Spot Check / Field Competency Audit (HR-F015) SPOT CHECKS / FIELD COMPETENCY (HR-F015) Newsletter Document Ref: HR-F015 (Spot Check / Field Competency)Purpose: Real-time Observation of Care DeliveryCQC Alignment: Safe (Quality Statement: Safe and effective staffing) SECTION 1: VISIT DETAILSStaff Member NameStaff_IDService User Name (or Reference ID)Date of Spot CheckTime of ArrivalSpot Check Type- Select -Announced (Planned)Unannounced (Surprise Inspection)Responsive (Following a Complaint/Incident)SECTION 2: PROFESSIONAL STANDARDSUniform & Appearance- Select -Immaculate Presentation: Full Mutima Care uniform, ID visible, appropriate footwear, bare below elbows.Minor Deviation: Uniform worn but looks untidy or ID badge missing (Correction given).Infection Control Risk: Wearing jewelry, nail varnish, or long sleeves during care (Correction given).Major Breach: Not in uniform / Inappropriate clothing (jeans/trainers).Punctuality & TimekeepingPerfect: Arrived on time (or early) and stayed for the full allocated duration.Minor Lateness: LateEarly Departure: Left before the allocated time without valid reason (Fraud Risk).No Show / Excessive Lateness: Late >15 mins without communication.Infection Control (Entry Protocol)Gold Standard: Washed hands immediately, used sanitizer, donned PPE before any contact.Compliant: Basic hand hygiene and PPE observed.Prompted Compliance: Forgot to wash hands/sanitize until reminded by Supervisor.Critical Safety Breach: Did not wash hands or put on PPE upon entry (Intervention Required).UPDATED SECTION 3: CORE CARE DELIVERYCommunication & ConsentEmpowering: Active listening, offered choices, gained explicit consent, warm interaction.Functional: Polite and professional, but task-focused rather than person-centered.Poor Communication: Spoke over the client, rushed, or used mobile phone during visit.Consent Breach: Attempted care without explanation or ignored client's refusal.Privacy & DignityExemplary: Ensures total privacy (curtains/doors), covers client with towel during washing, promotes independence.Standard: Doors/curtains closed, but could do more to promote independence.Dignity Concern: Exposed client unnecessarily or left doors ajar during personal care.N/A: No personal care delivered during this visit.Care Plan ComplianceFully Compliant: Followed the care plan tasks exactly as written.Safe Adaptation: Deviated from plan due to client request/need (safely justified and recorded).Task Omission: Missed required tasks (e.g., forgot to empty commode) without reason.Unsafe Deviation: Performed tasks not in the care plan (e.g., unauthorized lifting).Infection Control (During Tasks)Gold Standard: Changed gloves between 'dirty' and 'clean' tasks, disposed of waste immediately in correct bin.Compliant: Wore PPE throughout but did not change gloves between tasks.Cross-Contamination Risk: Touched clean items (pen/phone) with dirty gloves.Critical Breach: Removed PPE too early or disposed of waste incorrectly.SECTION 4: SPECIALIST TASKSWas Medication administration observed?- Select -YesNoN/ADid the carer check the MAR Chart BEFORE administration?- Select -PassFailDid they check the "6 Rights" (Right Person, Drug, Dose, Time, Route, Expiry)?- Select -PassFailDid they wait to ensure the service user actually swallowed the medication?- Select -PassFailDid they sign the MAR Chart immediately AFTER (not before)?- Select -PassFailWas Moving & Handling (Hoisting/Transfers) observed?- Select -YesNoN/ADid they check the equipment (hoist/sling) for safety dates before use?- Select -PassFailDid they follow the specific Handling Plan (e.g., Sling size/loop color)?- Select -PassFailDid they reassure the service user throughout the maneuver?- Select -PassFailSECTION 5: RECORD KEEPING & EXITDaily Log Notes: (Notes are clear, legible, factual, and dated)- Select -PassFailN/ASecurity: (Left the home secure, keys returned to key safe, key safe scrambled)- Select -PassFailN/AUPDATED SECTION 6: OUTCOME & FEEDBACKSupervisor Feedback Category- Select -Commendation: Performance exceeded expectationsCoaching: Minor improvements needed (discussed on site)Retraining Required: Specific skills gap identified (Office training booked)Disciplinary: Serious breach of safety or conduct.Feedback given to Care WorkerService User Feedback / Experience- Select -Positive: Client expressed happiness/satisfaction with the carer.Neutral: Client had no specific comments.Negative/Complaint: Client raised a concern during the spot check.Unable to Comment: Client has cognitive impairment / non-verbal.Service User Comments DetailOverall Outcome- Select -Pass - CompetentConditional Pass (Minor improvements required)Fail - Unsafe (Requires immediate retraining/suspension)Field Supervisor NameField Supervisor SignatureDateNext Review Date:Submit Spot Check Audit
