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Care Worker Shadowing Feedback Form

Employee Name:
Name of the senior staff you shadowed:
Date:

Employee Observation

For each of the following areas, give a score 1-5 to indicate how good you think you was able to observe and take in. Use the comments to section to discuss all items which rank 3 or lower.

	Rating	Comments
Can you use the electronic monitoring system (Birdie) and understand all the functions on it?
Do you know where to find the necessary equipment’s to provide personal Care for service users?
Do you know where the essential items are kept when preparing meals/Hot drinks for the service users?
Are you reaching on time to the Service Users at the allocated time given?
Do you know who and how to report regarding any Concerns/issues?
Do you know where to get the PPE from and who to contact when running out of PPE?
Do you know where the Care plan, history of Service Users is kept?
Do you know how to record on the MAR chart, and can you assist with Service Users Medication?
Can you communicate with your service Users and able to support their needs?
Do you and your colleague communicate and work as a team?
Do you know how to use the hoist and what to do if any issues with the hoist?
Do you know where to find the Key safe Code?

How was your overall experience on your First Day of Shadowing?
Did you feel supported from the office and from your Colleagues? If no, please explain why
Is there anything Nema Home Care Ltd can improve on?

The following field is for official purpose only!

Service User Feedback: How did you find your care workers’ performance?
Action Plan

The comment written is for office use only and will be discussed in your 4-week review

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November 25, 2024 9:58 pm BST

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