User Manual Supported Self Assessment Questionnaire
Contents
1. PD EJALBIC D EJA BIC D E e m e U BB Question Health amp Wellbeing O Eating Drinking amp Preparing Meals Looking after myself Personal Care o Household Tasks O Relationship O Work Leisure amp Learning o Staying Safe O Behaviour O Making Decisions Amount of Support O Carer s Support O d UTE Ta IT g Ajit Thota Page 13 3 18 2010 London Borough of Sutton Click Save and click Next The below page appears Ajit Thota First Name Email Address Address Line 1 Town Family Name Relationship to person on Who s behalf you are completing this form Phone Address Line 2 County Postcode Client s Details Other Client s Details Address Line 1 Telephone Ethnicity Choose One Client s GP Details if Known GP Name Address Line 1 First Name Family Name Thota Ajit o e Date of Birth DD MM YYYY Gender I I Vo Address Line 2 County Mobile Religion vi Choose One Gp Telephone eff reiasa Address Line 2 Address Line 4 Post Code Client s Next of Kin Next of Kin Name Address Line 1 Next of Kin Telephone Address Line 2 Address Line 4 Post Code About Client Wher2. User Manual 9s Ed Sutton Supported Self Assessment Questionnaire Version 0 1 Author Ajit Thota Date Created 27 01 2010 Ajit Thota Page i 3 18 2010 London Borough of Sutton Supported Self Assessment Questionnaire 1 Click the link https spocc sutton gov uk LBSPORTAL and the home page will appear as below Wa Welcome to Transforming Lives in Sutton Sutton qu M SSAQ Carer SSAQ Support Plan What is SSAQ SSAQ is a way of assessing citizen s needs this is fillied with help of Family Friends Council amp by themselves It is now the way Council offer help to a person living in the community who needs support to live their life as they want to You are the person who knows best what your support needs are so the Council would like you to complete the self assessment from in order to understand what is important to you and the things you feel you need help with It will also help the Council to see if you are eligible for support PE WP ee I Friend I am a Professional FN lt best viewed at 1024x768 Way Sutton SM1 1EA Tel 020 8770 5000 24hr helpline Clients Family Friends need to click on the I am a Client Family Friend in the above screen and the below screen will appear 2 If you are a New User click on the New User and want to Register icon as in the below page ae a take part take pride Login gt Login oon TI
3. age Carer s signature e comments Click Save and then click Next and the below page appears 11 This page gives you the summary of your selection of options within various topics Ajit Thota Page 6 3 18 2010 London Borough of Sutton an Sutton take part take pride My Home Self Assessment Support Plan My Activities Contact Us Logout Summary representative 2 Person a Friend LBS Officer Question e Health amp Wellbeing O Eating Drinking amp Preparing Meals 9 Looking after myself Personal Care 9 Household Tasks 9 Relationship O T E l Work Leisure amp Learning 9 Loo Staying Safe O Behaviour 0 Making Decisions 9 BER 0 SJJ Amount of Support 9 e T A fe ttt td Carer s Sa m HIT Pte HII ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2009 Click Save and click Next The below page appears Ajit Thota Page 7 3 18 2010 London Borough of Sutton Go Sutton My Home Self Assessment Support Plan My Activities Contact Us Logout take part take pride Your Details Title 8 Date of Birth DD MM YYYY Other Details First Name Family Name john smith Gender Address Line 1 Address Line 2 Town Civic County Post Code pen lsmi lea Telephone Mobile Email Address i a 3 Lee E
4. 18 2010
5. make sure I stay well Making Decisions 00 99009000000000 9 9000 C Comments Amount of Support o Carer s Support e Summary Socoocoooooooo ttm Next ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2009 4 Choose one option from the list of options by clicking on the button in the Representative Family Frineds column Enter sufficient information about the area you are currently answering in the Comments box This will help the LBS staff to understand your Client s needs Click Save to save the information entered and then click Next to move to the next topic Similarly fill the options in all the topics starting from Health amp Wellbeing till Carer s Support which you find as links on the left side of the page It is strongly recommended to occasionally save the information entered by clicking on the Save button Ajit Thota Page 12 3 18 2010 London Borough of Sutton Sutton If your response to the Amount of Support topic has been b c d or e then your client has an unpaid Carer and the Carer s Support section has to be filled by them Please ask your Client s Carer to fill this section My Home Self Assessment tPlan My Activities Contact Us Logout Carer s Support Health amp Wellbeing PP v If you have answered b c o Amount of Support question then you have an unpaid carer and this Eating Drinking amp eevee 1 EE q
