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Are any of the above 'out of date'?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

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

Details:

Do they know how to access a First Kit in the Home?

Do they know how to access Gloves in the Home?

Do they know how to access Aprons in the Home?

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

General Notes:

ATTITUDE & APPROACH

Do they 'Communicate Clearly and Effectively' with the Residents?

Do they 'Communicate Clearly and Effectively' with Colleagues and Visitors?

Are Residents, Visitors and Colleagues treated with Respect, Dignity and a professional approach at all times?

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

SUPPORT AND CARE

Is the way in which General Support and Care is delivered in accordance with Residents wishes and Care Plan?



List interactions observed:

Detail concerns:

Do they deliver 'Personal Care' in a way that Promotes Respect and Dignity and in accordance with Residents wishes and Care Plan? Record Tasks Observed

List interactions observed:

Detail concerns:

Do they Encourage and Promote the Residents to participate in all aspects of their Care?

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

Do they select the correct PPE for tasks as required and in accordance with Procedures?

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.