SPOT-CHECK OBSERVATION Step 1 of 2 50% Staff Name(Required) Full Name Service User Name(Required) Full Name Address(Required) Street Address Address Line 2 City Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Citizen / Family has been informed? Yes No Reason for Spot Check / Observation Complain Safeguarding Incident/Accident Routine Name of Assessor:(Required)PRIYANKA JOSHIDHRUV GOTIDEEP GHELANIHIMANSHU DUDHATYASH PATELSACHIN PATELKINJAL PATELJAINEEL PATELOTHERName of Assessor(Required) Full Name Please write the name of the assessor if you selected another,Date of Spot Check / Observation(Required) DD slash MM slash YYYY Time of Spot Check / Observation(Required) : Hours Minutes It's a Spot Check Spot Check / Observation Spot CheckSection 1: On ArrivalDoes the care worker arrive at the citizen’s home on time? Yes No Please specify, if Care Staff is not coming on Time.Does the Care Worker have the Keys/Keysafe number and alert the citizen upon arrival? Yes No Please specify, if CareStaff is not knowing the number or don't have the key. Family Open the Door Service User Open the Door Other Please specify, if Care Staff is not knowing the number or don't have the key.How the care worker is travelling to citizen house? Public Transport By Car (Alone) By Car with another care staff Does the care worker wear the appropriate PPE while travelling for the visit? Yes No Please specify the reason if they are notIs the Care Worker dressed smartly in a clean, company uniform? Yes No Please specify the reason if they are notWhere electronic monitoring is used, has the care worker logged-in correctly? Yes No Please specify the reason if they are notSection 2: RecordingDoes the care worker accurately record on the care records the activities that have been undertaken? Yes No Please specify the reason if they are notDoes the care worker log out correctly if electronic monitoring is used? Yes No Please specify the reason if they are notObservation1. On Arrival in the HomeDoes the care worker introduce him/herself, greet to the citizen and call them by the name they have asked to be called in the care plan? Yes No If not, please write the details,2. Care PlanDoes the care worker check the citizen’s care plan upon arrival? Yes No If not, please write the details,Does the care worker check the citizen’s visit notes upon arrival? Yes No If not, please write the details,Does the care worker seek the citizen’s consent before delivering any aspect of care? Yes No If not, please write the details,3. Safe Working PracticesDoes the care worker wash their hands before and after providing care and support? Yes No If not, please write the details,Does the care worker use PPE correctly? Yes No If not, please write the details,Is the care worker handled the PPE correctly and hygienically? Yes No If not, please write the details,Is the working area kept clean and tidy and is any PPE disposed of correctly? Yes No If not, please write the details,4. MedicationWho is supporting service user with any medication? Care Staff Family Support Self-Administer Which Medication Service User needs support from the care staff? Oral Medication Eye Drops Ear Drops Inhaler Applying a Cream Other Rest of the Medication is supported by the Family or other professionals. Is the eMAR completed correctly? Yes No If not, please write the details,Does the care worker follow the 7 Rights of Medication correctly? Yes No • Right medication • Right dose • Right form • Right time • Right route • Right service user • Right outcomeIf not, please write the details,Does the care staff followed the general guidelines to follow while providing support with medication? Yes No 1.Wash hands before and after administering medication 2.Know the medication to be administered 3.Confirm the service user 4.Check the label 5.Check the expiry date 6.Check for allergies 7.Check label against MAR sheet 8.Measure the dose carefully into correct clean and dry medicine pot 9.Get consent 10.Ensure medication is given via the right route 11.Ensure the service user has taken the medication 12.Record administration of medication, refusal etc 13.Return medication to correct place of storage 14.Clear equipment away 15.Observe service user for signs of any adverse reactions. If not, please write the details,Does the care staff monitored the skin integrity of the service user? Yes No Service User Refused to check Skin Integrity Please specify, if No,Does the care staff encouraged the service user to check