Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

STAFF DETAILS

  • Name of Supervisee:

  • Job Title:

  • Supervision Number:

TRAINING MATRIX CHECK

  • Date of last 'Moving & Handling' training:

  • Date of last 'Safeguarding' training:

  • Date of last 'Infection Control' training:

  • Date of last 'First Aid' training:

  • Date of last 'Food Hygiene' training:

  • Date of last 'Health & Safety' training:

  • Date of last 'Dementia' training:

  • Date of last 'Equality & Diversity' training:

  • Are any of the above 'out of date'?

  • List subjects and inform Manager

  • Highest Qualification

  • 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?

  • Inform Manager

  • ID Card Expiry Date

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

  • Details:

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

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

  • Do they have adequate supply of 'Gloves'?

  • Do they have adequate supply of 'Aprons'?

  • General Notes:

SUPPORT AND CARE

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

  • 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>

  • 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

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

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

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

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

  • Are they being followed according to procedures?

  • Details:

  • General Notes:

MEDICATION

  • Was Medication Given?

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

  • Details:

  • BOOK FOR RETRAINING....

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

  • Details:

  • BOOK FOR RETRAINING....

  • Was the MAR Chart completed correctly?

  • 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?

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

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

OTHER RELEVANT INFORMATION or COMMENTS

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

  • Details:

  • NEXT SUPERVISION WILL BE:

  • DATE FOR NEXT SUPERVISION

  • Supervisee Signature

  • Supervisor Signature

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