Form – Carer Spot Check

PAC – Carer Spot Check – Staff Observation

PAC – Carer Spot Check – Staff Observation

Client Name
Client Name
First
Last
Client Address
Client Address
City
State/Province
Zip/Postal
Country
Name of assessor
Name of assessor
First
Last
Name of carer attending during spot check
Name of carer attending during spot check
First
Last
Time of spot check
Carer arrival time
Carer departure time

Section One – On arrival in the home

Section Two – Care Plan

Section Three – Safe working practices

Section Four – Medication

Section Five – Attitude and Behaviour

Section Six – Recording

Section Seven – Service user feedback

Section Eight – Coronavirus

Section Nine – Actions