House Questionnaire. Name of home:

Transcription

1 House Questionnaire When you begin to think about choosing a house or home to move into in later life, there ll be lots of things you ll need to consider before making your final choice. We ve put together this list of possible things to look out for. You can print this out and fill it in every time you make a visit so you ll have a record of your first impressions which, hopefully, will make that decision so much easier. Name of home: Location: Is the house or home in your local community? Yes No Is it in a nice area? Yes No Will your friends & relatives find it easy to get to? Yes No Is the area quiet? Yes No Is it close to local amenities? Yes No Is public transport available? Yes No Does it have a car park? Yes No Does the house or home have its own transport? Yes No Is there a garden? Yes No Is it close to parks or places to go for a walk? Yes No Are there interesting activities in the area? Yes No First impressions: Did somebody welcome you when you first arrived? Yes No Do the staff seem warm, friendly and polite? Yes No Does the house or home feel welcoming and homely? Yes No Is the house or home fresh, clean and comfortably furnished? Yes No Do the residents seem happy, active and sociable? Yes No Were you offered refreshments during your visit? Yes No

2 Accommodation: Is the house or home well decorated? Yes No Does the house or home seem clean and looked after? Yes No Does the house or home feel safe and secure? Yes No Are there communal lounge areas with & without TVs? Yes No Is there a separate dining room? Yes No Are there toilet facilities close to the communal areas? Yes No Are there handrails in hallways & corridors? Yes No Can you decorate the room? Yes No Can you furnish the room? Yes No Can residents bring a pet with them? Yes No Can you adjust the heating or open the windows in your room? Yes No Is the call bell system accessible? Yes No Are there enough sockets in the room including a TV socket? Yes No - Can you have your own telephone in the room? Yes No Is there a nice view from the room? Yes No Is there a secure place for valuables? Yes No Is the room en-suite? Yes No If not, are bathrooms located conveniently for the rooms? Yes No Are there both baths & showers? Yes No Are bathrooms adapted to help people in and out of the bath? Yes No Gardens: Can residents use the garden? Yes No Are the gardens in good order? Yes No Are the gardens safe & accessible? Yes No Is there somewhere quiet to sit? Yes No Facilities: Is the house or home equipped to meet your needs? Yes No Is a sufficient level of care available? Yes No Can residents have their own GP? Yes No

3 Will residents be accompanied on visits to their GP or hospital? Yes No Does a chiropodist, physiotherapist or hairdresser visit regularly? Yes No Are there facilities for laundry and room cleaning? Yes No Catering: Is there a selection of dishes to choose from at each meal? Yes No Are the dishes freshly prepared? Yes No Are special diets catered for? Yes No Can you choose to eat meals in your room if you want? Yes No Can you invite guests to join you at meals? Yes No Are snacks & drinks available at any time? Yes No Is alcohol available if you d like it? Yes No Were you invited to join residents for a meal as part of the visit Yes No Activities: Are there organised activities & entertainment? Yes No Are outings & holidays arranged? Yes No Can you continue with your own hobbies & interests? Yes No Can you help in the garden? Yes No Other considerations: Do you know any of the residents? Yes No Do the residents seem happy and well cared for? Yes No Can the residents get involved in making decisions in the home? Yes No Are residents able to make and take calls in private? Yes No Are there set times for getting up or going to bed? Yes No Are there any restrictions about going out? Yes No Is there anywhere peaceful to go other than your own room? Yes No Can you keep ownership of your own money? Yes No Are you able to smoke? Yes No

4 Can you practice your religion and attend services? Yes No Care levels (Residential & Care Homes only): Does the house or home offer the level of care you need? Yes No How many staff are trained to the right level? Yes No If you have particular needs does the house or home have staff with the right experience? Yes No If your needs change in the future can they be met? Yes No Do care plan reviews take place on a regular basis? Yes No Have the staff worked at the house or home for a long period? Yes No Can you see the Care Quality Commission Inspection Report (CQC)? Yes No Staff: Is the House Manager knowledgeable & friendly? Yes No Are there enough staff on duty? Yes No Do the staff appear friendly, caring and approachable? Yes No Do the staff appear to interact well with the residents? Yes No Do the staff appear to respect the residents privacy & dignity? Yes No Do the staff get to know the residents personal likes/dislikes/needs? Yes No Do the staff receive regular training? Yes No Visitors: Are visitors welcome at all times? Yes No Can children visit? Yes No Can visitors stay overnight? Yes No Can visitors dine with residents? Yes No Is there somewhere to see visitors in private? Yes No Is there a relatives/friends committee? Yes No

5 Contract terms: Can you have a trial period to assess whether it s suitable? Yes No Is the notice period reasonable? Yes No Will you receive a statement of terms on admission? Yes No Is there a complaints procedure? Yes No Will you be provided with a written contract? Yes No Fees: Is it clear what will be included in the weekly charges? Yes No Are the fees altered or reviewed regularly? Yes No Are fees altered or reviewed according to changing needs? Yes No Are the fees affordable on a long-term basis? Yes No Are the fees payable in advance? Yes No Will you have to make up any difference after state contribution? Yes No Do the fees include all utility bills & meals? Yes No Summary comments: If you have any further questions during your visit then please don t hesitate to ask them.