City Harvest Partner Visit

• Site conducted

  Select

• Project Name:

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contact During Visit:

Contacts

• Food Delivery Contact Name:

• Food Delivery Contact Mobile Phone:

• Food Delivery Contact Email:

• Programme Manager Name:

Nature of Project

• What is the Main Nature of Project

  Select Hostel Soup Kitchen Supported Housing Youth Club Breakfast Club Adults Children's Meal Programme Community Cafe Community Meal Drop-in Centre Faith Based Programme Foodbank Homeless Shelter Hostel Soup Kitchen Supported Housing Youth Club

  • Hostel
  • Soup Kitchen
  • Supported Housing
  • Youth Club
  • Breakfast Club Adults
  • Children's Meal Programme
  • Community Cafe
  • Community Meal
  • Drop-in Centre
  • Faith Based Programme
  • Foodbank
  • Homeless Shelter
  • Hostel
  • Soup Kitchen
  • Supported Housing
  • Youth Club

• Primary Client Group

  Select Children Disabled Domestic Violence Drug/Alchohol Elderly Ex-Offenders Families Homeless Low Income Mental Illness Other Refugees Socially Isolated Teens Veterans Young People Young Carers

  • Children
  • Disabled
  • Domestic Violence
  • Drug/Alchohol
  • Elderly
  • Ex-Offenders
  • Families
  • Homeless
  • Low Income
  • Mental Illness
  • Other
  • Refugees
  • Socially Isolated
  • Teens
  • Veterans
  • Young People
  • Young Carers

• Description

• Days in Operation

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Do you provide the following along with meals?

  Select cooking lessons Counselling, Support and Advice Diet and Nutrition Advice Educational Classes Haircuts/Clothing Donations Leisure Activities/Crafting Medical/Dental Playgroup Relief from Social Isolation Sports Activities Shower and Laundry Clothing and Furniture Donations Mentoring Inter Generational Activities

  • cooking lessons
  • Counselling, Support and Advice
  • Diet and Nutrition Advice
  • Educational Classes
  • Haircuts/Clothing Donations
  • Leisure Activities/Crafting
  • Medical/Dental
  • Playgroup
  • Relief from Social Isolation
  • Sports Activities
  • Shower and Laundry
  • Clothing and Furniture Donations
  • Mentoring
  • Inter Generational Activities

• Weeks per Year Project is Open

• Charity Registration Number

• Seasonal

  School term only

  School Holiday Only

  Once a month

  Twice a month

  Ad hoc events

• Do you charge a fee/membership

  Yes

  No

  N/A

• Other Food Sources

  Select None Supermarkets Fareshare Felix Project Local Stores Community Donations Other

  • None
  • Supermarkets
  • Fareshare
  • Felix Project
  • Local Stores
  • Community Donations
  • Other

• Days Meals Served

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Total number of Meals Served each Week

• Days Parcels are Distributed:

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Total Number of food Parcels Each Week

• Total Number of People Fed Each Week

• Preferred Delivery Slot

  Select 9am-1pm 1pm-5pm

  • 9am-1pm
  • 1pm-5pm

• Hours Open From:

• Hours Open To:

• Can Accept Evening Deliveries

  Yes

  No

  N/A

• Feed Children?

  Yes

  No

  N/A

• Cook on Site

  Yes

  No

  N/A

• What Foods do you Need More Of?

  Select Fruit & Veg Meat & Poultry Fish Dairy Deli Ready Meals Frozen Food Snacks and Bakery Drinks Personal Care Ambient Grocery Items

  • Fruit & Veg
  • Meat & Poultry
  • Fish
  • Dairy
  • Deli
  • Ready Meals
  • Frozen Food
  • Snacks and Bakery
  • Drinks
  • Personal Care
  • Ambient Grocery Items

• Can Only Use

  Select Fruit and veg only Ambient Only Some Halal Food Only Halal Food Some Vegetarian Food Only Vegetarian Food Some Vegan Food Only Vegan Food

  • Fruit and veg only
  • Ambient Only
  • Some Halal Food
  • Only Halal Food
  • Some Vegetarian Food
  • Only Vegetarian Food
  • Some Vegan Food
  • Only Vegan Food

• Can Also Use:

  Select Nappies Baby Formula Baby/Toddler Food Pet Products Cleaning Products

  • Nappies
  • Baby Formula
  • Baby/Toddler Food
  • Pet Products
  • Cleaning Products

Kitchen Environment

• Two sinks - Stainless steel

  Yes

  No

  N/A

• Hand washing basin

  Yes

  No

  N/A

• Liquid soap/hot water/paper towels/air dryer

  Yes

  No

  N/A

• Dangerous substances storage? (bleach)?

  Yes

  No

  N/A

• If yes, where, containers and any risk

• Appropriate work surfaces

  Yes

  No

  N/A

• Separate chopping boards / utensils for meat & veg

  Yes

  No

  N/A

• Hot and cold serving areas

  Yes

  No

  N/A

• Outdoor clothing - Worn in Kitchen Area?

