Staff Supervision - Observed v.001

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

STAFF DETAILS

• Name of Supervisee:

• Job Title:

  Select Carer Senior Carer Deputy Manager Matron Domestic Kitchen Staff

  • Carer
  • Senior Carer
  • Deputy Manager
  • Matron
  • Domestic
  • Kitchen Staff

• Supervision Number:

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Observe and Discuss with the Staff Member, the Following:

ATTITUDE & APPROACH

• Is the Staff member 'Dressed Appropriately' in accordance with Company Policy?

  Yes

  No

  N/A

• Are Residents, Visitors and Colleagues treated with Respect, Dignity and a professional approach at all times?

  Yes

  No

  N/A

• Do they approach all tasks in an Organised and Professional Manner and in accordance with Procedures?

  Yes

  No

  N/A

• Do they 'Communicate Clearly and Effectively' with Colleagues and Visitors?

  Yes

  No

  N/A

SUPPORT AND CARE

• Is the way in which General Support and Care is delivered in accordance with the Residents wishes and Care Plan? Record Tasks Observed<br><br><br><br>

  Yes

  No

  N/A

• Do they deliver 'Personal Care' in a way that Promotes Respect and Dignity and in accordance with the Residents wishes and Care Plan? Record Tasks Observed

  Yes

  No

  N/A

• Do they Encourage and Promote the Residents to participate in all aspects of their Care?

  Yes

  No

  N/A

• Do they 'Communicate Clearly and Effectively' with Residents?

  Yes

  No

  N/A

• Do they select the correct PPE for tasks as required and in accordance with Procedures?

  Yes

  No

  N/A

FIRST AID

• Does the Staff member know where to access First Kits in the Service?

  Yes

  No

  N/A

MEDICATION

• Do they Correctly Identify and Select the required Medication in accordance with Procedures?

  Yes

  No

  N/A

• Is the Medication Dispensed and Administered in the correct way and in accordance with Procedures?

  Yes

  No

  N/A

STAFF CONCERNS

• Does the Staff member have any Concerns or Issues they wish to discuss?

  Yes

  No

  N/A

• Do they wish to discuss them now? If 'NO' make an appointment for a meeting.

  Yes

  No

  N/A

TASKS OBSERVED DURING SUPERVISION

• Record any tasks observed including Clinical etc:

OTHER RELEVANT INFORMATION or COMMENTS

• Does the Staff member 'Agree with all Recorded Information'? If 'NO' record detials

  Yes

  No

  N/A

• AGREE DATE FOR NEXT SUPERVISION

  Date

• NEXT SUPERVISION WILL BE:

  Observed

  Office Based

• Supervisee Signature

  Sign

• Supervisor Signature

  Sign