Person Centred Plan 2
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My Person Centred Plan
Commenced on:
All about me……..
1 Insert photo here
2 My name is:
3 I was born on:
4 Preferred name:
5 Key person/lead professional:
6 PERSONAL DETAILS
Date of birth: Year Gender: Group:
Ethnicity: Religion:
Parent/Carer Name(s) and home address:
(Indicate parental responsibility)
Home Phone:
Mobile:
Email:
Home language:
Parental preferred method of communication:
Any special requirements to consider:
ICurrent ……………………………………… education give permission to share this plan with all professionals setting and full supporting. contact details: Signature: …………………………………………………………………………. Date: ……………………………………
Lead practitioner and contact details (may be different to the referrer / key worker):
Social Care status (if applicable): 7 Child/ young person’s UPN, NHS and Social Care number: The professionals involved in my life are:
Name Agency Contact details
8 Number Date Involved / Attended of Plan / Review
1st Support Plan cycle
2nd Support plan cycle
3rd Support Plan cycle
This plan will be reviewed within 3 months of the date it is finalised.
9 Background/family information
10 All about me…..
What’s important to me… Great things about me…
Important people… Good support is…
.
It doesn’t help me if… It’s important to my development that…
11 My successes and achievements
At Home
At my Early Years provision
What is important to me now and in the future?
12 Currently I am in staffing ratios of __: __.
To enhance the staffing ratios to support my learning and development, my setting receives _ _ (hours) Early Intervention Allowance. These hours are being utilised to:
Resources for example staffing, This gives me the opportunity to: planning, group size, visual supports:
Any additional comments:
13 My Development Profile
Personal Social and Emotional Development: Support plan Making Relationships : Self-confidence Managing Feelings Cycle 1 : and Self and Behaviour: Awareness:
Date:
Support plan Making Relationships : Self-confidence Managing Feelings Cycle 2: and Self and Behaviour: Awareness:
Date:
14 Physical Development Support plan Moving and Handling: Health and Self Care: Cycle 1:
Date:
Support plan Moving and Handling: Health and Self-Care: Cycle 2:
Date:
15 Communication and Language:
Support plan Listening and Attention: Understanding: Speaking: Cycle 1:
Date:
Support plan Listening and Attention: Understanding: Speaking: Cycle 2:
Date:
16 Characteristics of Effective Learning:
17 Agreed Support Plan and Actions Date: Identified area(s) of need to target:
Overarching Desired and Aspirational Outcome(s):
Goals and hopes for the future Parents aspirations:
Expected Outcome(s)/actions before the next Review i.e. the difference / improvements we want to see:
What specific actions, Who will deliver By when, where, Assessment strategies, interventions, this provision? and how measures / tools equipment, resources and frequently? (e.g. observation, independent recording, support will be in place? reading assessments, child questionnaire)
18 (Date) Agreed Support Plan and Actions: Identified area(s) of need to target:
Overarching Desired and Aspirational Outcome (s): Goals and hopes for the future Parents aspirations:
Expected Outcome(s)/actions before the next Review i.e. the difference / improvements we want to see:
What specific actions, Who will deliver By when, where, Assessment strategies, interventions, this provision? and how measures / tools equipment, resources and frequently? (e.g. observation, independent recording, support will be in place? reading assessments, child questionnaire)
.
Personalised Learning Plan (date)
19 Identified area(s)of need to target:
Long Term desired learning outcomes:
Parents Aspirations:
Short Term outcome(s) before the next review i.e. the progress we would like to see:
1. 2. 3.
What do you want me to What will I do? What will the adult Resources learn When will I do it? do?
How Characteristics of effective learning are demonstrated through the short term outcomes:
Evaluation
Next Steps
What’s working well and what’s not working, at the moment
20 Education Health Care : : g w n e i i k v r
o s ’ d W l i h C / s t n e r a : P g n i k r o w
t o N : : g w n e i i k v r
o s n W o i s i v o r P s r a : e g Y n
i y k l r r o a w E
t o N : : g w n e i i k v r
o s l a W n o i s s e f o r P r e h t : g O n i k r o w
t o N : : g w n e i i k v r
o s r W e h t O
21 (Date) Review of Support Plan outcomes and next steps
Record of (1st, 2nd, 3rd etc.) Review meeting held on DD MM YYYY to evaluate the impact of targeted teaching, support and interventions and progress towards achieving the agreed Outcomes. Appendices should also be updated as part of the review process.
Agreed Learning Progress made Action Person
Outcomes: (e.g. refine the Outcome or responsible support) 1.
2.
3.
4.
22 Section 3: Records
(Date) Review of Support Plan actions
Record of (1st, 2nd, 3rd etc.) Review meeting held on DD MM YYYY to evaluate the impact of targeted teaching, support and interventions and progress towards achieving the agreed Outcomes. Appendices should also be updated as part of the review process.
Actions Progress made Action Person
(e.g. refine the Outcome or responsible support) 1.
2.
3.
4.
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