LMAC 6B Supervision and Performance Management in Adult Care
LMAC 6B Supervision and Performance Management in Adult Care
in Leadership and
Management for Adult Care
1.Performance Management:
Supervision monitors staff performance
1.1 Discuss against job descriptions, objectives, and
the principles, organizational policies.
scope and 2.Support and Well-being:
purpose of Provides emotional support to staff,
professional recognizing the challenges of working in
supervision in adult care and addressing workplace stress
or burnout.
adult care
3.Quality Assurance:
Ensures the quality of care provided to
elderly residents meets regulatory and
organizational standards.
Scope of Professional Supervision
4. Problem-Solving:
1.1 Discuss Addresses practical issues, such as time
management, conflict resolution, and
the principles, resource allocation within the care setting.
scope and
5. Training and Development:
purpose of Identifies skill gaps and organizes relevant
professional training, coaching, or mentoring to enhance
supervision in competence.
adult care 6. Compliance and Regulation:
Supervisors ensure that staff understand and
comply with legal frameworks, policies, and
procedures specific to adult care settings.
Purpose of Professional Supervision
1.Enhancing Care Quality:
By supporting and guiding staff, supervision
ensures that elderly residents receive the best
1.1 Discuss possible care that is person-centered and respects
their dignity.
the principles,
2.Improving Staff Competence:
scope and Develops the knowledge, skills, and confidence of
purpose of care workers to handle complex situations in a
professional residential care environment.
• Solution-Focused Supervision:
Focuses on identifying strengths and
1.2 Summarise theories solutions rather than problems. Encourages
and models of
professional supervision
staff to explore what works well and how to
replicate successes.
• Examples of Activities:
• Reviewing care plans and staff member
contributions.
• Discussing safeguarding concerns or incidents.
• Setting and reviewing individual goals aligned with
organizational priorities.
2. Group Supervision
• Description: A collective meeting where
several staff members participate, often led
by a supervisor or external facilitator.
• Purpose:
2.1 Discuss different
supervision activities
• Encourage peer support and learning.
and processes that can • Share best practices and experiences.
be used in adult care
• Address common challenges collaboratively.
• Examples of Activities:
• Case study discussions on complex care
scenarios.
• Joint problem-solving on issues like staff
shortages or resident behavior management.
• Sharing feedback and lessons from inspections or
audits.
3. Observational Supervision
• Description: Supervisors observe staff
members during their work to assess their
practical skills and interactions with residents.
• Purpose:
2.1 Discuss different • Provide real-time feedback on care delivery.
supervision activities
and processes that can
• Identify strengths and areas for improvement.
be used in adult care • Ensure adherence to policies, procedures, and care
: standards.
• Examples of Activities:
• Monitoring manual handling techniques.
• Observing communication with residents, families,
and colleagues.
• Evaluating compliance with infection control
procedures.
4. Reflective Supervision
• Description: Encourages staff to reflect on
their experiences, decisions, and emotions in
a structured way.
• Purpose:
2.1 Discuss different • Foster self-awareness and critical thinking.
supervision activities
and processes that can • Promote emotional resilience and well-being.
be used in adult care • Enhance decision-making and problem-solving
: skills.
• Examples of Activities:
• Reflecting on challenging situations, such as end-
of-life care or resident conflict.
• Identifying lessons learned from incidents or near
misses.
• Exploring personal values and their impact on
6. Annual Appraisal
• Description: A formal, structured review of
a staff member’s performance over the
year.
• Purpose:
2.1 Discuss different
supervision activities
• Evaluate long-term progress and achievements.
and processes that can • Identify training and development needs.
be used in adult care
: • Set clear objectives for the upcoming year.
• Examples of Activities:
• Reviewing performance against job descriptions
and organizational goals.
• Discussing aspirations and opportunities for
advancement.
• Agreeing on professional development plans
(e.g., courses or mentoring).
7. Coaching and Mentoring
• Description: Personalized support provided
by a supervisor or senior staff member to
help a staff member develop specific skills or
overcome challenges.
2.1 Discuss different • Purpose:
supervision activities • Build confidence and expertise.
and processes that can
be used in adult care • Support staff in achieving career goals.
