Testing RW CN

Prompt

You are reading a case note written by a support worker at a supported housing service for people who have experienced homelessness. Write a concise, strictly accurate summary of what the note records. Cover, in this order and only where the note says it: who the contact was with and how; why it happened; what was discussed or done; what was agreed or happens next; any disclosure, risk or concern that matters. Rules: - Every statement must be directly stated in the note. Do not infer, assume, interpret or fill gaps. If the note does not say it, leave it out. - Copy names, dates, times, numbers, places and quoted words exactly as written. - Do not judge how well the note was written. - One or two sentences, at most about 50 words. Third person, past tense, no headings or bullet points. - If the note records that no contact was made, or has no free-text detail, say so in one short sentence. Case note Support Session Plan: Weekly face-to-face support session, welfare check, property inspection, medication collection, financial review, maintenance concerns and support with benefits. . Support Description: 1. Attendance and Wellbeing I attended the property for a pre-arranged weekly face-to-face support session. Due to SU’s recent illness, including pneumonia, and several ongoing appointments relating to his physical and mental health, we had been unable to arrange a suitable face-to-face appointment the previous week. SU had also recently completed a psychiatric assessment and required a GP appointment to review his medication. We therefore agreed to meet at the property this week. SU greeted me at the door. He appeared slimmer than usual, although he reported feeling significantly better and had started returning to the gym. However, he advised that his chest symptoms were still troubling him. During the visit, I completed a welfare check and discussed SU’s current physical and emotional wellbeing, ensuring that he had access to the support and provisions he required. 2. Property Inspection, Fire Safety and Maintenance During the visit, I completed a property inspection, including a review of the property’s general condition, outstanding maintenance concerns and fire safety provisions. Fire safety equipment: The fire safety equipment and provisions checked during the inspection were in order. No immediate concerns were identified regarding the equipment inspected at the time of the visit. Outstanding maintenance: SU showed me the damaged window in his property, which remains temporarily secured with masking tape. I confirmed that a replacement window had been ordered and that installation was scheduled for the following day. SU expressed frustration regarding the length of time the repair had taken, particularly given his recent pneumonia and the additional electricity costs he believes he has incurred through having to use more electricity to keep warm. He has also raised concerns regarding his electricity bill and other outstanding maintenance issues. I had previously escalated his complaints to [RED] SU was dissatisfied with the response received and subsequently attempted to contact the office directly. He also contacted the maintenance team and spoke with [RED] raising concerns about the delayed window repair, other property maintenance issues and his electricity costs. He was advised that the electricity billing matter did not fall within the maintenance department’s remit. I explained that the most appropriate next step would be to submit a formal written complaint, clearly outlining his concerns and requesting that his request for reimbursement or consideration of the additional electricity costs be reviewed. This would allow the matter to be considered through the appropriate complaints procedure and provide him with a written record of the correspondence and response. SU appeared agitated and frustrated by the ongoing situation. I acknowledged his concerns and supported him to remain calm by redirecting the conversation towards his wellbeing and immediate support needs. SU agreed to submit a written complaint. Property inspection outcomes and follow-up actions: - Fire safety equipment and provisions checked were in order at the time of inspection. - The bedroom window remains damaged and temporarily secured with masking tape. - Replacement window installation was scheduled for the following day and requires confirmation. - Other outstanding maintenance concerns raised by SU require appropriate follow-up. - SU will submit a formal written complaint regarding the window repair delay, electricity costs and other maintenance concerns. 3. Medication and Mental Health Support During the session, I accompanied SU to the pharmacy to collect his prescribed mental health medication. He confirmed that he has been taking his medication regularly and feels that it has helped to calm him to some extent. Despite some improvement, SU continues to experience periods of anxiety, panic attacks, distressing nightmares, symptoms associated with PTSD and racing thoughts. SU spoke openly about the deterioration in his mental health following the death of his father. He explained that during this difficult period he turned to crack cocaine, which subsequently exacerbated his mental health difficulties. He described experiencing significant paranoia and visual hallucinations during that time. SU reported that he has now maintained sobriety for approximately six months and expressed a strong desire not to return to substance misuse. He feels that his current medication has significantly improved some of the more distressing symptoms he previously experienced. I provided SU with an opportunity to discuss his experiences in a supportive and non-judgemental environment, acknowledging the progress he has made in maintaining his recovery and engaging with mental health support. SU’s continued engagement with prescribed treatment and relevant mental health services remains important. His ongoing symptoms should continue to be monitored, with further professional support sought if his mental health deteriorates. 4. Family Relationships, Social Connections and Risk Reduction We discussed SU’s family circumstances, particularly his mother’s ill health and his wish to visit and support her when possible. SU explained that he limits the length of his visits because of concerns about other family members’ involvement in crime and drug-related activity. SU was clear that he wishes to distance himself from these environments and avoid situations that could negatively affect his recovery or increase the risk of reoffending. He discussed his current relationship with a woman in [CUSTOM] explaining that the relationship has become serious and that he has met her children. He also described having developed positive friendships and social connections locally. SU views [RED] as a place of stability and relative safety, where he has been able to establish healthier relationships and maintain a more positive lifestyle. He expressed concerns that returning to [RED] where he reports having previous negative associations and potential conflict with people from his past, could increase his exposure to criminal activity and place his progress at risk. We discussed the importance of maintaining these positive relationships, continuing to avoid previous negative influences and making decisions that support his long-term wellbeing and rehabilitation. SU also reported that he has been offered opportunities to undertake activities that he believes could lead him back into trouble, but he has chosen to distance himself from these situations. I acknowledged the progress he has made and encouraged him to continue prioritising his recovery, personal safety and positive future goals. 