best practice supervison form including training feedback - care homes

ST

S U P E R V I S I O N N O T E S

Supervisor:

Supervisee:

Date:Time:

Location:

Contract Signed: YES NO(please circle)*Any follow up issues from the last supervision session to discuss.

A.

B.

C.

*Additional Agenda Items for this supervision session not covered in the boxes below which the supervisor/supervisee wishes to discuss: (elaborate at end of session in box provided)

1.

2.

3.

The supervisee is really pleased with (strengths shown by the supervisee). What has gone well in the time since the last supervision

(Please write your comments here)

Agreed Actions by when?

The supervisor is really pleased about (strengths shown by the supervisee).



Are there are areas in the supervisees work practice which need to be addressed? (Please write your comments here)


Do you need any additional support in any areas of your work?



Do either party need to discuss Sickness/holidays/time keeping?



Are there any identified Team work/challenges/frustrations?



Are there any areas of competence/attitude that need to be addressed? Please include Equality & Diversity issues.(Please write your comments here)


Are there any issues of Health & safety that need to be addressed? (Please write your comments here)


Is the supervisee engaging with service users?

Do they engage with personalised activities

Do they work with the team to ensure service users are engaged at all times?

Do they take direction from the activities organiser?

Do they have any specific difficulties in engaging with particular service users?

Do they refer to the activities/engagement care plan for all service users?

Do they regularly update life story work?Agreed Actions by when?

Regarding Continuing Professional development are there any qualifications/courses/coaching/shadowing/1:1 support that the supervisee would benefit from?(Please write your comments here)


Has the supervisee undertaken any training since last supervision?(Please state which training and date and comment on reasons for non-attendance). Please remember to fill in Appendix 1(Please write the courses here)


If the supervisee has any Staff Training Responsibilities (is an internal trainer) is their CPD up to date and are their certificates in date. Please check especially for Moving & Handling as these certificates should have an expiry date on them.Agreed Actions by when?

Any other issues not already covered(see front page for items to be followed up or new agenda items *):

A.

B.

C.

1.

2.

3.

Signed: .(supervisee)

Signed: ..(supervisor)

Appendix 1

EVALUATION OF TRAININGTo be completed during supervision with the supervisor within 6 weeks of training undertaken. Please copy this page, place one copy in the supervisees CPD portfolio and send to The Staff Development Team.Please fill in one evaluation for each course undertaken.

Course undertaken/ Qualification passed eg:QCFDateInternal or External?Mandatory or Specialism?

1. To what extent on the course have you learned/been reminded about new practical skills?

A lot 6 5 4 3 2 1 Nothing

please comment why you have given this rating.

2. To what extent have you recognised/been reminded about the needs of the service user (s)



3. To what extent on the course have you learned/been reminded about changing your behaviour/identifying that your values may be different?



4. To what extent on the course have you extended your knowledge in this area?



4. What have you/will you change about your practice?

Signed:

(Course Participant)

To Be filled in by the Supervisor/lLine Manager

Have you noticed any changes in the skills, attitudes or behaviours of this person following this particular training?

Are there any further development needs in this area?

Signed:

(Supervisor/Line Manager)

These notes must remain confidential

Please remember to respect equality and diversity.

Name:

Service:

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best practice supervison form including training feedback - care homes

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