: • Address gaps in knowledge or skills.
• Examples of Activities:
• Coaching on handling dementia-related behaviors.
• Mentoring a new staff member through their
probationary period.
• Guiding staff on leadership development for future
supervisory roles.
8. Themed Supervision
• Description: Supervision sessions focused
on a specific topic relevant to the team or
organization.
• Purpose:
2.1 Discuss different • Address current challenges or updates in practice.
supervision activities
and processes that can • Ensure all staff understand and implement new
be used in adult care policies.
: • Encourage discussion and learning about key
themes in elderly care.
• Examples of Activities:
• Reviewing safeguarding updates or recent SARs.
• Discussing changes in infection control protocols.
• Training on equality, diversity, and inclusion in care
practices.
Key Considerations for Effective
Supervision
1.Frequency and
Consistency: Supervision should occur
regularly (e.g., monthly) and as needed for
2.1 Discuss different informal or ad-hoc sessions.
supervision activities
and processes that can
2.Confidentiality and Trust: Create a safe
be used in adult care space for open discussions.
:
3.Documentation: Record sessions, action
points, and outcomes to ensure
accountability and continuity.
4.Tailored Approach: Adjust supervision
methods to suit individual staff needs, team
dynamics, and organizational priorities.
1. External Factors
External factors originate outside the organization
but significantly impact care practices. These
include legal, regulatory, societal, and economic
influences.
2.3 Explain how external a. Legislation and Regulations
and internal factors
influence practice and • Impact on Practice: Compliance with laws and
can be used within regulations such as the Care Act 2014, the
professional supervision Health and Safety at Work Act 1974, and
objectives
safeguarding policies.
• Use in Supervision Objectives:
• Ensure staff understand and adhere to updated legal
requirements.
• Provide training on compliance with the Care Quality
Commission (CQC) standards.
• Address gaps identified during regulatory inspections.
1.External Factors
b. Economic Pressures
• Impact on Practice: Limited resources
2.3 Explain how external due to funding constraints or budget cuts
and internal factors
influence practice and can affect staffing levels, training, and
can be used within resources.
professional supervision
objectives • Use in Supervision Objectives:
• Develop strategies to optimize resource use
without compromising care quality.
• Encourage staff to share cost-effective ideas for
improving service delivery.
1.External Factors
c. Technological Advancements
• Impact on Practice: Innovations like
2.3 Explain how external electronic care planning systems,
and internal factors
influence practice and telehealth, and assistive technologies
can be used within improve efficiency but require staff training.
professional supervision
objectives • Use in Supervision Objectives:
• Set goals for staff to become proficient in using
new technologies.
• Monitor the implementation and effectiveness of
technological tools in care delivery.
1.External Factors
b. Team Dynamics
2.3 Explain how external • Impact on Practice: A supportive,
and internal factors collaborative team enhances morale and
influence practice and
can be used within
care quality, while conflicts or poor
professional supervision communication can hinder practice.
objectives
• Use in Supervision Objectives:
• Address and resolve team conflicts through
mediation and support.
• Encourage open communication and peer
collaboration.
2. Internal Factors
• Peer Support:
• Foster a culture where staff feel comfortable seeking and offering
support among colleagues.
How to Enable and Promote Supervisee
Wellbeing in Supervision
5. Celebrate Achievements and Provide
Positive Feedback
• Recognize and celebrate successes, no matter how
2.4 Explain why the small, to boost morale.
supervisee’s wellbeing • Provide constructive feedback that focuses on
should be included in strengths as well as areas for improvement.
effective supervision and
how to enable and
promote this through
supportive practices
6. Encourage Professional Development
• Career Progression:
• Support staff in identifying and pursuing development
goals, such as additional qualifications or leadership
opportunities.
• Skill Enhancement:
• Provide access to training and mentorship programs to
help staff feel competent and valued.
How to Enable and Promote Supervisee
Wellbeing in Supervision
7. Monitor Wellbeing Regularly
• Individual Check-Ins:
2.4 Explain why the • Regularly assess staff wellbeing during one-to-one
supervisee’s wellbeing
supervision.
should be included in
effective supervision and
• Team Assessments:
how to enable and • Conduct anonymous surveys or team meetings to
promote this through identify collective wellbeing issues and address
supportive practices them.
