MainStay Guidance Manual
Transcription
MainStay Guidance Manual
MainStay Guidance Manual Contents SYSTEM GUIDANCE ........................................................................................ 5 ASSESSOR GUIDANCE ................................................................................................... 5 Accessibility of the system for users ................................................................................................................5 Errors & System problems ................................................................................................................................5 Profiles and Permissions ...................................................................................................................................5 Sensitivity..........................................................................................................................................................6 Useful References .............................................................................................................................................6 General User Log in ..........................................................................................................................................7 Quick search .....................................................................................................................................................9 Detailed Search Facility for Clients within your service ...................................................................................9 Client Look up and permissions ..................................................................................................................... 10 Add/Search New Client.................................................................................................................................. 10 Consent Affirmed........................................................................................................................................... 13 Closed Cases .................................................................................................................................................. 14 Add Assessment............................................................................................................................................. 15 Referral Tab ................................................................................................................................................... 18 Assessment Tab ............................................................................................................................................. 19 Adding Contacts in the assessment ............................................................................................................... 20 Leaving the assessment ................................................................................................................................. 21 Additional Background Information .............................................................................................................. 21 Adding Events for Information requests ....................................................................................................... 22 Returning back to an assessment to continue sections ................................................................................ 27 Risk Tab .......................................................................................................................................................... 28 Needs Tab ...................................................................................................................................................... 30 Housing Status Tab ........................................................................................................................................ 32 Completing Form ........................................................................................................................................... 33 Adding and Viewing scanned & saved files to a client record ....................................................................... 33 Adding a Risk/Status alert ............................................................................................................................. 35 View and picking Matches for referral .......................................................................................................... 37 Client Referral Screen .................................................................................................................................... 40 Assessment Waiting Lists .............................................................................................................................. 41 2 MainStay Guidance Manual version 1 July 2013 Refusing Client from Your Assessment List ................................................................................................... 46 Handover of those in danger of rough sleeping ............................................................................................ 47 ACCOMMODATION PROVIDER GUIDANCE ................................................................. 50 Review your accommodation referrals & Accept to waiting list ................................................................... 50 Offering Accommodation .............................................................................................................................. 55 Adding Events for Accommodation Offered ................................................................................................. 55 Book a person into a vacancy ........................................................................................................................ 57 Client leaving ................................................................................................................................................. 60 Auto Vacancy ................................................................................................................................................. 62 Add Vacancy (not via auto vacancy) .............................................................................................................. 63 Close Clients................................................................................................................................................... 65 Moving clients in beds within the same service ............................................................................................ 66 Direct placements (only for use for Transferring Residents within the same service) ................................. 66 Direct Referral ............................................................................................................................................... 68 Not the case owner- Review client referrals ................................................................................................. 70 CASE MANAGEMENT.................................................................................................. 72 Tasks .............................................................................................................................................................. 72 Supported by Additional Service ................................................................................................................... 73 Support Plans................................................................................................................................................. 74 Updating Risk once accommodated .............................................................................................................. 74 Adding Events for Case Management ........................................................................................................... 74 MAINSTAY PROCESSES ..................................................................................79 Assessment points ......................................................................................................................................... 79 Assessment Hours/Handover ........................................................................................................................ 79 Rough Sleeper/Hub ....................................................................................................................................... 80 Weekend Rough Sleeper Handover .............................................................................................................. 80 Referral routes to MainStay .......................................................................................................................... 81 Direct referrals to Services ............................................................................................................................ 82 Information regarding ring fenced beds ....................................................................................................... 83 Referrals between MainStay Services ........................................................................................................... 86 Copying Previous Assessments ...................................................................................................................... 87 Consent to disclose/data protection ............................................................................................................. 88 3 MainStay Guidance Manual version 1 July 2013 Client needs interpreter ................................................................................................................................ 89 Additional Background Information .............................................................................................................. 92 Assessment Time frames ............................................................................................................................... 93 Timeframes for Decision Making Based on Housing Status .......................................................................... 94 Risk/Safeguarding .......................................................................................................................................... 94 Vulnerability .................................................................................................................................................. 96 Needs ............................................................................................................................................................. 97 Allocation/Prioritisation ................................................................................................................................ 98 Picking Matches ........................................................................................................................................... 100 Park View/ Supported Lodgings Appear as Top Match ............................................................................... 101 Waiting for a client to arrive for a bed ........................................................................................................ 101 Posting Vacancies ........................................................................................................................................ 101 Advanced Vacancies .................................................................................................................................... 101 Specific Vacancy Rules for Groups of Services ............................................................................................ 102 Prison Resettlement .................................................................................................................................... 103 ADDITIONAL GUIDANCE FOR SPECIFIC SERVICES ........................................105 Whitechapel Guidance ............................................................................................. 105 Ring fenced bed referral .............................................................................................................................. 105 Accepting a Referral to a Floating Support Service ..................................................................................... 106 Parkview & Supported Lodgings Guidance ............................................................... 111 Direct Agency referrals ................................................................................................................................ 111 Clients matched to service .......................................................................................................................... 113 Housing Options Guidance ....................................................................................... 115 Sub-Cases ..................................................................................................................................................... 