CAF Self-Assessment Checklist by Nlo6e6

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									                                                                                                                                     Annex D
                                                         CAF Quality Review Form
  Section 1 – Recording of CAF Process
  Unique Reference Number                                                       Audited by

  Agency assessment conducted by                                                Date of Audit

  Type of sample (e.g. random, specific group, type of need etc)



  Question                                                                         Y=1          N=0   n/a = 1   Comments by Quality Auditor

Identifying Details

  Has the date the assessment started been recorded?


  Are the mandatory identifying details entered in full on the CAF form (i.e.
  name, gender, address, postcode, date of birth, contact tel. no)?
  If only partially completed score 0

  Is the first language of the child or young person and, where
  appropriate, the parent/carer recorded on the CAF form?

  Have details of any disability of the child/young person been entered
  onto the CAF form?

  Have details of any special requirements of the child or young person
  been recorded?

  Is the ethnicity of the child/young person entered on the CAF form?
                                                                                                 Y=1           N=0          n/a = 1       Comments by Quality Auditor

Assessment information
     Does the CAF form record all the people present at the assessment?


     Has the reason for the assessment been recorded on the CAF form?


     Where appropriate1, have the personal details of the parent/carer been
     recorded?
     If only partially completed score 0

     Has the current family and home situation been recorded (i.e. family
     structure, siblings, other significant adults living/not living with the child)?
     If only partially completed score 0

     Have the details of the person(s) undertaking the assessment been
     recorded?
     If only partially completed score 0

     Where appropriate, have the details of the lead professional been
     recorded?

     Have all the services (including cross border) working with the
     child/young person been recorded (including contact details)?
     If only partially completed score 0
CAF assessment summary: strengths and needs
     Have the child/young person’s strengths and needs been recorded in
     terms of their development?

     Has the parent/carers ability to provide guidance and support been
     recorded in terms of strengths and needs?
     Have the family and environmental strengths and needs been recorded?



1
    When working with a young person who does not want their parent/carers involvement in the process, they may not want their parent/carer’s personal details recorded.
                                                                            Y=1   N=0   n/a = 1   Comments by Quality Auditor
Conclusions, solutions and actions
  Have the aims that need to be addressed been recorded?


  Have the conclusions derived from the assessment been recorded, both
  in terms of strengths and needs?

  Have the changes wanted by the practitioner, the child/young person
  and/or parent carer been recorded?

  Have the views on how change can happen (inc. practitioner,
  child/young/person and/or parent/carer) been recorded?
  If only partially completed score 0

  Has an action plan been recorded for the people present at the
  assessment, together with responsibilities for carrying out actions and
  dates by when they are to be completed?
  Has a review date been agreed and recorded?


  Have indicators of successful improvement been recorded in the ‘goals’
  section?

  Has the child/young person recorded their comments on the
  assessment and identified actions?

  Has the parent/carer recorded their comments on the assessment and
  identified actions?

  Has informed consent for information storage and information sharing
  been obtained and recorded?
  Has the assessment form been signed by the child/young person or
  parent/carer?

  Has the assessment form been signed by the assessor(s)?
                                                                                                 Y=1            N=0          n/a = 1       Comments by Quality Auditor
Delivery Plan(s) & Review(s)
If more than one delivery plan and review form has been completed they should be assessed as one (i.e. If the information is only partially completed, or not on every form, score 0)

   Have all the personal details fields been completed?

   Have delivery plan actions been recorded for the people present at the
   TAC(s), together with responsibilities for carrying out actions and dates
   by when they are to be completed? If only partially completed score 0

   Have the desired outcomes been recorded alongside each action, along
   with which of the ECM aims it contributes to?

   Have the progress and comments fields been completed?

Review
   Has the date of the review(s) been completed?

   Have the names of the people present at the review(s) been recorded?

   Have the next steps been recorded?

   Has a review date(s) been agreed and recorded or a reason for closure
   given?

   Have notes on the review(s) been recorded?


   Has the child/young person recorded their comments on the review and
   actions identified?

   Has the parent/carer recorded their comments on the review and actions
   identified?
                                                                                                    A                            B
                                                                                 TOTAL

                                               Effectiveness of the CAF process                         (A x 100) ÷ (39 – B) =                              %
Section 2 – In Depth Review
      Not completed = 0                         Poor = 1                      Satisfactory = 2                        Good = 3
Section should have been          Unclear why being assessed           Brief comments but clearly        Comments are clear and purposeful
completed but was left empty                                           stated                            and linked well to evidence
                                  Unclear why requesting another
No evidence                       service                              Correct level of need             Correct level of need and good
                                                                                                         evidence
Insufficient information          Level of need inappropriate          Focused on outcomes
                                                                                                         Strong picture of outcomes needed
                                  Needs focus on service involvement
                                                                                                         with appropriate action steps
                                  required rather than on outcomes



CAF Purpose, analysis, delivery planning & review

CAF Section                                    Not completed = 0            Poor = 1                Satisfactory =2            Good = 3

Reason for assessment

Conclusion, solution and action

Delivery plan and review



Domain Completion
CAF Section                                    Not completed = 0            Poor = 1                Satisfactory =2            Good = 3

Development of child or young person

Parent/carer support

Family and environment
Analysis
CAF Section                                          No = 0              Poor = 1           Satisfactory =2        Good = 3

Information sourced/evidence based,
non-judgemental

Strengths/positives included (and, where
appropriate utilised in action planning)

Parent/carer engagement in process
(where not appropriate score 3)

Child/young person’s engagement in
process or needs of child/young person
appropriately represented.