their Skin Integrity? Yes and Managed to check the skin integrity No Please specify, if NoDid the care staff completed the body map chart? Yes No N/A Please specify, if NoDid the care staff maintained the privacy and dignity while applied the cream? Yes No Please specify, If No,Did the care staff checked the last opening date where the care staff is supporting with Ear Drops and Eye Drops? Yes No N/A Please specify, if No,5. FoodFood and Fluid Responsibility Carer Family Support Independent Other Please write, if any other supporting with food and fluid Did carer wash there hands before starting the food preparation? Yes No If not, please write the details,Did carer give choice to the citizen for food and fluid? Yes No If not, please write the details,Did carer check for the best before date? Yes No If not, please write the details,Did carer carry out general cleaning in the kitchen? Yes No If not, please write the details,6. Personal CareDid carer offer personal care? Yes No Lunch Visit – Not Needed at this moment Tea Visit – Not Needed at this moment Bed Visit – Not Needed at this moment N/A If not, please write the details,Did carer encourage the citizen, if a citizen refuses for personal care? Yes No N/A If not, please write the details,Did carer offer choice of cloths to the citizen after support with shower/body wash? Yes No N/A Not Needed – Lunch Visit Not Needed – Tea Visit Not Needed – Bed Visit If not, please write the details,Did the care staff maintain the privacy and dignity for the service user? Yes No N/A 7. Manual HandlingDoes the care staff used any Moving and Handling Equipment? Yes No N/A (Do not required any equipment for Transfer) No, refused to transfer it Does the service user used any walking aid equipment? Yes No N/A (Do not required any equipment for Transfer) No, refused to transfer it Please specify, if NoWhat Equipment the Care Staff used for Moving and Handling? Rotunda (Patient Turner) Wheelchair Commode Mobile Hoist Slide Sheet Cricket Aid Sara Steady Mini Lift Mo Lift Raiser Shower Chair Other What Equipment the Care Staff used to supervise the Service User? Zimmer Frame Walking Stick Crutches Over the Stairs Stair Lift In House Lift Other Please specify if Other, Did the care staff carried out the Risk Assessment before supporting the Service User? Yes No Mobile Hoist The care staff has checked all necessary 13 checks for the mobile hoist The care staff has checked the LOLER Check The care staff has make sure that before transferring the service user, must have the enough lights, make sure the pathway is clear and clear (clutter free) and the equipment is ready and safe to transfer Other Equipment The care staff has make sure that before transferring the service user, must have the enough lights, make sure the pathway is clear and clear (clutter free) and the equipment is ready and safe to transfer Please specify, if NoDid the care staff put the equipment on appropriate place after using it. Any supervision equipment close to the service user before leave Mobile Hoist on Appropriate Place and Put the Battery in Charging Slide Sheet – Put it Properly Mobile Hoist (Sling) – Sitting Sling – Kept under the service user Mobile Hoist (Sling) -Normal Sling – Removed it after use it and keep it properly Commode – Make sure it’s hygienically cleaned and put it next to the service user for next use Sara Steady / MiniLIft / Mo Lift Raiser / Rotunda (Patient Turner) – Put it properly after use Took the consent and Adjust the Height of Hospital Bed (recommended height – Keep it Lower as much as Possible) Bed Rails – Raised the bed rails after taking the consent of Service User Other Please specify, if Other8. Attitude and BehaviorDid the care staff followed the correct safe system of work to complete the tasks? Yes No Please specify, if No,Does the care worker communicate well with the citizen and evidence compassionate care? Yes No If not, please write the details,Does the care worker respect the privacy of the citizen? Yes No If not, please write the details,Does the care worker respect the dignity of the citizen? Yes No If not, please write the details,Does the care worker allow the citizen to make their own choice? Yes No If not, please write the details,Does the care worker work in an enabling way? Yes No If not, please write the details,General SectionYour Overall General CommentsFurther Action Required Yes No ActionsAction RequiredTime ScaleAction Taken Write, if any additional action required
