Eat, Sleep, Learn Play!
Home visit checklist
3. You will need to provide the following information about the family
a.
Full name and title of family applicant (parent or carer).
...............................................................................................................................................................................
This checklist provides a list of things for referral partners to consider when
making a home visit. It will help you collect all the information you need to pass
on to Save the Children during the initial telephone application. You will also
need to take a copy of the Product Portfolio and Information for Families to
each home visit.
...............................................................................................................................................................................
1.
................................................................................................................................................................................
I have registered on the Eat, Sleep, Learn, Play! website for referral partners.
I have read and understood all the information provided on the website
(including the Referral Partner Agreement, Programme Information &
Application Guidance, and Product Portfolio).
2. To process the grant application, you will need to confirm the following:
There is a child under 36 months in the household or mum is 28 weeks or
more pregnant.
b. Full address, postcode, mobile phone number and email address of family
applicant (parent or carer).
................................................................................................................................................................................
c.
d. The Local Authority the family applicant falls under? .......................................
e. Family applicant’s gender is: Male or Female (please circle)
f.
It is not the landlords or a statutory body’s responsibility to provide any of the
items applied for.
My organisation has an ongoing relationship with the family applicant.
Owner occupied
Social housing
Private rented - furnished
Other
Private rented - unfurnished
I can verify that the family are in material need in their current home.
The family has not received an Eat, Sleep, Learn, Play! grant within the last 12
months and has not previously had more than one grant from Eat, Sleep, Learn,
Play!
Family applicant’s date of birth (DD/MM/YY): ...............................................................
g. Type of housing the family lives in:
I have seen written evidence that the family meet the low income threshold
at the time of application, as specified in the Programme Information and
Application Guidance document, and will provide information relating to the
benefits during the application call.
I have completed a home visit to this home.
The family applicant’s relationship to the children? ......................................
h. The family has adequate English, or someone who can translate for the
assessment call: Yes or No (please circle)
i.
Applicant’s first language (if translation service is required).........................................
4. I have explained:
Part 2 of the Referral Partner Agreement to the family applicant, covering
personal information, liability, and fraud and misuse.
The Product Portfolio with the family (including delivery and connection
information, if appropriate) (available on our website for referral partners).
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5.
I confirm that the following items are needed* in the home and/or are
missing, broken or not working to satisfactory or safety standards.
DELIVERY
Gas cooker
Cot bed, mattress, bedding
boy
girl
e. Save the Children have the correct contact details (phone numbers and address) for
the family at all times so that delivery can be arranged.
Electric cooker
Single bed, mattress, bedding
boy
girl
Fridge (under counter)
Bunk beds, mattress, bedding
f.
The family is not due to move home. If a move is due, referral partners
must inform our helpline on 0808 802 0212.
Freezer (under counter)
Dining table and chairs
boy
girl
boy and girl
4 chairs
6 chairs
g.
The family will be home to take delivery of the item(s) once the day and
time has been agreed during the application call, or once a delivery text has
been received. Referral partners must explain to the applicant the
importance of being at home when a delivery is due.
Fridge/Freezer
Washing Machine
Pushchairs
Tandem double
Oil-filled radiators
Child’s bedroom set
Household voucher
Single
Twin double
Toy and Book packs
Safety gate
Highchair
0 -12months
1 - 2 years
WHITE GOODS
h.
If the family wishes to have their old white goods taken away, the item must
be prepared for collection. Fridge/freezers and fridges must be fully
defrosted, and washing machines should be empty of personal items, and/or
free of water prior to collection.
i.
Identify the type of existing appliance – if an item needs replacing, referral
partners must always highlight the same product type (gas for gas, electric for
electric). Ensure that all existing pipework and electrical sockets are
fixed to the wall and in good condition and all connections are in reach of the
pipes and cables of the new appliance (no more than one metre away).
j.
In the case of gas cooker applications, please confirm there is a supply of
natural gas. (We are unable to connect a gas cooker where there is an
lPG or calor gas supply).* Full details are available in the Product Portfolio.
If there is an existing cooker in the home, the cooker applied for must have
the same connections (e.g. if the cooker that needs replacing is a gas
cooker, you can only apply for a gas cooker not an electric cooker).*
2 – 3 years
3 - 4 years
4 - 5 years
*A needs assessment will also be undertaken over the phone with the family, for them to prioritise the
most needed items. The priority is for children in the home who are under five years old. Please remember
to list all the items needed during the telephone application.
You must consider the following during the home visit for the items
needed, ensuring that:
a.
The family home has enough space and access is available for the
appliances/items.
b.
There are no health and safety concerns with any products applied for
(e.g. toys, bunk and single beds will only be used by children of the appropriate
age).
k.
You have provided the family applicant with a copy of the Information for
Families document, which gives them essential information about their
application and grant.
**Please note: If there is no gas appliance in place, the gas supply will have been capped by law. In these cases, an
c.
d.
The family know that one item cannot be exchanged for another once
an initial needs assessment call has been carried out and an award made.
application for a gas cooker can be made but Save the Children can only be responsible for the delivery (but not the
connection). An engineer can uncap the gas supply but all liability for the connection and after sales service will be the
responsibility of the applicant. Alternatively, an application for an electric cooker could be made, provided that the
appropriate dedicated electrical power source is available (cooker point with red on/off switch). Refer to our Product
Portfolio and Frequently asked Questions for further guidance.
All relevant information and advice on our Eat, Sleep, Learn, Play! Programme is available on our website for referral partners, http://eatsleeplearnplay.savethechildren.org.uk. If you have a query about an existing
grant application or wish to provide feedback on the programme please contact our freephone helpline on 0808 0802 0212 (open Monday-Friday 9am-5pm).
Registered charity England and Wales (213890) Scotland (SCO39570)
Produced October 2015
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