CAF Form
Common Assessment Framework for Children and Young People (CAF)
PLEASE ENSURE THAT ALL SECTIONS ARE COMPLETED
Assessment Start Date
7/4/13
Have you made a CAF enquiry? Yes
No
Contact a CAF Coordinator on 0161 603 4239
Details of person(s) undertaking assessment
If the CAF is co-authored please add both names in the boxes below and their places of work
Author
Role
Organisation
Address
Poppy Smith
Children centre Worker
children services
1 Daisy Bank Children Centre
Salford
Postcode
M23 4PQ
Telephone
E-mail
Telephone
E-mail
0161 4442323
Lead Professional (if not CAF author)
CAF co-author (optional)
See http://www.salford.gov.uk/d/CAF_Co-author_definition.pdf
Co-Author
Role
Organisation
See http://www.salford.gov.uk/caf-lead-professional.htm for info
Identifying details
Record details of unborn baby, infant, child or young person being assessed. If unborn, state name as ‘unborn baby’
and mother’s name e.g. unborn baby of Ann Smith.
Given name(s)
Male
Unborn Jackson
Female
Family name
Unknown
Jackson
AKA /previous names
Flat 2
Poppy Lane
Salford
Date of birth or EDD
11/12/13
Child’s 1st language
Konkani/ English
Postcode
M30 2PS
Parent’s 1st language
Konkani
Contact No
0773111000000
Immigration Status
European passport
U.K residental permit
Address
E-mail Address
Interpreter required?
Ethnicity
White
Black or Black British
Asian or Asian British
White British
Caribbean
Indian
White Irish
African
Pakistani
Traveller of Irish
Heritage
Any other Black
background
Any other Asian
background
Gypsy / Roma
If other, please specify
Mixed/Dual Background
White & Black
Caribbean
White & Black
African
Chinese & Other
Bangladeshi
White & Asian
Not given
Any other mixed
background
Any other White
background
Chinese
Any other
ethnic group
Roman Catholic
Religion
Christian
Jewish
Hindu
Muslim
Sikh
Buddhist
No religion
Not given
Does the child or young person have a disability
or any Special Educational Needs?
If other, please specify;
Yes
Roman Catholic
No
If ‘yes’ give details
What has led to this unborn baby, infant, child or young person being assessed?
A midwife referred this family to the children cenrtre. Family have housing and benefits issues and ccw followed their
concerns by arranging a home visit on 1/5/13 to complete a pre-caf
Details of parents/carers
Name
Aaron Jackson
D.O.B.
Relationship to unborn baby, infant, child or young person
Address
302 Flat 2 Smithfield Road
Salford
Postcode
M22 3LO
Email:
Name
father
Parental responsibility?
Yes
No
Contact tel. no.
Emily Jackson
D.O.B.
Relationship to unborn baby, infant, child or young person
Address
302 Flat 2 Smithfield Road
Salford
Postcode
M22 3LO
Email:
10/03/1971
078324654441
6/5/1972
Mother
Parental responsibility?
Yes
No
Contact tel. no.
078324654441
Current family and home situation
(e.g. family structure including names and D.O.B. of siblings, other significant adults etc; who lives with the child and
who does not live with the child). You may also wish to consider completing a genogram / family tree / risk and
protective factors as part of your assessment. Please see link for further information;
http://www.salford.gov.uk/supportingtools.htm
Married couple ,husband been in England 7 yrs and is working ,he has 2 part time jobs ,He works at Salford
University and at Manchester Airport in catering. Wife has been in England since February 2013 and is expecting
their first child. Couple are living in a room which has a bed , table and 2 chairs, cooker sink and washing machine
with a door leading to the toilet and shower .They have a 6 month tenacey agreement and have been informed by
the landlord that they need to move as this place is not suitable to bring up a child.Mother herself is feeling very
isolated and frustrated living eating and sleeping in the same room.
Universal
Services working with this infant, child or young person
GP
Details
Dr Smith
Poppy Lane Health centre
Tel.
0161 450000
Early
years/education/FE
training provision
Details
Sunflower Childrens Centre
2 Daisy Bank Lane
Salford MP2 4BT
Tel.
0161 222555
Jackie Price
Communty office West
Salford Hospital
M22 4PZ
Tel.
097526111333
Other services
Service
Midwife
Details
Service
Details
Tel.
Service
Details
Tel.
Service
Details
Tel.