6. 00 TT e Household Tasks Lm HN Relationship O B 00 0 0 B8 eO Work Leisure amp Learning O 8 mMI e Staying Safe O E 0 BH Behaviour O EEE x ME H o Making Decisions 9 Amount of Support O e Carer s Support 9 e e e e o 0 O O O O O O O O O O O O O O ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2009 This page gives you a summary view of Client s and LBS Staff s selection of options within various topics of the assessment If it is unclear of what the option text is click icon beside each topic to see what the option text is Click Save and click Finish The below page appears afe Sutton take part take pride gt Clients My Assessments Logout o o Q Theassessment has been saved into the database successfully and it s status has also been updated to Finished o O O 0 9 O O O O O O O O O O O O O O O O O O O O Representative i Family Friend LBS Officer ajejc p efa pbfc pjefa pjc pj e lE I j i Question Health amp Wellbeing Eating Drinking amp Preparing Meals 9 Looking after myself Personal Care 9 Household Tasks Relationship O Work Leisure amp Learning 9 Staying Safe O Behaviour O Making Decisions 9 Amount of Support O Carer s Support 9 7 Click Clients and search for Horwood1 and when the search results come up click Assessments and the below screen
7. 8770 5000 24hr helpline Please enter the details of the Client for whom you wish to submit the Supported Self Assessment Questionnaire Click Submit Please follow the same process as mentioned above in this document from Point 5 to Point 8 in the above section and click New Assessment and the below page appears Ajit Thota Page 11 3 18 2010 London Borough of Sutton B Sutton take part take pride My Home Self Assessment Support Plan My Activities Contact Us Logout Health amp Wellbein Health amp Wellbeing This question is about the support you need to manage a long term health problem e g diabetes heart or Eating Drinking amp zd respiratory problems stroke epilepsy a difficulty which affects your mental health e g anxiety depression Preparing Meals tein y experiencing the death of someone close to you or memory problems e g like those experienced due to dementia Looking after myself e o Personal Care uS Ive pre Friggd Officer a I am well and no one has raised concerns about my health 219 Oa b I need a little help from others to make sure I stay well Ola amp c I need some help from professionals to make sure I stay well Household Tasks Options Relationship Work Leisure amp Learning Staying Safe d My health needs are complex I need a lot of help from Behaviour professionals to
8. 900 GREEN LANE Assessments Support Plans Planned Activities Budget Profile SM390F e 252 GANDER e 200 LIVE HORWOOD 1 01 January 1900 GREEN LANE Assessments Support Plans Pianned Activities Budget Profile SM3 90F 252 cwm o 201 LIVE HORWOOD2 01 January 1900 GREEN LANE Assessments Support Pians Pianned Activities Budget Profile SM3 90F 202 ajit thtoa 01 January 1900 Assessments Support Plans Planned Activities Budget Profile o O O O O O O O O O O O O O O O O O O O O O O O G ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2003 This page gives you a list of all the clients whose Supported Self Assessments Questionnaires have been submitted either by themselves of by Family Friends It provides you the details links to Self Assessments Support Plan the client s Planned Activity Calendar the Budget and his her profile 4 Search for a client by entering first name or the last name within Text and select Search By as Name Example Horwood1 Click Search and the below screen appears gt t Sutton take part take pride Clients My Assessments Logout Clients Text horwood1 Search By Name v ID Name Date of birth ee e a mm 252 GANDE o LIVE HORWOOD1 01 January 1900 GREENLANE X M JE Plans Planned Activities Budget Profile SM3 90F 5 Click Assessments and the below scr