5. Financial Wellbeing and Universal Credit SU explained that he is currently experiencing financial difficulties, partly due to the electricity costs he believes he has incurred while trying to keep warm because of the damaged window. He advised that he has sufficient food in his cupboards and has ensured that his essential food provisions are in place. However, he has limited disposable income for social activities and other non-essential expenditure. SU explained that his recent illness has also resulted in him spending more time at home and becoming increasingly isolated. His financial circumstances have further restricted his ability to participate in leisure activities and maintain social engagement. During the session, I supported SU to review his Universal Credit statement. I took screenshots of the relevant information and reviewed the payment breakdown with him. The information reviewed appeared to be in order, and no immediate discrepancies were identified during the session. We discussed the importance of prioritising essential expenditure, including food, utilities and other necessary living costs, while continuing to monitor his financial situation. 6. Personal Independence Payment (PIP) Application SU asked for support with his Personal Independence Payment (PIP) application and showed me the correspondence he had received. The letter confirms that his completed application form must be returned by [DATE] . We discussed the importance of completing the form accurately and providing relevant supporting evidence to demonstrate how his health conditions affect his daily living and mobility, where applicable. I advised SU to gather his supporting medical documentation before our next appointment. We agreed to work through the application together during our next support session to ensure that the questions are answered fully and that relevant supporting evidence is included. Our intention is to complete the form in time for submission before the deadline. Subject to the form being finalised and ready, we plan to send it using a tracked postal service with proof of delivery, allowing sufficient time for it to arrive before the deadline. SU appeared relieved that practical support was being provided with the application and expressed appreciation for the assistance. 7. Positive Progress and Achievement We discussed the positive changes he has made during this period, including maintaining sobriety, engaging with mental health treatment, developing healthier social connections and making conscious decisions to avoid negative influences. I encouraged SU to recognise the progress he has made and to take pride in his achievements. We agreed that celebrating this milestone in a positive and appropriate way would be beneficial, particularly given the difficulties he has experienced recently with his physical health, mental health and finances. As SU is currently experiencing financial constraints, I suggested that we meet at Wetherspoons for breakfast during our next support session. This will provide an opportunity to recognise his progress while continuing to address his outstanding support needs. 8. Provisions Covered The following areas of support were covered during the session: - Physical health and recovery following [RED] - Mental health, medication and ongoing symptoms. - Substance misuse recovery and relapse prevention. - Family relationships, personal safety and positive social connections. - Property inspection and fire safety equipment checks. - Outstanding maintenance and the damaged window. - Electricity costs and the formal complaints process. - Universal Credit statement and financial wellbeing. - PIP application, supporting medical evidence and submission deadline. - Positive achievements, rehabilitation and continued community stability. 9. Next Steps and Agreed Actions 1. Window repair: Confirm whether the replacement window has been installed as scheduled and escalate any further delay. 2. Property maintenance: Follow up on outstanding maintenance concerns and ensure these are reported and addressed through the appropriate process. 3. Fire safety: Continue routine property inspections and checks to ensure fire safety equipment and provisions remain in order. 4. Formal complaint: SU will submit a written complaint regarding the delayed repair, electricity costs and other maintenance concerns. Follow up on the response and any decision regarding his request for reimbursement. 5. Physical health: Continue to monitor SU’s reported chest symptoms and encourage him to seek appropriate medical advice if symptoms persist or worsen. 6. Mental health and medication: Encourage continued adherence to prescribed medication and engagement with relevant mental health services. Monitor ongoing anxiety, panic attacks, nightmares, PTSD symptoms and any recurrence of paranoia or hallucinations. 7. Recovery and safeguarding: Continue supporting SU to maintain sobriety, avoid negative influences and strengthen the positive relationships and community connections that support his stability. 8. Financial wellbeing: Continue reviewing SU’s essential expenditure and provide budgeting support where required. 9. PIP application: SU will gather relevant medical evidence before the next appointment. We will meet at Wetherspoons next week to complete and review the application and supporting documentation, aiming to submit it by tracked post with proof of delivery before the [DATE] [DATE] deadline. 10. Positive engagement: Use the next support session to acknowledge SU’s [RED] milestone since release from prison, reinforce his progress and encourage continued engagement with support. 10. Summary SU engaged openly throughout the session and was able to discuss his physical health, mental health, recovery, family circumstances and financial concerns. Although he presented as frustrated regarding the outstanding window repair and associated electricity costs, he responded positively to reassurance and practical guidance about the formal complaints process. The property inspection confirmed that the fire safety equipment and provisions checked were in order at the time of the visit. However, the damaged window remains an outstanding maintenance concern, and installation of the replacement requires confirmation. SU reports progress in his recovery and feels that his medication has helped improve some of his mental health symptoms. He continues to experience anxiety and other distressing symptoms, which will require ongoing monitoring and support. He has also established positive social connections in [RED] and remains motivated to avoid previous negative influences. The immediate priorities are to confirm completion of the window repair, follow up on outstanding maintenance, support SU to address his complaint, monitor his wellbeing and complete his PIP application within the required timeframe. SU appeared reassured by the support offered and agreed to the actions outlined above.