115 4 MainStay Guidance Manual version 1 July 2013 System General SYSTEM GUIDANCE ASSESSOR GUIDANCE To log on to the system please input https://mainstay.capitasupport.co.uk/ into your address bar Recommended Browser The recommended browser for the MainStay system is Internet Explorer 9 or a later version. Accessibility of the system for users All modern browsers allow you to change colours and font sizes. For advice on changing settings, check out the BBC’s accessibility pages http://www.bbc.co.uk/accessibility/ Errors & System problems For problems and advice regarding system processes and logging in, please contact the MainStay team on [email protected] or 0151 600 3542 Profiles and Permissions Different profiles have been created with various permissions the main areas where permissions differ are Vacancy Management, Direct Referrals and Direct Placements. Below is a brief summary of which profiles have the ability to complete tasks in these areas. Vacancy Management – Provider Manager DP/DR, Provider SuperUser DP/DR, Whitechapel DR, Support Worker/Assessor Direct Referrals – MainStay Officer, Provider ManagerDP/DR, Provider Super User DP, Whitechapel DR Direct Placements - (only needed for internal room transfers) - Provider Manager DP/DR, Provider Super User DP/DR 5 MainStay Guidance Manual version 1 July 2013 System General Sensitivity Sensitivity is available to be set for Client Files, Tasks & Events. Most profiles will be able to set information as Sensitive or Not Sensitive. Service managers will be able to set information as Very Sensitive. Very Sensitive – can only be viewed by system administrators and commissioners Sensitive – can only be viewed by Service managers Not Sensitive – can be viewed by all users The system will always default to Not Sensitive but can be changed to sensitive if a system user feels that the information being input should be restricted to service managers. If further guidance is needed in this area then you can contact the MainStay team. Useful References (Various icons & ways to input information) Help Icon? Mandatory * NB scroll to top left to see help text Drop down Text box Calendar Quick links (Always blue & underlined) Buttons Tick box Tables Error message (Always shows if an area is incomplete or incorrect) PDF (Version to print) 6 MainStay Guidance Manual version 1 July 2013 System General General User Log in All licensed users will be given a username and password from the MainStay team. Users are required to enter this to access the MainStay system. Once a User has logged into the system the Home/Welcome page will appear. This homepage will be relevant to your user profile. Please see details of the Welcome page below. Click on here for copies of MainStay Policies & Guidance Click to Log Out Your User name will show here NB always ensure you are logged on in your own User name Quick/Fuzzy Search facility Appropriate quick links will show for your User Log in Any relevant Alerts regarding your clients or User log in will show here 7 MainStay Guidance Manual version 1 July 2013 System General The main quick links for general users will include; My Open Clients- Any Clients of which you are the case owner (on assessment list or key working). My Open Referrals- Referrals made by you to services (waiting list or assessment list) awaiting a result. My Closed Referrals -Referrals made by you which there has been a result. Our Open Referrals OUT- Referrals made by you to other services awaiting action. Our Open Referrals IN- Referrals made to your service awaiting action. Our Closed Referrals OUT- Referrals made by your service which there has been a result. Our Closed Referrals IN- Referrals made to your service which there has been a result. My Open Placements-All clients placed with your service in which you are the placement owner. Our Open Placements-All clients placed with your service. My Searches- Any saved searches. NB If you are regularly searching under a particular field. This can be saved on the search screen under Favourites search title. (See search facility below for further guidance) My Tasks- Any tasks set by you, your colleagues, or the MainStay team. Add Client- To add a new client You can also use the filter to search under further areas: For example Our Closed Placements- All clients who have been placed with your service previously 8 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients Quick search Quick search allows for fuzzy searching, Fuzzy searching is the technique of searching and getting results approximately rather than exactly. You can search for all clients on the system by Surname. The quick search may also bring up clients that have similar spelt names via fuzzy search. If no details are entered into the Quick Search this will bring up all clients that are placed/previously placed or referred to your service. It will also bring up any clients that your service are currently case owners or that your service added to the system. Fuzzy searching is the technique of searching and getting results approximately rather than exactly. Detailed Search Facility for Clients within your service The detailed search facility is to be used to conduct more detailed searches for clients within your service or to search for clients that may now be closed cases on the system. You will be able to search for any client on the system by using a client’s surname, but using the other fields you will not be able to search and bring up clients outside of your service (see permissions page 10). Click on Clients and click into the chosen search field adding in your search criteria then clicking Search. At this stage you may also save your search for future use by adding a unique search title in the favourites Search Title Then press Save. These saved searches can then be accessed under My Searches (See above). Favourites Search title NB this search screen status will always search on the Status-open clients; you may wish to change this status to Any if you are aware that a person may have been assessed in the past and then moved out of MainStay services. 9 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients Client Look up and permissions You can only bring up a full list of clients that you have assessed or you service is working with. NB recent items may show someone you have previously been working with and you may not have access to anymore. However you may search under surname on the quick search to access a client record outside of this remit. You will be asked to affirm consent and the case owner of the client will be notified that you have accessed this record. See message below. (An automatic event will be added to the Client record.) Add/Search New Client To add an assessment you must first add the Client details by clicking on the Add client quick link, you will then enter the client details and click exists, the system will then either set up a new client record or will bring up the clients existing record. NB. It is recommended that you do a Quick/Fuzzy search on Surname prior to adding a client. 10 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients If the system recognises that this client already exists on the system the following screen will appear and you will automatically be taken to their Client record If the client does already exist in the system and this screen appears continue from page 15. 11 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients If the system recognises this is a new client the following screen will appear. At this point you only need to complete all areas on this screen only mandatory * areas must be completed. NB Grey areas are pre-completed from previous screens. The mandatory areas include; Registration date- The date the client has been added to the system Housing Status- always set as Awaiting placement when entering a new client Housing Status date- Today’s date Case Owner- Your own name from drop down Waiting List- Your service assessment list And Consent affirmed should be ticked when the MainStay consent to disclose has been signed. See details below. You may then save your client. If you have not ticked consent affirmed. You will be prompted to ask you client to sign the consent to disclose form. 12 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients Consent Affirmed Prior to adding referral and assessment details for your client please ensure they have signed the MainStay consent to disclose form. (You can find further information regarding this process including blank forms under the policy & guidance tab on the system and also see page 88 for further guidance.) This form must be scanned and added to the client record under the files tab. (See section adding scanned and saved files to client record for further guidance page 33.) You will be asked to tick to confirm that consent has been given on the client general page. If this tick box is ticked it will also populate the consent given question in the referral form section. 13 MainStay Guidance Manual version 1 July 2013 Searching and Adding Clients Closed Cases NB There may be occasions when the client you need to assess has been closed to MainStay as they have moved on from MainStay services, this client record will appear, you will see the client general screen below. Persons with a Service Manager or Super User/Admin Profile will be able to open the case so that you can continue to the assessment. To Reopen a Closed Case you remove the closed reason and closed date NB If you have a situation where a client already exists but there are still placed/case owned by another service, the recommendation to assessors is to contact the client’s service to discuss organising an assessment. 14 MainStay Guidance Manual version 1 July 2013 Completing Assessments Add Assessment Once you have saved the new client screen further tabs for your client will appear including an Assessment tab. At this stage you should scan and add a copy of the original referral form and consent to disclose under the files tab. (See section adding scanned and saved files to client record for further guidance page 33.) Click on the Assessments tab 15 MainStay Guidance Manual version 1 July 2013 Completing Assessments The assessment tab will then show if the client has had any previous assessments, which you can click in to review. To add a new assessment click Add Assessment. Under new assessment please tick in to the service to be assessed for (Accommodation Based Service). Then save the new assessment screen. 16 MainStay Guidance Manual version 1 July 2013 Completing Assessments A new tab called forms will then appear Click in to the forms tab Click on this icon to print assessment when completed To create a new assessment To copy previous assessments answers. Only if appropriate For further guidance regarding when to use copy previous please see page 90 To create a new assessment click on new as above NB Housing Options assessment is to be used by Housing options team only There are some occasions where you would copy previous assessment (please see process guidance page 87.) 17 MainStay Guidance Manual version 1 July 2013 Completing Assessments This will then take you to the MainStay Assessment Form screen. With assessment tabs. NB Each section must be completed in the order of tabs. After each section you must Save the Section. Assessment tab Risk section tab Housing status tab Needs section tab Referral tab Referral Tab The first section of the assessment is the referral tab. Once verified with the Client the information in this section can be copied from the referral form. The grey areas cannot be edited and are mapped from other areas within the system. THERE IS ALSO AN EXTRA HELP SHEET AVAILABLE ON THE WEBSITE AND UNDER POLICY AND GUIDANCE –THIS IS CALLED EXTRA HELP REFERRAL AND ASSESSMENT 18 MainStay Guidance Manual version 1 July 2013 Completing Assessments Once you have completed the referral section you can save or press save and next to continue to the assessment screen. Assessment Tab The second section of the assessment is the assessment tab. This section is completed with the client; the answers are added directly on to the system. You will see further questions may appear as you go through the assessment adding in your client’s answers. THERE IS ALSO AN EXTRA HELP SHEET AVAILABLE ON THE WEBSITE –EXTRA HELP REFERRAL and ASSESSMENT The assessment is split into 14 sections; Circumstances, Accommodation history, Economic/Legal Status, Physical Health, Emotional & Mental Wellbeing, Alcohol, Drugs, Abstinence, Offending, Life Skills, Meaningful Use of Time, Cultural/Language, Vulnerability, Family/Relationships. 19 MainStay Guidance Manual version 1 July 2013 Completing Assessments Adding Contacts in the assessment Contacts are added at various points of the assessment, in the contacts tables. Click Add a new contact The following Dialog box will then appear to add in the Contacts details. Global contacts are useful contacts that have already been added to the system. Please do not add your contact as global unless authorised to do so. Contacts will only appear in the top contacts box within the section until the assessment section is saved. Once you have completed all of the assessment sections you should save and close. Information can be edited on the assessment up until referrals have been made. 20 MainStay Guidance Manual version 1 July 2013 Completing Assessments Leaving the assessment There are times during the assessment when the assessor will need to go in and out of the assessment to access the client’s other tabs. In order to access the other tabs when in the assessment form you will need to click on the client’s name at the top underlined in blue. Always ensure that you have saved the sections of the assessment you have been working on before leaving the assessment. Additional Background Information At this stage assessors should use contact information collated under the client general section Contacts to gain supporting background information. Click on contacts All clients contacts will show in a list as below, Assessors should try to contact those who are most relevant to gain additional background information. The assessor should use the MainStay information request form to send to the person providing information or record information via the Telephone Information Request form. These forms can be found on the website or under the policy & guidance tab. See further guidance for scanning documents on page 33. 21 MainStay Guidance Manual version 1 July 2013 Completing Assessments Adding Events for Information requests Events can be added against client record Before sending a referral the assessor should complete an events log to record “References Received” and “References Requested” so the service receiving the referral can see what references have been received and what references are still outstanding. After a referral has been made accommodation providers receiving the referral should record all attempts and progress to gain addition information under events to prevent two accommodation providers chasing the same reference. Click on the Events tab and click Add Event Add in the appropriate Category & Event type and comments, then press Save. There are various Categories and Event types Please see all event below. 22 MainStay Guidance Manual version 1 July 2013 Completing Assessments Information requests will be made prior to completing assessment and sending referrals to accommodation providers. Event log for- References received 23 MainStay Guidance Manual version 1 July 2013 Completing Assessments Event log for- Outstanding References Requested (Any that you were not able to get back within the assessment guidance time) NB Accommodation provider can then do any further background requests post assessment & matching. (Please see additional background guidance in processes page 21) 24 MainStay Guidance Manual version 1 July 2013 Completing Assessments 25 MainStay Guidance Manual version 1 July 2013 Completing Assessments 26 MainStay Guidance Manual version 1 July 2013 Completing Assessments Completed forms should be scanned and added to client files. (For further guidance see page 33 adding scanned files). Returning back to an assessment to continue sections When you come out of an assessment to the client general tabs you may then need to return back to continue assessment sections. Click back on to assessments. You will then see all assessments for your client. You can click onto the relevant assessment by clicking the date. Then click into the forms tab. 27 MainStay Guidance Manual version 1 July 2013 Completing Assessments You will then see the last updated MainStay form, you can click into this by clicking onto the blue underlined writing. This will then take you back to your form will the original 5 sections, you can click into the appropriate tab to continue your assessment. Risk Tab The third section of the assessment is the risk tab (You can find further guidance regarding this under Risk Page 94) This section is to be completed by the assessor based on their judgement of the risk a client poses in the specified areas. The assessor would be expected to use the answers to the questions in the previous section, any references received and the clients views when completing this section. 