Outcomes focused on impact on
child/young person

                                                                                                      TOTAL


ECM Outcomes                               Being              Staying   Enjoy and    Positive         Economic
(Yes = 1, No = 0)                          Healthy            Safe      Achieve      Contribution     Well-being       TOTAL


Does the CAF focus on any of the ECM                                                                               A
outcomes?

Have the actions identified helped to                                                                              B
improve outcomes


Overall comment                                                          Effectiveness against                %
                                                                         ECM outcomes =
                                                                         (B x 100) ÷ A
 Section 3 – Evaluation of the Participation of the Child/Young Person and/or their Parent/Carer
  The success of the Team Around the Child (TAC) process is dependant on the agreement, participation and co-operation of the child/young
  person and/or their parent/carer. It is therefore necessary to take this into consideration when evaluating the outcomes of the delivery plan. As
  the key member of the TAC, the child/young person and/or parent/carer will have understood and been a party to deciding what actions they feel
  would provide them with the right support as well as any actions they themselves can undertake, building on the strengths identified within the
  assessment.

  Where the child/young person and/or parent carer have returned feedback forms, these should be utilised as part of this evaluation. Where the
  feedback forms have not been returned we recommend that the sections of the sections of the CAF form and the CAF review form for
  child/young person and parent/carer comment are utilised.



                                                                                                                  Y=1         N=0         n/a = 1

About the Common Assessment

  Was the child/young person present at the assessment?

  Was the parent/carer present at the assessment?

  Where the child/young person’s strengths identified and utilised as part of the CAF process?

  Where the parent/carers strengths identified and utilised as part of the CAF process?

  Was the child/young person’s comments recorded on the CAF form?

  Was the parent/carer’s comments recorded on the CAF form?

  Did the child/young person and/or their parent carer understand what would happen to the information on the
  CAF paperwork, and did they sign the consent statement?

  Did the child/young person and/or parent/carer receive a copy of their CAF form?
About the TAC (in terms of both delivery planning and review)
  Did the child/young person attend the TAC meeting(s)?

  Did the parent/carer attend the TAC meeting(s)?

  Did the child/young person have their say in what help they needed?

  Was the child/young person’s comments recorded on the CAF review form(s)?

  Was the parent/carer’s comments recorded on the CAF review form(s)?

  Did the parent/carer have their say in what help their child needed?

  Did the child/young person and/or parent/carer receive copies of their delivery plan and review form(s)?

  Did the child/young person know who their lead professional was?

  Did the parent/carer know who the lead professional was?

  Did the child/young person feel comfortable and supported by the lead professional?

  Did the parent/carer feel supported by the lead professional?

  Did the child/young person complete his/her agreed actions in order to achieve the required change?

  Did the parent/carer complete his/her agreed actions in order to achieve the required change?

  Does the child/young person believe their needs have been met?

  Does the parent/carer believe their child’s needs have been met?

  Did the child/young person feel supported by the process?


                                                                                                                    TOTAL


               A score of 17 or less indicates non-effective participation on the part of the child young person and/or their parent/carer
Section 4 – Measurement of the Effectiveness of Actions
As part of the CAF process, aims are identified and actions agreed in order to meet those aims. The extent to which the actions prove to be
effective in meeting the identified aims is a measure of the quality and effectiveness of the CAF process.

Evaluation of Effectiveness of Actions
The effectiveness of each action can be classified as one of the following:
   1. Not effective - the action taken has not resulted in any noticeable/measurable change.
   2. Partially Effective - the action taken has resulted in a small noticeable/measurable change, but there is still much to do to achieve the
      identified aim(s).
   3. Mostly Effective – the action taken has achieved most of the identified aim(s), or action has been effective but not considered sustainable
      without on-going support.
   4. Completely Effective – the action has met the identified aim(s) and this is likely to be maintained without further support.
(Add more rows if required)
                                               Not          Partially        Mostly         Completely       Action Score       Total Possible
Action                                         Effective    Effective        Effective      Effective                           Score
                                               (Score 0)    (Score 1)        (Score 2)      (Score 3)




                                                                                                                    A                   B
                                                                                  Overall action scores
Evaluation of the Achievement of the Identified Aims
The extent to which each of the identified aim(s) has been met can also be classified as one of the following:
   1. Not Met – the relevant circumstances are the same as they were before the action took place.
   2. Partially Met – there has been some noticeable improvement in the relevant circumstances, but much more change is required).
   3. Moderately Met – there has been considerable improvement in the relevant situation, but aim(s) not fully met.
   4. Fully Met – the targeted aim(s) have been fully achieved.
(Add more rows if required)
Identified Aim                               Not Met      Partially Met    Mostly Met    Fully Met       Aim Score          Total Possible
                                             (Score 0)    (Score 1)        (Score 2)     (Score 3)                          Score




                                                                                                                C                    D
                                     Overall aim scores

                         Effectiveness of actions score            (A + C x 100) ÷ (B + D) =                                  %

								
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