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Home
About Us
- Our Official Charity Partner
Meet the Team
Clients
Live Vacancies
- Register CV
Candidates
Refer a Friend Scheme
Care Packages for Brain and Spinal injury
Contact Us

Submit a Daily Record

Daily Record Form - Ranjit S

Step 1 of 5

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User's Email
Username:
Client Name*
Name (s) of all Support Workers on shift today*
Date of Shift*
Date Format: DD slash MM slash YYYY
Shift Start Time*

: HH

MM
Shift End Time*

: HH

MM
Have you followed hygiene house rules? ( Washed hands on a regular basis)
Brief Overview of today (what, when, how)*

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Personal Care
Did you assist children with showering or any other personal care today?*
- Yes
- No
If yes, please give details of what assistance was needed today.*
Were there any issues of concern during showering?*
- Yes
- No
If yes, please give details of the issues .*
Diet & Fluids
Please give details of meals/ drinks prepared on your shift today .

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Communication and Mood
Please describe Ranjit's mood throughout the day
Please describe Ranjit's communication with you today.
Please describe your interaction with children during your shift.

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Community Access and daily activities
Was children involved in any activities in the community today?*
- Yes
- No
If you answered yes , then please give more details*
What other activities has been done today?*
Can you list any domestic tasks you were able to do today below.
Have you done any shopping today?
- Yes
- No
If yes, please give more details.

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Do you have any safeguarding concerns?*
- Yes
- No
If yes- please explain
Signature Pad

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CONTACT INFO

Libertatem
Head Office Libertatem Healthcare Group Indigo House Fishponds Road Wokingham RG41 2GY
01189 730006
info@libertatemhealthcare.co.uk

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FURTHER LINKS

Acquired or Traumatic Brain Injury
Spinal Injury
Other Medical Conditions
Care Packages for Brain and Spinal injury

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