Maximize Efficiency with Our Proforma Template for Supervision

Proforma template for Supervision

[Music] this film is about how the quality of social work in mental health can be enhanced by complementing line management supervision with clinical and professional supervision the social workers in this film are all members of a multidisciplinary mental health team at the Norfolk and Suffolk NHS Foundation Trust really quite open to comment in terms of how to improve their service they work with extremely complex cases in residential care homes and good supervision is essential to ensure high standards super figure is absolutely crucial we sometimes make mistakes we overlook things we're not was always thoughtful if we're running around without actually that time to reflect to sit down and for other people to ask questions of how we're carrying out our duties we sometimes just carry along without making assumptions and I think it's very healthy to stop and reflect and line management and clinical supervision ask staff to do that and so it please feedback to me and I can feed that back to them the prime focus of the team is to enhance the recovery and independence of residents it's a policy strongly underpinned by supervision James who's in his second year of Social Work is having his monthly management supervision with line manager Kareem and can you sort of advise me what your caseload looks like at the moment it's probably just just above 60 I think and I think of those have got about about 10 people who are kind of in that redzone more more challenging I think from the management supervision point of view it is much more about performance making sure they're fulfilling statutory and responsibilities and duties that they're following procedures and protocols that are embedded within both the the trust and within social services last week attended a meeting where they presented the data performance for the locality is it's very important that the cluster pathways are completed in addition to management supervision Norfolk and Suffolk have what they describe as clinical supervision once a month in practice this covers clinical issues such as developing knowledge and competence and professional issues such as reviewing the work carried out with people when different aspects of supervision are being delivered by different supervisors clear communication and lines of responsibility are crucial in order to ensure significant information about the case is shared in terms of clinical management supervision being done together by the same person I have in fact done that in a previous post when I worked in older persons services and it was done as a bit of a shorthand and I think because people were feeling that they were short for time so we just lump it all together in an actual fact I think it all ends up being is management supervision if the manager is the doing the management supervision the clinical supervision just goes by the wayside it's a bit of an afterthought and I think that staff are then damages service they had lose out on an opportunity to be thinking about their practice thinking about developing their skills James's clinical and professional supervisor is Simon Simon is a senior social worker and an approved mental health professionals who also holds a practice educator award so I guess it would be helpful just to start perhaps with a bit of an agenda really mmm I mean we've got our kind of set features and that come from the policy so talk about safety assessment and formulation reflecting on clinical relationships so I guess we've got to cover those but but are there any particular cases or pieces of work you've done recently that you feel a significant or if if you found challenging at all yeah and there's one Kasem guy called Peter he's a guy with the diagnosis of Asperger's syndrome and schizophrenia there he's getting command kind of directions from from the television making him do things he takes his top off and puts it back on again kind of constantly in terms of Peter's communication style and his routines how have you come to get to know those other people that you've spoken to or is there particular what you've done with with Peter around that obviously their care team around him because they know him very well and they have a really good understanding actually of what his routines are and how what he likes which obviously with communication is important particularly because the way his presentation is he becomes very agitated at the moment about things and he sort of he's very repetitive in what what he talks about and he'll talk about Peter is currently based in intensive psychiatric care and Simon is helping James to explore ways to help me to become more independent so that he can eventually move into a residential home and the other thing is he really hates formal meeting so when we have obviously we have reviews on the ward which we have you know that's different professionals attending and the it's important that he's involved in those discussions but actually that makes him really really distressed and it's really difficult to get anything from him so it's quite a careful balance needs to be struck between getting him to actually attend or to feed that feed into that process without without actually pushing him sort of making him worse again because what might be kind of reasonable adaptations I guess I'm gonna know that really is in a sense of physical stuff but for it for example I mean on the ward you picked up on the review and actually yes there's a standard format for the review but actually if we know part of his condition things that kind of group communication communication that doesn't take the very specialist format that you adopt mmm is distressing for him then actually using that method Adapted is actually excluding him and I just wondered on that theme whether there were kind of reasonable changes that to be made to usual processes or procedures or usual care planning that would perhaps make things you know person-centered more coverage focused and yeah I think that's quite a good point it is quite a rigid structure I mean I certainly think that it might be easier to have somebody speak to him beforehand you know maybe have quite a clear agenda that that's gone through it line management supervision we've got very clear template that supervisors are expected to follow they can add their own stuff in but there is a template that covers key areas around performance workload well-being those sorts of things there isn't a requirement there isn't a template for clinical supervision it's much more free although it is expected that it's recorded in some shape or form although those notes are confidential we wouldn't be calling on those to be looking at routinely I guess in it they will hopefully be thinking about professional competencies and they would be using stuff like H CPC but there isn't any strict guidance I think that depends on very much the relationship between the supervisor and the supervisor another difference between Norfolk and suffix clinical supervision and management supervision is that the supervisee can choose their clinical supervisor for social workers that is especially useful if their line manager is not a social worker in mental health we often find that social work staff are supervised din line management supervision with their with a nurse who might be their clinical team leader and although that works on a I guess a performance basis in terms of line management for clinical it's often better if people are seen by their own profession because there's a greater understanding of the duties and the roles and responsibilities that come for example with social care I find it really useful having the two different types of supervision because I think that the line management supervision is it's about what the organization wants and what the organization requires of me whereas my clinical supervision is about what what professionally I you know developing me as a professional which is something that's quite different actually and obviously that allows me to kind of have two perspectives and what I'm doing and agate is finally are there any particular social work theories do you think or any kind of evidence-based practice you think you've kind of brought to this case or that might have applied perks I think in particular is kind of understanding the the systems that are working around Peter he does exist as as an individual so within within this kind of matrix of college systems and the other patients and the ward environment how they impact upon him and how he impacts upon them kind of understanding those things is quite crucial to understanding why his presentations as it is understanding me I think working in a mental health trust it can be easy to lose social work theories so James had an ability to actually identify social work theory that looked at the environment somebody's in and the interrelationship between the person and their setting and those people around them and that's really valuable to understanding how somebody in particular with Asperger's and may present with distress for example if his needs aren't met on the ward and it would be very easy from a mental health point of view to see that as solely a case of clinical symptoms and I think James's ability to bring a social work theory to that and to understand how at the broader setting may be contributing was really valuable and it also allows him then to potentially challenge you know issues of power discrimination for example in terms of how review that reviews happen on the world I mean that was just one example of how a particular process can cause the service user distress as a social worker I always want to sort of sit somewhere between the service user the organization and the profession and I want to they're sort of things which are constantly having to be in balance so if I had the supervision simply with with my lion management manager I might end up being drawn more towards the organizational needs rather than considering the kind of the wider aspects of what service user might need or what well in fact might be good practice you