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Refer Someone to Pinfold Care Home

Partnering with You for Compassionate Mental Health Care

At Pinfold Care Home, we are dedicated to providing personalised, high-quality care for individuals managing mental health challenges. Our referral process is designed to be straightforward and collaborative, ensuring that every applicant’s needs are carefully assessed and matched to the appropriate care plan. If you are a family member, healthcare professional, or council representative looking to refer someone to Pinfold Care Home, we invite you to complete our online referral form. Our team is here to guide you through every step of the process, from initial inquiry to move-in day.

What We’ll Need from You

Before admission, please provide the following documentation:

  • Care Needs Assessment

  • Risk Assessment

  • Completed Application Form

Once we receive the necessary information, we’ll evaluate the application, collaborate on creating a tailored care plan, and communicate the next steps. If we are unable to offer a placement, we will do our best to help you explore alternative care options.

Ready to begin? Complete the referral form below or contact our Home Manager for more information. We’re here to help ensure your loved one receives the care and support they deserve.

Referral Assessment Form

    Application Type

    Details of Person Being Assessed

    Additional Details

    Family Doctor

    Social Worker

    Next of Kin

    Emergency Contacts

    Emergency Contact 1

    Emergency Contact 2

    Emergency Contact 3

    Personal History
    Current Needs, and Support

    3. Assessments

    4. Summary of Risks

    5. Daily Living Skills Check-Sheet

    6. Finances Check-list

    This form was completed by: