The Qalb Short Break Services Ltd

Discovery Home Befriending Service

31-33 Spelman Street
London
E1 5LQ

DISCOVERY HOME BEFRIENDING SHORT BREAKS

CARE PLAN & RISK ASSESSMENT

Name Arman Rahman

Date of Birth 29 October 2008

Address 58 Locksons Close

E14 6BH
Poplar
London

Parental/ Emergency Contact

School details (if applicable)

Social worker details

GP details

My Care Plan

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ
Family and Background Ayman is a years 00 old boy who born in USA and at
the moment living in Tower Hamlets, London, UK
since 2000. He lives with his mum and dad.

Special needs/ Disabilities - Autism

- Epilepsy (When he gets upset or agitated with
anything)
- Phycootor Ratardation
- Hypertension (easily scared & get upset)
- He uses wheelchair for all sort of
communication, even though he can take
some good few steps by his own.

Personal care and toileting needs Ayman needs assistance at all time for all his personal
and hygiene needs.

Social and behavioural development

Behaviour

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ

Speech and Communication Nikola is non verbal and will make some verbal noise
when he wants to.

Expression/ Likes/ Dislikes Nikola makes verbal noises when he gets upset. He
doesn't like too many people around him. He likes all kind
of mechanical noises for instance; Hoover/ blender/
engines noises like these.

✔ NO
Does the service user exhibit challenging behaviour? YES

What are the triggers and how do you manage this?

Nikola will try to grabs other's hand and will bang it in a good way.

✔ NO
Do they have a history of attacking others? YES

If yes please explain:

None

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ
Mobility

Is the service user mobile? YES

✔ N
O
If not, what support or aids do they use to mobilise?

Nikola will always uses his wheelchair and gets help while moving. He also can take small steps by his
own wth constant superviosion.

Missing Person

Does the service user have a history of going missing? YES

✔ N
O

When was the last time they went missing and where to?

Dietary and feeding needs

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ

Does the service user have any allergies? YES

✔ NO
If yes please give details:
None
Does the service user have a gastrostomy? YES
✔ NO
IF yes please give details
Does the service user require supervision and guidance at meal NO
✔ Y
times?
E
S

Does the service user need help with cutting up their food? YES NO
Does the service user require someone to feed them? YES NO

What kinds of food/drinks does the service user like?

He likes Yoghurt/ Fried chips/ fruits & vegetables

What foods/ drinks is the service user fussy with/dislikes?

N/A

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ
Medications and medical needs:

Do we have medical consent from parents/legal guardian/service NO

✔ Y
user?
E
S

Do we have medical information from GP? NO

✔ Y
E
S

Name of all medications service user is currently taking and their instructions:

Activities:

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ

What kinds of activities does the service user like doing?

Nikola loves to go differnt places and any public transports. Just make sure he doesn't sit
or place nearer to the STOP button inside the vehivle otherwise he will keep presiing it.

What support does the service user need at present to access choice of activities and
why?
At all time supervision
Physical help while moving and handling
Need to push the wheelchair

Is the service user familiar with using buses and trains? YES
✔ N
O
Does the service user have: Blue Taxi Freedom
Badge card Pass

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ
Friendships:

Does the service user have friends/friendship group that they like to be with for their
choice of activity?

Summary:

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee
 The Qalb Short Break Services Ltd
Discovery Home Befriending Service
31-33 Spelman Street
London
E1 5LQ
Assessment officers name: Signature: Date:

Akib H. C.
Service users name: Signature: Date:

Parents/Carers name: Signature: Date:

Managers Name: Signature: Date:

Review Date:

Registered office: 35, Beaufort Court, Admirals Way, South Quay, Waterside, London E14 9XL
Company registered in England number: 6154879
A company limited by guarantee