alisbury – El Estandar

1 Step 1

Key Worker Monthly Report

Full NameThe person receiving care

Month/Yearof Report

ServiceThe person receiving care

Key WorkerFull Name of key worker

When completing the key worker monthly report make sure you use the following documents/report and tick them after use:

Daily logs
Accident/incident reports
BOC forms
RPI Forms
Body charts
Professional/appointment contact log
Family members contact log

HEALTH AND PHYSICAL NEEDS

(Details on significant events/changes related to service user’s health and physical needs, including diet, mobility, medication, emotional wellbeing, appointments, etc.)

Health

0 /

Diet

0 /

Weight

0 /

Medication

0 /

Emotional Wellbeing

0 /

Mobility

0 /

SOCIAL AND CULTURAL NEEDS/COMMUNITIESDetails about participation in the community, interaction with others, group activities, cultural visits etc

0 /

COMMUNICATION SKILLSDetails on significant changes around communication, new strategies/interventions introduced, developmental of skills and learning of new skills.

0 /

FLEXIBILITY OF THOUGHTDetails on changes on routines and rituals, new routines/rituals and support provided

0 /

MY INDEPENT SKILLSDetails on significant changes/event around daily life skills, new skills being taught or have been learned.

0 /

BEHAVIOURDetails on changes of behaviour and intervention provided

0 /

OTHER USEFUL INFORMATIONDetails on significant changes sensory needs, finances, decision making, environment, health and safety, indoor activities etc

0 /