Domiciliary Care Feedback Form

Domiciliary Care Feedback Form

Your feedback helps us improve our care service

1 CQC Key Questions

Please answer each question. Comments are optional unless stated otherwise.

Safe

CQC definition: “people are protected from abuse and avoidable harm”

Effective

CQC definition: “people’s care, treatment and support achieve good outcomes, promotes a good quality of life and is evidence-based where possible”

Caring

CQC definition: “staff involve people and treat people with compassion, kindness, dignity and respect”

Responsive

CQC definition: “services are organised so that they meet people’s needs.”

Well-led

CQC definition: “the leadership, management and governance of the organisation assures the delivery of high-quality person-centred care, supports learning and innovation, and promotes an open and fair culture”

2 Overall Feedback

Overall Performance

Promises

Recommendation

Any other comments?

3 Completed By

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