Friends, Relatives and Advocates survey
At Phoenix we value feedback as an essential tool to help us grow and improve as a company. If you would like a paper copy of this form please email Zoe.aldridge@phoenixsw.co.uk, Phone 01761 414558 or talk with one of our carers
Our staff will be more than happy to assist you to fill this form out if required.
Sign in to Google to save your progress. Learn more
Email *
There are enough staff to make sure the person important to me receives a reliable service that is not rushed and staff have the right mix of skills to make sure they are kept safe.
Strongly disagree
Strongly agree
Clear selection
Staff give medicine according to the care plan and it is stored correctly and safely
Strongly Disagree
Strongly Agree
Clear selection
The person important to me is kept safe and protected by staff, but also, they have as much freedom as possible to do the things they want to do
Strongly Disagree
Strongly Agree
Clear selection
Staff protect their dignity and human rights and respect them as an individual
Strongly Disagree
Strongly Agree
Clear selection
The person important to me is protected from harm and abuse
Strongly Disagree
Strongly Agree
Clear selection
Staff deal with incidents and accidents quickly and openly
Strongly Disagree
Strongly Agree
Clear selection
Staff have the right knowledge, qualifications and skills to carry out their role in providing the person who is important to me with the right care
Strongly Disagree
Strongly Agree
Clear selection
When needed, I am involved in decisions about their care
Strongly Disagree
Strongly Agree
Clear selection
Staff make sure the person important to me gets the right food and drink, and that they have enough of it
Strongly Disagree
Strongly Agree
Clear selection
I am regularly asked for my views and feedback about the service
Strongly Disagree
Strongly Agree
Clear selection
If the person I care about has communication challenges, I was consulted on their likes and dislikes
Strongly Disagree
Strongly Agree
Clear selection
Staff communicate with the person important to me according to their needs and wishes
Strongly Disagree
Strongly Agree
Clear selection
Staff communicate with me in the way I need them to
Strongly Disagree
Strongly Agree
Clear selection
The person that is important to me is supported to get the help they need when they need it
Strongly Disagree
Strongly Agree
Clear selection
The staff team is caring and staff work well together
Strongly Disagree
Strongly Agree
Clear selection
Staff treat me with dignity, respect, kindness and compassion as well as the person important to me
Strongly Disagree
Strongly Agree
Clear selection
The treatment and support of the person who is important to me is set out in writing and tells staff what is needed to support them best
Strongly Disagree
Strongly Agree
Clear selection
Where I have an activated lasting power of attorney, I am fully involved in decisions about their current and future care.
Strongly Disagree
Strongly Agree
Clear selection
The person I care about is helped to keep up their hobbies and get involved in the community if they wish to.
Strongly Disagree
Strongly Agree
Clear selection
Staff help the person who is important to me to not feel lonely and staff support them to contact family and friends.
Strongly Disagree
Strongly Agree
Clear selection
When they have appointments, staff help plan them and make sure they go smoothly
Strongly Disagree
Strongly Agree
Clear selection
If I have any concerns or complaints, staff always take them seriously, investigate them thoroughly and respond to them in good time
Strongly Disagree
Strongly Agree
Clear selection
I know who the management team is and how to contact them
Strongly Disagree
Strongly Agree
Clear selection
Staff know what is expected of them and are happy in their work
Strongly Disagree
Strongly Agree
Clear selection
Staff and managers work effectively with others who may be involved in caring for the person important to me
Strongly Disagree
Strongly Agree
Clear selection
The managers know what they need to do and are always honest, including when things go wrong
Strongly Disagree
Strongly Agree
Clear selection
I am asked for my views on the service and I feel included in how things will be different. The management communicates clearly to everyone, thinking about the way we will understand the message
Strongly Disagree
Strongly Agree
Clear selection
Name (please note that this is not required and you may submit this anonymously)
Relation to client (please note that this is not required and you may submit this anonymously)
Comments and further feedback
Date of Survey
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Weebly Email Service. Report Abuse
Google Forms