Caregiver Competency Evaluation Template | Home Care Skills Checklist

Know Where Every Caregiver Is Ready, and Where More Training Is Needed

Give trainers and administrators a consistent way to observe skills, record results, and identify follow-up training. This caregiver competency evaluation template is designed for non-medical home care agencies and includes clear performance ratings plus space for notes, so evaluations are easier to complete and training records are easier to review.

Created by Danielle, an experienced non-medical home care business owner with hands-on experience in caregiver training, onboarding, and compliance. Made by a real professional who works in the field, not AI.

Evaluate Practical Caregiving Skills

The checklist covers core areas listed in the template, including:

• Infection control
• Mobility and transfer assistance
• Bathing, bed care, and grooming
• Toileting and continence care
• Feeding, mealtime setup, and safety
• Communication with seniors and the care team
• Dementia support, behavior, and safety
• Vital signs and basic monitoring
• Emergency response procedures and care documentation

Each skill has a Pass / Needs Improvement / Fail rating, with dedicated space for notes and instructor comments.

Make Training Records More Useful

• Use a consistent format for caregiver skills evaluations
• Record observed strengths and areas that may need more training
• Keep competency documentation organized for your agency
• Customize the form with your logo, company name, and instructor details
• Capture evaluator and training provider signatures

Designed For

• Non-medical home care agencies and staffing agencies
• Caregiver trainers, instructors, and administrators
• Assisted living and group home teams
• Teams documenting onboarding and skills evaluations

Editable Digital Format

• Microsoft Word document you can customize
• Organized skills checklist with a rating system
• Printer-friendly format
• Digital product, nothing ships

Please note: This evaluation is an administrative training tool, not a substitute for your agency's policies, professional judgment, or applicable state and local requirements. Review and adapt it for your services and jurisdiction.

Build Your Caregiver Training Toolkit

Pair this evaluation with a caregiver orientation checklist, skills competency log, or training documentation bundle to support a more organized onboarding process.

Browse all Wise Caregiving templates and bundles

Original Wise Caregiving design by Danielle Foley. For use within your own business only. Not for resale, sharing, redistribution, or duplication.