My Risk Assessed Day
I stayed at the flat last night and thinking of my day ahead, I thought it would be a good idea to revisit my risk assessment to monitor how I square on the risk assessment ratings system.
1. Mr Neary woke independently and made himself a cup of coffee & toast. Risk of self injurious behavior as he was only wearing his pants. Risk factor: 6. Mr Neary seeks to legitimize his immoral pants wearing behavior by arguing that there is nobody else in the placement & the curtains are drawn.
2. Mr Neary returned to bed with his breakfast unsupported and consumed his breakfast whilst browsing the internet on his tablet. Risk of scalding. No parental control on tablet is a concern. Personal hygeine needs reviewing as bed sheets haven’t been changed for 8 days. Risk factor: 8
3. Mr Neary telephoned his son. Good social interaction, although repetitive nature of conversation may need SALT intervention.
4. Personal Care (unsupervised). Despite previous concerns, Mr Neary still hasn’t purchased a bath mat, so a stand up strip wash would be more appropriate. Mr Neary also still chooses to shave his head with a wet razor where an electric razor might reduce the risk of severe bleeding. We have major concerns that Mr Neary does not take our concerns seriously and we may have to instigate compulsory positive behavior support around personal care. Risk factor: 10 Intolerable.
5. Mr Neary will spend the morning seeing clients in his private counselling room. After 4 months in this accommodation, Mr Neary hasn’t fitted a panic alarm. We also have concerns that sitting in a chair for four hours may cause health issues and have recommended a personal fitness programme.
6. Mr Neary will go to Tesco for weekly shop. He is able to carry out this activity independently but may need input from dietician as chocolate content remains high.Risk factor:7. Not convinced Mr Neary sees the importance of a healthy balanced diet. May be need for educational intervention.
7. Mr Neary will return to his family placement and engage in verbal interaction with son and support staff. Again, appropriateness of conversation questionable as dialogue likely to focus on a complete reenactments of the Mrs Richards episode of Fawlty Towers. No immediate risk but review of suitability of social interaction planned for three months.
8. Whilst son has bath, Mr Neary will spend an hour on administration of personal budget and staff payroll. For some reason, despite this useful addition to his community programme, Mr Neary feels resentment!!! May be an issue around his blood pressure which requires monitoring. Risk factor: 1.
9. Mr Neary & son will spend remainder of evening engaged in collaborative music DVD participation. Son will need reassurance about Vince Clark’s career pre Erasure. Mr Neary will be unsupported during this time and although he categorically disputes this we believe he is at risk of challenging behavior. It is important & relevant to note that one Thursday in 1998, son kicked Mr Neary whilst watching The Tamperer featuring Maya. Risk factor: 10.
10. Mr Neary & son will retire to bed at 10. Mr Neary & son will discuss how both will access the community tomorrow. Mr Neary will then engage in a meditation programme before sleep. The solitary nature of this program me raises concerns as Mr Neary is reluctant to reveal to professionals its nature, therefore a sleep medication intervention may be more appropriate.
Clearly Mr Neary does not lack capacity, so therefore a best interests decision is not applicable in this case. However, as this posting shows, Mr Neary is prone to making unwise choices. This morning, he chose to write this blog post when his independence programme clearly states he should have been running the hoover around. Until Mr Neary can understand that with choice comes responsibility, we will have to keep his “high risk” classification and work closely with him until such time as he sees the error of his ways.
From → Social Care