Information
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Carehome
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Conducted on
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Prepared by
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Location of supervision
Staff Details
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Name of Staff:
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Job Title:
- Carer
- Senior Carer
- Deputy Manager
- Matron
- Domestic
- Kitchen Staff
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Observe and Discuss with the Staff Member, the Following:
Attitude and Approach
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Is the Staff member 'Dressed Appropriately' in accordance with Company Policy?
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How can they improve?
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Are Residents, Visitors and Colleagues treated with Respect, Dignity and a professional approach at all times?
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How can they improve?
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Do they approach all tasks in an Organised and Professional Manner and in accordance with Procedures?
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How can they improve?
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Do they 'Communicate Clearly and Effectively' with Colleagues and Visitors?
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Describe why and how they can improve.
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Comments
Support and Care
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Is the way in which General Support and Care is delivered in accordance with the Residents wishes and Care Plan?
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Do they deliver 'Personal Care' in a way that Promotes Respect and Dignity and in accordance with the Residents wishes and Care Plan?
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Do they Encourage and Promote the Residents to participate in all aspects of their Care?
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Do they 'Communicate Clearly and Effectively' with Residents?
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Do they select the correct PPE for tasks as required and in accordance with Procedures?
Medication (If Applicable i.e. Nurses, Nurse Assistant) Skip if not required
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Do they Correctly Identify and Select the required Medication in accordance with Procedures?
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Is the Medication Dispensed and Administered in the correct way and in accordance with Procedures?
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Is the eMar system being used effectivley?
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Describe concerns and action plan.
Staff Concerns
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Does the Staff member have any Concerns or Issues they wish to discuss? If YES, please describe.
Other Relevant Information
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Describe positive comments for the staff member. i.e. Look into areas where the staff member has gone above and beyond etc.
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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.
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Does the Staff member 'Agree with all Recorded Information'? If 'NO' record detials
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What is the most challenging aspect of staff members job.
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How can we assist you to over come your challenges?
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What are your goals for the next 3 months?
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Date for next supervision
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Supervisee Signature
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Supervisor Signature