Do you think that Mishal has substantial difficulty in being involved in the assessment process?
Although Mishal did not understand the relevant information over the telephone, she may well be able to do so with more visual material and careful explanation in person and might not have a substantial difficulty in this respect. The information and advice worker would have had this in mind when inviting her in for a face-to-face discussion. However, there are indications (poor concentration and memory problems) that at present Mishal may be unable to retain information long enough to weigh up options and make decisions, so she may have substantial difficulty in being involved in the assessment process.
As it is clear that Mishal has the ‘appearance of care and support needs’, the assessment should continue, if she is in agreement. The assessment service is to be advised that Mishal may have substantial difficulty in being involved.
It is up to Mishal to identify if she has someone who could support her as an appropriate person. The information and advice worker did not identify anyone who could act as an appropriate individual - the nature of the discussion meant it was not possible to be certain about whether there is someone who can act as an appropriate individual who could facilitate her involvement in the assessment.
The assessment service receives the referral and makes contact with Mishal.