 01 Address 10, Coronation Street, Colne
PR (parental
responsibility) No Postcode AB13 4DE
Other household members – include any other persons related or not related that currently reside in
the home:
Surname Forename Alias DOB
Ge
nd
er
Pre
vio
us
CA
F?
(Y/N
)
Relationships to child(ren)
being assessed
Other significant family members – Please include information that relates to absent
Fathers/Mothers:
Surname Forename Alias DOB
Ge
nd
er
Address
Relationships to child(ren)
being assessed
Simpson Carl 21/1/86 M 3 Hall Lane, Colne Father to Fiona (PR)
Details of the person undertaking the assessment:
Name Jane Jones Role Keyworker Tel 07781 234563
Agency Children and Family Wellbeing Service (CFW)
Email [email protected]
Name and details of lead professional:
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Name Jane Jones Role Keyworker Tel 07781 234563
Agency CFW Email [email protected]
Reason for CAF assessment:
Clearly outline here the main presenting concerns and unmet needs for the child/parents/family and any previous
involvements or work that has been undertaken to address these.
RfS received from Darren Carter, Learning Mentor at Pleasant High School received 10/9/17 highlighting concerns about Fiona at school. Fiona's attendance at school has dropped to below 50% and she appears disengaged in her lessons. A phone call to mum identified that she is struggling to get Fiona up and out of her bedroom in the morning. Crystal [mother] reported that there are issues with Fiona and her stepfather's relationship which often leads to confrontation. Last year Fiona attended the nurture group and attendance was at 70%. Fiona has stated that she cannot cope with school at present and I feel that this needs further investigation. It has been observed by Darren that Fiona has a good friendship network at school. No information provided regarding the other child in the family on the RFS. This will be captured throughout the CAF process.
Lancashire's Targeted Criteria:
Please tick if the family is experiencing** any of the following:
Parents or children involved in crime
or anti social behaviour
Children who have not been attending
school regularly
Children who need help (CiN, CP,
Early Help)
Adults out of work or at risk of
financial exclusion or young people
at risk of worklessness
Families affected by domestic violence
and abuse
Parents or children with a range of
health problems
**If 2 or more of the criteria are identified, this must be reflected in the Action Plan.
Key agencies working with this family/household:
GP Details:
GP Name: Dr Robinson Surgery/Practice and Address
East View Surgery, Albert Road, Colne
Email: [email protected]
Telephone: 01282 384267
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Service Name Role Email/Tel
Contr
ibute
d t
o
assessm
ent
(Y/N
) Which family
member?
Pleasant High School
Darren Carter Learning mentor
[email protected] Y Fiona
School Nursing Lisa Riley School Nurse Lisa. Riley@:schoolnurse.uk Y Fiona
LCFT James Walsh Health Visitor [email protected] Y Harry
Happy Tots Nursery
Shanice Brown Happy Tots Key Worker
[email protected] Y Harry
PART 2.1 - Child (Complete one per child/young person being assessed)
CAF assessment summary:
Consider each of the elements and comment on each that is appropriate for this family. Wherever possible base
comments on observations, evidence, not just opinion, and indicate what your evidence is. Wherever possible the
voice of the child should be integral to the assessment. If there are any major differences of view, these should be
recorded.
Child/young person’s developmental needs: (please ensure you consider each child individually)
You should consider each child individually within your summary.
Name of Child or Young Person being assessed:
Fiona Simpson
CAF URN: 23456
Date of Birth: 21/11/03
NHS Number (if known)
5693236
Please summarise the strengths and outline any needs that are already being met.
Darren Carter reported that Fiona is on roll at Pleasant High School. She is a Year 9 pupil and has had a positive relationship with her teachers. Darren reports that Fiona has good peer friendships. I have observed in the family home that Fiona has a good relationship with her sibling with good interaction and attachment displayed. I have observed Fiona to be clean and well-presented. Fiona is registered with a GP and a dentist. The school nurse reports no health concerns. Fiona reports that she has a good relationship with her father who she sees at weekends.
Please see guidance notes for information on Underlying Risk Factors and High Risk Indicators
Unmet Need Underlying Risk Factors High Risk Indicators
Health General health,
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physical development, speech & Language, GP, dentist, engaged with health services
Education Nursery, school & attendance, participation, progress & achievement in learning
Fiona's attendance is currently below 50% which is a decline from 70% in the previous year.
Low educational attainment. Emotional difficulty.
