Alfa Home Care

Please add your comments in the spaces provided to help us address any issues.

Form filled in on participant’s behalf by a parent/carer?

Yes

Can the participant speak?

Yes

Rights

If you have a problem at Alfa HomeCare Services programs or work do you speak up?

Yes

If someone hurt you would you tell someone at Alfa HomeCare Services?

Yes

Since the last survey has anyone from Alfa HomeCare Services hurt you?

Yes

Since the last survey has anyone from Alfa HomeCare Services spoken to you in a way that made you feel bad?

Yes

If yes, please let us know what happened

Participation and Inclusion

Are you happy with the activities you do at Alfa HomeCare Services?

Yes

Do you get to choose which activities you want to do?

Yes

Would you like to learn new skills?

Yes

Feedback and Complaints

Do you know about Alfa HomeCare Services’ Advocates?

Yes

Do people at Alfa HomeCare Services try to help if you have a problem?

Yes

Service Access

Are you new to any of Alfa HomeCare Services’ programs or services?

Yes

If you are new, did you find Alfa HomeCare Services staff helpful in explaining to you what you can do?

Yes

Service Management

Do you feel Alfa HomeCare Services staff understand your needs?

Yes

Do Alfa HomeCare Services staff treat you with respect?

Yes

Would you feel comfortable bringing up any issues/ideas with Managers or the CEO?

Yes

What (if anything) do you like about Alfa HomeCare Services?

Has Alfa HomeCare Services provided you with a handbook, including offering to get through it?

Do you feel safe when being supported by Alfa HomeCare Services, and whether staff act professionally at all times when providing support?

Does Alfa HomeCare Services and its staff respect your cultural and religious beliefs?

Have you been told about the Service User Representative group and its purpose / functions?

For Families & Carers

In what way can Alfa HomeCare Services improve support for you, or your son/daughter?

Has Alfa HomeCare Services has provided information on the types of services we offer?

Has Alfa HomeCare Services has provided you with information on the services you receive and how often you receive them?

Any further Comments:

Do you need to speak to an independent advocate about any concerns you have right now?

Yes

If yes, please write your name and contact phone number:

Alfa HomeCare Services Advocates:

These surveys go straight to the Director of Alfa HomeCare Services.

Participation