2.5 Discuss factors that • Use inclusive language that emphasizes collaboration rather
than authority.
can result in a power
imbalance during • Example: Replace phrases like "You must do this" with
supervision and how to "How can we approach this together?"
address them
2.5 Discuss factors that • Discuss power dynamics openly to ensure both parties feel
comfortable addressing them.
can result in a power
imbalance during • Example: "Do you feel this supervision process meets
supervision and how to your needs? If not, let’s explore how we can improve it."
address them
• Ways to Address:
2.6 Analyse ways to • Prioritize Supervision: Emphasize the
address challenges importance of supervision as part of the
arising during organizational culture and allocate dedicated
professional supervision time slots.
• Efficient Time Management: Use focused
sessions to address urgent issues and schedule
follow-ups for in-depth discussions.
• Flexible Formats: Incorporate alternative
formats like shorter, more frequent check-ins or
group supervision where appropriate.
6. Emotional Challenges
• Challenge:
• Supervision discussions can involve sensitive
topics, leading to emotional distress for
supervisees or supervisors.
• Challenge:
• Lack of follow-through on agreed actions can
undermine the effectiveness of supervision.
2.6 Analyse ways to
address challenges
• Ways to Address:
arising during • Action Plans: Create clear and specific action
professional supervision plans with deadlines and responsibilities.
• Regular Reviews: Schedule follow-up sessions
to monitor progress and provide ongoing
support.
• Accountability Mechanisms: Use supervision
records to ensure agreed actions are
implemented and tracked.
Benefits of Addressing Supervision
Challenges
c. Regular Check-Ins
• Schedule regular supervision sessions to monitor
progress, provide feedback, and adjust goals as
needed.
6. Practical Strategies for Alignment
d. Access to Resources
2.7 Explain how
supervision can be used
• Ensure staff have access to training
alongside appraisal and programs, mentorship, and other resources
professional necessary for professional development.
development processes
to enhance performance
and aspirations of the
supervisee e. Celebrate Success
• Acknowledge milestones achieved through
appraisal, supervision, or development
activities, reinforcing positive behavior and
progress.
1. Overview of the Organization’s Performance
Management Procedures
a. Setting Clear Objectives and Expectations
• Goal Setting: The organization establishes clear,
measurable objectives for staff members aligned with the
facility’s mission and care standards. These objectives may
be set during onboarding and reviewed periodically.
3.1 Explain the • Job Descriptions: Detailed role descriptions help set clear
organisation’s expectations and outline responsibilities specific to each
performance position within the care home.
management
procedures, and own
role in these b. Ongoing Supervision and Feedback
• Regular Supervision Sessions: Supervisors conduct
regular one-to-one meetings with staff to monitor progress,
address concerns, and offer guidance. This helps staff stay
on track and maintain a high standard of care.
• Constructive Feedback: Continuous feedback ensures
that staff know what they are doing well and what areas
need improvement. This feedback can be given informally
or as part of structured supervision meetings.
c. Performance Appraisals
• Formal Reviews: Performance appraisals are conducted
annually or semi-annually to assess achievements, set
new goals, and discuss professional development plans.
• Documentation: Appraisal results are documented,
providing a record of performance, progress, and areas
for development.
3.1 Explain the
organisation’s • Action Plans: Following an appraisal, an action plan may
be created to address areas for improvement and outline
performance
goals for the next review period.
management
procedures, and own
role in these d. Professional Development and Training
• Development Plans: The organization promotes training
programs and development workshops to support
continuous learning and skill enhancement.
• Access to Learning Opportunities: Employees are
encouraged to take part in relevant courses,
certifications, or workshops that contribute to their
professional growth and care quality.
e. Performance Management Policies
c. Ensuring Fairness
• Confidentiality: Grievances must be handled confidentially to
protect the privacy of all involved.
• Impartiality: The process should be unbiased, with an objective
4. Your Role in Conduct, Discipline, and Grievance
Procedures
a. Upholding and Modeling Conduct Standards
• Leading by Example: As a supervisor or staff member, it
is vital to embody the organization’s code of conduct and
promote an atmosphere of respect and professionalism.
