Person Details.

Title Mrs

Name Janet McCulloch

PreferredName/Known AsAddress Unknown

3 Foxes CroftCRAWLEY

Postcode BN44 3RJ

Person ID 407420

NHS ID 4503566016

Date of Birth 27/08/1957

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.GP Name Dr John Christopher Dawe

Address LOWER TANBRIDGE WAYHORSHAM

Telephone No. 01403 246880 / 01403 266237

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.Nationality British

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.Immigration Status

UK EEA national

A person with refugee status granted by a non-UK EEA country and any dependents

Non-UK EEA nationals and any dependents

Failed asylum seekers who have failed to comply with removal directions

A person unlawfully present in the UK (including those whose visa has expired and refused asylumseekers who did not claim asylum at a port of entry)

A failed asylum seeker with family who has not taken reasonable steps to leave the UK voluntarily

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AS005 Reassessment (Care Act revised)

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Person's Support Network.

Carer/s Details...

Is there a carer?

Yes No

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.Carer - 1

.Carer ID

Carer

Carer's Address

.Is the carer willingand able to continueto provide care?Give details:

. If no, tick to confirm cared for person's assessment will take this into account

.Does the carer re-quire a statutorycarer’s assessment?

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.Details of current support for the person

.Summarise agen-cies / professionalsinvolvement includ-ing what support isprovided

Mrs McCulloch lives in Foxes Croft nursing home, and has support from thenursing and care staff on site.

She is currently being assessed by a speech and language therapist, AnneChambers, from Crawley hospital, regarding her swallowing difficulties.

Current family /friends / neighbourssupporting the per-son

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.Children involved with the person

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.Are there any chil-dren under 18 in-volved with the per-son’s care or livingat the property? Ifyes, give details.

N/A

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Representation and Advocacy.

Legal Representation.

Are there any legally appointed representatives who need to be consulted? (Ensure that writtenevidence has been viewed and a copy uploaded to Fwi)

Yes No Not known at this stage

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Legally Appointed RepresentativesOrganisation NamePerson NameLegally appointed representatives

Lasting Power of Attorney(registered) - Finance only

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.Support with Finances

.Does the person have any help with managing their finances?

Yes No

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Financial RepresentativesDetails of support

givenTelephone NumberAddressOrganisation NamePerson Name

Mrs Taylor is MrsMcCulloch's

Home: 999 999 999County Hall DirectorOf Social Services

Swift Taylor

daughter. She hasWest SussexLasting Power ofCounty CouncilAttorney (financeTower Streetonly), registered inCHICHESTER

PO19 1QT 2013. She receivesMrs Taylor'spension andbenefits andensures that herbills are paid.

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.Mental Capacity

.Does the person have an impairment of or disturbance in the functioning of the mind or brain?

Permanent Fluctuating Temporary Under Investiga-tion

None

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.Does the person appear to lack capacity to make decisions about their care and support, and/orthe accommodation in which they need to live to receive this care and support?

Yes No

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.If yes, has a mental capacity assessment been completed?

Yes NoIf a mental capacity assess-ment has been completedbriefly summarise outcome

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.Has a Deprivation of Liberty Safeguards (DoLS) referral been made?

Yes NoIf a DoLs referral has beenmade provide brief details

Mrs McCulloch lacks capacity to make decisions abouther care and support, and the accommodation inwhich she lives. She is unable to leave the home un-accompanied. The managing authority, Foxes Crofthas made a request for a standard authorisation fromthe Deprivation of Liberty Safeguards (DoLS) team.

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.Are there concerns about the person’s capacity to make any other key decisions?

Yes NoIf yes, give further details Discussions are underway as to whether Mrs McCul-

loch needs a PEG feed. The speech and languagetherapist has completed a mental capacity assessmentwhich indicates that Mrs McCulloch does not havecapacity to consent to this treatment, so a formal bestinterest decision will be required before the proceduretakes place.

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.Advocacy

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.Does the person require any support with communication or are any other reasonable adjustmentsrequired to support them to take part in the reassessment?

Yes NoFurther details of sup-port/adjustments provided.Where relevant includewhether the person still has‘substantial difficulty’ takingpart triggering the require-ment for an Appropriate In-dividual or Advocate:

Mrs McCulloch requires assistance to communicatedue to the impact of Cerebellar Ataxia. She appearsresponsive and alert; however she has difficultiescommunicating verbally. She can understand and re-spond to simple requests but cannot respond effec-tively to more complex decisions and discussions.

