HFU- Property Visit Sheet

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General Information

Date null
Surveyor null
Sponsor Ref Number null
Group Ref Number null
Group ID Number null
Address null
Post Code null
Tel No null
Mobile No null
Email null
General description of property (Detached/semi detached..,number of floors? Approx age etc) null
Have all over 16’s had their DBS Checks?
Have all over 16’s had their DBS Checks?
Sponsor household members null
DBS null
Gender null
Date of Birth null
Illness, disability and/or mobility issues
Guest Household Members null
Gender null
Date of Birth null
Illness, disability and/or mobility issues

Total Occupancy

Total Occupancy

Adults (18+)

Adults (18+)

Males null
Females null

Children (<18)

Children (<18)

Males null
Females null
Number of Guest Groups

Please enter the below details with Group1 , Group2, etc

Please enter the below details with Group1 , Group2, etc

Groups null
Details null
Identity of Lead Sponsor checked? Means used to check e.g passport, driving licence null
Lead Sponsor - Identity Reference
Pets null
Do you need to get the permission from Landlord/Owner/Agent ? null
Name of Landlord/Owner/Agent null
Permission granted for this scheme? (Proof) null
Proof -Reference
Address null
Post Code null
Phone
Mobile
Email null
Has the MORTGAGE Company been notified of participation in this scheme? null
Has permission been granted? null
Has the INSURANCE Company been notified of participation in this scheme? null
Has permission been granted for this? null
EPC null
Gas safety certificate null
Gas safety certificate details null
Electrical Safety (do visual check) null
Smoke Alarms on each floor of the property? null
Solid fuel burned at the property? If so, CO monitor? null
Adequate means of escape/fire safety null

To determine suitable property standards are met – refer to the document “Assessment of properties suitability for housing refugees v1.0”

To determine suitable property standards are met – refer to the document “Assessment of properties suitability for housing refugees v1.0”

Guest Disabilities and Property Adaptations null
External paths / steps / driveway / paving etc null
Roof guttering / tiles / chimney etc null
Front Door (condition, lock, etc) null
Hall null

Living Room 

Windows: Good condition? Closes securely  
Adequate heating
•    Electrics / light fittings / plug sockets / damp
•    Do children have access to alcohol or nicotine? 
•    Size? 

Living Room 

Windows: Good condition? Closes securely  
Adequate heating
•    Electrics / light fittings / plug sockets / damp
•    Do children have access to alcohol or nicotine? 
•    Size? 

Please enter the details below: null

Dining Room

Windows: Good condition? Closes securely  
Adequate heating
Electrics / light fittings / plug sockets 
Do children have access to alcohol or nicotine?
Size? 

 

Dining Room

Windows: Good condition? Closes securely  
Adequate heating
Electrics / light fittings / plug sockets 
Do children have access to alcohol or nicotine?
Size? 

 

Please enter the details below: null

Kitchen

Windows: good condition, closes securely. 
Adequate heating
•    Electrics / light fittings / plug sockets / position of amenities / cooking preparation etc
•    Can children access dangerous substances, such as bleach etc 

Kitchen

Windows: good condition, closes securely. 
Adequate heating
•    Electrics / light fittings / plug sockets / position of amenities / cooking preparation etc
•    Can children access dangerous substances, such as bleach etc 

Please enter the details below: null

Downstairs Toilet

Downstairs Toilet

Can children access dangerous substances, such as bleach etc? null

Downstairs Bathroom

Downstairs Bathroom

Can children access dangerous substances, such as bleach etc null

Additional Rooms

Windows: Good condition? Closes securely  
Adequate heating
•    Electrics / light fittings / plug sockets 

Additional Rooms

Windows: Good condition? Closes securely  
Adequate heating
•    Electrics / light fittings / plug sockets 

Please enter the details below: null
Rear Door (condition, lock, etc) null
Stairs handrails / treads / lighting etc null

Bathroom

Windows: good condition
Adequate heating
Damp & mould / falls / position of amenities
•    Can children access dangerous substances, such as bleach etc
•    Can children access medicines/drugs? 

Bathroom

Windows: good condition
Adequate heating
Damp & mould / falls / position of amenities
•    Can children access dangerous substances, such as bleach etc
•    Can children access medicines/drugs? 

Please enter the details below: null

Bedroom

Windows: good condition 
Adequate heating. 
Damp & mould / electrics / sockets / light fittings/ safety catch on windows

Please enter the below details with bedroom1 , bedroom2, etc

Bedroom

Windows: good condition 
Adequate heating. 
Damp & mould / electrics / sockets / light fittings/ safety catch on windows

Please enter the below details with bedroom1 , bedroom2, etc

Bedroom null
Location null
Size null
Number of bed spaces null
Who sleeps in this room null
Other details
Does anyone regularly return from Uni/working away/etc. who also uses one of these rooms (if so which rooms)? null

Housing Conditions

Housing Conditions

Property kept clean and in a reasonable state? (Inspector to make notes if any concerns e.g. filthy and verminous).

Property kept clean and in a reasonable state? (Inspector to make notes if any concerns e.g. filthy and verminous).

Satisfactory null
Notes / Actions null

Is there adequate kitchen and bathroom space?

(make notes if this appears to be inadequate for the size of home or number of people)

Is there adequate kitchen and bathroom space?

(make notes if this appears to be inadequate for the size of home or number of people)

Satisfactory null
Notes / Actions null

Access to running drinking water?

Access to running drinking water?

Satisfactory null
Notes / Actions null

Sufficient heating to keep the property at a comfortable temperature

(consider provision and safety should be paramount – not portable gas heaters)

Sufficient heating to keep the property at a comfortable temperature

(consider provision and safety should be paramount – not portable gas heaters)

Satisfactory null
Notes / Actions null

Be almost entirely free of damp or mould

Be almost entirely free of damp or mould

Satisfactory null
Notes / Actions null

Easy and safe to move around in, without excessively steep staircases that may cause harm (consider guest age and ability)

Easy and safe to move around in, without excessively steep staircases that may cause harm (consider guest age and ability)

Satisfactory null
Notes / Actions null
Any other issues null
Is the accommodation suitable? null
If 'No' outline reasons and any actions ‘sponsor’ can put in place and timelines null

Occupation – is the property suitable for each proposed group? (Group is each guest family household)

Please enter the below details with Group1 , Group2, etc

Occupation – is the property suitable for each proposed group? (Group is each guest family household)

Please enter the below details with Group1 , Group2, etc

Groups null
Details/Notes null

WELFARE AND SAFEGUARDING

WELFARE AND SAFEGUARDING

Was there anything you observed during the visit that raised concerns or questions about safeguarding guests, whether children or adults, that WCC social care staff might want to follow-up? null
If Yes, outline reasons and actions to be taken null
Return visit required null
Does compliance (e.g. Gas Safe and Electrical safety) need following up? null

I accept that the Council will abide by its Data Sharing Agreement on the Councils web site.

I accept that the Council will abide by its Data Sharing Agreement on the Councils web site.

Sponsor has been notified of the assessment outcome?