QA Form (We Care)

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Client First Name *
Client Last Name *
Date of Birth *
Service User Type *
Service User Type (Other) *
Service User Location *
Service User Location (Other) *
Are the Carers Wearing the correct PPE? *
Are the Carers Well Presented? *
Are the staff arriving within 30 mins of your agreed time? *
Expand on this
Are the Carers/Office letting you know about changes to your call times? *
Do you feel rushed? *
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Do you feel the LogBooks are accurate I.E Time & Notes? *
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Do you know who your Social worker is? *
If known, does your Social worker or any one from there team get in contact with you. Help with any tasks etc? *
Has there been any changes e.g. meals eaten , salt assessments , meal preparation? *
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Do you know how to contact Social Services?
Do you know your care teams Names? *
Do you feel comfortable with your carers? *
1 lowest, 5 highest
Do the carers treat you with respect and dignity? *
1 lowest, 5 highest
Are there any changes in Personal care? *
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Do you know how to raise a complaint against a staff member? *
Are your calls answered when you ring the office, And are they responsive to your needs? *
what do we care do well? *
how can we care do better? *
conclusion / tasks
Name of person completing the form
Date *

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Children Services, Safeguarding
Child protection is about protecting children from violence, exploitation, abuse and neglect and keeping them safe from harm. It is about promoting the...