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.Does the person have an Independent Mental Capacity Advocate (IMCA), Independent Advocateor agreed Appropriate Individual?

Yes No

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.Person Name Harry Potter

Organisation Name

Advocate or Appro-priate Individual'sview:

Mrs McCulloch's independent advocate, Harry Potter, supported her through thereassessment.

Mr Potter informed me (assessor) that he is happy with the care and supportprovided at Foxes Croft care home. He has asked for a referral for an IMCA to bemade, so that he or she can be involved in the best interest decisions about thePEG being fitted.

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Occupational Therapy Information.

Person - intrinsic factors (those within the person, including inherent skills and abilities).

Physical health and/ or condition andthe impact on func-tion / postureHeight

Weight

Communication

Psychological

Cognitive

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.Environment (external influences)

.Type of property

Address TenureType

Registered Nursing Home

Bathroom / WC

Kitchen

Lounge

Access / external

Stairs

Bedroom

Heating / control ofthe environmentPotential risk to per-sonal safety

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.Occupation - analysis of daily living activities and tasks

.Mobility - 1

.Activity / task

Capabilities / en-ablers (strengths)

Constraints / barri-ers

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.Transfers / seating - 1

.Activity / task

Capabilities / en-ablers (strengths)Constraints / barri-ers

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.Personal Care - 1

.Activity / task

Capabilities / en-ablers (strengths)Constraints / barri-ers

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.Domestic Activities - 1

.Activity / task

Capabilities / en-ablers (strengths)Constraints / barri-ers

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.Social - 1

.Activity / task

Capabilities / en-ablers (strengths)Constraints / barri-ers

.Optional additionalinformation

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Are adaptations to the property required?

Yes No

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Sight Loss and Blindness Information.

Details of eye disorder.

Clinical diagnosis

Visual acuity - right

Visual acuity - left

Field of vision

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.Registration Status

Severely SightImpaired

Sight Impaired Not registered

Details

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.Date of registration

Hospital Name

Address

Ophthalmologist

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.Housing

.Details

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.Hearing

.Details - please in-clude supplier infor-mation

.Does the person have dual sensory loss?

Yes No

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.Reading

.Print size: N

With spectacles: N

With LVA: N

LVA used

Reading ability

Lighting

Functional sight

Near vision tasks

Distance vision

Colour vision

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.Communication

.Time telling

Telephone

Writing

Television

Information Technol-ogy (IT)Audio material

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.Mobility

.Mobility aid

Indoors

Outdoors (familiar /unfamiliar)Steps / stairs

Transport

Glare

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.Personal Care

.Dressing

Washing / grooming

Personal hygiene

Medication manage-ment

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.Domestic Activities

.Shopping

Pouring / drinking

Cooking / eating /food preparationLaundry

Housework

Gardening / DIY

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.Social

.Employment

Leisure

Psychological / moti-vational / moodConfidence

Additional informa-tion and summary

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Hearing Loss and Deafness Information.

Registration status.

Registered as:

Hard of hearing Deaf with speech Deaf without speech

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.Would the person like to be registered?

Yes No

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.Does the person have dual sensory loss?

Yes No

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.Health Conditions / Mobility

.Details

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.Hearing aids

None Left

Right

Both Left and Right

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.With T switch

Yes No

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Type

Analogue Digital

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.NHS or private

NHS Private

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.Organisation Name

Address

How long has theperson had theircurrent hearing aid?

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.Preferred method of communication, language or format (tick all those that apply)

. British Sign Lan-

guage Lip reading Writing things

down Drawing Speech Deafblind alpha-

bet Use of residual

hearing Other

.Details

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.Hearing Loss Functional Reassessment - Part B

.Does the person experience difficulties with hearing in the following areas:

.Television

Doorbell

Telephone ringing

Hearing people onthe telephoneFire alarm

Alarm clock

Child or Adult beingcared for

.Reassessment of impact on:Environmental fac-tors

.Health issues

.Safety

.Independence

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.Additional informa-tion and summary

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Review of Person’s Current Support Plan...

What support pack-age is already inplace (summary on-ly)?

Mrs McCulloch lives at Foxes Croft care home. She has lived there since the 1stMarch 2014.Mrs McCulloch is on West Sussex County Council's Band D (Nursing), which in-cludes Standard Rate Funded Nursing Care (FNC) from Continuing Health Care.

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.Considering all op-tions, is this themost effective wayof meeting thoseneeds and out-comes?

