Title Page

  • Mentoring date

  • Name of the observed person

  • ID Number of the person observed

  • Mentors name

  • Location

  • Service name

  • Start time of mentoring

  • End time of mentoring

Vehicle management

  • Did they complete a safety check of their vehicle before the start of the day

  • Did they complete a full audit of equipment for their role

  • Did they report "missing/defective" equipment

  • Did they take action to replace essential items of equipment

  • Is the vehicle clean and ready for the day

  • Did they address any cleaning issues appropriately

Communication Skills

  • Communication with service users: Demonstrate effective, adaptive and empathic communication with service users and minimise barriers to communication. Ensure to act in a way that is sensitive to the personal believes and preferences of the individual.

  • Comments on Communication Skills

Health and Safety

  • Undertook Dynamic Risk Assessments

  • Risks managed?

  • Used Safe Systems of Work?

  • Followed legislation and guidance appropriately? Inc reporting and escalating AINM

  • Comments on Health and Safety

Effective Client Care

  • Consent gained?

  • Provided Patient Centered care?

  • Safeguarding concerns identified?

  • Safeguarding concerns managed appropriately?

  • Patients escalated appropriately?

  • Identified any Red Flags

  • Recognises any patient deterioration

Information gathering

  • Was suitable and sufficient information gained about the patient at the point of pick up

  • Was suitable and sufficient information about the patient provided at the point of drop off/handover

Comments on patient care

  • undefined

Vehicle use and driving

  • Were there any issues with their standard of driving

  • Did they report issues appropriately

  • Vehicle made ready for transport?

  • Were the patient safe to transport, wearing seat belts etc

  • Comments on Vehicle use and driving

  • Any media for Vehicle use and driving?

Patient handling

  • Patient moving and assisting

  • Did they perform a DRA for each patient, gathering pertinent patient specific information prior to any activity

  • Consent gained for all moves

  • Safe appropriate use of equipment?

  • Did they consider the range of equipment available and identify the safest method of activity

  • Did they escalate any challenges or concerns found in the DRA

  • Effective team work and communication?

  • Any comments on Patient handling?

  • Any media for Patient handling?

Other capabilities

  • Worked well in a team?

  • Acted with Equality, Diversity, and Inclusion?

  • Legible and accurate record keeping?

  • Worked within Scope of Practice?

  • Uses resources appropriately?

  • Where issues escalated to line managers appropriately, missing equipment, general concerns

  • Comments for other capabilities

Development plan

    Development area
  • What is the Specific goal for the mentee?

  • How will we Measure if the goal is met?

  • How will the mentee achieve the development goal?

  • How will the development actions be relevant to the role and responsibilities?

  • What are the suggested Timescales for the development?

Summary

  • Were any critical risks identified during the observation?

  • Is it safe for the person to remain operational?

  • Has the person been informed they are no longer operational?

  • Any comments on informing the person?

Declaration

  • I have conducted this observation inline with BRC policy and procedure

  • Please sign

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