People present during the assessment
Poppy Smith Children Centre Worker and Aaron and Emily Jackson (mum and dad)
CAF assessment summary: strengths and needs
Consider each of the elements. Wherever possible, base comments on evidence, not just opinion, and indicate what
your evidence is. However, if there are any major differences of view, these should be recorded too. You may also wish
to consider completing a ‘Thought and Feelings’ questionnaire as part of your assessment.
See the CAF website for supporting tools; http://www.salford.gov.uk/supportingtools.htm / http://www.salford.gov.uk/achildsvoice.htm
The CAF author must complete the contents within each box. The baseline scores are only to be
completed by staff within the Early Intervention and Prevention Service.
1. Development of unborn baby, infant, child or young person;
Health
General health
Conditions and impairments; access to and use
of dentist, GP, optician; immunisations,
developmental checks, hospital admissions,
accidents, health advice and information
Baseline CAF Score
Mother is pregnant with her first child, I have taken mother to
register at the dentist and informed her that while she is pregnant
and until the child is 1yr old her dentist treatment should be free
unless stated otherwise accordlingly to her visa status.Katy was
concerned about the excessive amount of saliva she was producing,
she was assured by her midwife who checked her blood that this
was normal. Katy was getting server pains at the beginning of her
pregnancy and thought it was an eptopic pregnancy but after test
she was informed it was a small fiboid. Her husband informed us
that her appertiate is improving and encourgese her to eat nutrional
food. Advice was given about eye test and I was informed that they
had eye test in India before they came to England as they were
aware of the high cost here.Family are registered with a doctor and
Katy comes in to see the midwife reguarly. As we are aware the
pregnancy is uneventful.
Physical development
Nourishment; activity; relaxation; vision and
hearing; fine motor skills (drawing etc.); gross
motor skills (mobility, playing games and sport
etc.)
Speech, language and communication
Preferred communication, language,
conversation, expression, questioning; games;
stories and songs; listening; responding;
understanding
Emotional and social development
Feeling special; early attachments;
risking/actual self-harm; phobias; psychological
difficulties; coping with stress; motivation,
positive attitudes; confidence; relationships with
peers; feeling isolated and solitary; fears; often
unhappy
Behavioural development
Lifestyle, self-control, reckless or impulsive
activity; behaviour with peers; substance
misuse; anti-social behaviour; sexual behaviour;
offending; violence and aggression; restless and
overactive; easily distracted, attention
span/concentration
Identity, self-esteem, self-image
and social presentation
Perceptions of self; knowledge of
personal/family history; sense of belonging;
experiences of discrimination due to race,
religion, age, gender, sexuality and disability
Family and social relationships
Building stable relationships with family, peers
and wider community; helping others;
friendships; levels of association for negative
relationships
Baseline CAF Score
Katy wants to keep active but feels tired . Pauline is keen to learn
Computer skills and craft sessions were discussed and I have
enrolled her on to a computer course at The Hub and introuduced
her to a womens group who are involved in a craft and sewing.
Pregnancy is normal ,her scan date is May 13 ,she comes in to see
the midwife reguarly.
Baseline CAF Score
Katy and her husband speak English and Konkani.Mother is keen
that her child speaks Konkani ,and father feels that now that they
are living in England that English should be its first language They
are in agreement that both languages will be taught.
Baseline CAF Score
Parents very surprised at first that when they found out that Katy is
pregnant. Both parents feel a very strong attachment to their unborn
child . Father encourges mother to eat well and drink plenty of milk
Mother was feeling sick and naseaus at first ,especially as she has
to cook, eat and sleep in the same one room. As her husband is
working Katy feels very isolated and they told me they do not have
friends or family members living nearby.
Baseline CAF Score
In convesation Dad said that it is postive parenting to be calm
resuring and tolerant and does not believe that being physical or
violent, this he says does not teach a child anything, Parents
inform us that they have a good relationship and communicate
together with each other on their decisions.
Baseline CAF Score
Dad view is that now that they are living in this country they should
live accordingly to the British culture and will discuss this with his
wife. Father educated as a barrister in Goa .
Baseline CAF Score
All of both parents family live in Goa and Portugal apart from
Aaron's uncle who lives in London. He informs us that they do not
meet up reguarly but speak to each other everyday on the phone.
Aaron and Katy go the the Church reguarly and do have a few
friends.
