VCare Consultancy Services Limited
Staff Supervision Record Template
Employee Name | |
Job Role | |
Supervisor Name | |
Date of Supervision | |
Time | |
Location | |
Type of Supervision | Formal / Informal / Probation / Return to Work / Competency |
1. PURPOSE OF SUPERVISION
Discussion Area | Comments |
Review of previous supervision actions | |
Employee wellbeing and welfare | |
Attendance and punctuality | |
Performance review | |
Professional conduct |
2. SAFEGUARDING AND SERVICE USER CARE
Discussion Area | Comments |
Safeguarding awareness | |
Professional boundaries | |
Person-centred care | |
Service user feedback | |
Confidentiality and GDPR compliance |
3. HEALTH & SAFETY
Discussion Area | Comments |
Lone working safety | |
Infection prevention and control | |
Medication practice | |
Incident reporting understanding | |
Risk assessment awareness |
4. TRAINING AND DEVELOPMENT
Discussion Area | Comments |
Mandatory training compliance | |
Competency assessments completed | |
Additional training needs identified | |
Career development discussion | |
Care Certificate progress |
5. PERFORMANCE AND QUALITY MONITORING
Discussion Area | Comments |
Spot checks discussed | |
Documentation quality | |
Communication with office | |
Adherence to care plans | |
Areas requiring improvement |
6. EMPLOYEE FEEDBACK
Employee Comments / Concerns / Suggestions: |
7. ACTION PLAN
Action Required | Responsible Person | Target Date | Completed |
8. OVERALL SUPERVISION OUTCOME
☐ Satisfactory
☐ Requires Improvement
☐ Additional Monitoring Required
☐ Further Training Required
☐ Formal Performance Management Required
9. SUPERVISOR SUMMARY
10. SIGNATURES
Name | Signature | Date |
Employee | ||
Supervisor |
CONFIDENTIALITY NOTICE
This supervision record contains confidential employee and operational information and must be stored securely in accordance with the Data Protection Act 2018, UK GDPR and VCare policies.
GUIDANCE NOTES
- Supervision should include safeguarding, wellbeing, training and performance discussions.
- New staff should receive increased supervision during probation.
- Supervision records should be stored securely.
- Action plans should be monitored and reviewed.
Approved By: Tavleen Sharma
Position: Registered Manager & Director
New Review Date: 1st August 2027