Daily Record Form – DC – CM302 – Day Shift








  • MM slash DD slash YYYY

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  • Showering/bathing/dressing etc. Was support delivered by staff or parents? If so, what care was given? Was this completed as per the Care Plan? Yes or no, (delete as appropriate) if no, please detail why.
  • Briefly note what client has done today, activities etc (Include changes in needs and/or usual behaviour or routine and action taken. Also include if any unusual or changed circumstances that affected client – highlight any deviations)
  • Liaise with parents to detail what client has eaten and his engagement in preparation/cooking/ making drinks, and any risks identified.
  • Did Douglas have an observable seizure during your shift? If so, please give details including any intervention made- document seizure diary.
  • Staff to include observations on what they felt went really well/felt positive about? or ‘no further comments’.
  • Records maintained in the Clients home should include the following details as a CQC requirement.

    * The full name, date and arrival and shift times of every staff member
    * Goals, actions, or practice as specified in the care plan
    * Changes in the clients needs, usual behaviour or routine and action taken.
    * Unusual or changed circumstances that affect Client, highlight any deviations
    * Contact between the support worker and primary health/social care services regarding client
    * Contact with Clients Team Manager or Case Manager about matters or concerns regarding their health and wellbeing
    * Requests made for assistance over and above that agreed in the care plan
    * Incidents, ABC’s accidents or near misses and action taken.
    * Risks and action taken to minimise them