Daily delegation and Handover recordDate

Please report on the person’s presentation in terms of mental health i.e. low mood, bright and level of engagement, conversation, interaction. Also whether dressed and well groomed appropriate for the day. Any prompting needed for attending to required tasks of the day

Staff name / Arrival time / End of duty / Allocated responsibility for the shift / Allocated S users intials
Shift coordinator/ H&S
Meds/clinic audits
Observations and Kitchen
Activities
All staff/keyworkers / Files and notes
Medication administered by
Name / Time / Signed
Breakfast
Lunch
Tea
Key number / Allocated to-name / Time out / Sign / Time in / initial / Time out / initial / Time in / End of shift Sign
M3
M4
M5
M6
M7
M8

Additional signing in and out

Key number / Allocated to-name / Time out / Sign / Time in / initial / Time out / initial / Time in / End of shift Sign

Checked and all present at handover7pm sign

Keys must be returned to the keysafe when leaving the building and booked back in.

Staff must not leave at the end of shift until all keys are accounted for.

Tasks/appointments for today
Time / Name / Reason and location / Allocated to / Sign completed

Lighter signing out

Lighter number / Signed to / Time / Service user sign / Staff sign
1
2
3
4
5
6
7
8
room number/ initials / Service user info/issues / Sign and print name
101
102
103
104
105
106
114
201
202
203
204
205
210
211
212
301
303
Any other issues to report? Maintenance/H&S/ apptsetc

Handover given by-______Received by______

Night Report

Staff name / Shift times / Duty / Allocated S users
Shift coordinator/ H&S
Meds/ Activities
Observations and Kitchen
All staff/keyworkers / Files and notes
Medication given by?
Name / Time / Signed
Supper
Key number / Allocated to-name / Time out / Sign / Time in / End of shift Sign
M3
M4
M5
M6
M7
M8

Checked and all present at handover7am sign

Keys must be returned to the keysafe when leaving the building and booked back in.

Staff must not leave at the end of shift until all keys are accounted for.

Lighter signing back in

Lighter number / Signed out to / Back in at time? / Staff sign
1
2
3
4
5
6
7
8
See separate night checklist for allocated duties
Room number/initials / Handover
Service user info/issues / sign
101
102
103
104
105
106
114
201
202
203
204
205
210
211
212
301
303
Any other issues to report? Maintenance/H&S/appointments

Handover given by______Received by______

Please submit to manager’s office each morning Thanks Jackie

J Taylor