Supervision - Observed - Home Care v.3.0

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

STAFF DETAILS

• Name of Supervisee:

• Job Title:

  Care Worker

  Support Worker

  Senior Carer

  Field Care Supervisor

• Supervision Number:

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

TRAINING MATRIX CHECK

• Date of last 'Moving & Handling' training:

  Date

• Date of last 'Safeguarding' training:

  Date

• Date of last 'Infection Control' training:

  Date

• Date of last 'First Aid' training:

  Date

• Date of last 'Food Hygiene' training:

  Date

• Date of last 'Health & Safety' training:

  Date

• Date of last 'Dementia' training:

  Date

• Date of last 'Equality & Diversity' training:

  Date

• Are any of the above 'out of date'?

  No

  Yes

• List subjects and inform Manager

• Highest Qualification

  Select NVQ/QCF 2 NVQ/QCF 3 NVQ 4 QCF 5 NCFE None

  • NVQ/QCF 2
  • NVQ/QCF 3
  • NVQ 4
  • QCF 5
  • NCFE
  • None

• Which NCFE's have been completed?

Observe and Discuss with the Staff Member, the Following:

APPEARANCE, FIRST AID & PPE

• Do they have a 'valid' ID Card?

  Yes

  No

• Inform Manager

• ID Card Expiry Date

  Date

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

  Yes

  No

• Details:

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

  Yes

  No

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

  Yes

  No

• Do they have adequate supply of 'Gloves'?

  Yes

  No

• Do they have adequate supply of 'Aprons'?

  Yes

  No

• General Notes:

SUPPORT AND CARE

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

  Yes

  No

• 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

• 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

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

  Yes

  No

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

  Yes

  No

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

  Yes

  No

• Are any 'Special' Infection Controls Measures in place at present?

  No

  Yes

• Are they being followed according to procedures?

  Yes

  No

• Details:

• General Notes:

MEDICATION

• Was Medication Given?

  Yes

  Non-Meds visit

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

  Yes

  No

• Details:

• BOOK FOR RETRAINING....

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

  Yes

  No

• Details:

• BOOK FOR RETRAINING....

• Was the MAR Chart completed correctly?

  Yes

  No

• Details:

• BOOK FOR RETRAINING....

• General Notes:

TASKS OBSERVED DURING SUPERVISION

• Record any tasks observed including Clinical etc:

STAFF CONCERNS

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

  Yes

  No

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

  Yes

  No

• Arrange a suitable date and time for a one to one meeting:

  Date

OTHER RELEVANT INFORMATION or COMMENTS

• Does the Staff member 'Agree with all Recorded Information'?

  Yes

  No

• Details:

• NEXT SUPERVISION WILL BE:

  One to One

  Observed

• DATE FOR NEXT SUPERVISION

  Date

• Supervisee Signature

  Sign

• Supervisor Signature

  Sign