Yes - Mrs McCulloch continues to have significant needs, and her swallow hasdeteriorated recently. Nursing care remains appropriate, and there are no less re-strictive options available which would provide the same level of care.The Independent Advocate spent some time reviewing the care notes and sittingwith Mrs McCulloch prior to the re-assessment meeting, and he reported that hewas happy with the level of care provided, and that Mrs McCulloch appeared wellsettled.I (the assessor) also spoke to Mrs McCulloch's daughter Swift, who lives inChichester and can't visit regularly due to other work and caring commitments.Swift reported that she visits every two or three months, and her mother alwaysappears well settled and content.On my observations prior to and during the re-assessment process, Mrs McCullochappears well settled and was able to indicate that she is happy in the home whenasked.

Risk assessments are in place regarding eating and drinking. When this is dis-cussed with staff, they appear to have a good understanding of Mrs McCulloch'sneeds in this area, and how to minimise the choking risk.

.Is the budgetamount sufficient tomeet the eligibleoutcomes? Give de-tails including a re-view of the PersonalBudget.

Yes - band D funding with FNC remains appropriate to Mrs McCulloch's level ofneed.

.Are there any othereligible needs andoutcomes whichneed to be ad-dressed? Give de-tails:

The staff at the care home are experienced in using Peg feeds. They will receiveguidance from the speech and language therapist if a Peg is fitted, and are satisfiedthat they will be able to manage this new element of care.

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Reassessment of Needs.

Reassessment Details.

Date of Reassess-ment

19/11/2015

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.Type of Reassessment

Planned Unplanned

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.Reason For Re-assessment

Planned Care Act reassessment work

.Background Information

.Personal history (in-cluding family, occu-pation, religion, faithand spirituality)

Mrs McCulloch is a 58 year old lady who was diagnosed with Cerebellar Ataxia in2010. Prior to her illness she worked as a solicitor in Crawley for many years, andenjoyed her hobby of swimming regularly and travelling to France.

Following her diagnosis in 2010 and subsequent deterioration in both her physicaland emotional wellbeing, resulting in difficulties undertaking many of her activitiesof daily living; Mrs McCulloch approached the local authority for assistance. Shesubsequently received a personal budget via a Direct Payment which she used toemploy a Personal Assistant to support her. Despite being assisted with her activ-ities of daily living by her Personal Assistant, she continued to deteriorate. Sheexperienced a number of falls. It was felt she would benefit from moving to alter-native accommodation where her needs could be more suitably met and wherecare would be available 24 hours a day. Mrs Scott moved into Bramshaw Court,extra care housing in Horsham, in July 2012. She received support from the on-site care provider via a council managed budget.

Mrs McCulloch was admitted to Princess Royal Hospital on 1st January 2014, aftera suspected seizure and a period of confusion. Her needs were assessed prior to

discharge and it was agreed that it would not be in her best interests to return to her flat as her needshad increased considerably. A long stay nursing placement was felt most appropriate and arrangementswere made for Mrs McCulloch to move to Foxes Croft care home.

Mrs McCulloch has been settled and stable during her time at Foxes Croft, but her independence hasreduced.

What’s workingwell? Consideringcurrent support andany other potentialsupport networksavailable and howcan these be usedto achieve whatmatters most to theperson?

Mrs McCulloch enjoys the occasional visits from her daughter. She is also visitedoccasionally by friends, which always lifts her spirits.

Generally Mrs McCulloch is well settled and happy, and has good relationshipswith the care staff.She enjoys spending time in communal areas and being around other people.She is able to communicate simple messages and how she is feeling through facialexpressions. Most of the she staff know her well and are able to interpret whatshe wishes to say.

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.Reassessment of Needs

.Record details ofany health condi-tions or disabilities,including details offormal diagnosis.

Mrs McCulloch has Cerebellar Ataxia - a progressive neurological disorder whichaffects the part of the brain that controls balance and co-ordination, difficultyswallowing and slurred speech. She was diagnosed in 2010 at by St George’shospital in Tooting.

Identifying needs :How does the per-son's illness or dis-ability affect theirdaily life and theirwellbeing? Includethe views of the per-son, carer and pro-fessionals

Due to her communication difficulties, Mrs McCulloch has not been able to describeher needs and how they affect her daily life.

Assessors view, following discussion with care home staff:Mrs McCulloch's condition has continued to deteriorate, with an impact upon herphysical health. She needs to use a wheelchair as she now has limited functional-ity in her arms and legs. Her oesophagus area is now quite restricted, impactingon her swallow reflex. She is at risk of choking and aspirating food. She has notexperienced any seizure activity for over 12 months.

