Activity provision self-assessment:
Skills
Date: Completed by:
Reference number:
Can the care managers, sta and others describe how all activities and tasks can be seen as an opportunity to build meaningful relationships that
enhances the person’s wellbeing?
W1.6
R1.4
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
R1.3
H
ave staff received appropriate training in: effects and conditions of aging; person centred care; communication; selection and provision
of appropriate meaningful activities for people with various abilities?
Can sta describe how completing daily living tasks are activities and that they can be rewarding and fullling for individuals?
Activity provision self-assessment: Skills 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: Skills 2/4
Can sta condently create unplanned opportunities for physical activity?
Do sta understand the values and importance of eective communication and the relationships they build with individuals and how these directly
aect opportunities to take part in activities?
Do sta create activities for people around their existing hobbies, interests and life experiences?
R1.1
C1.2
C1.3
C1.4
R1.1
R1. 2
Activity provision self-assessment:
Skills
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: Skills 3/4
Are sta seen talking with people at the meal tables?
Are the meals served in an unhurried but ecient manner and assistance is skilfully given to those who need help?
Can sta describe how they develop good relationships with people in the care setting and their relatives/friends to gain an understanding of each
individual’s activity and wellbeing needs?
C1.1
C1.5
C1.1
C1.5
R1.3
Activity provision self-assessment:
Skills
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: Skills 4/4
Are sta able to describe how they support people to select and engage in meaningful activities of their choice?
Do sta encourage appropriate types and quantities of activity and take into account every individual’s abilities, changing wishes and requests
for ‘quiet time’?
Do sta adapt social activities to meet the needs of a range of individuals (e.g. lacking condence, increased cognitive impairment,
mobility diculties)?
R1.3
C1.3
R1.1
R1. 2
R1.5
Activity provision self-assessment:
Skills
Reference number:
Enter your reference number