9. S is Login select GO from the Menu bar Standard Assessments File Go Actions Help View E amp gt 9 2 d GQXxXo0uUu e Navigation Print i Share Notify Close Close All My Tasks Assessments Plans Reviews MR LIVE HORWOOD 179412 IS A CLIENT 2 BRE OIA Options Carer s Name ER P i st Web Portal Team E SSAQ agree that I would like London Borough of Sutton to provide me with carer s self i assessment of my needs YES NO b Any other comments Attached Documents p t2 Se B Description Original File c c0000000009000000000009 9 Authorisation Details Carried Out By Date o Authorised By Date a Notify amp uthoriser Outcome o E Planned review date Notes e kikket hakkede Caseload Care Plan Reports 4CM Register SSAD ASSADO Summary Fin Assessmen Ajit Thota Page 24 3 18 2010 London Borough of Sutton NN So B Sutton Upon authorising the Assessment the status in the Assessment screen changes Authorised as indicated in the below page sessments LBS Officers Change Password Logout Indicative Budget Indicative Budget Representative Care Manager Actions Details gt Summary This completes the process of Validating and Authorising the Supported Self Assessment Questionnaire by LBS Staff and Team Manager Ajit Thota Page 25 3
10. TT NT e e e e gt e e Y e o o e New User and A previously registered Download forms want to Register o user and want to Login e Ajit Thota Page 1 3 18 2010 London Borough of Sutton The below page appears So fer Home amp Contact Us Sutton take part take pride Login gt Registration Lam a Client am applying on behalf of Client x768 SM1 1EA Tel 020 8770 5000 24hr helpline 3 If you are a Client click I am a Client as in the above page and you will see the Registration page as below Sutton take part take pride Login gt Registration Client s Details e First Name Family Name Date Of Birth 01 v 01 w 1900 v Address Line 1 o Post Code London Borough of 4 Fill your First Name Family Name Date of Birth First line of the address and Postcode Click Submit The below screen appears Ajit Thota Page 2 3 18 2010 London Borough of Sutton Ms L Sutton take part take pride Login gt Registration e 0 9 4 9 0 0o 0 6 Login ID o Check Availbility o 099 O O O O O bd Security Question Please Choose One Answer Previous 4 Tel 020 8770 5000 24hr helpline 5 Create a Login Id by entering a login id that is easy to remember e g john smith and click Check Availability The below screen appe
11. amp Preparing Meals i HTTP TT e o Looking after myself Personal Care B TT TT TNT o e Voci Te NE NUNNENENNEEE e e ZA o o e Tum Safe o o Beh HO in Deon SESS E imour d Spa BEEN See e Carer s Support PTET ELIJA I LII ga e e e e The amount that you will be expected to contribute towords your Personal Budget will be agreed once a member of the Joint e Visiting Team lias carried out a full Financial Assessment The Role of the Joint Visiting Team is to carry out an independerit o financial assessment on your financial capacity T 9 i Once your financial assessment has taken place you will be notified through the web portal and you will be able to view a e summary of the updated details explaining how much of your Personal Budget will come from the Council and how much you 9 e will he expected to contribute You will also receive a detailed breakdown of the Assessment through the postal service o g Print o o o O O O O O O O O O O O O O O O O O O O O amp ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2008 Ajit Thota Page 9 3 18 2010 London Borough of Sutton Sutton The above page provides you the information in the form of a letter It also provides you with some next steps within the process and numbers to contact Sutton staff Click Print if you have access to a printer and wish to print this letter to file for future purposes This completes the process of submitting your Self Assessment Qu
