The provision of children's home-based services care

General Care consists of support in the home to assist with the child/young person's activities of daily life. The care worker may take the child/young person into the community for an activity. The support can include targeted interventions, parenting support, and access to early intervention programmes. Please see Appendix 1 for an example of care needs

Care and Support involves a higher level of support for a child/young person to ensure that they can keep themselves safe and meet their activities of daily living. Care and Support is relevant to children/young people who have care needs that require the Provider to conduct an additional risk assessment or care worker training due to behavioural or clinical needs. The child/young person may require periods of constant supervision when dysregulated or to avoid dysregulation and maintain safety. Occasional double-up care (i.e. 2:1 care worker to child/young person ratio) in the community may be required. The child/young person may be accessing specialist healthcare, therapy services, and/or specialised educational support.

Complex Care requires a high level of support delivered into the home. The high level of support can be through the experience and skillset required of the care worker and/or the number of care hours required. The care worker will ensure the child/young person is safe and can meet their activities of daily living. The child/young person will require intensive support services, often involving multi-agency collaboration and coordinated care. This level of support is typically provided to children/young people with significant disabilities, complex medical needs, or safeguarding concerns. The social work/early help assessment will highlight the harm that the child/young person may be at risk from due to their behaviour or care needs. The child/young person will require constant supervision.