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In an emergency call 999
For general enquiries call 01158388100
Monday - Friday -

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Case study

Your turn to decide

You will find a copy of the CHARLIE-P matrix below, alternatively you can download a copy of the CHARLIP-P matrix (.pdf, 2 pages). Use this to mark the following case study. Your score will be entered into question 1 of the quiz in the next section.

Score 1 2 4 8 10
Descriptor Rare Unlikely Possible Likely Almost certain
C Care and support needs No care or support needs In receipt of care and support package that meets the level of need Support in place but not deemed adequate No support in place but concerns for health and welfare No support in place but significant concerns for health and welfare
Cooking No concerns Meal/Drink preparation completed by others Client completes own drink and meal preparation - health may impact on kitchen safety Client completes own drink and meal preparation - concerns identified by client / others Actual fire incident (prior to Safe and Well visit) in last 12 months
H Hoarding 1-2 CIR 3 CIR 4-5 CIR 6-7 CIR 8+ CIR
A Alcohol use

Alcohol – not used

AND

Drug Use – no concerns

Alcohol - used but no concerns

AND

Drug Use – no concerns

Alcohol – used but no concerns

AND

Drug Use – minimal concerns

Alcohol – a one-off issue identified re: safety, binge drinking, or dependency

OR

Drug Use - significant concerns

Alcohol – significant, ongoing issues identified re: safety, binge drinking or dependency
R Reduced mobility Fully Independent Uses mobility equipment, no additional support is needed Uses mobility equipment but lacks awareness of safety or limitations Mobility equipment and support from another person needed Cannot transfer or mobilise – needs hoist or cared for in bed
L Lives alone Lives with others (one family) Lives alone but fully independent OR Lives in HMO Lives alone with daily support Lives alone with occasional visitors or social contact Lives alone – no visitors or social contact
I Inappropriate smoking Non-smoker Smoker, only smokes outdoors “smoke-free home” Smoker - smokes in the home, but is aware of fire safety Smoker, unsafe smoking practices

Actual fire incident (prior to Safe and Well visit) in last 12 months - includes historic burn marks

OR

Unsafe smoking plus a dangerous environment

E Elderly Under 40 41-50 51-64 65-79 80+
Electrical No concerns Risks identified - resolved during visit Risks identified – support needed to resolve but sound awareness of electrical safety Risks identified - ongoing support needed due to poor awareness of electrical safety Risks identified – client unable / unwilling to resolve
P Previous signs of fire No sign of fire - would respond to an alarm

No signs of fire – would not respond to an alarm

Automated detection in place

No signs of fire – would not respond to an alarm

No automated detection

Actual fire incident in the last 12 months – would respond to an alarm Actual fire incident within the last 12 months - would not respond to alarm

Case study - Betty

Betty is a 71-year-old lady who lives alone in her own home, where she has lived for the last forty-five years. You receive a referral to visit her at home. When you arrive, you notice a burnt saucepan in the garden, and Betty explains she left a pan to boil dry when cooking last week.

Betty took a little while to answer the door and you notice that she seems out-of-breath and unsteady. A walking stick is leaning against the door frame, but Betty uses her furniture to steady herself when walking instead. Betty participates in the visit but is repetitive during conversation and unsure of the day or year. When asked about falls, Betty thought she may have had two falls over the last six months.

The property well-maintained and has central heating. Smoke alarms are in place but Betty had not tested them for some time. When you test them, one alarm is not working but Betty can hear the working alarm without prompting. You notice some old block adaptors plugged in behind the television and in the kitchen beside the kettle. You estimate the Clutter Rating is between 1-2.

Betty is supported by her niece who visits every week to take her shopping and for lunch. A care package is in place once a day to support with personal care activities, medication prompting and some cleaning. Betty also attends a coffee morning at her church every Thursday. Betty enjoys the occasional cigarette but always smokes by the kitchen door – there is no evidence that she smokes indoors. Betty occasionally has a small glass of red wine.