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Home
About Us
Our Official Charity Partner
Meet the Team
Clients
Testimonials
Acquired or Traumatic Brain Injury
Spinal Injury
Other Medical Conditions
Live Vacancies
Register CV
Candidates
Apply online
Supporting Our Official Charity Partner
Subject Access Requests
Refer a Friend Scheme
Care Packages for Brain and Spinal injury
Contact Us
Submit a Daily Record
Daily Record Form - Fernand T
Step 1 of 7
14%
User's Email
*
Username:
*
Name(s) of support workers on shift
*
Client Name
*
Date of shift
*
Date Format: MM slash DD slash YYYY
Shift Start Time
*
:
HH
MM
AM
PM
Shift End Time
*
:
HH
MM
AM
PM
Please give a detailed summary of the shift with FT
*
Planning and Scheduling
Did you prompt FT to take a break every 30 minutes during walks throughout the day?
*
If you answered no, why did you not prompt FT?
Have you asked FT if he's been out on his own without staff? If yes, please give details.
*
Did you support FT to write a shopping list before visiting the shop?
Yes
No
Did you support FT to plan his week?
Yes
No
Please provide details of the support provided?
*
Did you offer this or did Mr FT ask for help?
*
Did you support FT with his mail or any appointments?
*
Yes
No
Please provide more details of what support was given?
*
Nutrition
Have you helped Mr FT with any meal prep today?
*
Yes
No
If so, what was this?
*
Medication
Have you prompted Mr FT to take his medications to day?
*
Yes
No
Did you observe him take them?
*
Yes
No
Accessing the community
Have you been outside with Mr FT today?
*
If so, where did you go and how long for? Please give a brief summary
Did Mr FT ask to go there or did you suggest this?
*
Has FT had any visitors to the house? Were they male or female?
*
Mood and Behaviour
Has Mr FT displayed any frustration or assertive behaviours today?
*
Were there any identified triggers?
*
How did you resolve or pacify these behaviours?
*
Has FT complained of any pain today?
*
Has this affected FTs day?
*
Is there anything that LHG or the case manager needs to be aware of?
*
Do you have any safeguarding concerns?
*
Yes
No
If you answered yes to the question above, please give details
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