28 MainStay Guidance Manual version 1 July 2013 Completing Assessments The Risk section is split into 15 risk areas. Drugs (This may current/past use, substances used, frequency and method of use, length of time used, serious incidents relating to drug misuse and periods of abstinence and any treatment the client is accessing.) Please include any risk of overdose and abuse of medication if known. Alcohol (This may include amount/frequency of alcohol use, length of time used and any serious incidents relating to alcohol, periods of abstinence). Physical Health (This may include any physical health problems, recent periods of hospitalisation, disabilities, mobility issues and sensory impairments) Mental Health (This may include any diagnosed mental health problems, concerns in this area, and any medication needed) Suicide ( This may include details of any previous incidents known and the dates of any incidents ) Self Harm ( This may include details of any previous incidents known and the dates of any incidents ) Vulnerability (This may include any previous vulnerability that you consider relevant, indicators of vulnerability could include learning difficulties, history of abuse, harassment, bullying, violence, social service involvement ,sex work) Offending (This may include the details of any previous offences known, how long ago they occurred and where possible the details of sentences, please also comment on any known current risks in relation to Offending) Arson ( This may include details of any previous incidents known and the dates of any incidents ) Sex Offences, and Offences Against a Person Under the Age of 18. Violence/Aggressive Behaviour If Yes Give further details (This may include the details of any incidents of violence or aggression and the outcome of these incidents including eviction or convictions) Financial (this may include the details of any debts, rent arrears, Gambling Problems and ability to manage their own finances) Family/Relationships (this may include any difficulties in forming relationships and any particular relationships that may pose a potential risk) Risk of Accommodation Breakdown (this may include any previous accommodation breakdowns and support needs in self care and living skills) These areas must then be scored using the MainStay risk level definitions: Low - No significant current indicators of harm. Medium - There are identifiable indicators of risk or harm. The person has the potential to cause harm but is unlikely to do so unless there is a change in circumstances, for example a failure to take medication, loss of accommodation, relationship breakdown, substance misuse. High - There are identifiable indicators of risk or serious harm. The potential event could happen at any time and the impact would be serious. Very High - There is an imminent risk of serious harm. The potential event is more likely than not to happen. 29 MainStay Guidance Manual version 1 July 2013 Completing Assessments NB It is extremely important that assessors add as much detail as possible regarding any risks and any known triggers, as this section will provide essential information for services to start to write their risk management plans. Once you have completed the section you can save or press save and next to continue to the assessment screen. Needs Tab The fourth section of the assessment is the Needs tab. This section is completed with the client. (You can find further guidance regarding this process under Needs process page 97). 30 MainStay Guidance Manual version 1 July 2013 Completing Assessments The Needs section is split into the following 10 areas. Motivation and Taking Responsibility Moving forward and actively making positive changes. Self Care and Living Skills Independent living skills and self care. Managing Money Managing money/benefits, budgeting, paying bills, managing and reducing debt. Social Networks and Relationships Relationships, social groups- Positive/Negative Drug and Alcohol Misuse Substance Misuse, Impact on life, harm reduction. Physical Health Looking after yourself/living a healthy lifestyle, dealing with health issues Emotional and Mental Health Emotional health, feeling low/depressed, stressed or anxious, self-harm/suicide, a diagnosed or suspected mental health issue. Meaningful Use of Time Use of time, interests, hobbies, building skills, interest in training & developing. Managing Tenancy and Accommodation Complying with the terms of your accommodation/tenancy, paying rent/charges and bills, neighbours/visitors. Offending Problems with the law, complying with probation/legal orders, ongoing offending. Needs are assessed as Low to High with the following Need definitions: None – No history or evidence of Support Need in this area Low – Person may need minimal support in this area. Some history or evidence of past need. Medium – Person has support need in this area that is manageable/currently being met. High – Person has support need in this area that is not being managed/met. This may include an immediate need. Assessors will need to provide as much information as possible 31 MainStay Guidance Manual version 1 July 2013 Completing Assessments Addition Matching Questions under needs There are also additional needs questions that must be completed within the needs tab. Please see extra help sheet for further details regarding Additional Needs Questions. Housing Status Tab The fifth section of the assessment is the Housing Status tab. This section is completed with the client. Using the definitions listed in this manual you must enter a Housing status for the client and enter the relevant priority level number. Override-Override can be used by the MainStay team only. Statutory Homeless-'Statutory homelessness', is where local authorities have defined a household as homeless within the terms of the homelessness legislation. This option is for Housing Options teams only. Entrenched Rough Sleeper-Those who have a long history of sleeping rough. Rough Sleeper-Those people currently sleeping rough. In Danger of Rough Sleeping-Those people in imminent danger of rough sleeping. No Access to Settled Accommodation-Not in imminent danger of rough sleeping but having no access to settled accommodation and they can be accommodated safely for at least the next three nights. 32 MainStay Guidance Manual version 1 July 2013 Completing Assessments No Permanent Accommodation-Not in imminent danger of rough sleeping but having no access to settled accommodation and they can be accommodated safely for at least the next three nights. You can only enter the status levels that are accessible for your user profile. (You can find further guidance regarding this process under Allocation/Prioritisation in the process manual page 98). Once assessment completed press Save. Completing Form Click on form control tab and set to Completed and Save as this will highlight any mandatory field that have not been completed. Once these areas have been completed you can then click on the client’s name underlined in blue at the top of the screen to return to all of the client’s tabs. Adding and Viewing scanned & saved files to a client record Once you have saved/scanned a document you can then access this and add it to the client record. Click on the Files tab on the client general section. Then Click Add File. You can then Click Browse to search through any Files you have saved or saved & scanned and select the appropriate file. 33 MainStay Guidance Manual version 1 July 2013 Completing Assessments The File will only be saved if a description is added. For Information Request forms please save your description as info request For MainStay Referral Forms please save your description as referral form For Consent to Disclose please save your description as consent 34 MainStay Guidance Manual version 1 July 2013 Completing Assessments To view saved files you must click on the Files tab in the Client general section. You can then order the files saved by clicking on File name, Description or Uploaded. Arrows will appear to show this area is being ordered either numerical or alphabetised. Once you have found the file you would like to review please click in to the file name (always underlined in blue.) You must then click on the document view icon A message should then pop up asking whether you would like to open or save this file. Click Open to view. Adding a Risk/Status alert This section is used for assessors to select any alerts they feel are necessary to alert others about the client. This can be completed at the end of the assessment prior to sending referrals to accommodation providers or if needed you can complete during the assessment and then return to the assessment to complete the final areas. 35 MainStay Guidance Manual version 1 July 2013 Completing Assessments Alerts can be added for any client risks that have been scored Very High or if the assessor feels the risk should be highlighted. Click on to the Status Alert tab under the client general section. There are also additional alerts for if the client is a known risk to or from another and for other specific accommodation needs that have been highlighted in the assessment. 36 MainStay Guidance Manual version 1 July 2013 View and Picking Matches View and picking Matches for referral Depending on the answers to questions and the risk and needs summary a list of Matches will appear showing the most appropriate services for the Client. You can then refer the Client to the amount of matches available for their housing status (See Guidance on Picking Matches page 100). The matches will be displayed in the order of the points awarded so that you can easily view the most appropriate matches (highest points most suitable). Click on the matches tab in the client general section. You should refer the client to the appropriate matches as per Housing Status, Entrenched Rough Sleeper/Rough Sleeper – 5 In Danger of Rough Sleeping- 3 No Settled Accommodation- 2 No Permanent Accommodation- 1 (See picking matches page 100 for further guidance regarding choice available to Clients.) 37 MainStay Guidance Manual version 1 July 2013 View and Picking Matches To refer a person to a match you click on the relevant match by clicking on the points awarded. Click on the points awarded to make the required referral. This will then take you to the screen below: This screen shows the person’s basic details and the service you are about to refer to. To make a referral press save at the bottom of the screen. Click save to make a referral Once you have clicked save on the previous screen the system will then take you to an additional screen which is for the accommodation providers to complete when they have made a decision. 38 MainStay Guidance Manual version 1 July 2013 View and Picking Matches DO NOT COMPLETE ANY REFERRAL RESULT DETAILS (AS BELOW) CLICK CLOSE Once you have referred a person to a service the referral will appear under the client’s referrals tab. The referrals made can then be seen under the referrals tabs under the client general section. Assessors can use the quick links to view Open & Closed referrals. 39 MainStay Guidance Manual version 1 July 2013 View and Picking Matches To access Referrals made by you which there has been a result click on- My Closed Referrals To access Referrals made by your service to other services awaiting action-Our Open Referrals OUT To view Referrals made by your service which there has been a result- Our Closed Referrals OUT The Assessor/case owner will be alerted only once the client has been placed. NB for every refusal you can offer the next appropriate match to your client. NB The Assessment List for your service will also show in the list of referrals as the Client will be held on your services Assessment List until accommodated by a service or until their assessment has been transferred to another service. Previous Referrals made for a person will also appear. Client Referral Screen This screen shows that once a client has been accepted and placed in accommodation the client will be removed from a services Assessment list as Placed Elsewhere. Accepted Accepted Client has been accepted and placed to accommodation and is no longer on Assessment List and is shown here as Placed Elsewhere. The client’s placement will then appear under their Placement screen with their start date. Once placed the referring service will change the case owner to Admin.service profile so that the accommodation provider can change the persons case owner to a case owner within their organisation. Accepted Date client moved in to the bed space shown 40 MainStay Guidance Manual version 1 July 2013 View and Picking Matches A record of referrals made, when the client has been accepted and when the client has been placed will all be automatically generated in the Events tab. Assessment Waiting Lists An assessment list is available in order to keep a separate list for assessments completed by a service and to facilitate the transfer of assessments between organisations each assessing service will have an Assessment List which will hold any assessments until they have been transferred to another service or until the person has been accommodated. When you create a client you will place the person on your Assessment List on the General Client Screen Select Assessment List from the drop down You will then be able to see that the client is placed on your service’s Assessment List. 41 MainStay Guidance Manual version 1 July 2013 View and Picking Matches After referrals have been made and the client has moved in with another accommodation provider their referral history will look like below. This shows the client was assessed by Ann Conway but was then placed elsewhere in Salvation Army. The person will then no longer show on Ann Conway’s Assessment List. 42 MainStay Guidance Manual version 1 July 2013 Transferring Assessments Transfer of Assessments On occasion it may be a requirement for you to transfer ownership to a case owner at another organisation. This will be relevant to the 9-5 services Handover and the rough sleeper handover. To transfer an assessment from your service when your assessment hours have finished you will need to click on your service’s waiting list. You must click on to your services assessment list, you can find your assessment list by using the quick search and search for services. (Use the drop down box to change the search to services). This will bring up your service lists including your assessment lists. This will show outstanding applications who have not been placed. You will then click on the Client and directly refer the Client to the other service’s Assessment List of who you are transferring the Assessment to by clicking in their client record and accessing the Referral screen and clicking Add Referral The New Direct referral screen will then appear please complete the mandatory areas* Provider name (whom you are referring to) Service name (Assessment list of whom you are referring to) Direct referral reason i.e. Transfer of assessment, Rough Sleeper Handover Referral date & Referrer (Should default to today’s date and your name.) PLEASE ENSURE THAT YOU ONLY REFER THEM TO THEIR ASSESSMENT LIST. 43 MainStay Guidance Manual version 1 July 2013 Transferring Assessments Select provider from the drop down list Only choose Assessment List service! Only choose direct referral reason as Transfer of assessment Once you press Save the assessment will be referred to the other provider DO NOT COMPLETE REFERRAL RESULT (BELOW) The referral details are then saved on the next screen please close. 