• Training and Education: Support training sessions to
3.2 Explain the reinforce the expected conduct among staff members and
organisation’s conduct, highlight the importance of a positive work environment.
discipline and grievance b. Managing Discipline Procedures
procedures, and own
role in these • Monitoring Behavior: Keep an eye on staff interactions
and behavior to ensure compliance with conduct standards.
Address any minor issues promptly before they escalate.
• Providing Feedback: Offer constructive feedback during
supervision sessions or one-on-one meetings to address any
performance concerns.
• Initiating Disciplinary Actions: If disciplinary action
becomes necessary, follow the organization’s guidelines to
ensure a fair and consistent approach. Ensure that all
actions are documented properly.
4. Your Role in Conduct, Discipline, and Grievance Procedures
c. Handling Grievances
• Listening and Empathizing: Be available to listen to staff
concerns and demonstrate empathy, ensuring that they feel heard
and supported.
• Directing to the Appropriate Channels: If the issue cannot be
resolved informally, guide staff on how to proceed with formal
grievance procedures.
3.2 Explain the
• Participating in Investigations: If you are involved in
organisation’s conduct, investigating a grievance, remain impartial, gather evidence fairly,
discipline and grievance and ensure all parties have an opportunity to present their side of
procedures, and own the story.
role in these • Following Up: After a grievance has been addressed, follow up
with the staff member involved to confirm that the situation has
been resolved satisfactorily and provide additional support if
needed.
d. Promoting a Fair Work Environment
• Advocating for Fair Treatment: Ensure that all conduct,
discipline, and grievance procedures are followed consistently to
maintain trust and a fair work environment.
• Confidentiality and Integrity: Maintain confidentiality
throughout the process to protect staff members’ privacy and
uphold the integrity of the procedures.
5. Benefits of Effective Conduct, Discipline,
and Grievance Procedures
• Enhanced Staff Morale: Clear procedures
contribute to a fair, respectful environment
where staff feel valued and supported.
3.2 Explain the • Improved Care Quality: A positive and well-
organisation’s conduct, managed workplace enables staff to focus on
discipline and grievance providing high-quality care to residents.
procedures, and own
role in these • Reduced Conflict: Proper conduct and
grievance procedures help resolve issues
before they escalate, promoting harmony
among staff members.
• Compliance with Regulations: Adhering to
these procedures ensures the organization
complies with legal and regulatory
requirements, minimizing potential risks.
1. Effects of Health and Wellbeing on
Performance
a. Physical Health
4.1 Explain how a
team member’s
• Impact on Energy and Stamina: Physical
health issues, such as chronic illness or fatigue,
health and can lead to decreased energy levels, reduced
wellbeing may stamina, and a diminished ability to carry out
impact their tasks effectively.
performance and
• Absenteeism: Illness can result in more
potential wider frequent absences, leading to staff shortages
implications for the and increased pressure on remaining team
service members.
• Safety and Accuracy: Physical discomfort or
health problems can affect concentration,
reaction time, and the ability to perform tasks
safely, which may increase the risk of accidents
or errors in care.
1. Effects of Health and Wellbeing on Performance
b. Mental Health
• Cognitive Functioning: Stress, anxiety, and depression can
impair a team member’s ability to think clearly, make
4.1 Explain how a decisions, and stay focused on tasks.
team member’s • Interpersonal Skills: Poor mental health may lead to mood
health and changes, irritability, or difficulty in communicating effectively
with colleagues and residents, impacting teamwork and
wellbeing may resident interactions.
impact their • Job Satisfaction: Persistent mental health issues can lower
performance and job satisfaction, leading to disengagement and potential
turnover.
potential wider
implications for the
c. Emotional Wellbeing
service
• Resilience and Coping Skills: A team member with good
emotional wellbeing is more likely to cope with challenging
situations, maintain composure, and respond effectively
during crises or high-pressure periods.
• Empathy and Compassion: Emotional wellbeing supports
the ability to empathize with residents and respond to their
needs with compassion, which is essential for quality care.
2. Wider Implications for the Service
a. Impact on Resident Care Quality
c. Implementation Tips
• Create a Safe Space: Ensure that the environment during
these discussions is private and comfortable to encourage
honesty.