12. and the Carer s Support section has to be filled by them Please ask your Carer to fill this section My Home Self Assessment Support Plan My Activities Contact Us Logout Carer s Support Health amp Wellbeing PP If you have answered b c d or amp to Amount of Support question then you have an unpaid carer and this Eating Drinking amp Soins gt question is for them A carer can be husband wife partner friend or neighbour who gives regular unpaid i Preparing Meals practical or emotional support Looking after myself Please ask them to fill in the section below Personal Care This section is NOT for paid staff who provide care for you Household Tasks Relationship 0 9 O0 0 0 O0 0 O O O O O O O O O O O O Og Work Leisure amp Learning e Carer s section Staying Safe i v As an unpaid carer you may have the right to have your needs assessed in your own right This will consider e Bahsdanr what your life is like and what it means to be a carer providing support ELIT ILE We need your permission to proceed with this If you complete the section below we will arrange for you to e d e complete a Carer s Self Assessment questionnaire and will provide support if required Making Decisions e Amount of Support Carer s name e Carer s Support e I agree that I would like London Borough of Sutton to provide me with a carers self assessment of my needs GJ e Summary
13. apacity o E e Once your financial assessment has taken place you will be notified through the web portal and you will be able to view a e e summary of the updated details explaining how much of your Personal Budget will come from the Council and how much you will he expected to contribute You will also receive a detailed breakdown of the Assessment througli tlie postal service e e Prnt e o o o o o 0o O O O O O O O O O O O O O O O O O O O amp ALL CONTENT COPYRIGHT LONDON BOROUGH OF SUTTON 2008 The above page provides you the information in the form of a letter It also provides you with some next steps within the process and numbers to contact Sutton staff Click Print if you have access to a printer and wish to print this letter to file for future purposes This completes the process of submitting the Supported Self Assessment Questionnaire on behalf of a Client Ajit Thota Page 16 3 18 2010 London Borough of Sutton Sutton User Manual for LBS Staff Home Page Link https spocc sutton gov uk LBSPORTAL 1 Click the link above and the home page will appear as below SSAQ Carer SSAQ Support Plan ED Welcome to Transforming Lives in Sutton Sutton What is SSAQ 5SAQ Is a way of assessing citizen s yeeds this is fillied with help of Family friends Council amp by themselves It is 10w the way Council offer help to a erson living in the community who 1eeds support to live their life
14. appears Ajit Thota Page 20 3 18 2010 London Borough of Sutton an Sutton take part take pride Clients My Assessments Logout All Assessments AssessmentStarted AssessmentFinished ae Indicative Budge lindicative Budget Date Date cli be Representative Care m Client 01 02 2010 Client 01 02 2010 Not Author Mot Authorised 21074 00 bo 9 00 LBS Officer 04 02 2010 LBS Officer 04 02 2010 You will now see that the Indicative Budget field has been populated after the Validation has been done by LBS Staff However you will also notice that the Status is still Not Authorised Ajit Thota Page 21 3 18 2010 London Borough of Sutton NN dd Sutton User Manual for LBS Manager 1 Click the link https spocc sutton gov uk LBSPORTAL and the home page will appear as below Wa Welcome to Transforming Lives in Sutton Sutton SSAQ Carer S5AQ Support Plan What is SSAQ SSAQ is a way of assessing citizen s needs this is fillied with help of Family Friends Council amp by themselves It is now the way Council offer help to person living in the community who needs support to live their life as they want to You are the person who knows best what your support needs are so the Council would like you to complete the self assessment from in order to understand what is important to you and the things you feel you need help with It will also help the Council to see if yo