44 MainStay Guidance Manual version 1 July 2013 Transferring Assessments You can then change the case owner on the client general tab to the Admin profile User at the organisation you are transferring to. 9-5 services will have a specified 24/7 service they will transfer to at the end of their assessment hours for each week. (Or you may be transferring to mainstay or Hub) The Transfer of the Assessment is now complete but you must still refuse the Client from your own services assessment list. 45 MainStay Guidance Manual version 1 July 2013 Transferring Assessments Refusing Client from Your Assessment List You must access the original referral to your services Assessment List To access this referral you can access the Clients Referrals via their Client record or by returning to your services assessment list. If you click on the persons Client Record you will access their Referrals via the Referral Tab then click on the referral to your services Assessment List You will then refuse the person from your waiting list giving the reason Assessment Transferred so that they disappear from your waiting list. Refuse client and select reason Assessment Transferred Then press Save and the person should then have left your assessment list. 46 MainStay Guidance Manual version 1 July 2013 Transferring Assessments Only the original assessor/case owner will be able to refuse the client from the assessment list. If they are not currently available you could contact the MainStay Team via email and they will refuse persons on your behalf. [email protected]. Once the handover of assessments between 9-5 services to 24/7 Services has been completed. The service should check their Assessment list to ensure that there are no applicants remaining. NB By August 2013 the system Admin profile will be able to reverse previous referral decisions to allow services to clear their assessment list. Handover of those in danger of rough sleeping (See processes page 80 for further guidance) To complete the handover you should add a direct referral for your client. Click the referrals tab and Add Referral To MainStay between 3pm & 3.15pm 47 MainStay Guidance Manual version 1 July 2013 Transferring Assessments To Hub/Sit up after 3.15 After contacting the Hub/Sit Up Service on 0300 123 2041 you can refer the Client to the Hub Service by selecting the below options 48 MainStay Guidance Manual version 1 July 2013 Transferring Assessments If the Hub/Sit Up give permission for the person to attend their service You can then change the case owner on the client general tab to the Admin profile User at the organisation you are transferring to Admin.hub. For the MainStay handover you can change the case owner to Admin.mainstay. You must then refuse the applicant from your Assessment list see (Page 46 Refusing Client from your Assessment list). 49 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance ACCOMMODATION PROVIDER GUIDANCE Review your accommodation referrals & Accept to waiting list Once a Referral has been made to your service specified persons in your organisation will receive an Alert. This will be via the system as above and may in some cases be via email. Alert shown on user’s homepage Clients referred to your service will appear on your waiting list. Services will order this via the Priority Level which is based on the Clients housing status and then by date of referral. If a Client has the same housing status and date of referral then matching points will be used to decide which person has priority. Click on the date to view the client’s referral To view the Referral you can click on the Alert (shown on the user’s homepage) or the date of the Client on your waiting list. This will bring up the screen below. To see the latest Assessment completed for the Client click on their name which will take you to their Client Record. 50 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Click on the client’s name to go to the client’s record You can then access their assessment via their Client Record. General screen on the client’s record 51 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Click on the Assessment tab on the client record which will bring up the screen below. Click on the date of the latest assessment (always at the top of the list) When the date of the latest assessment has been clicked on the screen below will appear: Click on Forms which will take you to the screen shown below. 52 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Then Select MainStay Assessment Form. Or if being referred by Housing Options housing options referral form. When you have made a decision whether to offer accommodation click on the Referral tab on the client’s general screen and this will take you back to the Referral Decision Screen. Only complete if you are a service offering a secondary assessment Unless you are offering a Secondary Assessment the Interview date and Interview comments will not apply to your service. However, you will be expected to complete the other available fields: Referral Result -Here you will select Accepted or Refused Result Date – Date of the Decision Result Provider – Here you will have the option of profiles within your organisation please select your user identification. Result Comments – if accepted just put accepted. If refused please add further details. 53 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance If you are refusing a Client an additional drop down will appear stating the reason for refusal. NB if your service feels another reason for refusal is needed please contact the MainStay Team. Once accepted to your waiting list they will show as Accepted. You can now offer them a vacancy (offering vacancies and decisions to short list should be made in the order of your waiting list). If they have been refused they will disappear from your services waiting list. 54 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Offering Accommodation You can only offer accommodation to persons accepted to your waiting list. Adding Events for Accommodation Offered Before offering a vacancy you should check to make sure they have not been offered a vacancy by another service by checking the client’s Events Log to see if there is recent “Accommodation Offered” Event and checking this to see if the Client has already accepted an offer of accommodation with another provider. If they haven’t you can contact the Client and offer them accommodation. If the Client accepts the offer of accommodation you should record the details by adding an Event of “Accommodation Offered” to ensure that other services do not offer the Client accommodation. Click on the Events tab and click Add Event There are various Categories and Event types Please see all event below. Add in the appropriate Category & Event type and comments, then press Save. 55 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Where possible record time arranged for the person to move into the accommodation. 56 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Book a person into a vacancy You can offer a client accepted on your waiting list an existing vacancy by clicking on Vacancies under your service. This will bring up a list of vacancies that are filled and those that are not. To book a person into a vacancy you will select the vacancy via clicking on the Start Date of the vacancy. Click on the start date of the vacancy to offer a person a vacancy Vacant rooms appear at the top of the list with no client attached to them. Filled rooms shown here with the names of clients against bed spaces. Once you have clicked on the start date of the vacancy the screen below will be shown. 57 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance You can then offer the client a bed by clicking into the offer client drop down, all clients you have accepted will appear here. And you will then be able to record the offer result as accepted. You can then save this screen. Once the person moves into the accommodation you can book the person into an existing vacancy by clicking on vacancy offered under the vacancies tab. Once you have clicked on the start date of the vacancy the screen below will be shown. Click on the start date of the vacancy to book a person in to the vacancy 58 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance The only fields that need to be completed are selecting the filled date with today’s date and then the client that you wish to place in the room. The drop down of potential clients will only show the client which you have offered the room to. Select yourself as the Placement Owner and press Save. A message should appear stating “The Vacancy details have been saved” this means that the person is now in the room and should now appear in the correct vacancy on the Vacancy list for your service. This will also update the clients Placement and Address screen. Person offered accommodation no longer requires room This would be relevant. If the client has declined the accommodation or you have withdrawn their offer, or the client is a No Show. Once you have changed the offer result and pressed save the screen will allow you to create a new offer to another client you have accepted on your waiting list. The person originally offered will be removed. The system will record that the person was offered the room but the offer was withdrawn. By pressing the new offer button you will be taken back to the original offers screen. 59 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance NB MainStay have not currently specified a time to wait for a client to arrive, however services are expected to make reasonable steps to contact the applicant before offering a room to another client and record any failed attempts via the Event Screen. Client leaving To move someone out of a vacancy within your accommodation you would click on the Vacancy via the start date from your services vacancy list. Click on the date relating to the room you want to make vacant Once the date has been clicked the screen below will be shown: You would then put the finish date of the vacancy in the second date box 60 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Once the finish date of the vacancy has been inputted this would bring up an additional box of Vacancy End Reason and MainStay End Reason where you would select the Vacancy End Reason and if needed further comments. You would then select yourself as the Placement Owner and press Save this will book the client out of the accommodation. 61 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Select the vacancy end reason & MainStay End Reason from the drop down Auto Vacancy Once you have clicked save on the previous screen the system will then take you to a new screen automatically to ask whether you would like to create a vacancy beginning on the day after the client has been booked out. You can change the date of the Vacancy start date to another date if necessary but you do not need to specify an end date. 62 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance The start date of the vacancy will default to the day after the client has been booked out but this can be changed By pressing Save you will then automatically create a vacancy. If you do not wish to create a vacancy please click Close. All vacancies created will then show on a services list of Vacancies. NB Circumstances when you may wish to click close to ensure a vacancy has not been created would include: You do not know when the room will be available. The room will not be available until a date that is outside your services permissions to create an advance vacancy. The bed is nominated for a specific referral route. The bed is being saved for an internal transfer of an accommodated client. Add Vacancy (not via auto vacancy) If you choose not to create a Vacancy via Auto Vacancy but wish to create a Vacancy at a later date you would access your services Vacancies list and click Add Vacancy. 63 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance You will then select the Vacancy address you wish to create the vacancy before and input a vacancy start date TIP – When selecting a Vacancy Address please note those Rooms which appear with a * next to them are rooms currently occupied or vacancies already created. 64 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Close Clients If the reason that your client is moving out means they are moving out of MainStay Services. You must close you client case. NB Prior to closing a client, you must check if the client has any other placements open with other MainStay services. For example they may have a floating support worker. If the client has a placement with a floating support service the record should be left open. To check placements please click on the client placements tab. Placements will show here. Client records can be closed on the client general screen. Only some profiles can close a client. A closed reason and date must be added. 65 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance If your profile cannot close the case please ask your Service Manager/super user within your service. Moving clients in beds within the same service Direct placements (only for use for Transferring Residents within the same service) (To do this you will need to have Direct Placement permissions, for details of permissions see page 5) You will need to select the Vacancy of the person moving rooms via your services vacancy screen. You will then book the Client out of the accommodation and select the Vacancy End Reason of “INTERNAL TRANSFER DIRECT” and MainStay reason of “Planned Move”. (See page 60, client leaving for further details regarding moving a client out.) You will then click on the client’s record that you wish to move rooms and access their placement screen and select Add Placement. 66 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance This will bring you to the Direct Placement screen: From this you will select the mandatory fields * including the service, address of vacancy and the start date of the placement which will automatically show today’s date. You will then select yourself as the Direct Placement Owner and select the Direct Placement Reason as Internal Transfer Direct. PLEASE NOTE – That to directly place a client you must ensure that the room that you are planning to move the client into has not already been created as a vacancy. If you have already created a vacancy for the room then you can close the vacancy adding a reason of Internal Transfer Direct. 67 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance Direct Referral (To do this you will need to have Direct Referral permissions, for further details regarding permissions please see page 5) There are various reasons for direct referral, you may use this for direct referrals to nominated beds i.e. Ring fenced Bed, Statutory homeless referrals and other nominated beds. You will also use Direct Referrals for Direct Agency referrals (agency requested one service). NB Unless specified you must still complete a MainStay assessment for all direct referrals. To add a direct referral you must first access the Client record and then click on their referral tab. 68 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance You will then be able to click on the Add Referral You will then go to the New Direct Referral screen and you can enter your provider and service details and the Direct Referral reason. You must complete all the mandatory areas* then save and close. 