  Yes

  No

  N/A

• Protective clothing Worn In Kitchen (by kitchen staff)

  Yes

  No

  N/A

• Ventilation (fans, windows, open space)

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Rubbish bin with lid

  Yes

  No

  N/A

• General cleanliness / tidiness:

  Good

  fair

  poor

• Clean and tidy floor

  Yes

  No

  N/A

• Warning notices / instructions

  Yes

  No

  N/A

• Staff trained in Health and Safety

  Yes

  No

  N/A

• Proof of Food Hygiene Level 2 or equiv

  Yes

  No

  N/A

• Local Authority Food Hygiene Rating

  Select 1 2 3 4 5 Not registered with the local Authority as a food business

  • 1
  • 2
  • 3
  • 4
  • 5
  • Not registered with the local Authority as a food business
Fridges:

• Locked / secure

  Yes

  No

  N/A

• Temperature check Documented & Freq?

  Yes

  No

  N/A

• Staff trained to monitor temperature?

  Yes

  No

  N/A

• Defrosted with proper frequency

  Yes

  No

  N/A

• Appearance:

  Good

  fair

  poor

• Stock rotation

  Yes

  No

  N/A

• Are dates ok - Any Dates past Use By Date?

  Yes

  No

  N/A

• Are dates ok? (within last three months):

• Is the fridge filled correctly?

  Yes

  No

  N/A

• Types of food stored?

  Select Raw Fruit & Veg Prep Fruit & Veg D & C RM Meat & Fish Soup Other

  • Raw Fruit & Veg
  • Prep Fruit & Veg
  • D & C
  • RM
  • Meat & Fish
  • Soup
  • Other

• Any other comments?

Freezers

• Locked/Secure

  Yes

  No

  N/A

• Temperature Checks Documented

  Yes

  No

  N/A

• Staff Trained to Monitor Temperature

  Yes

  No

  N/A

• Defrosted with Proper Frequency?

  Yes

  No

  N/A

• Appearance

  Good

  fair

  poor

• Stock Rotation

  Yes

  No

  N/A

• Are Dates Ok (within Last 3 months)

  Yes

  No

  N/A

• Is the freezer Filled Correctly?

  Yes

  No

  N/A

• Types of Food Stored?

  Select Raw Fruit & Veg Prep Fruit & Veg Bread D&C RM Meat & Fish Soup Other

  • Raw Fruit & Veg
  • Prep Fruit & Veg
  • Bread
  • D&C
  • RM
  • Meat & Fish
  • Soup
  • Other

• Any other comments

Dry storage

• Locked / secure

  Yes

  No

  N/A

• Stock rotation

  Yes

  No

  N/A

• Cleanliness/tidiness:

  Good

  fair

  poor

• Dates ok? Within date stated on package

  Yes

  No

  N/A

• Types of food stored?

  Select Tins Packets Bottles Jars Other

  • Tins
  • Packets
  • Bottles
  • Jars
  • Other

• Any other comments?

Food preparation and cooking

• Food hygiene standards applied?

  Yes

  No

  N/A

• Appearance of food on serving

  Good

  fair

  poor

• All food served within Use-By Dates?

  Yes

  No

  N/A

Serving

• All food served on premises?

  Yes

  No

  N/A

• Food given to clients to take away?

  Yes

  No

  N/A

• What Kind of Food?

  Select Ambient Perishable

  • Ambient
  • Perishable

Waste

• All waste disposed of correctly

  Yes

  No

  N/A

Delivery

• Used By Dates checked?

  Yes

  No

  N/A

• Storage correct/appropriate

  Yes

  No

  N/A

• Use of paperwork (& frozen notes)

  Yes

  No

  N/A

• Any other comments?

For and on behalf of City Harvest Food Recipient by Cook/Chef/Kitchen/Manager

• I agree with the comments and assessment made today by the FareShare representative and understand a copy of this document will be sent to me in due course along with an action plan of advice to aid my membership application

• Signature: (optional)

  Sign

• Date:

  Date

• Name: (print)

• Position:

For and on Behalf of City Harvest:

• Name:

• Position:

• Signature

  Sign

• Has there been an increase in demand for your service?

  Yes

  No

  N/A

• How much additional demand have you seen?

• What impact does City Harvest donations have on your service users and your project?

• What are the key things you need?

• What is your average cost per meal?

• Are we bringing you the right kinds of food?

  Yes

  No

  N/A

• What types of food do you need that we don't currently bring?

  Select Fruit and Veg Meat and Poulty Fish Dairy Deli Ready Meals Frozen Food Snacks and Bakery Drinks Personal Care Ambient Grocery Items

  • Fruit and Veg
  • Meat and Poulty
  • Fish
  • Dairy
  • Deli
  • Ready Meals
  • Frozen Food
  • Snacks and Bakery
  • Drinks
  • Personal Care
  • Ambient Grocery Items

• What are the top 5 issues your service users are facing?

• What does the future look like for you and your service users?

• Will your focus change at all as part of the recovery from Covid?

• What inspires you in your work?

• What could City Harvest do Better?

• Are you Happy with our Drivers?

  Excellent

  Good

  Fair

  Poor

  N/A

• Additional Information