Staff Supervision - Observed - Home Care v.1

• 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 Field Care Supervisor Probationer Domestic Apprentice Volunteer

  • Carer
  • Senior Carer
  • Field Care Supervisor
  • Probationer
  • Domestic
  • Apprentice
  • Volunteer

• Supervision Number:

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

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

APPEARANCE, FIRST AID & PPE

• Do they have a 'valid' ID Card? Record Expiry Date

  Yes

  No

  N/A

• Are they 'Dressed Appropriately' in accordance with Company Policy? (uniform, footwear, nails, jewellery etc)

  Yes

  No

  N/A

• Date of last 'First Aid' training:

  Date

• Date of last 'Infection Control' training:

  Date

• Date of last 'Moving & Handling' training:

  Date

• Date of last 'Safeguarding' training:

  Date

• Do they have access to their Personal First Kit in the Service?

  Yes

  No

  N/A

• Do they have adequate supply of 'Anti-Bacterial Hand Gel'?

  Yes

  No

  N/A

• Do they have adequate supply of 'Gloves'?

  Yes

  No

  N/A

• Do they have adequate supply of 'Aprons'?

  Yes

  No

  N/A

SUPPORT AND CARE

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

  Yes

  No

  N/A

• Is the way in which General Support and Care is delivered in accordance with Service User 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 Service User wishes and Care Plan? Record Tasks Observed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do they 'Communicate Clearly and Effectively' with the Service User?

  Yes

  No

  N/A

• Do they complete the relevant documentation in an appropriate manner? (factual, legible etc)

  Yes

  No

  N/A

• Are 'Current' Infection Control Measures followed according to procedures?

  Yes

  No

  N/A

MEDICATION

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

STAFF CONCERNS

• Does they 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