69 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance If you are an accommodation provider directly referring to themselves because an agency has only requested your service. You can then add a referral result of accepted on the Direct Referral Screen. If not please DO NOT complete referral result. This client will then appear as accepted on your waiting list and you can then progress to add them to a vacancy (see page 57). Not the case owner- Review client referrals If someone turns up out of hours and has been assessed by another Service you can still access their record to inform them of their referral status and add events to record that they have been in contact and why. If the Client needs a new assessment completed but is not currently case owned by your Service then you must directly refer to your own assessment list. Click on the Clients Referral tab and directly refer the Client to your service’s Assessment List by clicking Add Referral 70 MainStay Guidance Manual version 1 July 2013 Accommodation Provider Guidance You will then select your provider and service assessment list and then select a direct referral reason. PLEASE ENSURE THAT YOU ONLY REFER THEM TO THE ASSESSMENT LIST. Select provider from the drop down list Only choose Assessment List service! Once you press Save the assessment will be referred. At this stage you will need to log out of the MainStay system then log back in. When you log back in you will see the Add Assessment button appear. You will then see under Referrals your assessment list and you will be able to then access all areas of the client record. 71 MainStay Guidance Manual version 1 July 2013 Case Management CASE MANAGEMENT Tasks Tasks are linked to a client and can be set by any user and assigned to any user. You can also use tasks to set for yourself, for you own prompts. To set a task click on the Tasks tab and click add Task. You can then choose a task category; MainStay or Service Provider (Use Service Provider if the task is related to your service.) You can then choose a Task type, Priority and who you would like to assign the task to. Then Save and Close. Task types include the following: 72 MainStay Guidance Manual version 1 July 2013 Case Management Supported by Additional Service It may be that a person may receive support from more than one service within MainStay i.e. they are accommodated with a provider but are also receiving support from a floating support service. This may be because a person was receiving a floating support service prior to being accommodated or referred to a floating support service after being accommodated. To refer someone to a floating support service you click on a clients referral screen and add referral. You would then pick Floating support referral and add the Service you are referring them to. 73 MainStay Guidance Manual version 1 July 2013 Case Management They will then appear on that services waiting list and the floating support service will be able to accept the client For Floating Support Services needing guidance to accept a referral (see page 106 for Whitechapel guidance) Support Plans Support plans can be added by any placement owners. Further information will be provided about Support Planning in a separate extra help sheet after Go Live. Updating Risk once accommodated The risk of clients you have accommodated should be updated as and when there is significant change i.e. risk incident. Adding Events for Case Management Events can be useful for adding details of support planning notes/reviews, meetings, contacts made with or regarding client etc. Click on the Events tab and click Add Event There are various Categories and Event types Please see all event types below. 74 MainStay Guidance Manual version 1 July 2013 Case Management Add in the appropriate Category & Event type and comments, then press Save. 75 MainStay Guidance Manual version 1 July 2013 Case Management OPTIONAL TAGS-You can also add a Tag to help find the event quickly using the Tag filter. Once you have pressed Save a tab called Tags will appear. You can click on tags and then tick any relevant tag words for your event and Save and close. 76 MainStay Guidance Manual version 1 July 2013 Case Management You can see a Tag has been added by clicking back in to an Event. Where Tags have been added the Tag filter can be used to search. Click on Event Tags writing None Selected of 50 77 MainStay Guidance Manual version 1 July 2013 Case Management You can then tick Event tags that you would like to search for and press Apply. The relevant tagged events will then show. Please be aware that not all users may be using tags so some events you may be looking for may not show using the Tag filter. 78 MainStay Guidance Manual version 1 July 2013 Processes MAINSTAY PROCESSES Assessment points Maps via the website will be used to demonstrate assessment Points for each day. Each specific day will always have the same Assessment points. Assessment Hours/Handover Assessment Hours – During Assessment Hours services will be expected to conduct assessments by offering an interview within one hour of receiving the MainStay referral. During Assessment Hours services will be expected to take ownership of clients which will include making the referral to accommodation provider, checking on its progress and updates whether the client’s referral has been accepted or refused. Once a decision has been made to accommodate a Client you must ensure that the Client is aware of that decision and how to get to the accommodation. If an application is rejected you must ensure that the Client is referred to another accommodation provider taking into account the service user choice where possible. (Please refer to picking matches page 100 for further guidance.) Services will inform Clients of the status of their application and record any contact or attempts to contact the Client. NB If someone turns up out of hours and has been assessed. You will not be able to edit their record if you are not the assessor/ case owner. But you can view referrals and referral status, Events and add events. If you need to add an assessment you must directly refer to your own assessment list. (Please refer to guidance page 68) If an assessor within an organisation still has outstanding Clients and they are finishing their shift they must ensure that they hand over the case to another available assessor within their service. HANDING OVER OF ASSESSMENTS TO OTHER ACCOMMODATION PROVIDERS (This is only applicable for those organisations conducting Assessments between 9-5) NB Your handover organisation will always be the same. When one Organisation’s agreed assessment hours have finished and they still have outstanding applications they will then contact the agreed organisation and make a direct referral and change the case owner to that service admin. There are different processes depending on the risk of the client rough sleeping. See below. NB The Client must always be informed that there application has been transferred and will have been informed of the exact process that may take place in advance. (See system guidance on transferring assessments page 43) Those who will not be rough sleeping The Admin profile within your organisation will be used to refer the person to your handover organisation when your Assessment Hours finish for the week (i.e. 5 o’clock on the day your Assessment hours finish for the week). This will be the same service each week. 79 MainStay Guidance Manual version 1 July 2013 Processes Those faced with Rough Sleeping that night At 3 o’clock Services will be expected to check on their open clients (of which they are the case owner) and those who have been classed as “rough sleeping” or “in danger of rough sleeping” should be reviewed to establish whether they will be definitely rough sleeping that night. These clients will be referred to the MainStay team by 3.15 each week day. Rough Sleeper/Hub Entrenched Rough Sleepers will be already on the system with Whitechapel as the case owner. If a person presents to your service and they are already on the system and categorised as an entrenched rough sleeper they are to be referred to the Whitechapel Day Centre. At 3 o’clock a person whose assessment is owned by your organisation and has been categorised as in danger of rough sleeping has not been accommodated the following actions will be completed. The assessing service will confirm with the Client whether the person is going to be rough sleeping and add details regarding contact or attempts to contact to the Events screen. Those who have been confirmed as rough sleeping can be referred before 15:15 to the MainStay team. (If you are a Whitechapel or Basement worker you will transfer to an appropriate colleague who is working with the hub team.) If after the handover of rough sleepers to the MainStay team (after 15:15) has taken place, your service assesses a person as rough sleeping that night. The service will contact the Hub team via phone 0300 123 2041 and refer the person. After being given permission by the Hub team the person will be notified where the Sit up service is and told to attend if permission is not granted the person can be allowed to remain in the service or asked to leave depending on risk assessment by the assessing service. (See system guidance on transferring assessments page 43) Weekend Rough Sleeper Handover The rough sleeper handover will continue to take place at weekends. The handover will take place after 8pm; the service will contact the Hub team directly via phone and refer the person using the Admin profile. After being given permission by the Hub team the person will be notified where the Hub/sit up service is and told to attend. 80 MainStay Guidance Manual version 1 July 2013 Processes Referral routes to MainStay A referral for a Client may be either an agency referral or a direct presentation referral. Direct Presentation Agency Refers Direct to service To service via MainStay team Direct to Service Assessment Point Agency Referral There are two ways in which a service may receive an agency referral for a Client: Agency Referral via MainStay team Agency refers MainStay team reviews referral & adds applicant and forwards Service receives and contacts client 1. If an agency referral is received by the MainStay Team. The MainStay Team will then forward the referral to the most appropriate service depending on the date required for assessment and taking in to account any disclosed risks on the referral form. 2. The service will receive the referral form as a Task and some general client details already recorded including the referral form scanned and attached to the client record. 3. Once a service receives this referral they will then need to contact the Client and/or referral using the Client’s contact details from the referral form. The service should let them know that their referral has been received and that they can come in for an assessment on the date they had specified. 4. If ‘today’ has been ticked on the referral form (for the question ‘When they would like assessment’) the assessing organisation would be expected to offer an assessment to the Client that day. 5. Before inputting the referral information on to the system the assessor will need to verify the information. NB An assessor may choose to input this information without the Client as if the client has known risks they may pop up as alerts at this stage. 81 MainStay Guidance Manual version 1 July 2013 Processes 6. Once the referral has been inputted and the assessor has completed all fields click save and next. At this point the assessor is now ready to complete the assessment with the client. Agency referral direct to service Agency refers Service reviews referral Service contacts client 1. If the service receiving the referral is not an assessment point on the day requested by the Client then this referral will need to be forwarded to the MainStay team (unless the service has prior arrangements with the referring agency). The service can also forward the referral to the MainStay team if they feel the Client could place their staff or service users at risk. 2. The service must contact the Client using the Client’s details or further contact details from the referral form to let them know that their referral has been received and that they can come in for an assessment today. If the Client does not require an assessment that day then the assessment point will check that they can offer an assessment within the agreed time frame specified. NB If they cannot offer an assessment within the timeframe this referral should be forwarded to the MainStay team. 3. Follow steps 5 and 6 mentioned previously. Direct referrals to Services Individual Direct Referrals Agencies referring to MainStay services can also specifically refer to one particular service if they request this via their MainStay referral form. All referral forms will be attached to the client’s record. 82 MainStay Guidance Manual version 1 July 2013 Processes By making a direct referral the referral agency will understand that they are opting out of the wider MainStay network and that the assessment conducted will only be used to refer the Client to one particular service and not consider them for all MainStay services. Again the amount of bed spaces filled through direct referrals would be monitored and reviewed regularly with services and the MainStay manager. NB This would only apply to agency referrals all self presentations will be accommodated via the Matching Facility. All direct referrals would still be processed via the MainStay IT System and the MainStay assessment would still be completed unless prior referral arrangements have been agreed. Direct Referrals will only be able to be completed by certain authorised persons within your organisation and can be completed outside of your assessment hours. Information regarding ring fenced beds Whitechapel will still link up with services to refer to ring fenced beds. Whitechapel staff will call and liaise with the service prior to a referral, the direct referral will then be processed via the MainStay system and once agreed, staff will be able to access the Client record via their waiting list, accept and fill the allocated bed. Vacancies for this bed should not be created. But can be accessed via the Add new vacancy screen the bed will appear with no Star. (See guidance Add vacancy not via auto vacancy page.) All paperwork completed regarding the ring fenced bed should be scanned and added to client files. 