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Make a Complaint
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Step 1: Personal Information
Full Name
*
Email
*
Phone (Optional)
Are you making this complaint on behalf of someone else?
No
Yes
Name of the Person You Are Representing
Your Relationship to Them
Family Member
Friend
Advocate
Legal Representative
Other
(Other) Please describe
Do they consent to you making this complaint?
Yes
No
We can only process complaints with the consent of the individual unless it is a safeguarding matter. IS THIS A SAFEGUARDING MATTER?
Yes
No
Please Contact the Office
Call: 01214511464 or Email: info@contentohomes.com
STOP
Please seek consent of the affected individual.
Step 2: Nature of the Complaint
Are you a:
Service User
Family Member or Representative
Volunteer
Staff Member
External Agency or Professional Member of the Public
What is your complaint about?
A service provided
Staff conduct
Volunteer conduct
Communication issues
Accessibility issues
Policy and procedure concerns
Other
(Other) Provide Details
Date of Incident (if applicable)
Have you spoken to a staff member about this issue?
Yes
No
Name of Staff Member Contacted (Optional)
What was the response?
Step 3: Complaint Details
Please describe your complaint in detail.
What outcome are you seeking (Select all aplicable)
Acknowledgment and apology
Further investigation
Service improvement
Staff training
Other
Other (Provide details)
Step 4: Supporting Evidence (Optional)
Would you like to upload any supporting documents or evidence?
Yes
No
Please Upload Your Documents Here
Click or drag files to this area to upload.
You can upload up to 5 files.
Step 5: Consent and Submission
Would you like to receive updates about your complaint via email?
Yes
No
Do you consent to us using your feedback to improve services?
Yes
No
Form Reference #
*
Enter any 4 random/different digits to use as your Form Reference Number.
Declaration
*
I confirm that the information provided is accurate to the best of my knowledge, and I understand the complaints process at Contento Social Homes.
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