Activity provision self-assessment:
Culture
Date: Completed by:
Reference number:
Do sta demonstrate that meaningful activity is everyone’s responsibility? W1.6
W2.5
Yes
Sometimes
No
Yes: please provide evidence
No or sometimes: what further action are you
going to take? Who is responsible? Achieve by
Date
completed Evidence of actions taken
Link to
KLOEs
W3.4
C1.2
R1.3
D
o staff ensure people who live in your service feel included in the community of the home?
A
re people able to access a range of personal and/or social activities of their choice whenever they wish?
Activity provision self-assessment: Culture 1/4
DD/MM/YYYY
Enter your name
Enter your reference number
Yes
Sometimes
No
Yes: please provide evidence
No or sometimes: what further action are you
going to take? Who is responsible? Achieve by
Date
completed Evidence of actions taken
Link to
KLOEs
Activity provision self-assessment: Culture 2/4
D
o staff act as enablers, supporting people to do as much as they can for themselves as possible, rather than doing things 'for' or 'to' them?
I
s there up-to-date evidence of activities taking place, e.g. photographs, social media etc.?
A
re people encouraged to participate in everyday household tasks, such as light dusting, sorting washing and vacuuming, if they wish?
R1.1
R1. 2
C3.5
Activity provision self-assessment:
Culture
Reference number:
Enter your reference number
Yes
Sometimes
No
Yes: please provide evidence
No or sometimes: what further action are you
going to take? Who is responsible? Achieve by
Date
completed Evidence of actions taken
Link to
KLOEs
Activity provision self-assessment: Culture 3/4
Can people eat in their own rooms if they wish?
Do people see mealtimes as a pleasant social activity?
Are people given a choice of seating, food and drink?
R1. 2
E3.1
E3.3
R1. 2
E3.1
E3.3
R1. 2
E3.1
E3.3
Activity provision self-assessment:
Culture
Reference number:
Enter your reference number
Yes
Sometimes
No
Yes: please provide evidence
No or sometimes: what further action are you
going to take? Who is responsible? Achieve by
Date
completed Evidence of actions taken
Link to
KLOEs
Activity provision self-assessment: Culture 4/4
Is there a positive environment?
Can people invite family and friends over for a meal and prepare for the event?
C3.6
R
1.4
Activity provision self-assessment:
Culture
Reference number:
Enter your reference number