15. ars D Sutton take part take pride Login 066060 0000 e e v This Login ID is available o o EN OG setup your Login Details o 0o o o 0o Login ID john smith e 9 9 90 e e 00 Password e we TONS Please Choose One ha o o hide This website is best viewed at 1024x768 London Borough of Sutton Civic Offices St Nicholas Way Sutton SM1 1EA Tel 020 8770 5000 24hr helpline If the Login Id is available it will prompt as in the above screen Please enter the Password Security Question and Answer to the Security Question Click Login 6 If the login id has already been created by another user you will be prompted to choose a different login id as in the below screen Ajit Thota Page 3 3 18 2010 London Borough of Sutton PS Sutton take part take pride Login ev d6 joeccceccc eccceccc eccc cc c ee0 e X ThisLogin ID has already been taken by some one else Please try a new one e us e 0000 M ad da i mh MM 000000 Login ID ajit thota Check Availbilit Password Security Question please Choose One Answer Login Previous 7 Repeat the step until the below screen appears Git Sutton take part take pride Login 020000 o This Login ID is available e Q setup your Login Details o o o 0 oe OUO NN Login ID john smith e 9 9 e e 6 Password Security Questio
16. as they nant to You are the person who knows Jest what your support needs are so the council would like you to complete the elf assessment from in order to inderstand what is important to you and lt things you feel you need help with lt will also help the Council to see if you are eligible for support I am a Client Family Friend I am a Carer This website is best viewed at 1024x763 London Borough of Sutton Civic Offices St Nicholas Way Sutton SM1 1EA T 0 0 70 400 2 nr elp ne 2 If you are an LBS Officer please click on I am a Professional and the below screen will appear Sf Sutton take part take pride Login gt LBS Officer s Login 00000000 o Login ID e ml e I e Password e e 00000000 lt Ajit Thota Page 17 3 18 2010 London Borough of Sutton Sutton 3 Please enter your User Id and Password that has been provided to you and click Login and you will see the below page H Sutton take part take pride Clients My Assessments Logout Clients 0000000 00000 0 0 0 0 00 50 00000 Op name Date of birth Actions 197 LIVEUSER1 LIVEUSER 1 01 January 1900 LINE 1 I Assessments Support Plans Pianned Activities Budget Profile NINESSUNE ae 198 LIVEUSER2 LIVEUSER2 01 January 1900 Assessments Support Plans Planned Activities Budget Profile GANDER 199 LIVE HORWOOD 01 January 1
17. ck the drop down arrow of the Staff Members drop down list and the list of employees within your team is displayed Select a team member to whom you wish to assign the SSAQ to action and click Assign button The below page is displayed OOO Ajit Thota Page 23 3 18 2010 London Borough of Sutton 2 Say LL Sutton take part take pride Clients Assessments Change Password Logout go 0000 COCO OOO v New Staff Member has been assigned successfully 9 9 ecce Ac e ee O Gear Show New Clients Ll ID 7 Address Managed By Actions Plans Activities Budget Profile 7 M RESS LINE 1 Assessments Support 3 ADDRESS LINE 1 gt Assessments Support I f 3 ADDRESS LINE 1 Assessments Support 207 liveuser 1 liveuser 1 01 Jant PC Assign Plans Activities Budget Profile Upon Assigning New Staff Member has been assigned successfully appears and the view of the page refreshes and the assigned assessment disappears from this page and adds to the list of the assessments of the particular team members My Clients view In the above example ID 208 has been assigned 7 Managers can create assessments by clicking on Assessments and Start New Assessment 8 To authorise the assessment the Manager needs to go into Paris and Authorise the assessment Navigation path and screen shot provided below The path to the assessment module in PARI
18. datory details you have missed to enter will be highlighted and you will be prompted to enter them as in the below screen Ajit Thota Page 8 3 18 2010 London Borough of Sutton Sutton Town is required County is required PostCode is required Submit my SSAQ and Personal Details Save My Profile 13 Enter the mandatory fields and Click Submit my SSAQ and Personal Details and the below page appears 4 av e Sutton take part take pride My Home Self Assessment Support Plan My Activities Contact Us Logout 00000000 00000000000000000000960 o London Borough of Sutton 6 amp o o Adult Social Services and Housing o Executive Head of Older and Disabled People s Services e Darict Line 020 8770 5000 e Our Referance 292 o e amp Date 03 February 2010 Please reply to e P o JOHN SMITH London Borough of Sutton e CIVIC o OFFICES Adult Social Services amp Housing e SUTTON e SURREY kg mike m e SM1 1EA St Nicholas Way e Sutton o SM 1EA e Dear JOHN SMITH o WWwW suttori gov uk e Thank you for subinitting your Self Assessment Questionnaire on 03 02 2010 e 15 42 38 Minicom 020 8770 5000 DX No 134340 Sutton 11 o Summarv of Assessed Needs s e j3 amp o 9 The following is a summary of the details you submitted e o Representative e e Person iiie LBS Officer e Question Family Friend E E A B C D E A B C D E A B C D E a Wel Se TT e Eating Drinking
