Supervision Report

• Registered Manager's Supervision Report

• Conducted on

  Date

• Prepared by Helen Jones, Head of Care.

Name of Registered Manager

• Select date

  Date

How are you?

Review of last Supervision Session Actions

• Were all actions met?

  Yes

  No

  N/A

• Are there any actions to carry over?

  Yes

  No

  N/A

Occupancy Level

Referrals being considered & action required

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Child

• School attendance?

  Select 90% to 100 % 80% to 89% 0% to 79%

  • 90% to 100 %
  • 80% to 89%
  • 0% to 79%

Staffing

• Does the home have a full compliment of staff in line with the Statement of Purpose?

  Yes

  No

  N/A

• Any concerns from Timesheets?

  Yes

  No

  N/A

• Any Sickness and Attendance Management Meetings?

  Yes

  No

  N/A

• Any staff currently referred to OH?<br>

  Yes

  No

  N/A

• Any investigations under way linked to poor practice?

  Yes

  No

  N/A

• Any disciplinary actions being taken at this time?

  Yes

  No

  N/A

• Is the Training Matrix up to date?

  Yes

  No

  N/A

• Is the Supervision Matrix up to date?<br>

  Yes

  No

  N/A

• Is the Performance Management Matrix up to date?

  Yes

  No

  N/A

• Are there at least 6 weeks of Rotas out for staff?

  Yes

  No

  N/A

Team Dynamics

Liaison with HR Department

Finance Management & Budgets

Quality Assurance

• Reg 33 report

  Yes

  No

  N/A

• Reg 34 Report completed?<br>

  Yes

  No

  N/A

• Any Schedule 5 Notifications?

  Yes

  No

  N/A

• Any RIDDOR Reports?

  Yes

  No

  N/A

• Review of any Serious Incident Meetings.

  Yes

  No

  N/A

• Is QA Data on shared area up to date?

  Yes

  No

  N/A

• How many entries in the CP Log this month?

  0 to 3

  4 to 7

  8 +

• Any CP issues unresolved?

  Yes

  No

  N/A

A.O.B.

• Yes

  No

  N/A

Supervisee's signature

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Supervisor's signature

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