Although Mrs McCulloch finds communicating with others difficult, she remainsbright and alert, and enjoys being in the company of others - particularly whenthey take the time to talk to her and allow her to contribute to the conversation,through vocalisations and facial expressions.

Advocates view:In agreement with the above statement.

Are there any con-cerns about the per-son's safety as aconsequence ofthese needs? If soconsider completinga risk assessment orwhether this consti-tutes a safeguardingconcern?

No.

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.What does the person want to achieve?

.What personal out-comes have beenidentified as impor-tant? Work with theperson to identifyboth what is impor-tant to and for theirwellbeing, and thatof their family. Pro-vide the person'sview, including self-assessment wherethis has been com-pleted.

Those who know Mrs McCulloch well believe that the outcomes which are importantto her are:-

Being well cared for, in a familiar environment.

Being able to spend time with others, in good company.

Having the opportunity to contribute wishes, feelings and opinions.

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.Details of profession-al view (includingrisk and details offluctuating need)

PERSONAL HYGIENE:Mrs McCulloch has limited functionality and mobility in her arms and legs. Shecannot assist with her personal care tasks. She prefers her personal care tasksto be undertaken in the morning, when she is still in bed. She likes to have ashower occasionally, with the assistance of two staff and a hoist to transfer to ashower chair. Mrs McCulloch often feels anxious during manual handling, andneeds reassurance from her carers during this activity.

MANAGING TOILET NEEDS:Mrs McCulloch uses pads to maintain her continence. It is important that carersmonitor and support her to change her pads regularly. Her skin is in good condition.

BEING APPROPRIATELY CLOTHED:Mrs McCulloch likes to be well presented at all times and needs support withdressing. Her daughter advises that she was previously an avid shopper and likesto have a wide selection of clothing to choose from. She was well known for alwayslooking immaculate, particularly at work. Mrs McCulloch likes to choose her outfitsby indicating to staff her preferred choice.

MANAGING AND MAINTAINING NUTRITION:Mrs McCulloch enjoys her food and likes to have a wide selection of choices pre-sented to her. She prefers to take her meals in the lounge, with others. Due to riskof aspiration and choking, Mrs McCulloch needs her food to be pureed and herdrinks to be thickened. She needs to be sitting in the correct position and timetaken over her meal. She has specific guidelines to support this, provided by herspeech and language therapist, which are available in the care home. If Mrs Mc-Culloch does transfer to using a Peg feed to maintain her nutrition, attention shouldbe paid to whether she is still able to have food or drink to taste in a safe way, asthis gives her so much enjoyment.

MAINTAINING FAMILY AND PERSONAL RELATIONSHIPS:Mrs McCulloch thoroughly enjoys visits from friends and family, although she doesnot have frequent visitors to the care home. She enjoys the company of otherresidents and the staff. Being with familiar people is particularly important, as thismeans she has the greatest opportunity to interact and contribute to the conversa-

tion. However at times, she does experience low mood, although these episodes have become muchless frequent during the time she has been at Foxes Croft.

The advocate has suggested whether a befriender or similar could be identified, to visit Mrs McCullochin her home. The home manager will take this forward via Age UK.

BEING ABLE TO MAINTAIN A HABITABLE HOME ENVIRONMENT/ USING THE HOME SAFELY -Staff at the care home ensure needs in these areas are met.

MAKING USE OF COMMUNITY FACILITIES - Mrs McCulloch rarely has the opportunity to go into thelocal community, but services such as the hairdresser and chiropodist come to the care home.

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Eligibility Decision.

Do the person’s needs relate to a physical or mental impairment or disability?

Yes - person’s needs relate to a physical or mental impairment or disability

No - person’s needs do not relate to a physical or mental impairment or disability

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.Are there any specified eligibility outcomes that the person is unable to achieve as a consequenceof their illness or disability?

. Managing and maintaining nutrition Maintaining personal hygiene Managing toilet needs Being appropriately clothed Being able to make use of the adult’s home safely Maintaining a habitable home environment Developing and maintaining family or other personal relationships Accessing and engaging in work, training, education or volunteering Making use of necessary facilities or services in the local community, including public transport, and

recreational facilities or services Carrying out any caring responsibilities the adult has for a child.

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.Is there a significant impact on the person’s wellbeing as a result of not being able to achievetwo or more specified outcomes?

