Recordsofevidence
PRACTICE PLACEMENT RECORDS OF EVIDENCE
FRONT SHEET
FIRST / SECOND* PRACTICE PLACEMENT RECORDS OF EVIDENCE
(*delete as appropriate)
|Student's name: | |
|Practice Assessor's name: | |
|Position held: | |
|Workplace supervisor's name: | |
|(if applicable) | |
|Position held: | |
|Agency name and address: | |
|Practice Assessor's telephone number: | |
|Recommendation: | |
|Pass / Fail | |
|(see definitions of recommendations, Page 60.) | |
|Brief description of the agency's function: |
|List ways in which evidence for the report has been gathered: |
|(e.g. Discussion with colleagues, discussion during practice tutorials, direct observations by..., reports read, feedback from service|
|users) |
|Dates of supervision: |
|Dates of observations : |
|Dates (if any, or state none) of student absence from placement and reason: |
|Dates (if any, or state none) of Practice Assessor absence from placement and reason: |
RECORDS OF EVIDENCE
The format below is purely a hard copy to give Practice Assessors and students a visual example the layout and information for completed reports. Practice Assessors will be sent the pro-forma electronically. All ‘boxes’ can be enlarged to accommodate the required quality and quantity of evidence when typing – please do not feel restricted to the space shown below.
Key Role 1: Prepare for, and work with individuals, families, carers, groups and communities to assess their needs and circumstances.
Overall score for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence , its source (eg observation, written work, |Rating |
| |discussion) and date. Please provide one specific example at the Interim stage and another |(Please indicate |
| |piece of evidence at the Final stage |appropriate rating) |
|Unit 1 |Interim: |PT: C S I |
|Prepare for social work | |ST: C S I |
|contact and involvement. | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 2 |Interim: |PT: C S I |
|Work with individuals, | |ST: C S I |
|families, carers, groups | | |
|and communities to help | | |
|them make informed | | |
|decisions. | | |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 3 |Interim: |PT: C S I |
|Assess needs and options | |ST: C S I |
|to recommend a course of | | |
|action. | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
| |Practice Assessor Commentary (KR1) | |
| | | |
| |Student Commentary (KR1): | |
RECORDS OF EVIDENCE
Key Role 2: Plan, carry out, review and evaluate social work practice, with individuals, carers, groups, communities and other professionals.
Overall rating for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence, its source (eg observation, written |Rating (Please indicate|
| |work, discussion etc.) and date |appropriate rating) |
|Unit 4 |Interim: |PT: C S I |
|Respond to crisis situations | |ST: C S I |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 5 |Interim: |PT: C S I |
|Interact with individuals, families, | |ST: C S I |
|carers, group and communities to achieve | | |
|change and development and to improve | | |
|life opportunities | | |
|Elements 1,2,3,4,5 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 6 |Interim: |PT: C S I |
|Prepare, produce, implement and evaluate | |ST: C S I |
|plans with individuals, families, carers,| | |
| | | |
|group, communities and professional | | |
|colleagues | | |
|Elements 1,2,3,4,5 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 7 |Interim: |PT: C S I |
|Support the development of networks to | |ST: C S I |
|meet assessed needs and planned outcomes | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 8 |Interim: |PT: C S I |
|Work with groups to promote individual | |ST: C S I |
|growth, development and independence | | |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 9 |Interim: |PT: C S I |
|Address behaviour which presents a risk | |ST: C S I |
|to individuals, families, carers, group, | | |
|communities | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Commentary (KR 2): |
|Student Commentary (KR2): |
RECORDS OF EVIDENCE
Key Role 3: Support individuals to represent their needs, views and circumstances.
Overall rating for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence and its source (eg observation, written work, |Rating |
| |discussion etc.) and Date. |(Please indicate |
| | |appropriate rating) |
|Unit 10 |Interim: |PT: C S I |
|Advocate with, and on | |ST: C S I |
|behalf of, individuals, | | |
|families, carers, group, | | |
|communities | | |
|Elements 1,2,3, | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 11 |Interim: |PT: C S I |
|Prepare for, and | |ST: C S I |
|participate in decision | | |
|making forums | | |
|Elements 1,2,3, 4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
| |Practice Assessor Commentary (KR3): | |
| | | |
| | | |
| |Student Commentary (KR3): | |
RECORDS OF EVIDENCE
Key Role 4: Manage risk to individuals, families, carers, group, communities, self and colleagues.