Emotional and behavioural development Routines/boundaries, positive behaviour
Fiona reports that she does not want to leave her bedroom to go to school as "she can't cope". Fiona appears anxious. Evidence of attachment issues.
Behavioural/Emotional difficulty. Isolation.
Identity Identity, self-esteem, self-image
Fiona presents as having low self-esteem and talks down her image, and abilities.
Behavioural/Emotional difficulty.
Family and social relationships Building stable relationships with family, peers and wider community; helping others; friendships.
Mum and Fiona have reported the relationship issues between Fiona and her stepdad.
Behavioural/Emotional difficulty.
Social presentation Child's appearance, social behaviour and personal habits
I observed that Fiona did not engage with conversation, and avoided eye contact. Fiona removes herself from the family environment by staying in her bedroom as frequently as possible.
Behavioural/Emotional difficulty. Isolation.
Self-care skills and independence Personal hygiene
PART 2.2 - Parents and Family (Complete once per family)
CAF assessment summary:
Consider each of the elements and comment on each that is appropriate for this family. Wherever possible base
comments on observations, evidence, not just opinion, and indicate what your evidence is. Wherever possible the
voice of the child should be integral to the assessment. If there are any major differences of view, these should be
recorded.
Parenting capacity (please ensure you consider each parent individually)
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You should consider each parent/carer individually within your summary. Wherever possible base your comments on
evidence/observations not just opinion.
Please summarise the strengths and outline any needs that are already being met.
Crystal states she has good communication with Fiona's dad and asks for support with Fiona when needed. Fiona's dad (Carl) supports this statement. Crystal and Carl are observed to be cooperative. Crystal states Harry [younger sibling] enjoys nursery and has good attendance. This is supported by Shanice Brown Key Worker at Happy Tots Nursery.
Crystal has herself recognised that she is struggling at times to meet Fiona's needs and is accepting of support to address this.
Please see guidance notes for information on Underlying Risk Factors and High Risk Indicators
Unmet Need Underlying Risk Factors
High Risk Indicators
Issues affecting parent/carers capacity to respond appropriately to child/young person’s needs: consider basic care, ensuring safety, emotional warmth, stimulation, provision of guidance and boundaries and stability
Fiona has no routines and boundaries in the family home. Crystal states she struggles to respond to Fiona's needs.
Crystal has experience of poor parenting. Young inexperienced parent.
Are there any attributes of the parents/carers capacity’s which effect their ability to respond appropriately to the child/young person’s needs
Crystal feels that her teenage years were spent raising Fiona and she struggles responding to her needs now. Lack of attachment between Fiona and her stepfather.
Crystal has experience of poor parenting. Young inexperienced parent. Behavioural/Emotional Difficulty (child)
Should a referral be made to adult services? If yes include as an action in the initial plan
No
Family and environmental factors:
Consider the relationships within the family/between siblings/parents and their children and other significant adults.
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Please summarise the strengths and outline any needs that are already being met:
Crystal is in receipt of benefits and has no arrears on her rent. I have observed that there is food in the cupboards and evidence of recent home cooking. Crystal reports that John- [Stepfather] is good at cooking for the family.
Fiona is observed to have an affectionate relationship with her sibling Harry.
Fiona's dad Carl reports he takes her to see her paternal grandparents about once a month and she has a positive relationship with them.
Please see guidance notes for information on Underlying Risk Factors and High Risk Indicators
Unmet Need Underlying Risk Factors High Risk Indicators
Family history and functioning Illness, bereavement, violence (MARAC), parental substance misuse, criminality, anti-social behaviour; culture, size and composition of household; absent parents, relationship breakdown; physical disability and mental health; abusive behaviour How do parents describe their relationship with each other? How do parents describe their relationship with their children? How do children describe their relationship with their parents? How do children describe their relationship with their siblings?
Breakdown in family relationship. The family are separated. Issues between Fiona and her stepfather.
Emotional health difficulties.
Wider family Formal and informal support networks from extended family and others; wider caring and employment roles and responsibilities
Crystal and John do not have a strong network of support. Crystal and John are currently out of work.
Poverty (worklessness)
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Housing, Employment, Income Water/heating/sanitation facilities, sleeping arrangements; reason for homelessness; work and shifts; employment; income/benefits; effects of hardship; financial difficulties.
I observed the house to be untidy. The fridge freezer isn't working properly meaning that food is having to be bought on a day to day basis. Crystal and John would like to return to work for financial security.
Poverty.
