CommentsThis field is for validation purposes and should be left unchanged.Your location*So we can direct your form to the correct team, please select where you're working. Neath, Port Talbot and Swansea POPS Care & Support Staff*Supervisor Name*LocationSupervision Date*Date of Next SupervisionHave both supervisor and support worker brought the following with them?Last supervision notes Yes No Last supervision notes commentsSpot check forms Yes No Spot check forms commentsPersonal Agenda Yes No Personal Agenda commentsAbout youHow is the member of staff, are they well, general well-being in relation to work.About those you support*Who do you currently work with? Are there any issues? Have you noticed any change in the individual’s needs (care plan, risk assessment, etc.) how is your relationship with the parents/carers?. Has the individual raised any concerns or have any complaints that may require a follow up? What activities do you access whilst on session? Please feedback on the individuals person centred plan – is it working? Are there any issues regarding transport?Are there any Health & Safety Issue, Incidents, near misses or suspected signs of abuse?*Please review the services you are involved in and relate any possible concerns or issues that could be important to the safety and welfare of children/adults you support.Have you any concerns or issues with any Family Support Wales staff?*Are there any concerns with other community staff? Have you concerns or issues with the office staff or senior management? Training & Development Needs*Are you managing your training plan (QCFs, etc) are there any areas you feel you need further training in? Is there any other specialist training you would like to undertake?Any Other Issues and Suggestions*Has the support worker any issues to discuss or any suggestions for improvement? If the support worker brought their own agenda to this supervision please discuss here. Any Concerns from FSW If FSW have any concerns regarding the attitude, service delivery, time keeping etc, please discuss hereFeedback formsExplained by your line manager? Yes No Feedback formsDo you understand the requirement? Yes No Submitting hours and mileageExplained by your line manager? Yes No Submitting hours and mileageDo you understand the requirement? Yes No Rota allocationExplained by your line manager? Yes No Rota allocationDo you understand the requirement? Yes No Contract/Zero hour contractExplained by your line manager? Yes No Contract/Zero hour contractDo you understand the requirement? Yes No Changes to Contracted HoursWould the staff member like to discuss any changes to their contracted hours e.g changing from 0 hour to contracted weekly hours. Yes No If Yes what changes have been discussedOut of Hours On-CallExplained by your line manager? Yes No Out of Hours On-CallDo you understand the requirement? Yes No Monthly PayExplained by your line manager? Yes No Monthly PayDo you understand the requirement? Yes No Confidentiality with familiesExplained by your line manager? Yes No Confidentiality with familiesDo you understand the requirement? Yes No Befriending families/services on social mediaExplained by your line manager? Yes No Befriending families/services on social mediaDo you understand the requirement? Yes No Use of phones on service – emergency onlyExplained by your line manager? Yes No Use of phones on service – emergency onlyDo you understand the requirement? Yes No Social media useExplained by your line manager? Yes No Social media useDo you understand the requirement? Yes No Lateness and early finishingExplained by your line manager? Yes No Lateness and early finishingDo you understand the requirement? Yes No AWOLExplained by your line manager? Yes No AWOLDo you understand the requirement? Yes No Communicating with managers for support/helpExplained by your line manager? Yes No Communicating with managers for support/helpDo you understand the requirement? Yes No Areas to improveWhat needs to improve, please detail?Action & SupportWho will assist and support staff member to complete improvement.Expected OutcomeWhat is the expected outcome and what do FSW and Support worker expect to achieve?Date of expected outcome Month Day Year Probation Period - Further Support Needed Yes No Probation Period - Completed Yes No Probation Period - Details of further SupportProbation extended date Month Day Year DBS: Renewal Date Month Day Year DBS: Completed if due for Renewal Yes No Car Business Insurance: Renewal Date Month Day Year Car Business Insurance Certificate Upload Drop files here or Select files Max. file size: 256 MB. Car MOT: Renewal Date Month Day Year Car MOT: Completed Yes No Support Worker Name*Date (Support Worker)* MM slash DD slash YYYY Support Worker SignatureSupervisor Name*Date (Supervisor)* MM slash DD slash YYYY Supervisor Signature*Privacy* By using this form you agree with the storage and handling of your data by this website. More information >>
