Elder Homes Group | C O N S T A N T L Y C A R I N G

Find a home near home. Our homes are located all over the UK. Visit our locations section to navigate the map and get in touch.

Head Office
Thorpe House
Harwich Rd · Little Clacton · Essex
CO16 9NJ
01255 860737

Services user's questionaire

As part of our continuing commitment to provide quality care in the home, we would be obliged if you would take a few minutes to complete our survey with your loved one at Home name.

Please use the numbers below to indicate your answer by putting a number in the relevant box, i.e. if you think excellent, place a number 10 in the box.

Homes Name:
Your Name:
Your Address:
Your Email:
Service User’s Name:

Poor

Good

Excellent

Catering & Food

How satisfied are you with:		1-10
1.	the choice of food
2.	the amount of food provided
3.	the efforts to satisfy your individual requirements (for example, any religious/cultural ingredients)
4.	the menus planned
5.	the presentation of the food
6.	the start times of meals
7.	the time taken over meals, (too rush / too slow)
8.	the seating & table arrangements
9.	the general atmosphere at mealtimes
10.	additional drinks & snacks provided

Personal care & support

How satisfied are you with:		1-10
1.	the way staff help & look after your needs
2.	the staff’s availability (do they come when you need them, i.e. when you ring)
3.	the work the staff carry out
4.	the staff’s attitude & general manner
5.	the medical care you receive
6.	additional services / treatment offered (i.e. hairdresser, etc.)

Daily Living

How satisfied are you with:		1-10
1.	the arrangements for getting up & going to bed
2.	the arrangements for your personal care (i.e. washing, bathing)
3.	the activities provided
4.	the activities provided to help you keep your personal (interests/hobbies up)
5.	how service users in general get along with each other
6.	how service users & staff in general get along with each other

Premises

How satisfied are you with:		1-10
1.	the decoration/furnishings within the home
2.	the facilities & amenities of the home
3.	the accessibility of lounges, dining rooms & other public areas
4.	the general cleanliness / tidiness of the buildings & grounds
5.	how well repairs / maintenance are carried out

Management

How satisfied are you with:		1-10
1.	the availability of the home’s manager to discuss anything with
2.	how quickly they get things arranged when asked
3.	them involving service users / families in affairs at the home
4.	the management’s efforts to create a good atmosphere at the home

Complaint’s procedures

How satisfied are you with:		1-10
1.	your knowledge of how to make a complaint
2.	knowing who to tell if you had a concern or a complaint to raise
3.	knowing your complaint would be investigated & resolved quickly

Please feel free to add any comments:

Thank you for your time. All information is treated in the strictest confidence and will not be used for any other purposes than to improve our service to our service users & their families

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