Supervision record (example template)
A two-way supervision structure: wellbeing, practice, casework, development and actions — signed by both.
Use with care: this is a generic example layout for training and discussion.
Always use your own organisation's approved forms where they exist, and follow local policy.
| Staff member | |
|---|---|
| Supervisor | |
| Date | |
| Date of last supervision |
1. Wellbeing and workload (how are you, honestly?)
2. Review of actions from last supervision
3. Practice discussion (specific people supported, what's going well, what's difficult)
4. Safeguarding and concerns prompt (anything seen, heard or suspected?)
5. Feedback both ways (supervisor to staff, staff to organisation)
6. Training and development (needs, wishes, progress)
7. Agreed actions
| Action | Owner | By when |
|---|---|---|
| Staff signature | |
|---|---|
| Supervisor signature | |
| Next supervision due |
Supervision is confidential between the parties, subject to safeguarding and safety escalation.
Generic example template from UK Care Reference — educational use only. Printed __/__/____