Self-care skills and independence
Becoming independent; boundaries, rules,
asking for help, decision-making; changes to
body; washing, dressing, feeding; positive
separation from family
Baseline CAF Score
Listening to both parents conversation both parents are open and
confident and inform us that they confide with each other in decision
making
Learning
Understanding, reasoning and
problem solving
Organising, making connections; being creative,
exploring, experimenting; imaginative play and
interaction
Participation in learning, education
and employment
Access and engagement; attendance,
participation; adult support; access to
appropriate resources
Progress and achievement in learning
Progress in basic and key skills; available
opportunities; support with disruption to
education; level of adult interest
Aspirations
Ambition; confidence and view of progress;
motivation, perseverance; future goals.
Baseline CAF Score
Both parents would like their child to have a good education. I
informed Katy about the sure start services that would be available
to her and explained to her about how much it would benefit her
and her child.
Baseline CAF Score
Aaron is working,although he has informed us that he has been
asked to take a pay cut and and now is working less hours. Katy
would like to gain employment in the future. have infomed Katy
about the computer classes and will inform her of courses that
would be suitable for her. Both parents understand the need for their
child to have a good education.
Baseline CAF Score
Katy wants to improve her education in the future and has enrolled
on the computer course, and both parents will support their child
with it's education.
Baseline CAF Score
Both parents have ambition they have spoken to me about wanting
better accomadation to live in ,they feel that life would be much
easier if they had good jobs perhaps in the future they would think
about having their own business and their own transport.
2. Parents and carers
Basic care, ensuring safety
and protection
Provision of food, drink, warmth, shelter,
appropriate clothing; personal, dental hygiene;
engagement with services; safe and healthy
environment
Emotional warmth and stability
Stable, affectionate, stimulating family
environment; praise and encouragement;
secure attachments; frequency of house,
school, employment moves
Guidance, boundaries
and stimulation
Encouraging self-control; modelling positive
behaviour; effective and appropriate discipline;
avoiding over-protection; support for positive
activities
Baseline CAF Score
At present family is living in a room with a bed ,table ,chairs washing
machine, cooker and fridge. and a door leading to the toilet and
shower.
Couple says they are coping at the moment although Katy says living
,sleeping cooking in the same room makes her feel sick as the smell
of cooking lingers all day long. landlord has tod them they need to
move out before the baby is born. The place is not suitable to have a
child there.
Baseline CAF Score
Parents inform us that they have a happy stable marriage and are
both looking forward in having their child. Both couple are looking
forward in finding better accomadation and gain better employment
Baseline CAF Score
Parents inform us that they will work towards modelling good
behaviour and will bring up their child in a good postive approach so
that the child will achieve its full potiental
3. Family and environmental
Family history, functioning and wellbeing
Illness, bereavement, culture, size and
composition of household; absent parents,
relationship breakdown
Wider family
Formal and informal support networks from
extended family and others; wider caring and
employment roles and responsibilities
Housing
Water/heating/sanitation facilities, sleeping
Arrangements; reason for homelessness.
Baseline CAF Score
Parents inform us that they are in a good happy relationship, no
relatives living nearby and meet up with friends at church.
Baseline CAF Score
Family abroad apart from Aaron uncle in London ,whom they phone
each other everyday. Aaron has 2 jobs in catering and Katy want to
find employment in the future. Both parents are aware of their
parental responsibilities.
Baseline CAF Score
Couple are living in 1 room with all the basic needs e.g bed ,cooker
washing machine , sink, table and chairs and with a door leading to
the toilet and shower. They struggle to pay the rent and I have
informed them about getting information about housing benefit
Heating comes on according to a timer ,
Employment and
financial considerations
Work and shifts; employment; income/benefits;
debt accrued, effects of hardship
Social and community elements
and resources, including education
Day care; places of worship; transport; shops;
leisure facilities; crime, unemployment, antisocial behaviour in area; peer groups, social
networks and relationships; religion
Baseline CAF Score
Aaron works and has 2 jobs , rent takes most of their income .Aaron
would like to have a good stable job At his present post at the
universty he has been asked to reduce his hrs and take a pay cut.
Couple inform us that they are just managing to live on their income.
Baseline CAF Score
Couple enjoy going to church and meet other people They are
Roman Catholic.They live nearby the local ammenties ,shop at Asda,
knows about Sunflower children centre and I have taken Katy around
the local area . She now knows where the Library, Dentist and
Daisybank children centre is
Stress factors within Families
Please tick the appropriate boxes if you, or any other parent/carer of your child, are experiencing any of the issues below
Your worker can help make sure that you get the support that you need.