83 MainStay Guidance Manual version 1 July 2013 Processes 84 MainStay Guidance Manual version 1 July 2013 Processes 85 MainStay Guidance Manual version 1 July 2013 Processes Direct Presentation Referral The process for a direct presentation referral is similar to an agency referral. Not an assessment point When an Client presents at a service which is not an assessment point that day the service will need to refer the Client to the nearest open assessment point. Assessment Point 1. The Client may arrive at your service having already completed the direct presentation referral form or may need to fill one in. Services will need to have a designated area where Clients can complete this form. 2. Once the Client has completed the referral form the service must then be able to offer an assessment to the Client within an hour. 3. Follow steps 5 and 6 mentioned in previous processes. Referrals between MainStay Services As the main aim of the MainStay is to reduce homelessness it is important that people remain within the MainStay services until finding suitable move on accommodation. It is also important that services do not use MainStay Assessments as a way of passing on high need and risk residents to other services with similar criteria instead of attempting new and creative ways of working with residents within their own organisation. If a person for whatever reason needs or wishes to leave a service and still needs supported accommodation within Liverpool MainStay that service would be expected to complete a new Assessment for that service user. Certain fields will be populated by answers from previous assessments and then checked and updated by the assessor. However, a number of questions will need to be asked again to reflect any changes in circumstances. Information gained from this assessment and any information provided by the current service provider will be recorded and used to form the basis of a new risk and needs assessment showing the current level of risk and need. Before completing the assessment the assessor would be expected to select the relevant housing status of the Client. If you would like to recommend a client to a specialist service within the MainStay please refer to the MainStay team. 86 MainStay Guidance Manual version 1 July 2013 Copying Previous Assessments Please note services would not be expected to copy a previous assessment over 6 months old, however core data will always be automatically copied over to the client record and will appear within any new assessment. If a person has already been assessed via the MainStay Assessment the assessor will have the option of copying their previous assessment. The assessor may choose to do this to help them populate basic details and tables containing a large amount of data. However the assessor must still verify and correct the details within the Referral section to ensure that the referring information is correct and that up to date contact details have been taken. The questions within the Assessment would need to be asked again to reflect any changes in circumstances and where needed answers would be changed or updated. A fresh Risk and Needs Summary would also need to be completed and the assessor would need to ensure that they have assessed each area themselves. The additional matching questions would also need to be answered again to ensure the Client matched to the service that best meets their current needs. Processes Consent to disclose/data protection On first presentation to the MainStay all Clients will be required to consent to the disclosure of information to MainStay services. There is an information sheet available to Clients listing the services that will be sharing information within the MainStay. On signing this the Client is consenting to the disclosure of information and that their information may be shared with organisations within the MainStay and with those organisations in which the MainStay has an information sharing agreement in order to assist their application for housing and to provide support. This consent to disclose information will be scanned on to the Clients records. (See System Guidance under scanning and saving to client files page 33) Copies of the consent to disclose & relevant Information Sheet can be found under Policies & Guidance tab. And the consent to disclose on the Client general section will be ticked to confirm consent has been granted. 88 MainStay Guidance Manual version 1 July 2013 Processes Client needs interpreter If you are aware of a specific language need prior to referral. The referral form is available on the MainStay website in a format that can be easily translated. You can find guidance below on how you can translate a document via Microsoft word & the internet. NB Machine translation can be helpful for communicating the basic subject matter. However, human translation will always ensure the full meaning and tone of the text is preserved. Or for more help try http://itools.com/language/translate 89 MainStay Guidance Manual version 1 July 2013 Processes Question regarding communicating in English If you become aware of this via a completed referral form you have received (see question on previous form.) Does the Client communicate in English? You may wish to arrange an interpreter to support you with the assessment. Your organisation may have its own process for organising an interpreter but here are some useful contacts below. www.languageline.co.uk www.kwintessential.co.uk Please see below good practice- Hints & Tips for organising an Interpreter below. 90 MainStay Guidance Manual version 1 July 2013 Processes NB The MainStay team will try to ensure that when allocating MainStay referrals to services for assessment those who require interpreters are equally distributed amongst services and reports will allow us the team to monitor this area. 91 MainStay Guidance Manual version 1 July 2013 Processes Additional Background Information Begin Assessment with client (Prior to Risk & Needs) start Background requests Use contact details collated from referral & assessment Send out information request forms or complete telephone request Add on to the system (under events) any requests pending and those completed Completed information request forms, should be scanned and saved to client files Risk and Needs Summary completed Assessor process Assessors will record any relevant contacts within the assessment questions i.e. agencies working with the client; these can then be contacted to provide additional supporting background information for the client. Contacts can be seen under contacts tab on client general screen. 92 MainStay Guidance Manual version 1 July 2013 Processes The requests for additional info can be progressed and any completed within the guidance times for assessment (1hr 30 mins). Services should use the Information request & Telephone Information request Forms. Copies of these should be added to the system under client files before progressing to risk/needs. Services should add an event to detail References Requested (Outstanding) and References received. (See System guidance page 27) to prevent multiple services chasing the same reference. Further checks by accommodation provider (After Matching) The matching accommodation providers receiving the referral can follow up any outstanding supporting background information. The accommodation provider receiving the referral will still be expected to make a decision within the same timeframe. After accepting the Client on to their waiting list it is still possible to request/receive background information but services would only be expected to then refuse any clients if there had been a significant change of risk compared to the original risk assessment and the service felt it was likely to cause significant harm. NB Information regarding a Client’s potential risk received after accepting a Client would generally be used to help form an effective risk management plan. Adjustment of risk assessment There may be times when information is disclosed following the completion of the full assessment and a person’s risk assessment may then need adjustment, this must be recorded via the Events screen and a task sent to the case owner, so that the risk can be updated. Saving Information to client files (Please see system Guidance adding scanned & saved file to client record for further guidance page 33.) Persons receiving references would attach any background information to the clients file. Ongoing Background information Finally, a service can continue to check for additional background information after moving a Client in. They would then be the case owner and would be able to change the risk assessment. Again they would scan the background check on to the client’s record. Previous background checks and assessments for that Client can be accessed so the information held on Clients will grow during the lifetime of the Gateway. Assessment Time frames The guidance time for completing an assessment within 1hr 30 mins however we understand that those times may vary. 93 MainStay Guidance Manual version 1 July 2013 Processes Timeframes for Decision Making Based on Housing Status Services will accept and reject referrals within the specified timeframes persons accepted will be placed on that services waiting list in order of housing status, then date and then matching points. Services will be expected to offer accommodation in the order of their waiting list. 1) 2) 3) 4) 5) Statutory Homeless – within 1 hour Entrenched Rough Sleeper- within 1 hour (this timeframe can be extended when agreed with referrer) Rough Sleeping – within 1 hour In danger of rough sleeping – within 2 hours No Access to Settled Accommodation – Within one working day, so by the same time the next day. If referred after 1am on the Friday the decision will be expected to be made by 1 am on Monday morning. 6) No Permanent Accommodation – Within one working day, so by the same time the next day. If referred after 1am on the Friday the decision will be expected to be made by 1 am on Monday morning. All Services will continue to receive referrals until their waiting list is frozen by the MainStay team. After their waiting list is frozen they will not receive any more referrals via the matching facility but may still receive some direct referrals. NB The criteria used to assess when a waiting list is frozen will be reviewed on a regular basis by the MainStay Manager. Specific Process for 24/7 Services if Waiting List Active 1) During the hours of 8am to 8pm 24/7 Services will continue to make decisions within the specified timeframes whether they have a vacancy or not. 2) From 8pm to 8am Services will only make decisions within the specified timeframes if they have a vacancy, if they are only accepting for a waiting list the timeframe for the decision will be as if the referral has been received at 8am the following day. Specific Process for 9-5 Services if Waiting List Active To help prevent persons who are rough sleeping or in danger of rough sleeping from being referred to 9-5 services outside of these hours. A service’s hours for receiving all referrals will be contained within their name on the system to help assessors when making referrals helping to ensure that only referrals with a housing status with a 1 working day decision timeframe are sent to 9-5 services outside of these timeframes. If a referral has been received for a person rough sleeping or in danger of rough sleeping after 4 o’clock the organisation will respond as if it has been received at 9 o’clock the following morning. Guidance around this will be given to all assessors. Risk/Safeguarding Risk details on agency referral form The agency referral form will include some details of risk and needs of the Client. Risk on arrival to assessment point All Organisations would conduct MainStay Assessments subject to a risk assessment, although an assessment would be expected to be offered within an hour, if the service felt that by offering an assessment they were placing their staff or service users in risk an assessment would not be offered. This might be due to previous knowledge of the service user, his current conduct or because of an incident that has happened or has just happened within that service resulting in staff resources not being 94 MainStay Guidance Manual version 1 July 2013 Processes available. In cases where the risk identified is particular to the service the person would be referred to the nearest alternative and appropriate MainStay point after checking that it is okay to do so where possible. However if the persons conduct suggests that they would be a risk at any organisation in which they presented an assessment would simply be refused. Status/Risk alerts on client It is good practice for an assessor to input the referral section of the assessment without the Client, if the Client is already on the system this will give assessors the opportunity to check for risk alerts and read any previous relevant information on the client record. The assessment is designed to be completed with one assessor but if appropriate and particularly where there are risk alerts it could be completed with two assessors. Risk tab in assessment The Risk section is split into 15 risk sections, details below. (Please see system guidance on Risk tab for further guidance page 28) Drugs (This may current/past use, substances used, frequency and method of use, length of time used, serious incidents relating to drug misuse and periods of abstinence and any treatment the client is accessing.) Please include any risk of overdose and abuse of medication if known. Alcohol (This may include amount/frequency of alcohol use, length of time used and any serious incidents relating to alcohol, periods of abstinence). Physical Health (This may include any physical health problems, recent periods of hospitalisation, disabilities, mobility issues and sensory impairments) Mental Health (This may include any diagnosed mental health problems, concerns in this area, and any medication needed) Suicide ( This may include details of any previous incidents known and the dates of any incidents ) Self Harm ( This may include details of any previous incidents known and the dates of any incidents ) Vulnerability (This may include any previous vulnerability that you consider relevant, indicators of vulnerability could include learning difficulties, history of abuse, harassment, bullying, violence, social service involvement ,sex work) Offending (This may include the details of any previous offences known, how long ago they occurred and where possible the details of sentences, please also comment on any known current risks in relation to Offending) Arson ( This may include details of any previous incidents known and the dates of any incidents ) Sex Offences, and Offences Against a Person Under the Age of 18. Violence/Aggressive Behaviour If Yes Give further details (This may include the details of any incidents of violence or aggression and the outcome of these incidents including eviction or convictions) Financial (this may include the details of any debts, rent arrears, Gambling Problems and ability to manage their own finances) Family/Relationships (this may include any difficulties in forming relationships and any particular relationships that may pose a potential risk) Risk of Accommodation Breakdown (this may include any previous accommodation breakdowns and support needs in self care and living skills) 95 MainStay Guidance Manual version 1 July 2013 Processes RISK LEVEL DEFINITIONS These areas must then be scored using the MainStay risk level definitions: Low - No significant current indicators of harm. Medium - There are identifiable indicators of risk or harm. The person has the potential to cause harm but is unlikely to do so unless there is a change in circumstances, for example a failure to take medication, loss of accommodation, relationship breakdown, substance misuse. High - There are identifiable indicators of risk or serious harm. The potential event could happen at any time and the impact would be serious. Very High - There is an imminent risk of serious harm. The potential event is more likely than not to happen. Adding alerts Where a risk has been scored very high the assessor should add a risk alert to that area. (Please see system guidance adding risk alert for further information page 36.) These alerts will then pop up to all users on entering a client record for the first time. Vulnerability The MainStay assessment section on vulnerability is a free text box for assessors to add any relevant detail in this area. For guidance in this area assessors can refer to definitions of a vulnerable adult, this information can then be used to help an assessor to identify any history or indicators of vulnerability. Definition’s of Vulnerable Adults, as defined by (Safeguarding Vulnerable Groups Act, No Secrets (DH 2000) & Who Decides, Lord Chancellors Department 1997) A vulnerable adult is defined as a person who, “may be in need of services by reason of mental or other disability, age or illness: and who may not be able to take care of him or herself against significant harm”. A person is vulnerable in context of the setting in which they are situated or a service they receive. Those in residential accommodation, provided in connection with care or nursing or in receipt of domiciliary care. Those receiving healthcare. Those in lawful custody or under the supervision of a probation worker. Those receiving a welfare service of a prescribed description or direct payments from a social services authority. Those receiving services or taking part in activities aimed at people with disabilities or special needs because of their age or state of health. Those who need assistance to conduct their affairs. 