Staff Observation / Quality of Care Survey

• Carehome

  Select

• Conducted on

  Date

• Prepared by

• Location of observations

  Managers office

  Meeting room

  Nurses station

  Other

Staff Details

• Name of Staff:

• Job Title:

  Select Carer Senior Carer Deputy Manager Matron Domestic Kitchen Staff

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

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

Attitude and Approach

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

  Yes

  No

  N/A

• How can they improve?

  Yes

  No

  N/A

• Does the Staff show compassion?

  Yes

  No

  N/A

• How can they improve?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• How can they improve?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• How can they improve?

  Yes

  No

  N/A

• Do they 'Communicate Clearly and Effectively' with the service users, colleagues and visitors?

  Good

  Fair

  Poor

  N/A

• Describe why and how they can improve.

  Yes

  No

  N/A

• Comments

Support and Care

• Is the way in which General Support and Care is delivered in accordance with the Residents wishes and Care Plan?

  Good

  Fair

  Poor

  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?

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

Medication (If Applicable i.e. Nurses, Nurse Assistant) Skip if not required

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

• Is the eMar system being used effectivley?

  Good

  Fair

  Poor

  N/A

• Describe concerns and action plan.

Staff Concerns

• Does the Staff member have any Concerns or Issues they wish to discuss? If YES, please describe.

Other Relevant Information

• Describe positive comments for the staff member. i.e. Look into areas where the staff member has gone above and beyond etc.

• Discuss areas for improvement for the staff member. i.e. Look at areas where the staff member can improve their work and stay motivated etc.

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

  Yes

  No

  N/A

• What is the most challenging aspect of staff members job.

• How can we assist you to over come your challenges?

• What are your goals for the next 3 months?

• Date for next supervision

  Date

• Supervisee Signature

  Sign

• Supervisor Signature

  Sign