19. e you Live Choose One vi Support already in place Choose One v Main Carer s Full Name Address Line 1 Type of House you live in Choose One v Details of all services you are receiving Address Line 3 Post Code sy6 6rb Email Address First Language Address Line 3 Whe lives in your house Address Line 3 Main Carei s Contact No Address Line 2 Address Line 4 Post Code Main Carer s Hext of Kin Full Name Address Line 1 Main Carer s Next of Kin Contact No Address Line 2 Address Line 4 Post Code e FCCC TTS oh AT Page 14 Address Line 3 Address Line 3 00000000000 Sutton 3 18 2010 Ul Ul London Borough of Sutton Sutton 6 Enter your personal details the Client s Personal details and click Submit my SSAQ and Personal Details Any mandatory details you have missed to enter will be highlighted and you will be prompted to enter them as in the below screen x e Town is required e County is required PostCode is required Submit my SSAQ and Personal Details Save My Profile 7 Enter the mandatory fields and Click Submit my SSAQ and Personal Details and the below page appears Ajit Thota Page 15 3 18 2010 London Borough of Sutton 4 Se Sutton take part take p
20. een appears Ajit Thota Page 18 3 18 2010 6 London Borough of Sutton dh Sutton take part take pride Clients My Assessments Logout All Assessments Indicative Budget Client Not Authorised 21074 00 Assessment Finished Date Assessment Started Date Indicative Budget Indicative Budget Status Representative Care Manager oe Details imag Client 0 1 02 20 10 Client 01 02 2010 This page displays all the assessments that have been submitted for this particular client It provides details such as the date the Assessment was Started the date it was Finished the status of the Assessments the Indicative Budget based on the Client s Assessment It also provides links to view the Details of the Assessment or just the Summary All assessments which have the status as Not Authorised and Care Manager Indicative Budget as 0 should be actioned Click Details and the below screen appears Se take part take pride Sutton Clients My Assessments Logout Health amp Wellbeing Hes SaaS This question is about the support you need to manage a long term health problem e g diabetes heart or Eating Drinking amp 3 2 ded A k respiratory problems stroke epilepsy a difficulty which affects your mental health e g anxiety depression i Preparing Meals experiencing the death of som
21. eone close to you or memory problems e g like those experienced due to dementia Looking after myself Personal Care Household Tasks Relationship Work Leisure amp Learning Staying Safe Behaviour d My health needs are complex I need a lot of help from professionals to make sure I stay well Making Decisions Amount of Support For Official Use only Carer s Support Summary H z amp v v lt The column by title LBS Officer becomes active and the options chosen by the Client become read only Any comments entered by the Client will be visible below the For Official Use Only comments box Select an option appropriate for the Client s need Continue selecting options within each of the areas listed on the left of the page starting from Health amp Wellbeing until Amount of Support Verify Carer s Support section click Save and then click Next The page below appears Ajit Thota Page 19 3 18 2010 London Borough of Sutton D Sutton take part take pride Clients My Assessments Logout Summary e O0 O O O O O O O O O O O O O O Representative Question parsan Family Friend E e lA BjC D EJA B C D E A B C D E G Health amp Wellbeing O EH 11 BM Eating Drinking amp Preparing Meals O fT 00 0 0 0 0 1 BM eo Looking after myself Personal Care O TM 0
