The council uses a combination of the Indicator of Relative Need (IORN) score and the Prioritisation of Need framework when considering if a person is eligible for a care home placement.
The IORN score assesses the range of individual support required with the activities of daily living such as washing, getting dressed, using the toilet and eating and drinking. These assessed needs are given a weighting within the assessment process and the final score will range from A (the lowest score) and I (the highest score). Only assessments with an outcome score of H or I are considered for residential care home placements.
Only people who meet the Priority 1 or Priority 2 criteria will be considered for a care home. These criteria are as follows;
Priority 1 - Critical risk where serious harm or loss of life may occur
- There is an immediate risk to the persons survival
- Serious abuse to self or others has occurred, or is suspected to the extent that protection measures are required
- There are extensive and constant care and support needs on an ongoing or time limited basis that, if not met, present an immediate risk to the person or others.
- The carer relationship(s) has collapsed and there is a need for immediate care and support or there is no existing carer relationship.
Priority 2 - Significant risk where harm may occur now or in the near future
- Abuse to self or others has occurred or is at risk of occurring
- There are extensive care and support needs on an ongoing or time limited basis.
- Absence or inadequacy of care and support is causing the person significant distress and their health to deteriorate
- The carer relationship(s) is at risk of collapse and the person needs care and support or there is no existing carer relationship