info@yenaa.co.uk
Yenna Housing
About Us
Charter of rights
Accommodation Solutions
Referrals
Residents Information
Residents forms and support
Dudley Maintenance Form
Maintenance Form
Making Payments
Emergency Contact Numbers
Information on Universal Credit
Contacting Housing Benefit
Complaints Policy
Feedback
Reporting safeguarding concerns
House Rules
Welcome Pack
Landlords
Case Studies
Testimonials
Contact Us
About Us
Charter of rights
Accommodation Solutions
Referrals
Residents Information
Residents forms and support
Dudley Maintenance Form
Maintenance Form
Making Payments
Emergency Contact Numbers
Information on Universal Credit
Contacting Housing Benefit
Complaints Policy
Feedback
Reporting safeguarding concerns
House Rules
Welcome Pack
Landlords
Case Studies
Testimonials
Contact Us
Initial Risk Assessment
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Initial Risk Assessment
Page
1
of 7
Date of Assessment:
Person completing:
Name:
Date of Birth:
Current Address:
National insurance number:
Telephone Number:
Why are you homeless?
How did you hear about us?
Next
Safeguarding from abuse and improper treatment
Risk to you
Are there any specific risk to you that could impact on your safeguarding needs? (Can you rate them 0-10, 10 being highest risk)
Violence
Domestic Violence
Exploitation
Offending
Relationships
Self-harm
Financial abuse
Risk from You
Are there any risks you can present to others that we need to know about? (Can you rate them 0-10, 10 being highest risk)
Violence or aggression
Intimidation
Bullying
Exploitation of others
Radicalisation
Arson
Others:
Who is impacted?
Impact of the risk
How is the risk managed? What’s techniques or support do you use?
Level of Risk
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Next
Health and Well-being
In this section. We would like to understand all the various health requirements you have. Please tell us whatever you feel is important to you so we can provide you necessary targeted support.
Are you currently registered with a GP?
Yes
No
Details and last time you saw GP:
Are you currently registered with a Dentist?
Yes
No
Details and last time you have seen a dentis.
Are you registered as having a disability?
Yes
No
Details of disability:
Do you or have you ever used Alcohol?
Yes
No
Please provide any useful details:
Do you or have you ever used drugs?
Yes
No
Please provide any useful details:
Any other necessary details?
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Next
Emotional and mental well-being
In this section you can tell us about any issues, that may help us understand your needs around Emotional and mental well-being. Have you ever been diagnosed with any of the following?
Anxiety
Yes
No
Details
Depression
Yes
No
Details
Autism
Yes
No
Details
Obsessive compulsive disorder
Yes
No
Details
Post- traumatic stress
Yes
No
Details
Psychosis
Yes
No
Details
Self-harm
Yes
No
Details
Borderline personality disorder
Yes
No
Details
Eating disorder
Yes
No
Details
Learning disability
Yes
No
Details
Low self-esteem
Yes
No
Details
Relationship difficulties
Yes
No
Details
Sleeping difficulties
Yes
No
Details
Suicidal thoughts or attempts
Yes
No
Details
Have you ever been referred to support agencies for?
Alcohol support
Yes
No
Details
Drug support
Yes
No
Details
Mental health Support
Yes
No
Details
Domestic violence
Yes
No
Details
Gambling
Yes
No
Details
Other?
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Next
Finances
What benefits are you currently on?
How much do you get?
How often do you get it and what’s your payment date?
Do you have any current debts?
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Training, Education & Work
Do you have a current up to date cv?
Yes
No
Details
Do you have a work history?
Yes
No
Details
Would you feel confident to sit an interview?
Yes
No
Details
What level of education did you accomplish?
Yes
No
Details
Do you have any plans for future training or Education?
Yes
No
Details
Are you actively looking for work?
Yes
No
Details
Are you currently engaged in any community activities?
Yes
No
Details
Have you ever considered voluntary work?
Yes
No
Details
Do you have a strong support network?
Yes
No
Details
Do you have an idea of your long-term housing needs?
Yes
No
Details
Can you describe your ideal living environment?
Yes
No
Details
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Next
What support do you need?
Reason for requiring Supported Housing (Please tick at least 5 in order to be considered for supported accommodation)
Tenancy failure or losing short term accommodation
Tenancy failure or losing short term accommodation
Reduce risk to yourself
Improved quality of life
Skills to eat healthily
Ability to manage personal hygiene
Increase social and community networks
Unplanned hospital admissions
Develop my CV
Becoming a positive citizen
Gaining and / or maintaining employment and / or education and training
Deteriorating financial position
Making housing applications
Risk of offending
Risk of self-harm
Ongoing mental well-being health issues
Developing problem solving skills
Developing personal competence
Increased feelings of being more independent
Ability to manage monies better
Increased knowledge
Becoming homeless / evicted (within 28 Days)
Ability to manage ongoing health problems
Access to health services
Build an alternative support network
Access voluntary services
Risk of domestic abuse
Frequent presentation to accident and emergency
Reduce social isolation
Obtaining or maintaining a suitable home
Increased feelings of being less reliant
Risk of long-term joblessness
Developing household skills
Feeling more involved
Risk of harm from others
Reducing feelings of isolation
Ability to be keep home safe & secure
Ability to manage a healthy lifestyle
Developing self esteem
Ability to manage health & well being
Developing interpersonal skills
Increased confidence
Tenant Signature or Name
Support worker Signature
Date
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