CCNW Employee Spot Check Record

• Service User Name & Address

• Time & Date of Spot Check

  Date

• Prepared by

• Carer Name

Section 1 - Spot check details

• Employee Name

• Rostered Call Time

  Date

• Did the carer/support worker start on time

  Yes

  No

  N/A

• Actual finish time

  Date

• Scheduled visit duration

• Actual visit duration in minutes

Section 2 - Appearance

• Identity badge on show

  Yes

  No

  N/A

• Appropriate footwear worn

  Yes

  No

  N/A

• Wearing appropriate clothing for the job role

  Yes

  No

  N/A

• Jewellery worn meets with CCNW standards/policy

  Yes

  No

  N/A

Section 3 - Personal protective equipment

• Gloves available

  Yes

  No

  N/A

• Gloves used

  Yes

  No

  N/A

• Aprons available

  Yes

  No

  N/A

• Aprons used

  Yes

  No

  N/A

• Hand gel available

  Yes

  No

  N/A

• Hand gel used

  Yes

  No

  N/A

Section 4 Pre-work checks

• Logged into ACP

• Care plan reviewed

• Risk assessment reviewed

• Latest Progress Notes Read

Section 5 - Moving & handling technique (where provided)

• All moves performed in an appropriate and safe manner

  Yes

  No

  N/A

• Hoist used in an appropriate and safe manner

  Yes

  No

  N/A

• Moving and handling equipment used where required<br>i.e. slide sheets/banana board/stand aids

  Yes

  No

  N/A

• Comments

Section 6 - Task performance (personal care, where provided)

• All personal care is performed to meet the objectives outlined in the client's care plan

  Yes

  No

  N/A

• All personal care performed meets the company quality standards

  Yes

  No

  N/A

• All other tasks are performed as required to meet the objectives out-lined in the client's care plan

  Yes

  No

  N/A

• All Objectives in the care plan met ?

  Yes

  No

  N/A

• Comments

Section 7 - Approach to client/work

• Employee displays a positive attitude and approach

  Yes

  No

  N/A

• Employee seeks to maintain the client's dignity and respect

  Yes

  No

  N/A

• Comments

Section 8 - Communication

• Employee uses appropriate language and tone

  Yes

  No

  N/A

• Content and topic of conversation is appropriate and professionalism is maintaned

  Yes

  No

  N/A

Section 9 - Company & Client Confidentiality

• Has the carer followed the CCNW policy on Company and Client Confidential

  Yes

  No

  N/A

Section 10 - Administration of medication

• Is medication administered during the visit

  Yes

  No

• If yes then has the MARS chart been completed correctly

  Yes

  No

Section 11 - Waste disposal

• Waste disposed of appropriately (gloves, aprons, pads, etc)

  Yes

  No

  N/A

Section 12 - Record keeping

• Full factual care notes was written for the visit

  Yes

  No

  N/A

Outcome:

• Has the spot check been satisfactory

  Yes

  No

  N/A

• Employee feedback provided:

• Improvements/Training needs identified (bullet point areas where additional training is required/when it will take place/method of delivery

• Improvements/training identified

• Employee signature

  Sign

• Spot checkers signature

  Sign