- Risk assesment: Related to the Fair Access to Care Services document (FACS), this assesment is to determine the services users risk if they do not recieve the care they need, this can be low, moderate, substantial or critical
- Assesment of needs: This is how the needs of the service user are identified, as well as a financial assesment and assesment of their situation and that of their informal carers
- Care planning: Having identified the needs of the individual, a structured plan of action is decided to meet the holistic needs of the individual, targets and a review/evaluation date is set
- Implimentation: Care plan is started
- Monitering: The key worker makes sure the care plan is followed, if any changes are made, eg services are not needed, these changes are made and notes taken
- Review/evaluation: The multi-disciplinary team meet again to discuss notes and decide if the targets have been met
Through every stage of the care plan process, the service user should always have an input in their care
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