Shadowing Assessment
Assessment completed by.
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Position
*
Please Select
Registered Manager
Community Care Manager
Community Care Coordinator
Community Care Senior
Community Care Giver
Date/Time of shadowing start.
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-
Day
-
Month
Year
Date
Hour Minutes
Date/Time of shadowing end.
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-
Day
-
Month
Year
Date
Hour Minutes
Candidate Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Did the candidate arrive on time?
*
Yes
No
Please state the reason given for their late arrival.
*
Did the candidate arrive wearing the correct uniform including appropriate footwear?
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Yes
No
Please state the reason for not meeting uniform standards.
*
Did the candidate wear all required PPE based on current guidelines?
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Yes
No
Please state the reason the candidate gave for non-compliance with PPE.
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Did the candidate observe: Medication Administration?
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Yes
No
Did the candidate observe: Personal Care?
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Yes
No
Did the candidate observe: Incontinence Pad changes?
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Yes
No
Did the candidate observe: Catheter Care?
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Yes
No
Did the candidate observe: Empty and Disposal of Catheter Bag?
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Yes
No
Did the candidate observe: Use of Mobility Aids?
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Yes
No
Did the candidate observe: Completion of digital records using the Birdie app?
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Yes
No
In your opinion: Did the candidate act in a professional manner?
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Yes
No
Please state the reason you felt the candidate was unprofessional.
*
In your opinion: Did the candidate demonstrate good communications skills?
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Yes
No
Please state the reason you felt the candidate lacked the necessary communication skills.
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In your opinion: Was the candidate respectful of the client and their home?
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Yes
No
Please state the reason you felt the candidate was acting disrespectfully.
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Observers constructive feedback on the Care worker
*
Date of Submission
*
-
Day
-
Month
Year
Date
Name
First Name
Last Name
Signature
*
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