96 MainStay Guidance Manual version 1 July 2013 Processes Clients outside of this definition may still be vulnerable due to various reasons this may include: low self esteem, social exclusion, domestic violence, ethnicity, immigration status, history of sex work, social service involvement, history of being abused (including, sexual, physical, financial, emotional, institutional), history of neglect, a victim of harassment and/or vulnerability to violence, aggression or bullying, addictions or behaviours that require support including eating disorders. This list is not exhaustive. Safeguarding If during or prior to assessment you become alerted to a safeguarding issue please refer to your organisations safeguarding policy and process and add any information or outcomes to the clients events log (for example if you have contacted careline.) Once accommodated by a MainStay service that service would be responsible for ensuring that any changes in risk whilst in their service were recorded this would include updating a residents risk assessment when any significant changes in risk and ensuring that their risk assessment when leaving their service was correct and up to date Needs The Needs section is split into the following 10 areas. Assessors only need to summarise needs in comments box if scores are medium to high. Motivation and Taking Responsibility Moving forward and actively making positive changes. Self Care and Living Skills Independent living skills and self care. Managing Money Managing money/benefits, budgeting, paying bills, managing and reducing debt. Social Networks and Relationships Relationships, social groups- Positive/Negative Drug and Alcohol Misuse Substance Misuse, Impact on life, harm reduction. Physical Health Looking after yourself/living a healthy lifestyle, dealing with health issues Emotional and Mental Health Emotional health, feeling low/depressed, stressed or anxious, self-harm/suicide, a diagnosed or suspected mental health issue. Meaningful Use of Time Use of time, interests, hobbies, building skills, interest in training & developing. Managing Tenancy and Accommodation Complying with the terms of your accommodation/tenancy, paying rent/charges and bills, neighbours/visitors. 97 MainStay Guidance Manual version 1 July 2013 Processes Offending Problems with the law, complying with probation/legal orders, ongoing offending. NEEDS DEFINITIONS Needs are assessed as Low to High with the following definitions: None – No history or evidence of Support Need in this area Low – Person may need minimal support in this area. Some history or evidence of past need. Medium – Person has support need in this area that is manageable/currently being met. High – Person has support need in this area that is not being managed/met. NB Needs may include any immediate need. It is important that assessors provide as much information as possible. This section will provide valuable information to services including forming the basis of future support plans. Allocation/Prioritisation 98 MainStay Guidance Manual version 1 July 2013 Processes Statutory Homeless – 'Statutory homelessness’, is where local authorities have defined a household as homeless within the terms of the homelessness legislation. Where they are found to be in priority need and not intentionally homeless then local authorities will have a duty to offer accommodation. This can include families with dependent children, pregnant women and adults who are assessed as vulnerable. The legal provisions are contained in the 1996 Housing Act, the Homelessness Act 2002, and the Homelessness (Priority Need for Accommodation) (England) Order 2002. This option would be able to be selected by Housing Options who could use the MainStay to refer to nominated beds within Green Lane/Geneva Road or to other services. Statutorily Homeless would be prioritised above all others for all available beds first and for all upcoming vacancies. Housing Options can monitor placement of these persons through the MainStay. Rough Sleeping – Those assessed as currently known to the services as rough sleeping. These would be prioritised 2nd behind Statutory Homeless and may only be able to be selected by certain specific organisations. Again these would be allocated to available beds first. If not accommodated by 3pm and confirmed as rough sleeping that night they will be referred as rough sleeping to the Hub/Sit-Up Service. In danger of Rough Sleeping – These would be defined as those people in imminent danger of rough sleeping. These people would be prioritised third and would be referred to available beds. If not accommodated by 3pm and confirmed as rough sleeping that night these persons will be referred to the Hub/Sit-Up Service. No Settled Accommodation – These could be defined as those people not in imminent danger of rough sleeping but having no access to settled accommodation. Although they may be in danger of rough sleeping in the future they can be accommodated safely for at least the next three nights. These would be prioritised fourth. No Permanent Accommodation –These are people who could be defined as currently temporarily accommodated and although needing to move from this accommodation can remain in this accommodation for at least the next 7 nights. These would be prioritised last and would match up to all types of accommodation no option to use the assessor override to select accommodation with a more suitable date would be necessary as advance vacancies will not be more than 7 days in advance. Entrenched Rough Sleepers – There is an additional category for those entrenched rough sleepers so that assessments may be carried out and then the application is frozen until the person is ready to be accommodated or enough additional support has been put in place to allow them to be safely accommodated. This option would only be available to be selected by certain services. Guidance times for conducting 99 MainStay Guidance Manual version 1 July 2013 Processes assessments may not be realistic for this category. Timeframes may be extended and this would be agreed between the service and the referrer. Picking Matches The procedure specified below aims to strike a balance between finding the most appropriate supported accommodation for an individual and ensuring that they are quickly accommodated to prevent the possibility of rough sleeping. Within the guidance the term “current referrals” is used this applies to referrals that have either been accepted by an accommodation provider or where they are awaiting a decision. Statutory Homeless (Housing Options only) For persons who are statutory homeless housing options can use the matching facility via the assessment to generate the most suitable matches or make direct referrals to services. The amount of referrals to services for persons of statutory homeless would not be expected to exceed 8 current referrals although may do so in emergency circumstances. Entrenched Rough Sleepers/ Rough Sleepers (Whitechapel and Basement staff only) For persons who are currently rough sleeping assessment staff can select up to 5 current referrals from the first 5 matches. For each refused referral assessment staff can then refer to the next appropriate match on the list of matches. If the service user does not wish to be referred to all 5 of the top matches or does not want to be referred to the next appropriate match after a referral refusal then provided there are current referrals still active for the Client the process of referring is complete. If further referrals or guidance is needed then the assessor should contact the MainStay team. In danger of rough sleeping (All Services) For persons who are in danger of rough sleeping assessment staff can select up to 3 of the first 3 matches where there are more than 3 services within the top matches due to services having equal matching points the service user will select which 3 services they are referred to. For each refused referral assessment staff can then refer to the next appropriate match on the list of matches. If the service user does not wish to be referred to 3 of the top matches or does not want to be referred to the next appropriate match after a referral refusal then provided there are current referrals still active for the Client the process of referring is complete. If further referrals or guidance is needed then the assessor should contact the MainStay team. No settled accommodation (All Services) For persons who have no settled accommodation assessment staff can select up to 2 of the first 2 matches where there are more than 2 services within the top matches due to services having equal matches then the service user will select which 2 services they are referred to. For each refused referral assessment staff can then refer to the next appropriate match on the list of matches. If the service user does not wish to be referred to 2 of the top matches or does not want to be referred to the next appropriate match after a referral refusal then provided there are current referrals still active for the Client the process of referring is complete. If further referrals or guidance is needed then the assessor should contact the MainStay team. No permanent accommodation (All Services) For persons who have no settled accommodation assessment staff can select up to 1 of the first matches where there are more than 1 services within the top matches due 100 MainStay Guidance Manual version 1 July 2013 Processes to services having equal matches then the service user will select which service they are referred to. For each refused referral assessment staff can then refer to the next appropriate match on the list of matches. If the service user does not wish to be referred to the top match or does not want to be referred to the next appropriate match after a referral refusal then the assessor should contact the MainStay team. Service User Choice In the circumstances where the top matches or next appropriate matches have equal points with other services the assessor will help the service user to make an informed choice using the Services Directory provided. The service user will then be permitted to select the match or matches available for their housing status (amount of referrals allowed can be viewed in Picking Matches page 37). Assessor Input Although there is an expectation that the above process will be adhered to by all assessing services it may on occasion be necessary for the assessor to not pick one of the top matches or after refusal by a service not select the next appropriate match. Where a referral has been made to a service outside of the agreed process the assessor will select “Earlier Match Not Picked” within the Events screen and then record the reason for not selecting an earlier match. The circumstances in which this would happen is where the assessor is aware of a specific reason why a match is unsuitable for the Client for example the person has just been evicted from the service or is a risk to or from a person within that service. Park View/ Supported Lodgings Appear as Top Match If Park View or Supported Lodgings appear as the top match then with the Service Users permission a referral will be made to this service in addition to the amount of referrals allocated to each housing status. The simplest example of this would be if the person was of no permanent accommodation (allowing them one current referral) but Park View was the most appropriate match the assessor could refer the person to Park View and the next appropriate accommodation provider. If refused by that accommodation provider the assessor would continue to work their way down the list of matches referring to accommodation providers despite the fact that the person had been referred to Park View. The reason for this is that Park View and Supported Lodgings will be operating a secondary assessment and that whilst the Client is waiting for this assessment they will still need to be accommodated. Once accommodated within another provider Park View or Supported Lodgings would then still offer an interview, if accepted place the person on their waiting list, and offer a room when one became available. Waiting for a client to arrive for a bed MainStay have not specified a time to wait for a client to arrive, services can decide on what is appropriate and deal with this on an individual basis. The time may vary depending on the Clients situation, location, client needs, previous no-shows etc. Posting Vacancies Advanced Vacancies All advanced vacancies will state the day in which accommodation would be available. The accommodation must be available for 11am on the day specified. If for any reason an advance vacancy is not available by 11oclock that day the provider must contact the MainStay team Vacancy must be a definite vacancy that the 101 MainStay Guidance Manual version 1 July 2013 Processes organisation is sure will be vacant (further guidelines will be provided in this area below). Permission to submit advanced vacancies may be withdrawn if vacancies not available. Once an advance vacancy is submitted the accommodation provider will be able to offer accommodation to Clients in the order of their waiting list. Attempts to contact Clients and contact made with Clients will be detailed via the Events log; providers will be expected to make reasonable attempts to contact Clients before moving onto the next match. The accommodation provider would ensure that the date of accommodation was suitable for the Client and would then create an Event “Accommodation Offered” to prevent another provider from offering them accommodation. All Accommodation providers will be expected to check the Events log before offering accommodation. (see page 55 adding Events) All advanced vacancies could only be posted in the following circumstances: 1) Eviction (where appeal has already been held and lost or there is no right to appeal) 2) Tenancy (move on accommodation that has already been signed for and confirmed with Accommodation providers that person will definitely be moving in on day in question) 3) Planned move to another MainStay service confirmed by both parties. 