Audit

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Are any of the above 'out of date'?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



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
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.