Name of allocated social worker: Please evidence reason for step up to social care: □ Withdrawn consent: please confirm whether you have: Stepped the case up to social care as a result of withdrawn consent □ □ Yes No Stepped the case down (signposted to other agencies) as a withdrawn consent □ □ Yes No □ Moved out of area Have the relevant professionals in the new area been notified that there is a CAF in place for this □ □ Yes No child/young person? Please evidence □ Child Death Level of case on the Continuum of Need and Response at point of closure: □ □ □ □ 2 3 4 1 Section 4: Signatures Lead Professional’s signature: Date: (LP) Manager’s signature: Date: Parent/carer/young person Date: signature: Section 5: Evaluation - we politely ask that you complete this evaluation form with the family; this is now a mandatory field. Note for parents/carers/young people - The CAF team are always trying to improve and are looking for your opinions and experiences. Please help us by completing the following questions: Not Very Satisfied Satisfied Satisfied My worker discussed with me the worries they had about my child(ren) □ □ □ and asked me what I thought We agreed a plan of action, that I thought would improve things for my □ □ □ child and our family I agreed who the information could be shared with □ □ □ The detail of CAF/TAF consent was explained to me □ □ □ Having a CAF made a difference □ □ □ Additional comments:
Name of allocated social worker: Please evidence reason for step up to social care: Withdrawn consent: □ please confirm whether you have: Stepped the case up to social care as a result of withdrawn consent Yes □ No □ Stepped the case down (signposted to other agencies) as a withdrawn consent Yes □ No □ Moved out of area □ Have the relevant professionals in the new area been notified that there is a CAF in place for this child/young person? Yes □ No □ Please evidence Child Death □ Level of case on the Continuum of Need and Response at point of closure: 1 □ 2 □ 3 □ 4 □ Section 4: Signatures Lead Professional’s signature: Date: (LP) Manager’s signature: Date: Parent/carer/young person signature: Date: Section 5: Evaluation - we politely ask that you complete this evaluation form with the family; this is now a mandatory field. Note for parents/carers/young people - The CAF team are always trying to improve and are looking for your opinions and experiences. Please help us by completing the following questions: Not Satisfied Satisfied Very Satisfied My worker discussed with me the worries they had about my child(ren) and asked me what I thought □ □ □ We agreed a plan of action, that I thought would improve things for my child and our family □ □ □ I agreed who the information could be shared with □ □ □ The detail of CAF/TAF consent was explained to me □ □ □ Having a CAF made a difference □ □ □ Additional comments:
CAF-closure-form-June-2015.docx