Daily Record Form – DC Night Shift








  • MM slash DD slash YYYY

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  • Liase with parents to document any pain management techniques delivered- i.e., steps taken to reduce pain and how staff/ parents supported with this, describe how client was consulted, options offered before resulting in administering PRN etc. What was the outcome?
  • 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.
  • Liaise with parents to detail what client has eaten and his engagement in preparation/cooking/ making drinks, and any risks identified.
  • Liaise with parents to detail what client has eaten and his engagement in preparation/cooking/ making drinks, and any risks identified.
  • Also briefly note what Client feels contributed to his happiness or low mood/outburst and staff observations. Temper/ behavioural outbursts complete a separate ABC, note here if separate ABC completed
  • Please document patterns of sleep
  • Include Matters or Concerns Regarding clients Health and Well-Being i.e., GP/ hospital appointments, or Requests Made for Assistance Over and Above That Agreed in The Care Plan.
  • Brief description – Fill in form and email to CM/ACM
  • Staff to include observations on what they felt went really well/felt positive about?
  • 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