We now have the disabled access to ensure that our service is open and accessible to new members with physical disabilities.

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1 Breakthrough Cyber Cafe Basement Dale House 35 Dale Street `Manchester M1 2HF Tel No Date Hi from Breakthrough Please find enclosed a Breakthrough information and referral pack. We hope you find our current timetable and activity list interesting. Breakthrough is membership lead therefore suggestions for new sessions and ideas are always welcome. We now have the disabled access to ensure that our service is open and accessible to new members with physical disabilities. To make a referral please complete the Breakthrough Service Referral form and return it with a current risk assessment, details of medication, a signed consent to disclosure and any other information you consider relevant. Breakthrough is open 10 am to 4-30pm Monday to Friday. Our Cyber café is open 10am to 4pm Monday to Friday closing at 3pm on Fridays only Please do not hesitate to contact Breakthrough if you need further information about our service. We look forward to seeing you soon. Regards

2 Jackie Beckett Breakthrough

3 BREAKTHROUGH SERVICE REFERRAL Surname First Name(s) Mr Mrs Miss Other Address Project Land Line/ mobile numbers Date of birth We will require a copy of a risk assessment and need details of diagnosis, medication etc Other workers/agencies involved: Name and number of person to contact in emergency: Any responsibilities as a carer or for children under 16 (18 for a disabled child) yes/no Summary/diagnosis: Mental health/ learning disability, dual diagnosis Physical Health needs eg Allergies, special dietary requirements Medication: Relevant history and risk factors: (please attach relevant copies of risk assessments ) Other relevant information. Physical Health needs Completed by Date Please provide updates as they occur to enable us to update our records too. Thanks

4 SERVICE USER DESCRIPTION Members name Age DOB Height Build Ethnic Origin Colour/Style of Hair Distinguishing Marks ie beard, spectacles Places where they might go Information updated on signed

5 The Breakthrough Cyber Café Terms And Conditions Smoking Dale House is a no smoking building., smoking is not permitted anywhere within the Breakthrough service. Drugs & Alcohol Use of illegal drugs and alcohol is not permitted when accessing the service. Membership could be withdrawn from anyone using or carrying drugs/alcohol whilst accessing Breakthrough. Also anyone coming to the Breakthrough project who shows signs of being intoxicated or under the influence of illeagal substances will be asked to leave. A review may be necessary before being allowed back into the service. Equal Opportunities No member will receive less favourable treatment on the grounds of their race, ethnic origin, religion or belief, nationality, disability, gender, age or sexuality. Anyone accessing the service is expected to be respectful to others at all times. Behaviour Anyone using the Breakthrough service is expected to behave in an acceptable manner at all times. Abuse in any form to people or property will not be tolerated and could result in membership being terminated. Privacy Staff and members have a right to privacy. Inappropriate contact may result in membership being withdrawn. Comments, Suggestions or Complaints Breakthrough aims to provide an excellent service which meets the needs of our members. It is important that members feel able to complain about things they don t feel are right, there are easy to follow guidelines to enable you to do this. Anyone wishing to express their opinion or views can do so through any member of staff, volunteer or via the suggestion box situated in the Cyber Café. Sessional Activities & Transport Charges A small charge will be incurred for most activities; you will be notified of any cost on the Breakthrough timetable or via leaflets and flyers. This payment would be required at the time of the session. Saturday trips and evening events would require payment in advance as places are limited. Computers Food and drink is not permitted near the computer area. Computers are available for use by members and Creative support staff, members will always have priority with availability. Websites which may cause offence to others should not be accessed in the service, if unsure seek advice from Breakthrough Management Personal Property Members should not bring items of value into Breakthrough. Members must take full responsibility for any personal items which are unavoidably brought into Creative Support Breakthrough. Please see a member of staff if you have any concerns. Contracts Where necessary, Breakthrough will facilitate specific agreements with individuals to ensure that the service is used appropriately. Breakthrough reserves the right to withdraw membership from anyone who is not willing to abide by the above. I Signed have discussed the above Terms and Conditions and agree to abide by them Date Print name:

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7 DIRECTIONS TO BREAKTHROUGH AND CREATIVE SUPPORT From Piccadilly tram and bus station: Walk across Piccadilly gardens and turn left at Max Spielmanns into Newton Street. From Piccadilly train station: Walk down the ramp (Station Approach) past the Piccadilly pub and turn right into Newton Street at Max Spielmanns. Max Spielmanns Piccadilly pub Then: Continue along Newton Street until you see Dale House on the corner. The Cyber-cafe is in the basement. A Dale House Creative Support Head Office Creative Support N E W T O N ST Max Spielmans Piccadilly pub Piccadilly tram and bus station Piccadilly train station

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