Passport size photograph NAME:
Date Plan Implemented: | | My key worker is: | | Other people involved with this plan: | | | | | | | PHYSICAL HEALTH/WELL BEING | | ASSESSED NEED:To ensure that I am well, safe and that all my health needs are met and regularly reviewed. | Strengths | | Support needs | | IDENTIFIED LONG TERM GOALSupporting people framework outcomes= 1. Feeling Safe. 2. Contributing to the safety and well being of myself and others. And 9. Physically Healthy Step 1, Step 2, Step 3, Step 4, Step 5 | SUPPORT PLAN NUMBER | RISK ASSESSMENTNUMBER | | | | | | | | | | | | | | | | | COMMUNICATION | | ASSESSED NEED:To ensure that everyone knows how I communicate and how to effectively communicate with me | Strengths | | Support needs | | IDENTIFIED LONG TERM GOAL | SUPPORT PLAN NUMBER | RISKASSESSMENT NUMBER | | | | | | | | | | | | | | | | | | |
| PERSONAL CARE | | ASSESSED NEED:All my personal hygiene routines are completed in an effective way which maintains my dignity and respect | Strengths | | Support needs | | IDENTIFIED LONG TERM GOAL | SUPPORT PLAN NUMBER | RISK ASSESSMENT NUMBER | | | | | | | | | | | | | | | | | | | | | |
| MOBILITY | | ASSESSED NEED:My mobility is assessed and maintained in a safe and appropriate manner | Strengths | | Support needs | | IDENTIFIED LONG TERM GOAL | SUPPORT PLAN NUMBER | RISK ASSESSMENT NUMBER | | | | | | | | | | | | | | | | | | |
| SOCIAL SKILLS | | ASSESSED NEED:My skills in social situations are developed and maintained to promote my opportunities and independence | Strengths | | Support needs | | IDENTIFIED LONG TERM GOALSupporting people framework outcomes= 5 – feeling part of the community. Step 1, step 2, step 3, step 4, step 5. | SUPPORT PLAN NUMBER | RISK ASSESSMENT