Care Certificate Completion Assessment Form
Assess whether the learner has demonstrated the required care certificate competencies.
Communication Skills
*
Rows
Not Demonstrated
Partially Demonstrated
Fully Demonstrated
Listens actively
1
2
3
Communicates clearly
4
5
6
Uses appropriate language
7
8
9
Duty of Care
*
Not Competent
1
2
3
4
Competent
5
1 is Not Competent, 5 is Competent
Safeguarding Awareness
*
Not Competent
1
2
3
4
Competent
5
1 is Not Competent, 5 is Competent
Person-Centered Care
*
1
2
3
4
5
Health & Safety Knowledge
*
1
2
3
4
5
Handling Information
*
Rows
Never
Sometimes
Always
Maintains confidentiality
10
11
12
Records information accurately
13
14
15
Infection Prevention & Control
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Equality & Diversity
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Teamwork & Collaboration
*
1
2
3
4
5
Assessor's Comments (optional)
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