4) Person has already moved out but accommodation subject to routine maintenance with a definite completion date. Specific Vacancy Rules for Groups of Services All Advance Vacancies must be available by 11 o’clock on the specified day. Low Level Support (Dispersed Housing) = 7 nights in advance, may be posted one week prior to vacancy being available. This is largely due to the need to set up gas and electric, sign tenancies with external RSLs. Park View and Supported Lodgings = 7 nights in advance may be posted one week in advance to allow them to give definite move in dates via the MainStay for person’s accommodated within other MainStay services allowing other providers to prepare for future vacancies. Young People Services, Substance Misuse Services, 2nd Stage Move On = 3 days in advance Vacancies can be input a maximum of 3 nights in advance. All Clients can be matched up to these vacancies although the provider will ensure that those offered accommodation in advance can be safely accommodated until the day of move in. 24/7 Direct Access Single Homeless Hostels Mon- Thurs hostels would only be able to submit vacancies one day in advance however on Friday they could submit vacancies for Monday allowing Hub workers and 24/7 services over the weekend to match up Clients to vacancies. The only occasion when an advanced vacancy could be submitted outside of advance vacancy rules is to offer accommodation for a prison referral. 102 MainStay Guidance Manual version 1 July 2013 Processes Prison Resettlement Referral Procedure The Prison Release Date for a Prison Resettlement will be included on the MainStay Referral form, completed by the person referring the applicant. Referral could then be sent to MainStay team or an Assessment Point Client Record Created if referral sent to the MainStay team this will be forwarded via the Capita system and the referral scanned and attached to the client record. The Assessment Point upon receiving the referral will then contact the preferred contact details to arrange an Assessment. Prioritisation of Referrals Prison Referrals assessed will be categorised by the relevant housing status. Giving the relevant priority and amount of referrals. Those persons who are not due for release within 7 days will therefore be categorised as no permanent accommodation but there is realisation that this status can quickly change upon release and that therefore additional processes must be put in place. The MainStay team will identify prison referrals daily and with permission from the referring service can make up to two additional referrals for completed Assessments of persons needing release from prison. This will ensure that the person will be referred to more services than normally allowed for that housing status (normally 1 referral). The MainStay will also identify those prison referrals which have not been accommodated and whose release date is within the next 7 days and that will change their housing status to in danger of rough sleeping to increase prioritisation upon services waiting list at this point they will also make an additional referral 2 referrals. Advance Vacancies Services within MainStay have been asked to restrict the time in advance in which they submit an advance vacancy to ensure that there are enough available beds each day for persons who are currently rough sleeping. This differs for groups of services but currently the maximum in advance a vacancy can be submitted is 7 days again this is not ideal for prison resettlement and although they can make multiple referrals and receive acceptance from services vacancies can only be offered 7 days in advance and less in some cases. If a prison referral is the top of a services waiting list where possible the service will offer the vacancy submitted, however if the day is not suitable services will be asked to do the following 103 MainStay Guidance Manual version 1 July 2013 Processes If the date the vacancy is available is before the release date The service would be asked to contact the referrer to see if the room could be paid for until release and the referrer would submit confirmation that it would be. If the date of the vacancy is after the release date The service would contact the referrer to see if this date may be suitable. If neither of these situations is possible then the service would be allowed to create a known advance vacancy outside of the normal timeframes for the sole purpose of offering a vacancy to a prison referral thus giving a release date. Direct Referrals to one service On occasion in specific circumstances Probation/Prison could request that timeframes for decision making will not apply in order to arrange meetings with particular services once accepted by that service an advanced vacancy could be created for the purpose of providing a release address. 104 MainStay Guidance Manual version 1 July 2013 ADDITIONAL GUIDANCE FOR SPECIFIC SERVICES Whitechapel Guidance Ring fenced bed referral To make a referral for a ring fenced bed via the system the following procedure should be followed. This does not replace any of the current procedures i.e. telephone calls to check availability of ring fenced beds and progress of ring fenced beds referrals. Services with ring fenced beds will not make ring fenced beds available as vacancies after a person has moved from that bed. For persons needing Ring Fenced Beds ideally a MainStay assessment would be completed by Whitechapel prior to referral. However if a MainStay assessment could not be completed with the person the current paperwork that has been agreed with that service for them to make a decision should be scanned and attached to the client record before referral. Whitechapel will then directly refer to the service with the ring fenced bed by clicking on the client’s record and then the referral tab via the Add Referral Tab. Select the service the ring fenced bed is in Always select ring fenced bed The client will then appear on the services waiting list. A telephone call will still need to be made to the service that has been sent the referral to inform them that a ring fenced bed referral has been made so that they can accept the person and create the relevant vacancy. Processes Accepting a Referral to a Floating Support Service Floating support services can create as many vacancies as they need via vacancies screen. These are not actual vacancies for accommodation but vacancies for support placements. When creating a vacancy you will always use the service address so that you may have multiple placements under the same address. 106 MainStay Guidance Manual version 1 July 2013 Processes Referrals to the service can be viewed via the waiting list. NB Referrals to Floating Support Services may be made by an accommodation provider or by the floating support service themselves. 107 MainStay Guidance Manual version 1 July 2013 Processes To accept a client click on to the referral date of the client on your waiting list screen You will then be taken to the screen below where you can give a referral decision. You can then book the client into one of the vacancies that you have created. By clicking on the vacancy start date. 108 MainStay Guidance Manual version 1 July 2013 Processes The clients name will show in the offer client drop down box The section below allowing you to book the person into the vacancy will now appear 109 MainStay Guidance Manual version 1 July 2013 Processes Once placed in the Floating service you can change their placement owner to their case owner by clicking on the relevant placement and changing the owner. . This will allow the user to view all their clients by My Open Placements (see quick links page 8) and complete a support plan. 110 MainStay Guidance Manual version 1 July 2013 Processes Placed Outside of MainStay For Whitechapel workers who are supporting clients; if clients are accommodated outside of MainStay a POM Form (Placed Outside of MainStay) should be completed. This will be used to correlate HUB statistics. To access the form staff should click into the Client record and click the Forms tab and Add Form. You will then be able to Select the POM form complete and save. Parkview & Supported Lodgings Guidance Direct Agency referrals Due to the specialist nature of Park View and Supported Lodgings services a separate procedure has been created. The purpose of this is to ensure that Park View and Supported Lodgings can complete a secondary assessment to ensure suitability and motivation to their projects. It also ensures that those persons with an imminent need for accommodation can be safely accommodated and still remain on either services waiting list after accommodation. Firstly Park View and Supported Lodgings have authorised direct referral routes from regular referrers who are not looking for general hostel accommodation but wish to refer to specifically to Park View or Supported Lodgings. These are existing routes that have been used to refer to both organisations. Examples may be that a specialist drug agency such as the DDU may specifically wish to refer to Park View or that Social Services Leaving Care team may specifically wish to refer to Supported Lodgings. Referrals and Assessments will still be conducted in the same way a Referral form will still be completed by the referring agency and a MainStay assessment will also be completed. It is also possible for those agencies outside of those agreed to request a referral to only one service and not all MainStay services on a case by case basis. Agencies will still need to indicate on the referral form that they require a direct referral to a specific service. 111 MainStay Guidance Manual version 1 July 2013 Processes If however a person being directly referred is in danger of immediate homelessness (Rough sleeping – no settled accommodation see definitions) then they should be considered as a MainStay referral. Unless a bed can be offered suitable to their housing need. I.e. within 3 days – no settled accommodation, immediately – rough sleeping. Direct referrals should have a housing status of “no permanent accommodation” on the system this is priority level 7. NB. Please note that self presentations will always be considered as (Wider) MainStay referrals and should always go through the Matching process. However if a self presentation meets your criteria and is most suitable for your service then your service should still appear as the first match. The amount of direct referrals and referrals via the matching facility placed in each service will be regularly reviewed and monitored by the Main Stay team and commissioners. 112 MainStay Guidance Manual version 1 July 2013 Processes Clients matched to service When Park View or Supported Lodgings are the first match following a MainStay Assessment then all assessors have been informed (with the service users permission) to refer to either Park View or Supported Lodgings as well as the amount of referrals for each housing status. (See picking matches for amounts of referrals page 37) These persons will then appear on ParkView and Supported Lodgings waiting list which will also display the relevant housing status If accommodated by another accommodation provider that person will then disappear from ParkView and Supported Lodgings waiting list as placed elsewhere. However a report has been created and scheduled to run twice a day that will allow the MainStay team to establish any persons that have disappeared from either services waiting list due to being accommodated. The MainStay team will then immediately refer that person back to ParkView or Supported Lodgings selecting a Housing Status as “placed awaiting specialist service” and changing their priority level to 7 indicating that their MainStay status is “no permanent accommodation”. Both ParkView or Supported Lodgings will then order their waiting list by Housing Status placing people with the lowest priority 7 at the top and then in date order. All persons with other priority levels will be ignored by ParkView and Supported Lodgings meaning that secondary assessments will only be booked for those with priority level of 7. This ensures that those persons with an imminent need for accommodation can be safely accommodated and still remain on either services waiting list after accommodation. The only exception to this is as mentioned earlier for those direct referrals that can be immediately offered a bed suitable for their housing need. However it would be expected that as Park View and Supported Lodgings are working from a waiting list that this would only be in exceptional circumstances. To action those clients on the waiting list who are priority 7, an Interview will be booked via the system. 113 MainStay Guidance Manual version 1 July 2013 Processes Secondary Assessment can then be completed and scanned on to client on to client record. (See guidance on scanning files page 33) Following this assessment a decision can be made Client - shortlisted /refused When a suitable room becomes available ParkView/Supported Lodgings will offer via the Offer Screen (where necessary informing the case owner if already accommodated via tasks). Once accommodation offered an Event should be created. Once the client has presented at your accommodation they can then be booked into the Accommodation a task sent to current case owner if already case owner to change case ownership. (See page 50 system guidance regarding Accept to waiting list and offer accommodation.) 114 MainStay Guidance Manual version 1 July 2013 Processes Housing Options Guidance Sub-Cases By adding a yourself as a sub case this means you can continue to access your clients details not only during the assessment referral process but once they have been placed with an accommodation provider. Click into the Clients record and click on Sub- Cases tab. You can then click Add Sub-Case. You can then add a Category of Housing Options, Type=Stat Homeless or Homeless Investigation. Approach method= (method of contact) Direct Housing Options or Via Agency or Via Provider. The Sub-Case owner will default to your own name. There is also space to add comments. 115 MainStay Guidance Manual version 1 July 2013 Processes Once Sub case owner you will be able to view these clients under My Open Clients; My Sub Cases, you can close a case by clicking back into sub-cases and adding an End date. You can close a Sub Case by going back into the screen and adding an end date. 116 MainStay Guidance Manual version 1 July 2013 Processes This manual is subject to change. Please check the MainStay website www.mainstayliverpool.org.uk for the latest version. If you find something is incorrect or missing please let us know by emailing [email protected] 117 MainStay Guidance Manual version 1 July 2013