Staff Supervision & Observation Checklist
This checklist is used during or following direct observation of a support worker delivering services.
It is a supportive quality tool, not a disciplinary instrument. All feedback must be delivered respectfully and constructively.
A - Observation Details
B - Person-Centred Practice
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Greeted participant warmly and respectfully by their preferred name | ||||
| Asked participant how they wanted to be supported today before commencing | ||||
| Offered meaningful choices throughout the support session | ||||
| Maintained participant's dignity, privacy, and modesty at all times |
C - Safety, Risk and Infection Control
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Work area was safe, free from obvious hazards, and appropriately set up | ||||
| PPE was used correctly where required | ||||
| Infection control protocols were followed | ||||
| Support delivered within the scope of training and authorisation |
D - Documentation and Compliance
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Shift notes completed accurately and contemporaneously | ||||
| Notes use objective, professional language | ||||
| Participant consent confirmed before commencing support activities | ||||
| No use of mobile phone for personal reasons during active support time |
E - Professional Conduct and Boundaries
| Observation Item | Met | Partial | Not Met | N/A |
|---|---|---|---|---|
| Arrived on time and presented professionally for the observed shift | ||||
| Professional boundaries maintained in all interactions with participant | ||||
| Remained calm and composed when faced with challenging behaviour or situations |
F - Strengths Observed
G - Areas For Development
H - Agreed Development Actions
| Action Required | Responsibility | Target Date | Completed |
|---|---|---|---|
I - Overall Outcome