Current Issue?
Yes
Does this impact on
your child?
No
Yes
No
**Would you like some
support?
Yes
No
Drug use
Alcohol use
Mental health issues
Domestic abuse
Criminal conviction
Learning difficulty
Physical disability
Terminal illness
Debt issues
Poor/overcrowded
housing
**If either parent/carer has indicated they would like support then the worker should make the appropriate referral
If further information is needed then please see http://www.salford.gov.uk/contact-socialservices.htm
Please provide details of any stress factors identified;
Low income inappropriate property and mother feeling isolated
Children’s Centres
Is the child registered with a Children’s Centre?
Yes
No
For more information about Sure Start Children’s Centres and registering see: http://www.salford.gov.uk/surestart.htm
Young Carers
Is there a possible caring role for the child or young person?
Yes
No
“A young carer is a child or young person under the age of 18 who carries out significant caring tasks and assumes a
level of responsibility for another person which would normally be taken by an adult.” (Princess Royal Trust for Carers)
For more information email: carers.centre@salford.gov.uk
Private Fostering
Is the child living in a private fostering arrangement or likely to live in one in the future?
Yes
No
“Private fostering happens when a child (up to 16, 18 with a disability) is being looked after by someone other than
parents, siblings, blood-related aunt/uncle, or grandparents for the majority of a 28 day period or more. By law, anyone
involved in private fostering must inform the Private Fostering Officer in Salford City Council so they can get the support
they are entitled to. This includes the child’s parents, carers or any third party/practitioner.”
If yes or in doubt, contact the private fostering officer on 779 7800 or email: privatefosteringoffice@salford.gov.uk
What are your conclusions?
Strengths and resources:
Aaron has a job, and wants to gain better stable employment and both are willing to accept our advice and
guidance.
Needs and worries:
low income -housing issues
Actions
Agreed Actions (in order of priority list the actions agreed for the people present at the assessment)
Desired Outcomes
Action
Who will do this?
By when?
As agreed with the child / young person / family
Family to have social
housing
To accompany family to
housing options
Poppy Smith
completed
15/05/13
Aaron will register on line
and will bid for a property
Benefit advice
Will get information to
Aaron about opening and
closing times.
Aaron wants to extend his
visa before he claims any
benfits. Aaron to cpntact
kanta when he starts this
process
Katy not to be isolated
Passed on information
about craft session in
womens group at the Hub.
24/5/13
Poppy Smith
24/ 5/ 13
Aaron Jackson
Poppy Smith
ongoing
Enolled on computer
course at Higher
Broughton Libary.
Agreed review date
26/06/13
A CAF needs to be reviewed every 412 weeks at level 2a/2b (TAC) on the
CAF review and closure form.
Parent or Carer’s comments on the assessment and actions identified;
Happy with advice given and can see how they will progress and feel that they can see light at the end of a
tunnel.
Child or young person’s comments/wishes and feelings on the assessment and actions identified;
Full name of
child/young person
Date of birth
Unborn Jackson
08/09/2013
Consent for information storage and information sharing
Information sharing guidance can be found at; http://www.salford.gov.uk/supportingtools.htm
We need to collect the information in this CAF form so that we can understand what help you may need.
I understand the information that is recorded on this form and that it will be stored, read for quality
assurance and used for the purpose of providing services to:
Me
This infant, child or young person for whom I am a parent or carer
I have had the reasons for information sharing and information storage explained to me and I
understand those reasons
Yes
No
I agree to the sharing of information except to the services listed below
Signed
Name Katy Jackson
Date
22/05/13
Name Poppy Smith
Date
22/05/13
Assessor’s signature
Signed
Send all CAFs to Children’s Services via the secure upload: http://www.salford.gov.uk/secureupload.htm
You should send a ‘Referral Form to Children’s Services’ if you are requesting any service from the Early Intervention
and Prevention Service.
Remember to send a copy of the CAF to the parent and to any other professionals that are working with the family.
Exceptional circumstances: concerns about significant harm to infant, child or young person
If at any time during the course of this assessment you are concerned that an infant, child or young person has been
harmed or abused or is at risk of being harmed or abused, you must follow your Local Safeguarding Children Board
(LSCB) safeguarding children procedures
If you think the child may be a child in need (under section 17 of the Children Act 1989) then you should also consider
referring the child to children's social care.