Yes - the person has eligible needs No - the person doesn't have eligible needs

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.Details of impact onwellbeing

Mrs McCulloch has complex health and social care needs, requiring 24 hoursupport. Without this support in a safe environment, Mrs McCulloch would be un-able to achieve a number of the specified eligibility outcomes. Failure to provideadequate support would have a significant impact on her wellbeing, leaving herat risk of rapid physical deterioration.

Mrs McCulloch is settled well into her care home, she appears to be stable andher emotional wellbeing has improved. Her health and social care needs are beingmet appropriately, and with dignity.

.Areas of disagree-ment

None.

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Needs that the local authority has a duty to meet in order to support the person to achievespecified outcomes

Summary of each needTO MAINTAIN GOOD PERSONAL HYGIENEDIGNIFIED MANAGEMENT OF CONTINENCETO BE WELL PRESENTED AND BE ABLE TO CHOOSE MY CLOTHING EVERY DAYTO ENJOY MY FOOD AND DRINK, WITH LESS RISK OF CHOKING OR ASPIRATIONTO HAVE GOOD COMPANY AROUND ME, AND BE ABLE TO CONTRIBUTE TO CONVERSATIONS.TO BE SAFE IN MY HOME - WITH ADEQUATE LEVELS OF SUPERVISION AND SUPPORTTO BE ABLE TO USE FACILITIES SUCH AS THE HAIRDRESSER, CHIROPODIST, AND GP.

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.Does the person want the Local Authority to support them to meet their eligible needs?

Yes NoIf no, give brief details ofthe arrangements the Per-son will be making to meettheir eligible needs

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.Have there beenany changes to theperson’s financialcircumstances?Give details includ-ing whether a newfinancial assess-ment is required.

No

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.Have WSCC's financial assessment and charging procedures been discussed? (This shouldinclude that charges will be backdated to start of service(s) and charges made for SupportBrokerage if relevant)

Yes NoGive brief details of whathas been discussed andwhat information has beengiven and if not discussedexplain why not:

Mrs McCulloch contributes towards the cost of hercare.

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Action Plan for the Person.

Reablement.

Could reablement be an appropriate way of meeting identified needs and outcomes?

Yes NoIf no, why not Mrs McCulloch has a degenerative disorder, and now

needs nursing care.

If yes, give details of areasfor reablement and poten-tial

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Referral to Reablement ServiceDate of ReferralDetailsReferral to Reablement Service

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Telecare.

Where appropriate make a referral via the Telecare portal (https://wscc.welbeing.org.uk) to meetpreventative care and urgent or crisis health needs.Tick box if referral made.

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Advice and Information (including referrals to other agencies except for reablement or telecare)What needs have been met by theadvice and information or referral

provided?

What advice and information hasbeen provided or referral made on

behalf of?

Who has been given advice andinformation or referral made on

behalf of?No advice or information provided/ referral made

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.Next Steps

.What has the person been told the next steps following reassessment will be, this could include: SupportPlanning, Short Term Services, Reablement / Independent Living Service, Welfare Benefits Referral,Professional Support Only, Carers Assessment, Safeguarding, information about Direct Payments.

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Resource Allocation.

Guidance.

The Resource Allocation System (RAS) is used to calculate an indicative personal budget, using pro-fessional judgement and based on the reassessment of need. An indicative budget is the level offunding estimated to be required to meet an individual’s needs. Our responsibility is to meet eligibleneeds, taking into account the individual's strengths and available support networks that may meet areasof need without public funding being in place. Support planning should consider the resources availableto the person, through mainstream services and community networks; and friends and family. Profes-sional judgement/discretion is applied through support planning. The Personal Budget is finalised oncethe support plan is agreed.

.The starting point for this tool is that for many people, the predominant need is for supervision to ensuresafety. For a person who needs supervision to maintain safety and also requires help with personalassistance (personal care and activities of daily living), only use the personal assistance section as wellas the supervision section if the level of personal assistance required cannot be provided along withthe supervision. For a person who does not need supervision because they are able to keep themselvessafe or call help when it is needed, do not complete the supervision section and move straight onto thepersonal assistance section.

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.Supervision

.If the person requires supervision to maintain their safety, start with this section and choose whichlevel best describes the person's assessed eligible needs.

