Appraisal Form

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Appraisal Form

With this appraisal you have the opportunity to let us know:

• How well you have performed and whether you have achieved all of your targets.

• Things that might have stopped you from achieving your targets.

• What you think went well.

• What you think your targets might be for the coming year.

• What kind of training and development you need to do.

The purpose of the Appraisal is that you:

• Receive constructive feedback;

• Know exactly what is expected from you and where you may need help achieving this.

• Have the opportunity to discuss and agree your work and related targets.

To make the most of your Appraisal you will need to prepared for it, be honest and be positive about it. Like most things in life, the more thought and preparation you put into it, the more successful the outcome will be. We spend a lot of time at work, so it is worth investing some time to think about how things are going and what can be changed to make things better.

Consider:

• Individual training needs (Mandatory training – Safeguarding/ First Aid/ Basic Food Hygiene). Any other training to help you meet your roles and responsibilities.

• Information identified through peer observations (strength and areas for development).

• Feed back at supervisions/ colleges/ service users/families/friends.

First Name *

Last Name *

Street Address *

Street Address 2 *

City *

County *

ZIP / Postal Code *

Country *

What has gone well in respect of your targets over the last year? *

Please identify any achievements during the last 12 months (training accessed, qualifications, knowledge and skills developed, etc) *

Areas for development - Any targets/ objectives not fully achieved? Tell us why. Any factors/conditions affecting your ability to deliver against these objectives? *

What do you consider to be your targets for the coming year? *

Can you please comment on the following issue when delivering care: * Leaving safe key code undone when entering a service user Property. To what extent is this exposure dangerous? How can this affect a service user trust? How would you feel if you were on the service user situation?

Can you please comment on the following issue when delivering care: * Leaving the service user uncovered/body exposed while providing personal care. Providing personal care with the curtains open. * How would this affect a service user self esteem and dignity in care? What item would you provide to cover the service user dignity? How would you feel if you were on the service user situation?

Can you please comment on the following: Why do you need to ask consent from the service user to provide personal care? Would you appreciate your carer to ask you for your consent?

Signature *

MANAGER FEEDBACK ONLY - - What has gone well in respect of the employee targets over the last year? Achievements during the last 12 months (training accessed, qualifications, knowledge and skills developed. Areas for development and factors/conditions affecting employee’s ability to deliver against these objectives. What the management considers to be your employee’s targets for the coming year.Do not answer this field.

Targets to be agreed - Targets/ Objectives: Links with job description; Training/Support required to meet your job role/ targets.

Track progress (6 monthly review) How well am is employee progressing against the targets? What is going well? What needs attention? Has anything changed? Does employee needs help or support?

Appraisal Form

Appraisal Form

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Care Quality Commission