CLIENT RISK ASSESSMENT FORM:

Client Name:

Name of staff completing risk assessment:

Client DOB:

Staff Signature:

The purpose of this risk assessment form is to assess risks across several domains including high risk behaviours previously or currently demonstrated by the participant, risks associated with Activities of Daily Living, risks associated with home visits, and cognitive and communication abilities.

This risk assessment form must be completed for all Yahweh Property Care clients and NDIS participants to ensure the safety and well-being of the participant and the staff working with them to achieve their individual goals.

Yahweh Property Care are dedicated to ensuring the safety of participants and clinicians, and depending on the nature of the risk, several options and strategies will be considered and implemented to address each individual situation. Information regarding possible options and strategies are provided.

SECTION A: HIGH RISK BEHAVIOURS:

Does the client have a history of absconding behaviour?

Yes

No

Are there road safety concerns?

Yes

No

Does the client require 1:1 supervision?

Yes

No

Does the client have a history of physical aggression? If so, please specify:

Yes

No

Describe physical aggression:

Is there is history of substance abuse?

Yes

No

Is there is history of psychiatric illness?

Yes

No

Comments:

SECTION A: LEVEL OF RISK

Low

Moderate

High

Catastrophic

Refer to the matrix at the bottom.

SECTION B: ACTIVITIES OF DAILY LIVING

Does the client collect/hoard items?

Yes

No

Are there concerns regarding the use of internal heating/ cooking appliances?

Yes

No

Are there concerns regarding personal hygiene?

Yes

No

Does the client smoke?

Yes

No

If so, are there safety concerns regarding their smoking?

Yes

No

Comments:

SECTION B: LEVEL OF RISK

Low

Moderate

High

Catastrophic

Refer to the matrix at the bottom.

SECTION C: RISKS ASSOCIATED WITH HOME VISITS

Are there large or aggressive animals?

Yes

No

Are there concerns regarding accommodation or household issues?

Yes

No

Comments:

SECTION C: LEVEL OF RISK

Low

Moderate

High

Catastrophic

Refer to the matrix at the bottom.

SUPPORTS IN PLACE TO MANAGE RISK

Where high to catastrophic risks have been identified across a range of areas, the following recommendations will be considered, implemented and adjusted accordingly as per individual needs:

Recommendation re: staff ratio

1 Staff

2 Yahweh Care Staff or 1 Yahweh Care staff and 1 member of staff from another organisation

Recommendation re: location

Inappropriate for Yahweh Care staff to work with client in community settings, e.g., due to absconding behaviour

Appropriate location for supports to be discussed and implemented

Recommendation re: support planning

Individual interventions as per participant, their family and clinical team, to be outlined in case notes

Behaviour support plan required

Recommendation re: additional risk mitigation strategies

Consideration and discussion re: appropriate clinical team, e.g., relating to experience and clinical skill

Consideration and discussion re: service types according to individual needs

Consideration and discussion re: other appropriate providers

Yahweh Care deemed unsuitable to support participant and alternative options discussed and provided

Risk Assessment

CLIENT RISK ASSESSMENT FORM:

SECTION A: HIGH RISK BEHAVIOURS:

SECTION B: ACTIVITIES OF DAILY LIVING

SECTION C: RISKS ASSOCIATED WITH HOME VISITS

SUPPORTS IN PLACE TO MANAGE RISK

RISK MATRIX