22. estionnaire Be ee oe ee oe ee ee oe ee ee oe ee ee ee ee ee ee ee kode Supported Self Assessment Questionnaire filled on behalf of the client 1 If you are a New User click on the New User and want to Register icon as in the below picture ats Sutton take part take pride Login gt Login Please Select a option below Es Download forms r I 2 If you are applying on behalf of some one please click I am applying on behalf of Client as indicated below in the picture A Sutton take part take pride gt Registration Are you a Client or p 2 m E a c o I am a Client o I am applying on behaif of Client Ajit Thota Page 10 3 18 2010 London Borough of Sutton Sutton Once you click the I am applying on behalf of client button the below page appears Fe Ee Sutton take part take pride gt Registration Family Friends o e eeeeeoee e o e Your Details e e o e Family Name e e e o o First Name 3 Please enter your First Name and Family Name and click Submit and you will see the below page Ms Sutton take part take pride Login gt Registration Family Friends o Oo O O O O O O O O O Client s Details First Name Q Family Name Date Of Birth 01 ly 01 M 1900 b Address Line 1 Post Code 4 Tel 020
23. ld Tasks DUHBRE My Re resentative LBS P view Family Friend Officer Work Leisure amp Learning b I need a little help from others to make sure I stay well c I need some help from professionals to make sure I stay well Staying Safe d My health needs are complex I need a lot of help from o Behaviour professionals to make sure I stay well e0000000000000023 e Making Decisions Comments Please provide information relating to Health amp Wellbeing for the LBS Staff to bettd understand your needs This Comments box is capable of taking 1000 characters e e Amount of Support e Carer s Suppor Summary 10 Choose one option from the list of options by clicking on the button in the My View column Enter sufficient information about the area you are currently answering into the Comments box This will help the LBS staff to understand your needs Click Save to save the information entered and then click Next to move to the next topic Ajit Thota Page 5 3 18 2010 London Borough of Sutton Sutton Similarly fill the options in all the topics starting from Health amp Wellbeing till Carer s Support which you find as links on the left side of the page It is strongly recommended to occasionally save the information entered by clicking on the Save button If your response to the Amount of Support topic has been b c d or e then you have an unpaid Carer
24. n Please Choose One T swer This ag 1024x768 London Borough of Sutton Civic Offic jas jn SM1 1E4 Tel 020 8770 5000 24hr helpline 8 Please enter the Password Security Question and Answer to the Security Question Click Login and you will see the below screen Ajit Thota Page 4 3 18 2010 London Borough of Sutton Sutton take part take pride My Home Self Assessment Support Plan My Activities Contact Us Logout Start New Assessment New Support Plan Show My Calendar Uu View Assessment History ipport Plan Histor Edit My Profile ALL CONTENT COPYRIGHT L TOUGH OF SUTTON 2003 9 To create a new assessment click Start New Assessment The below page appears de Sutton take part take pride My Home Self Assessment Support Plan My Activities Contact Us Logout Health amp Wellbein Health amp Wellbeing This question is about the support you need to manage a long term health problem e g diabetes heart or Eating Drinking amp respiratory problems stroke epilepsy a difficulty which affects your mental health e g anxiety depression Preparing Meals ET y experiencing the death of someone close to you or memory problems e g like those experienced due to dementia Looking after myself Personal Care e o o Relationship a I am well and no one has raised concerns about my health Househo
25. ride My Home Self Assessment Support Plan My Activities Contact Us Logout oeo0000000000000000000000000 00 e e London Borough of Sutton e e o sne o Adult Social Services and Housing o Executive Head of Older and Disabled People s Services e Darict Line 020 8770 5000 o Our Referance 292 e D d Date 03 February 2010 Please reply to e e JOHN SMITH London Borough of Sutton o CIVIC o OFFICES Adult Social Services amp Housing e SUTTON e SURREY Civic Offices e SM1 1EA St Nicholas Way e Sutton SM 1E Dear JOHN SMITH e o m i i i WWww sutton gov uk Thank you for submitting your Self Assessment Questionnaire on 03 02 2010 o 15 42 38 Minicom 020 8770 5000 e DX No 134340 Sutton 11 o e Summarv of Assessed Needs o a e 9 e The following is summary of the details you submitted e e Representative LBS Officer e e Question Family Friend e e EEE eS ath Wb III See eo revene e Eating Drinking amp Preparing Meals IB EHHH Looking after myself Personal Care o i Household Tasks 0 Roo TTT TTT e e Work Leisure amp Learning illl ME e Sai Sat TT Boh TT e e e e e Carer s Support CEE CEE Ce d e e The amount that you will be expected to contribute towords your Personal Budget will be agreed once a member of the Joint 9 e Visiting Team has carried out a full Financial Assessment The Role of the Joint Visiting Team is to carry out an independent e e financial assessment on your financial c