• Non-Judgmental Responses: Avoid making assumptions or
reacting negatively to what the team member shares.
2. Flexible Work Arrangements
a. Approach
• Adjusting Shifts: Modify work schedules or offer flexible
shifts to reduce stress related to fatigue or work-life balance.
• Reduced Hours or Part-Time Options: For those who need
more significant support, offering part-time work or temporary
leave can help them recover.
4.3 Evaluate
strategies that may be
used to support a b. Benefits
team member whose • Reduced Burnout: Flexibility helps staff manage their
stress and anxiety is personal and professional lives more effectively, reducing
affecting their overall stress.
performance • Improved Performance: When team members have a better
balance, their job performance can improve significantly.
• c. Implementation Tips
• Communicate Options Clearly: Make sure that team
members are aware of their options for flexible work and how
to access them.
• Monitor Workload: Ensure that adjusted shifts or reduced
hours do not negatively impact the team’s overall functioning.
3. Access to Employee Assistance Programs
(EAPs) and Support Services
a. Approach
• Professional Counseling: Provide access to
confidential counseling services where staff can
4.3 Evaluate discuss their stress and anxiety with a professional.
strategies that may be • Mental Health Resources: Offer information on
used to support a mental health resources and self-help strategies,
team member whose such as mindfulness or stress management
stress and anxiety is workshops.
affecting their
performance
b. Benefits
• Professional Guidance: EAPs provide specialized
support that can help employees develop coping
strategies and manage stress.
• Reduced Absenteeism: When staff have access to
mental health support, they are more likely to seek
help early, leading to fewer days off.
3. Access to Employee Assistance
Programs (EAPs) and Support Services
4.5 Describe the • Explain the Referral Process: Inform the team
member about why a referral is being made and what
referral process to expect next.
to be
• Address Concerns: Address any fears or
undertaken by apprehensions the team member may have about
supervisors seeking outside support.
when support
for team b. Obtaining Consent
members is
• Consent for Referral: Ensure that the team
beyond their member gives informed consent for the referral
role process. Explain any confidentiality agreements and
how their information will be shared.
• Encourage Participation: Support the team
member in taking an active role in the process, such
as choosing between different referral options if
possible.
4. Making the Referral
a. Formalizing the Referral
• Complete Necessary Forms: Ensure that any
4.5 Describe the necessary paperwork, such as referral forms, consent
referral process documents, or health information releases, are
to be completed accurately.
undertaken by • Submit the Referral: Send the referral to the
appropriate service provider (e.g., EAP, mental health
supervisors clinic, external support agency) and include all relevant
when support documentation.
for team
members is b. Coordinating with Support Services
beyond their • Follow-Up Communication: Contact the external
role service to confirm that the referral has been received and
the expected timeline for an appointment or intervention.
• Schedule a Follow-Up Meeting: Arrange a meeting
with the team member to discuss next steps and provide
any additional support needed during the waiting period.
5. Supporting the Team Member During the
Referral Process
a. Providing Emotional Support
4.5 Describe the • Check-In Regularly: Maintain regular contact with the
referral process team member to offer reassurance and maintain a
to be supportive environment.
undertaken by • Validate Their Feelings: Acknowledge that seeking
supervisors help can be difficult and validate their courage in doing
so.
when support
for team
members is b. Encouraging Continued Work Engagement
beyond their • Adjust Workload if Necessary: If the team member
role is finding it difficult to manage work tasks, consider
temporary adjustments or reduced hours as
appropriate.
• Promote a Positive Work Environment: Foster an
atmosphere where staff feel comfortable seeking help
and talking about mental health without fear of stigma.
6. Confidentiality and Privacy
4.5 Describe the
referral process a. Maintaining Privacy
to be
undertaken by • Limit Information Sharing: Ensure that
any information shared with other staff
supervisors
members or departments is done so with
when support
the team member’s consent and in line with
for team
privacy policies.
members is
beyond their • Confidential Record Keeping: Keep
role records related to the referral process
secure and confidential to protect the team
member’s privacy.
7. Following Up After the Referral
a. Reviewing the Outcome