Please also include comments and examples in the space provided wherever possible.
If you do not believe that the student demonstrates appropriate skills in the area listed,
please place a tick in the ‘No’ column and provide reasons and comments about why you
have said ‘No’.
If you are unsure or not able to comment on the student’s skills in a particular area, please
place a tick in the ‘Not able to confirm’ column; or if the student is still undertaking
placement, then you may still be able to watch their work in these areas so you are then able
to comment on the suitability of their skills.
What should I do if I am unsure of the expectations?
Please contact the student’s assessor if you are unsure of any of the requirements of filling
in this Supervisor Report. The student will have their direct contact details.
Who should fill in this report if I am unable to do so?
If you are not able to confirm the student’s skills in all of the following areas, please confirm
the areas you can and ask another qualified person from the workplace to confirm skills in
the other areas. They will also need to sign the report.
SUPERVISOR REPORT
Student’s name:
Date of report:
Supervisor name:
Workplace:
Contact Number/s:
Do you understand the expectations and requirements of your role based on the above informat
Please fill in the following report.
Area/skills to be confirmed
Ye
s
(
)
No
(
)
Not able
to confirm
(
)
Provide examp
skills and perfo
Did the student show respect for cultural, social and
spiritual differences of clients
Eg by respecting the client’s rituals, by supporting them
to participate in their desired practices and by
demonstrating a non-discriminatory approach
Communicate appropriately with older people to develop
trust and develop relationships?
Eg by talking in a way that their clients can understand,
by demonstrating a supportive and empathetic
approach, by using appropriate body language, and by
being friendly and interested in what they have to say.
Did the student maintain privacy, confidentiality and
dignity of clients?
Eg by not passing on confidential information without
consent, allowing clients to have privacy where required,
and demonstrating respect for clients’ rights to their
dignity
Did the student provide services to clients by following
workplace policies and procedures?
Did the student encourage clients to participate in living
activities as they are able, and provide support where
needed?
Look for opportunities to engage clients in healthy
lifestyle practices?
Eg by encouraging healthy eating, exercise, social
activities and well-being
Recognise risk and take action to reduce this?
Demonstrate a flexible, adaptable and person-centred
approach to work?
Eg by respecting the clients’ own schedules, by treating
the client as an individual, by involving the client in
decision making, and adapting services to the clients’
needs
3
ED
6
CA
7
CC
13786749
F
76102
E
1595331
F
2245
B
2
F
6.
