Sample CPR - the Leicester City, Leicestershire and Rutland ...

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Form CPR Part A – Essential Information Chronology and social history of the birth father Start date End date Detail any significant events – carers, place of residence, bereavement or loss, major illness – to give a brief social history of the birth father relevant to this CPR See previous chronology of birth mother from 14.10.04 as Mr Green refused to provide information on his extended family. In addition to noting the chronology described in the point above the following highlight facts pertaining to Mr Green specifically. 14.10.04 Ross was born to Tina and Simon Green, a childhood friend. The department data-base identified Simon Green as Simon Doe a person who had allegedly sexually abused a 7 year old female child. Simon Green denied that he was Simon Doe. 24.02.05 In a Leicester County Court Judgement regarding the Doe family the Judge is recorded as stating “It seems to me that the allegations which the Local Authority made of the ways in which the threshold criteria in this case are satisfied (physical abuse, sexual abuse, inadequate care, neglect of the youngest children) are all supported by abundant and clear evidence. The children in this family were at risk of significant harm up to the dates when the Local Authority was forced to intervene. 30.04.05 Simon Green formally John Doe married Tina Green at Leicester Register Office. 20.08.05 The Family Proceedings court made a Finding of Facts that Simon Green is the same person as Simon Doe. 27.04.06 Home visit to Mr and Mrs Green to discuss the concealed pregnancy. Simon still continuing to deny he was Simon Doe. 14.02.08 Prior to the pre birth conference on Jane Simon was asked again if he was Simon Doe. He admitted that he used to be called Simon Doe but he wanted to keep the Green name going, as that was his mother’s name. Simon stated that he didn’t have any nieces but that he would let the social worker know if he found out that he had. See Chronology of the birth mother from 22.02.08 to date. Page 30 © BAAF 2006 All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Form CPR Part A – Essential Information Support to birth father Has the birth father received counselling from an independent person in relation to the plan for adoption? (Give details) No Simon was given the information about the Independent Counselling Service on the 18.06.08 but he declined to take it up. Has the birth father been given an opportunity to state his views on the adoption plan for the child? If yes, briefly describe the outcome of this. If Part G has been completed, note this here. If no, give reasons. Yes, but Mr Green did not attend the appointment to state his views. Part G has not been completed because he has not voiced his views about the plan for his daughter’s adoption. Has the birth father been shown a copy of this CPR? If yes, note date shown and briefly describe the outcome of this. If no, give reasons. No. Mr Green did not attend the appointment to view the report. If the birth father has written his own account, is this included with this report? Not applicable. Page 31 © BAAF 2006 All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Page 1 and 2: CHILD’S PERMANENCE REPORT The Ado
Page 3 and 4: Form CPR Part A - Essential Informa
Page 29: Form CPR Part A - Essential Informa
Page 39 and 40: Form CPR Parts B & C - Extended fam
Page 41 and 42: Form CPR Part D - Siblings (full an
Page 47 and 48: Form CPR Part E - Wishes and feelin
Page 49 and 50: Form CPR Part F - Views of the birt
Page 55 and 56: BAAF Form CPR Part G Do you have an

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