Overall rating for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence and its source (eg observation, written work, |Rating |
| |discussion etc.) |(Please indicate |
| | |appropriate rating) |
|Unit 12 |Interim: |PT: C S I |
|Assess and manage risk to | |ST: C S I |
|individuals, families, | | |
|carers, groups and | | |
|communities | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 13 |Interim: |PT: C S I |
|Assess, minimise and | |ST: C S I |
|manage risk to self and | | |
|colleagues | | |
|Elements 1,2,3 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Practice Assessor Commentary (KR 4): |
|Student Commentary (KR 4): |
RECORDS OF EVIDENCE
Key Role 5: Manage and be accountable, with supervision and support, for your own social work practice within your organisation.
Overall rating for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence and its source (eg observation, written work, |Rating |
| |discussion etc.) |(Please indicate |
| | |appropriate rating) |
|Unit 14 |Interim: |PT: C S I |
|Manage and be accountable | |ST: C S I |
|for your own work | | |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 15 |Interim: |PT: C S I |
|Contribute to the | |ST: C S I |
|management of resources | | |
|and services | | |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Unit 16 |Interim: |PT: C S I |
|Manage, present and share | |ST: C S I |
|records and reports | | |
|Elements 1,2,3,4 |Final: |PT: C S I |
| | |ST: C S I |
|Unit 17 |Interim: |PT: C S I |
|Work within | |ST: C S I |
|multi-disciplinary and | | |
|multi-organisational teams, | | |
|networks and systems | | |
|Elements 1,2,3,4 | | |
| |Final: |PT: C S I |
| | |ST: C S I |
|Practice Assessor Commentary (KR 5): |
| |
| |
| |
| |
|Student Commentary (KR 5): |
RECORDS OF EVIDENCE
Key Role 6: Demonstrate professional competence in social work practice.
Overall rating for Unit based on the evidence below (please indicate appropriate rating) C S I
| |Evidence: Please note both the evidence and its source (eg observation, written work, |Rating (Please indicate |
| |discussion etc.) |as appropriate) |
|Unit 18 |Interim: |PT: C S I |
|Research, analyse, evaluate,| |ST: C S I |
|and use current knowledge of| | |
|best social work practice | | |
|Elements 1,2 3 | | |
| |Final |PT: C S I |
| | |ST: C S I |
|Unit 19 |Interim: |PT: C S I |
|Work within agreed standards| |ST: C S I |
|of social work practice and | | |
|ensure own professional | | |
|development | | |
|Elements 1,2 3,4,5 | | |
| |Final |PT: C S I |
| | |ST: C S I |
|Unit 20 |Interim: |PT: C S I |
|Manage complex ethical | |ST: C S I |
|issues, dilemmas and | | |
|conflicts | | |
|Elements 1,2 3 | | |
| | | |
| |Final |PT: C S I |
| | |ST: C S I |
|Unit 21 |Interim: |PT: C S I |
|Contribute to the promotion | |ST: C S I |
|of best social work practice| | |
|Elements 1,2,3 | | |
| |Final |PT: C S I |
| | |ST: C S I |
|Practice Assessor Commentary (KR 6): |
| |
| |
| |
| |
|Student Commentary (KR6): |
Values and ethics
Please summarise your assessment of the student’s practice in relation to values and ethics
Please give two pieces of evidence or cross-reference to evidence in specific units.
Working in accordance with General Social Care Council ’s Code of Practice.
Did the student
|Protect the rights and promote the interests of service users and carers? |
|Interim: |
|Final: |
| Strive to establish and maintain the trust and confidence of service users and carers? |
|Interim: |
|Final: |
|Promote the independence of service users while protecting them as far as possible from danger or harm? |
|Interim: |
|Final: |
|Respect the rights of service users whilst seeking to ensure that their behaviour does not harm themselves or other people? |
|Interim: |
|Final: |
|Uphold public trust and confidence in social care services? |
|Interim: |
|Final: |
|Demonstrate accountability for the quality of their work and take responsibility for maintaining and improving their knowledge|
|and skills? |
|Interim: |
|Final: |
Overall statement of student’s progress
Please identify the strengths of the student as well as any developmental needs, for either final practice placement, or first year of practice
RECOMMENDATION
First / Second Practice Placement
(please delete as appropriate)
Please circle one of the following:
PASS
Student has demonstrated National Occupational Standards Key Roles over a range of situations and with consistency.
FAIL
Student has not demonstrated National Occupational Standards Key Roles, despite their identification in the mid-point review and opportunities to remedy skill deficits. There are well-evidenced reasons for supposing that further experience, in the medium term, will not improve performance and may results in clients receiving inadequate services or being placed at risk.
Practice Assessor: Date:
Student: Date:
Please remember that the student must sign the report BEFORE being submitted to the RHUL. This is to indicate that the student has read it, not that they necessarily agree with all its contents. Once signed, the report should not be changed without the student seeing it and signing again to indicate that it has been seen in its changed form. ONE copy of the report and all relevant material should be forwarded to RHUL’s Practice Learning Co-ordinator.
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