26. thnicity Religion First Language Choose One vi Choose One vi Choose One Your GP Details if Known GP Name Your Next of Kin Next of Kin Name Address Line 1 Gn Talanhane Next of Kin Telephone Address Line 2 f Who lives in your house Address Line 3 Address Line 4 Post Code I About you Where you Live Choose One v Support already in place Choose One vi Main Carer s Full Name Address Line 1 Type of House you live in Choose One v Details of all services you are receiving Main Carer s Contact No Address Line 2 Address Line 3 r Address Line 4 About you Where you Live Choose One v Support already in place Choose One v Main Carer s Full Name f Address Line 1 Post Code Type of House you live in Choose One v Details of all services you are receiving Main Carer s Contact No Address Eine 3 i Address Line 4 Post Code IL Main Carer s Next of Kin Full Name Address Line 1 Main Carer s Next of Kin Contact No Address Line 2 Address Line 3 Address Line 4 Post Code ALL CONTENT COP o o O O O O O O O O O O O O O N BOROUGH OF SUTTON 2003 Sutton 818 12 Enter your personal details and click Submit my SSAQ and Personal Details Any man
27. u are eligible for support i fs I am a Client Family Friend I am a Carer This website is best viewed at 1024x763 m XS NE AA m e 3 ES London Borough of Sutton Civic Offices St Nicholas Way Sutton SM1 1 0 0 6 70 400 2 ar elp ae 2 If you are an LBS Officer please click on I am a Professional and the below screen will appear E take part take pride Login LBS Officer s Login 00000008 e o Login ip e e Password p e e e o o o o Oo O O O e ah Ala Ajit Thota Page 22 3 18 2010 London Borough of Sutton 5 4 Sutton 3 Please enter your User Id and Password that has been provided to you and click Login and you will see the below page This page gives you a list of all the clients whose Supported Self Assessments Questionnaires have been submitted te Sutton take part take pride Clients Assessments Change Password Logout Clients o9 9 9 9 9 9 09 0 0 0 0 0 0 0 0 06 Text Oye Name Search J Show New Clients o By o EE omro o o 71 emma e CO eo KHEN 07 70 o ENCANTAN ONNAM 0 0 m mf me 0 n n a x Ce 1 J uge Gu o Plans Activities Budget Profile e 000000000000000 4 Click Assign to assign the Assessment to your team members and the below page appears Staff Members 6 Cli
28. uestion is for them A c e husbandiwife partner friend or neighbour who gives regular unpaid Hreparing neas practical or emotional suppo Looking after myself Please ask them to fill in the Personal Care This section is NOT for paid hvide care for you Household Tasks Relationship 0 09 0 0 0 0 0 O O O O O O O O O O O O O Work Leisure amp Learning Carer s section e Staying Safe e As an unpaid carer you may have the right to have your needs assessed in your own right This will consider e M Q what your life is like and what it means to be a carer providing support We need your permission to proceed with this If you complete the section below we will arrange for you to e 3 e complete a Carer s Self Assessment questionnaire and will provide support if required Making Decisions e o Amount of Support Carer s name AMUNT OL SUpPOrt e o Carer s Support e I agree that I would like London Borough of Sutton to provide me with a carers self assessment of my needs GJ I e Summar 2ummary hd Carer s signature o o e Comments e o g SN 9 F o 0o O O O O O O O O O O O O O O O O O Previous Save 3 Click Save and then click Next and the below page appears 5 This page gives you the summary of your selection of options within various topics ts Sutton take part take pride My Home Self Assessment Su Plan My Activities Contact Us Logout Summary Representative
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