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Client QA
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Client First Name
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Client Last Name
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Date of Birth
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Service User Type
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Adult
Child
Private
Other
Service User Type (Other)
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Service User Location
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Manchester
Stockport
Rochdale
Trafford
Other
Service User Location (Other)
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Safe
Are the Carers Well Presented?
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Are the Carers Wearing the correct PPE?
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Are the carers Moving & Handling correctly?
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Effective
Has the care been beneficial?
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Are the carers arriving on time?
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Are the carers staying the correct length of time?
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Is the service from HG Care meeting your needs?
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Caring
Do you feel comfortable with your carers?
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Do the carers treat you with respect and dignity?
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Are you involved in the decision making? (asking what you would like to eat/drink)
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Responsive
Are your calls answered when you ring the office? (Including ON-CALL)
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Do you know how to raise a complaint against a staff member?
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Well-led
Were you involved in the development of the care plan?
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Are you happy with the care plan that has been put in place?
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Medication
Are Medication being administered correctly and on time?
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Do you feel confident that your carers understand your medication needs?
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Are you medication records being recorded correctly?
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Do you know how to report concerns regarding medication?
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What do HG Care do well?
What can HG Care do better?
Next
Action Plan
Please state any actions required (both positive and negative actions).
Identify Main Issues
*
Carer Punctuality (Lateness)
Carer not staying the full time
Carer Rushing
Missed Calls
Carer Competency
Carer Not Completing All Tasks in Support Plan
Office Staff (Rude Staff, not ringing back etc..)
Lack of Consistency with carers
No issues identified
Other
Identify Main Issues (other)
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Classify Positive Feedback
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Communication between carer and service user
Good Consistency with carers
Carer Punctuality
Carer going above and beyond
Office Staff (nice, friendly, helpful etc..)
No positive feedback
Other
Classify Positive Feedback (Other)
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Information Recorded By
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Date
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