Family social integration, Community resources Day care; places of worship; transport; shops; leisure facilities; crime, unemployment, anti-social behaviour in area; peer groups, social networks and relationships
PART 3 - Analysis and Action Plan (Complete once per family)
Analysis of needs and risk
What is your analysis? Consider all strengths, unmet and complex needs; risk of harm to self or others.
Please take into account High Risk Indicators and Underlying Risk Factors identified within the body of the assessment (above) and
how these impact on the child (ren) individually and the family.
The information gathered during this assessment demonstrates that the family is open to engagement
and support.
Crystal acknowledges that her own experiences of poor parenting in her childhood is impacting on her
parenting ability particularly as Fiona gets older and more challenging.
The lack of routine's/ guidance and boundaries are contributing to Fiona is spending a lot of time in her
bedroom and says she often feels she cannot cope with school. As a result of this, her attendance is very
poor. Failure to improve her attendance may have long term consequences for Fiona's future education
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and employment opportunities. Crystal states that Fiona has a good relationship with her dad, and feels
that Fiona would prefer to live with her dad.
In my professional opinion Fiona is demonstrating emotional anxiety and challenging stepfather John's
authority, as she transitions into adulthood, which is leading to a deterioration in her relationship with
John. Fiona and Crystal report that Fiona and John argue regularly and Fiona has commented that she
doesn't get on with John as he "gets at her".
It is also my opinion that Crystal's prior experience of poor parenting and lack of support from wider family
members is creating challenges for her in managing and understanding Fiona's behaviour.
Crystal has open communication with John, which is a protective factor for Fiona.
From the information collated, the common underlying risk factors are experiences of poor parenting and
Fiona's emotional health difficulties. A further underlying issue if left unaddressed is risk of
poverty/financial exclusion.
Suggested outcomes:
Progress to TAF meeting
CAF closure (Please ensure a CAF closure form is submitted to [email protected]) Reason
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Action Plan - The offer of Early Help this child (ren) or young person requires, (please ensure you reference the Lancashire Targeted Criteria, if identified, in
the assessment):
Issue Action By whom By when Desired outcome How will know when the outcome has been achieved?
The lack of guidance and boundaries are impacting on Fiona's poor school attendance
Provide support with routines to get Fiona back in school.
Fiona, Crystal (mother), Carl (father),Darren (Learning Mentor) and Jane Jones.
7th November 2017
Fiona's attendance to be at 80% or above
Fiona will report that she is much happier and is attending school regularly School will report that Fiona's attendance is at least 80%. Parents will report that Fiona's attendance had improved.
The breakdown of the family unit has impacted on Fiona's wellbeing and her relationship with her Stepfather John is impacting on Fiona's emotional needs
Refer Fiona to the EH&W commission for support in managing her EH&W needs. Possible 1:1 emotional support from CFW worker whilst awaiting acceptance of referral.
Jane Jones 7th November 2017
Appointment received for support. Outcome scores from EH&W commission. Fiona engages with CFW worker.
Fiona reports her emotional health has improved Improved emotional wellbeing observed by professionals
The impact on the early attachment and bonding with Fiona and her mother Fiona and Harry Would benefit from Crystal and John improving their parenting skills.
Crystal and Fiona to work on quality time together- activity based Crystal and John to access a 'Surviving Teenagers' parenting course at the neighbourhood centre. Crystal to access her health visitor for advice on Harry's behaviour.
Fiona/Crystal Jane Jones Crystal (mother) and John (step father).
14th November 2017
Crystal and John will be confident in parenting and Fiona and Harry will receive consistent parenting and have clear routines and boundaries in place
School will inform that Fiona's attendance and behaviours have improved Fiona will inform that her relationship with her mother has improved Crystal and John will report and improvement in both their relationship and behaviour both with Fiona and Harry
Lack of routines in the home impact on Fiona and Harry wellbeing they would benefit from both parents working
Crystal and John to attend 'Aspire and Achieve' course at the neighbourhood centre.
Crystal John Jane Jones
12th Jan 2018
Crystal and John will be in work and in a better financial position.
Crystal and John to be engaged in education, employment or training with improved financial outcomes for the family
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Fiona will report that home life has improved Harrys behaviours will have improved , both nursery and the Health Visitor will confirm this Key Work Jane Jones will report her observation of Harry and Fiona in the home
Fiona and Harry need to receive a healthy diet within the families budget
Submit an application to the LP budget for a new fridge/freezer
Jane Jones 1st November 2017.
