Providing Quality Residential Care to Children and Young People
Statement of Aims
Admission Procedure
Education
Locations
Accommodation
Confidentiality
Staffing
Equal Opportunities
Care and Control
Health
Diet and Food
Religious and Cultural Contact
Resilience
Funding
Home
Contact
Referral Form
Job Vacancies
Request Brochure
Referral Form
Name*
DoB*
Legal Status
Ethnicity
Religion
Person with parental responsibility
Address and contact number
Social Worker
Name
Telephone
Fax
Address
Reason for Referral
Family Details (Including contact issues)
Educational Needs (Please send statement of education if applicable)
Name and Address of last school (Contact Name if possible)
Health issues and Medication
Dietary Requirements
Recent History (Details of last placement, name of keyworker)
Other relevant information (risks posed to others, vulnerability and C.P.R status)
Services required i.e assessments, therapeutic input etc
Funding Agreed
Expected date of admission
Please confirm which of the following reports are available
L.A.C documentsÝ
Recent Reviews
Reports from professionalsÝ
School reports