Usually a person will require personal assistance as well as support. Where this is the case, it is ex-pected that the personal assistance will be delivered at the same time as the supervision.It is possible to add a further allowance for personal assistance, only where this need is evidencedand cannot be met within the level assessed for supervision, e.g. there is a need for 2 carers.Where the person lives with their family carer and needs supervision most or all of the time (level 4),a reduction of 40% will be made to the amount allocated for supervision.This is because it is assumedthat the carer will be providing some of this supervision, but would also require an element of respite.Exceptions can be made where the carer’s circumstances would support this following discussionwith the Team Manager.

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.Supervision

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.Level 1

Occasional – needs met through assistive technology e.g medication dispensersand mobile reminders. No family carer or informal support network able and willingto meet this need.

Yes No

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.Level 2

£60 for daily check. No family carer or informal support network able and willingto meet this need consistently.

Yes No

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.Level 3

£170 several checks required daily. No family carer or informal support networkable and willing to provide this level of support consistently.

Yes No

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.Level 4

Needs supervision all or most of the time.Able to share support (the ratio acts as a guide to the degree of supervision re-quired; the ratio selected should set out functioning within the congregate settingsuch as day care and relates to supervision only. So a person who needs a lot ofsupport for personal care but otherwise is able to function in a group of 6 or morewith one member of staff would be considered to be in the 1:6 group but may haveadditional support added in the personal assistance section)

1 : 6 + £340 1 :3 / 4 £450 1 : 2 £700 Needs 1 : 1 to ensuresafety: £1400

No

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Is there live in support from family or informal carers’?

Yes Yes (live in informal care or family but unable tocontinue support)

No

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.Where the answer is "yes", and level 4 supervision is needed, a 40 % deduction will be made from thelevel 4 supervision amount to reflect the support provided.

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.Personal Assistance

.The second section, Personal Assistance, relates both to personal care (e.g. managing toilet needs,being appropriately clothed) and activities of daily living (e.g. accessing and engaging in work, makinguse of necessary community facilities).It should be used when personal assistance needs cannot be met in the time allocated to supervisionin the proceeding section.It should only be used where family carers or informal support networks are not able or willing to meetthese needs.Professional judgement and the information agreed through the reassessment process will be usedto decide which levels of hours are likely to be required to meet the person's eligible needs.

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.Personal AssistanceWorker will need to identify if this is required as well as the personal care that can be provided withinthe supervision support visit/s. If so this can be added.

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.Level 1

£60.00 (equating to one visit a day)

Yes No

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.Level 2

£120 (equating to 2 visits a day)

Yes No

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.Level 3

£210 (equating to 3 visits a day)

Yes No

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Level 4

£280 (when 2:1 is needed for manual handling at times) Yes

No

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.Where both supervi-sion and personalassistance needsare identified explainyour rationale for thelevels identified ineach section.

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.Night Time Support

.This section can be used if the person requires night time support. Use professional judgement todetermine which level to use. If a person lives in the same household as family/unpaid carers theusual expectation would be that they would provide supervision and support at night to maintainsafety.However, it is accepted that in some situations, provision of night time support is a significant causeof stress for carers e.g. the person is unsettled at night and in these instances, following a CarersAssessment, an additional allowance of up to £70 per week could be made. This would need to bemade following discussions with a Team Manger as it is not automatically calculated. Where need isevidenced, a higher allowance could be considered.

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.Night Support

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.Level 1

Occasional – needs met through assistive technology

Yes No

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.Level 2

£50.00 (access to sleeping support) and no family carer available/able to meetthis need.

Yes No

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.Level 3

£100 (shared waking night required) and no family carer available/able to meetthis need.

Yes No

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.Level 4

£300 (needs 1:1 waking night / additional sleep in / night support)

Yes No

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.Where the carer meets night time support needs do they require carers respite or work full time?

Yes No

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.Transitional Cases

For young people in transition who are entitled to adult social care and are in full time education, adeduction is made from the provisional budget to allow for the costs of support once they have leftschool/college. For those with level 4 support needs (supervision) the usual deduction would be £250per week (unless 1:1 support would be needed in which case it would be £500 per week). For youngpeople still living in the family home, this is likely to mean a deduction both for day care and a cap ofthe figure allowable for supervision.

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.Is the person a young person in transition and in full time education?

Yes No

.If yes, please indicate how much needs to be deducted from the provisional budget while the personis in education. (standard 250.00 and for high 500.00) (00.00) £                                        

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.Proposed Provision-al Budget

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.Provisional Budget Sign Off

.Date of sign off

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Further Information for Support Planning....

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Reporting............................