Carer Spot CheckLydian CareCarer Spot CheckCare Worker Spot Check FormTo be completed by a senior carer while spot checking a care worker during a client call.Date Spot Check Completed:(Required) DD dash MM dash YYYY Care Worker Name:(Required)Home Care Manager:Carol SavageRachel DeeryPlease select your homecare manager from the drop down list they will receive a copy of this spot check.Area Worked:Saintfield/Ballygowan/ComberDownpatrick/Crossgar/KillyleaghSenior/Manager Completing Spot Check:(Required)Dawn ShankeltonNatasha PetersHeather GodfreyKirsty EachusScott DobinsonCarol SavageFiona KaneNot ListedSelect your name from the drop down list - if not listed choose not listed.Senior/Manager Completing Spot Check:(Required)Emma BrownElaine FlanaghanJulie Anne HunterAnne Marie DowneyLijana RamanauskeFiona KaneCarol SavageNot ListedSelect your name from the drop down list - if not listed choose not listed.Area Worked:Newcastle/CastlewellanBelfast/DundonaldDrumaness/BallynahinchSeaforde/LoughinislandSenior/Manager Completing Spot Check:(Required)Stacey BranniganMichelle DelaneyJulie DuffyClarissa MurphyEmilija VenslauskeRachel DeeryFiona KaneNot ListedSelect your name from the drop down list - if not listed choose not listed.Senior/Manager Completing Spot Check:(Required)Nadine CheeversDanielle CampbellLisa LyttleRachel DeeryFiona KaneNot ListedSelect your name from the drop down list - if not listed choose not listed.Senior/Manager Completing Spot Check:(Required)Hollie TateArlene ShawRachel DeeryFiona KaneNot ListedSelect your name from the drop down list - if not listed choose not listed.Senior/Manager Completing Spot Check:(Required)Julie DuffyNuala KearneyTeresa RussellRachel DeeryFiona KaneNot ListedSelect your name from the drop down list - if not listed choose not listed.This field is hidden when viewing the formSpot Check for Area: Belfast Ballygowan Ballynahinch Castlewellan Comber Crossgar/Killyleagh Drumaness Downpatrick Newcastle Saintfield Seaforde/LoughinislandSenior Not Listed Name:Senior/Manager Email: Enter your email address to receive a copy of the completed form.Completed with Client:(Required)Time Completed:(Required) Hours: MinutesUse 24 hour format ie 2pm is 14:00.1. Is the care worker in full uniform? (Please check all applicable boxes below in the checklist below)(Required) Lydian Tunic Navy/Black Trousers Name Badge Black Shoes/ Appropriate FootwearSelect All1.2 If carer was not in full uniform please detail here or observations made on their appearance - eg. professional?(Required)2. Did the care worker arrive on time and complete all duties as required in the timetable fully and competently?(Required) Yes NoIf no please detail and any comments on what you observed:(Required)3. Did the care worker read and understand the requirements of the care plan and the client's needs?(Required) Yes NoIf no please detail:4. Can they describe to you what duties they need to carry out in the call?(Required) Yes No5. Does the care worker demonstrate understanding of infection and control and follow good practice?(Required) Yes No5.1 Carer Tasks- Please select tasks applicable to this client's call and if you observed the carer performing.Handwashing(Required) Hand washing on arrival Hand washing after removing gloves Hand washing Pre preparing food Hand washing before leavingSelect AllComments on Handwashing:(Required)PPE(Required) Donning of PPE observed Carer wearing gloves Carer wearing apron Carer wearing mask Face Shield/ Visor Doffing of PPE observedSelect AllComments on PPE:(Required)Tasks(Required) Personal Care Moving & Handling Tolieting Bed making Food Preparation Cooking OtherIf other - please specifyComments on Tasks:(Required)Waste Disposal(Required) Disposal of clinical waste (Pads) PPE Disposed of as per policy. Not left in kitchen bins etc. Food and household wasteCleaning(Required) Cleaning work areas Using antibacterial/cleaning products when needed.Comments on Waste Disposal & Cleaning:(Required)5.2 Did the carer complete medication tasks at this call? Yes No5.3 Medication - record all processes followed by the carer by selecting when observed from below: 1. Washed their hands before administration 2. Checked care plan for instruction to administer medications 3. Prepared the client for medication administration 4. Had verbal consent from the client before administering medication 5. Checked the blister pack for name and address/ dates of expiry 6. Prepared client for medications and a drink for the client 7. Brought medication/s to the client 8. In the clients presence checked the date and time of administration 9. Dispensed medications to the client 10. Observed the client taking medications 11. Returned the blister pack to the safe storage 12. Made the correct record on the medication record 13. Washed their hands 14. Made a record in care visit record 15. Medications supervised, prompted as requireddetail any steps missed in recommendations below.Recommendations if any by Senior/Manager or additional comments:(Required)Detail any missed steps or guidance you had to provide6. Recording: Does the Care worker complete care visit notes correctly on their app?(Required) Date of Call Call time arrival and exit Notes made are accurate re: care delivered. Tasks selected Notes reflect the clients care plan Reporting concerns/if applicable select checkboxes as completed based on your observationsAdditional comments - if you have any concerns following this spot check or wish to comment on good practice witnessed(Required)Signed by Senior/Manager:(Required)Sign your handheld device as you would a sheet of paper.Signed by Care Worker:(Required)Sign your handheld device as you would a sheet of paper.Care worker Name(Required) First Last