Family will be able to purchase and store fresh and frozen food properly.
Working fridge/freezer installed. Healthy food provided for both Fiona and Harry Family's budget is within limits
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Highlight how the voice of the child or young person has been taken into account during the course of this assessment: (This question is mandatory and must be answered)
If the child/young person is of appropriate age/ability to contribute to their CAF assessment then provision must be made to ensure their thoughts, wishes, like and dislikes are considered and evidenced. Alternatively If the child is unable to contribute (due to age or circumstance) please give reason why and provide a clear picture of the child from your observations focusing on likes, dislikes, preferences, relationships.
Fiona reported to mum and Darren Carter that she feels rubbish at school because she does not feel good at anything. Fiona reported to Jane that she cannot be bothered with school or her netball anymore. Jane completed Teen Star with Fiona, her wellbeing score is 2. Fiona spoke about having support from her dad but said that mum does not understand her feelings. Fiona explained that she doesn't get along with John and he is always nagging and shouting at her to do things so she stays in her bedroom out of the way. Fiona said that she argues with her mum about not going to school.
Fiona said she loves her mum and brother but would much prefer to live with her dad as he doesn't get at her like John does and they get on really well.
Highlight how the voice of the parent(s)/carers (including absent parent and fathers) has been taken into account during the course of this assessment: (This question is mandatory and must be answered)
During home visits Crystal has expressed that Fiona is hard work. Crystal and John would welcome help from professionals to help them support Fiona. Crystal and John have reported that they find Fiona's behaviour difficult to manage because it often ends in confrontation. Fiona's father accepts that there are issues with her behaviour, however he reports she is more settled at his house Crystal and John report they would like to return to education or employment in order to gain financial stability.
Date of the first TAF meeting:
4/11/2017 Venue: Colne Neighbourhood centre
Consent: (Please see guidance to further explain information sharing with the family)
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We need to collect the information in this assessment form so that we can understand what help you may
need. If we cannot cover all your needs we may share some of the information with other organisations so
that they can help us to provide the services you need.
We will treat your information as confidential and we will not share it with any organisation unless we are
required by law to share it or unless you or any other person will come to some harm if we do not share it.
In any case, we will only ever share the minimum information we need to share.
All personal information will be processed and stored in compliance with the Data Protection Act.
I understand the information that is recorded on this form and that it will be stored and used for the purpose
of providing services to (please tick):
Me
This Infant, Child or Young Person for whom I am a parent
This Infant, Child or Young Person for whom I am a carer
I have had the reasons for information sharing and information storage explained to me and I understand those
Yes
No
I agree to the sharing of information, as explained and outlined in the statement above.
Yes
No
I understand this consent is for the duration of the CAF and TAF process. I understand I can withdraw consent at any time.
Yes
Parent(s)/carer(s) signature:
Signature Crystal Taylor Name Crystal Taylor Date 27/10/2017
Signature John Harrison – step dad Name John Harrison Date 27/10/2017
Signed Copy Held on file (please tick to confirm)? It is the responsibility of the organisation completing the assessment to ensure a signed copy of this form is held on file for audit and inspection purposes
Assessor’s Signature:
Signature Jane Jones Name Jane Jones Date 27/10/2017
Please provide your line managers details below for audit purposes (this is mandatory and must be
completed):
Name Farzana Begum Role Team Leader Agency CFW
Tel 01282 547689 Email [email protected]
Date copy CAF assessment shared with child/young person/parent/carer:
27/10/2017
Date copy CAF assessment emailed to CAF admin:
27/10/2017
Exceptional circumstances: concerns about significant harm to infant, child or young person: If at any time during the course of this CAF assessment you feel that an infant, child or young person is suffering or is at risk of significant harm or abuse, you must follow your local safeguarding children board (LSCB) procedures and your own organisation's safeguarding children procedures. See the guidance 'Working together to safeguard children' published by Department of Education.
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If in doubt, consult with the agency safeguarding leads or Duty Social Worker on 0300 123 6720
Additional guidance notes:
The Lancashire CAF
The Lancashire CAF is set out in 3 parts.
Part 1 is the demographic section and collates details about the family. This section should be
completed once per family.
Part 2.1 assesses the individual child or young person. This section will need to be completed for
each individual child or young person who requires an assessment.
Part 2.2 assesses parental capacity and family environment. This section should be completed
once per family.
Part 3 is the analysis and action plan. This section should be completed once per family.
