Step 1 of 3 33% CommentsThis field is for validation purposes and should be left unchanged.Please note that this is a long form that may take some time to complete. You can save your progress at any time by using the orange 'SAVE YOUR PROGRESS AND CONTINUE LATER' button towards the bottom. This will allow you to save your progress and return to complete the form at a later time/date.Your location* Neath, Port Talbot and Swansea POPS So we can direct your form to the correct team, please select where you're working.Support worker:*Service User name:*Supervisor completing spot checkActivity Observed:Suitable Clothing?* Yes No Suitable Clothing - CommentsSuitable Footwear?* Yes No Suitable Footwear - CommentsJewellery? Yes No Jewellery - CommentsI.D. Badge?* Yes No I.D. Badge - CommentsPPE?* Yes No PPE - CommentsTime Sheet Check? Yes No Time Sheet Check - CommentsAppropriate Language?* Yes No Appropriate Language - CommentsSupport Staff Interaction: Did the staff member promote the following?Choice?* Yes No Choice - CommentsIndependence? Yes No Independence - CommentsInclusion?* Yes No Inclusion - CommentsCommunity Activity? Yes No Community Activity - CommentsNew Risks Identified? Yes No New Risks Identified - CommentsNew Behaviour Concerns? Yes No New Behaviour Concerns - CommentsHealth & Safety Awareness? Yes No Health & Safety Awareness - CommentsChallenging behaviour observed? Yes No Challenging behaviour observed - CommentsFeedback from Staff?* Yes No Feedback from Staff - Comments Support Workers Name:*Support Worker Signature (Please ask the support worker to read through spot check form before signing)*Supervisor/Senior Name:*Supervisor/Senior Signature*Date Completed:* DD slash MM slash YYYY Supervision Required? Yes No Action Required/Training (If Needed):Passed to Registered Manager? Yes No Passed to Registered Manager - Further Action Required:I certify that the information given is correct and accurate:* I certify Privacy* By using this form you agree with the storage and handling of your data by this website. More information >>
