| Home 1 | Home 2 | Home 3 |
|---|
| Name of home | |||
| Address | |||
| Telephone no. | |||
| Date of visit | |||
| Who you met... | |||
| ...and their position | |||
| Residential Care Home only | |||
| Residential and Nursing Care Home (Dual registered) | |||
| No. of rooms | |||
| Monthly fees including nursing care if required | £ | £ | £ |
| Approximate cost of personal care extras eg. Laundry, hairdressing etc | £ | £ | £ |
| Building and Location | |||
| Is the home purpose built? | |||
| Is there a garden easily accessible to residents? | |||
| Is it close to familiar surroundings? | |||
| Is there parking for visitors? | |||
| Is it near public transport? | |||
| Are there shops within walking distance? | |||
| Facilities | |||
| Are the room size, furnishing and décor of a high standard? | |||
| Does the room provide an en-suite WC, bath/shower and washbasin with easy access? | |||
| Is the call system easy to operate and has the home shown you records of call waiting times? | |||
| Can you have your own furniture and furnishings in your room? | |||
| Does the room have TV and telephone points? | |||
| Do the rooms have lockable doors? | |||
| Are there lifts to all floors? | |||
| Are there lounges or other areas where residents can relax? | |||
| Social Activities | |||
| Is there an in-home dedicated activities team? | |||
| Is there a published organised programme of activities, entertainment and outings? | |||
| Is it easy for residents to socialise and to get out and about? | |||
| Are there facilities to entertain friends and visitors? | |||
| Is it easy for family and friends to visit at any time? | |||
| Is there a Residents Committee? | |||
| Catering | |||
| Is there a separate dining room? | |||
| Is there a good choice of menu with hot meals at lunch and dinner? | |||
| Are individual requirements catered for? | |||
| Can you eat in your room if you want to? | |||
| Can visitors have meals if wanted? | |||
| In general | |||
| Does the home have a pleasant, welcoming, well-run atmosphere, free from odours? | |||
| Are the staff experienced and friendly? | |||
| Do the residents appear happy and well cared for? | |||
| Have you seen a copy of the latest CSCI Report? | |||
| In summary | |||
| If looking for yourself, would you consider staying at the home? | |||
| If looking for a relative or friend, would you consider it a suitable home for them? | |||