PERSONNEL SPOT CHECK

PERSONNEL SPOT CHECK
FORM UHS-F0162
This spot check will be conducted at the service user's residence, providing an opportunity for them to provide feedback on the service received.
Service User Name

First NameLast Name
Location of Office
Staff Name

First NameLast Name
Please identify the spot check type

RandomPre-aarnaged
Feedback of Staff from Service User (Yes/No and Comments)
Are they punctual*

YesNo
Comment
Have you seen their identity badge

YesNo
Comment
Do they wear their uniform

YesNo
Comment
Do they wear their gloves, apron, PPE are appropriate

YesNo
Comment
Does the worker understand the care plan and follows it?

YesNo
Comment
Are the clients needs being met?

YesNo
Comment
Does the carer involve the service user in their daily needs?

YesNo
Comment
Is the carer flexible in meeting the clients needs?

YesNo
Comment
Is the carer professional, friendly and approachable to the client?

YesNo
Comment
Medication Notes
Mar Chart completed correctly?

YesNo
Comment
Medication Tasks understood?

YesNo
Comment
List of medicines up to date?

YesNo
Comment
Observation from Service User
Any observations

YesNo
Comment
Any competency needs or capability issues identified.
Comment
Assessor Name:

First NameLast Name
Signature of Assessor

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Date Completed

MonthDayYear
Date
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FORM UHS-F0162