Submitting a CAF/TAF
Safe information exchange and data protection is important to us
Please send your completed assessment to [email protected] if you wish to encrypt your email and are unsure
about this process please contact 01772 535636 or [email protected] for advice.
CAF Registration refers to the date in which the URN is generated and sent to you.
Please ensure that CAF and subsequent TAF documentation is submitted in a timely manner to
Gender: *chart as referred to on page 1 of the CAF assessment
Please use code MX if the person identifies as gender neutral.
Ethnicity Codes: *chart as referred to on page 1 of the CAF assessment
1. White British 5. Any other White background
9. Indian 13. White & Black Caribbean
17. Chinese
2. White Irish
6. Caribbean 10. Pakistani 14. White & Black African
18. Any other ethnic group
3. Traveller of Irish Heritage
7. African 11. Bangladeshi 15. White & Asian 19. Not given
4. Gypsy/Roma 8. Any other black background
12. Any other Asian background
16. Any other mixed background
Religion Codes: *chart as referred to on page 1 of the CAF assessment
1.Baha'i
3. Christian 5. Jewish 7. None 9. Other spiritual belief
2. Buddhist
4. Hindu 6. Muslim 8. Other religious belief 10. Prefer not to say
Asylum status:
Please indicate your asylum or refugee status, if applicable:
1.Asylum Seeker 3. Refugee Status 5. Humanitarian Protection
2.Discretionary Leave to Return 4. Refused Asylum Seeker 6. N/A
Lancashire Children's Services Risk Management Model
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Please refer to the Risk Sensible Toolkit to assist you in your action planning
Underlying Risk Factors Those elements that are often present in risk situations but which do not, of themselves, constitute a risk:
High Risk Indicators Those elements which, by their presence, do constitute a risk:
Poverty
Poor housing
Lack of support network/isolation
Experiences of poor parenting
Low educational attainment
Physical/learning disability (adult/child)
Mental health difficulties (adult/child)
Drug and alcohol use/misuse
Victimisation from abuse/neglect
Discorded/discordant relationships
Previous history of offending
Rejecting/antagonistic to professional support
Behavioural/emotional difficulties in parent
Behavioural/emotional difficulties in child
Young, inexperienced parent
Physical ill health (adult/child)
Unresolved loss or grief
Previous involvement in child physical and sexual
abuse and or neglect
History of being significantly harmed through
neglect as a child
Seriousness of abuse (and impact on the child)
Age of the child (particularly if less than three
years old)
Incidence of abuse ( how much abuse over how
long a period of time
Record of previous violent offending (against both
children and adults)
Older child removed or relinquished
Unexplained bruising (particularly in pre mobile
children)
Uncontrolled mental health difficulties (including
periods of hospitalisation)
Personality disorders
Chaotic drug/alcohol misuse
Denial /failure to accept responsibility for abuse or
neglect
Unwillingness / inability to put the child’s needs
first and take protective action
Cognitive distortions about the use of violence
and appropriate sexual behaviour
Inability to keep self safe
Unrealistic, age inappropriate expectations of the
child
Information Sharing/Consent Guidance
The Wellbeing, Prevention and Early Help Service may be required to share your information with
appropriate partner agencies delivering services locally in order to deliver a full service to you and your
family. All personal information will be processed and stored in compliance with the Data Protection Act.
Agencies that we may need to share your personal information with are listed below:
Adults' Social Care
Children's Services
Department for Communities and Local Government
Children's Social Care
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Department for Work and Pensions (incl. Job Centre Plus)
Education Fire and Rescue Service
Voluntary, Community and Faith Sector Organisations
Housing
Police Public Health Health Agencies
Youth Offending Teams
Other – please state
The agencies listed above may also share a limited amount of your personal information with other agencies
in the list to ensure the most appropriate services are identified to support you and your family.
• Your information will not be shared with organisations that you instruct us not to share with (unless
the law requires us to share or there is a risk of harm). Please highlight any agencies for which you
do not consent to information sharing.
• Your consent to share personal information is entirely voluntary and you may withdraw your consent
at any time.
• You are entitled to know what information we hold about you. If you find that any of your information
is wrong, tell us so that we can correct it.
• We may also use your personal information to enable us to evaluate the effectiveness of the service
offered to you. Any of your information used to undertake this monitoring and evaluation will be fully
anonymised.
It is the responsibility of the organisation carrying out the assessment to ensure that a signed copy of the
assessment is held on file for audit and inspection purposes.
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