Enter & View - Relatives Questionnaire

How many years has your relative / friend been in this home?(Required)

Do you find staff polite, friendly and helpful?(Required)

Are interactions between residents and staff positive and friendly?(Required)

Have you been involved in your loved one's care plan, decisions about end of life care, ReSPECT form etc?(Required)

Does your loved one speak positively about the home and their carers?(Required)

Yes

No

Sometimes

Details:

Are you happy with the care your loved one receives?(Required)

Yes

No

Sometimes

Details:

Is your loved one able to access health care services?(Required)

What activities does your loved one enjoy?(Required)

Do staff encourage them to join in with activities?(Required)

Are you happy with the cleanliness of the home and your loved one's room?(Required)

Do you feel your loved one's room reflects them? Have they been able to make it their own?(Required)

If you wanted to raise any concerns who would you speak to?(Required)

Is there anything else you would like to tell Healthwatch East Riding?

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