Sleep & Night Care Risk (QMS-F068) SLEEP & NIGHT CARE RISK (QMS-F068) Contact Document Ref: QMS-F068 (Sleep & Night Care Risk) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Safe (Mitigating Risk) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Sleep Baseline & RoutinesStandard Sleeping Pattern- Select -Sleeps through the night independentlyWakes occasionally (1-2 times) for the toiletWakes frequently / Highly restlessRequires regular scheduled waking (e.g., for pressure relief)Day/Night reversal (Sleeps all day, awake all night)Evening Routine & Settling Preferences Requires assistance changing into nightwear Requires prompting for evening medication Requires a warm drink before bed Prefers a night light left on Prefers bedroom door left open Prefers bedroom door closedSECTION 2 - Nocturnal Hazards & Equipment SafetyIdentify any specific night-time risks: High risk of unobserved falls when getting out of bed Wandering risk (Leaving the property at night) Nocturnal incontinence management required Risk of pressure ulcer development (Requires turning) Risk of choking (e.g., if prone to vomiting or reflux) No significant night-time risks identifiedBed Equipment & Preventative Measures in Place: Standard divan bed (No adaptations) Profiling bed (Hospital style) Airflow pressure-relieving mattress Bed bumpers fitted Fall mat placed next to the bed Sensor mat / Telecare alarm fittedAre bed rails used or attached to the bed?- Select -Yes (High entrapment and restraint risk)NoMandatory Bed Rail Declaration I confirm a separate, formal Bed Rail Risk Assessment has been completed to check for entrapment gaps, AND legal consent / Best Interests for their use as a restraint has been documented.SECTION 3 - Level of Night Support CommissionedAssessed Night Care Requirement- Select -Evening and Morning visits only (No overnight presence)Sleep-in Night Service (Care worker sleeps but is on call for emergencies)Waking Night Service (Care worker stays awake and provides continuous monitoring/care)Turning & Pressure Relief ScheduleSECTION 4 - Risk Control & Sign-offSpecific Instructions for Care WorkersAssessor NameDate of AssessmentSave Night Care Risk
