Delegated Healthcare Task Competency Assessment & Sign-Off (HR-F041)

DELEGATED HEALTHCARE TASK COMPETENCY SIGN-OFF (HR-F041)

DELEGATED HEALTHCARE TASK COMPETENCY SIGN-OFF

Delegated Healthcare Task Competency Assessment & Sign-Off (HR-F041)

SECTION 1: THE DELEGATION TRIANGULATION & ACCOUNTABILITY

Title

Staff Member Name

Staff_ID

Job Title

Operating Local Authority

Name of Service User

Exact Equipment/Model Used for Assessment

Specific Delegated Support Task (Social/Hygiene Elements Only)

Delegating External Healthcare Professional Role

Professional PIN/Registration Verification

Delegation Accountability Status

Employing Organisation

SECTION 2: THEORETICAL KNOWLEDGE & ABSOLUTE BOUNDARIES (Safe QS6)

The Assessor must verbally assess the Care Worker's understanding of the strict limits of their competency prior to practical observation.

Anatomy & Purpose: Can the Care Worker explain the basic anatomy related to the task and why the social care intervention is required?

Equipment Integrity & MHRA Alerts: Can the Care Worker identify all required equipment, verify expiry dates, and explicitly explain the procedure for quarantining and reporting a faulty medical device?

The 'Red Flag' Boundary: Has the Care Worker correctly identified the absolute clinical limits of this delegation?

Specify the exact 'Hard Boundary' for this specific task

Infection Prevention & Control (IPC): Did the Care Worker explain the correct clean technique required, including clinical waste disposal protocols?

Fluctuating Capacity & MCA: Does the Care Worker know the exact location of the formal Best Interests decision/documentation if the service user lacks capacity to consent to this support?

SECTION 3: PRACTICAL OBSERVATION (Effective QS2)

The Assessor must silently observe the Care Worker performing the task. Do not intervene unless safety is compromised.

Consent & Communication: Explained the procedure and obtained valid consent before commencing?

Preparation & Hygiene: Washed hands, prepared a clean field, and donned correct PPE?

Procedural Accuracy: Followed the agreed support protocol step-by-step without prompting or hesitation?

Dignity & Comfort (Caring QS1): Maintained dignity throughout the procedure (e.g., minimising exposure, checking for pain)?

Care Documentation: Accurately recorded the intervention in the digital care notes (Nourish/Birdie), logging exact fluid outputs, skin observations, or any anomalies to report to the NHS team?

SECTION 4: EMERGENCY PROTOCOLS, ESCALATION (Safe QS1, QS2) & GRADING

Mutima Care - care workers operate alone and must know exactly what to do when complications arise.

Scenario Test: "I presented a complication scenario (e.g., 'The PEG site is suddenly bleeding', or 'The catheter is completely blocked')." Did the Care Worker correctly identify the immediate escalation pathway?

Delegating External Professional Declaration

Assessor's Feedback & Minor Corrections

Overall Competency Grading

Dynamic Voiding Triggers: "I acknowledge that this competency is IMMEDIATELY VOIDED, and I must request a re-assessment, if any of the following occur:"

Date

SECTION 5: TRIPARTITE DECLARATIONS & ACCOUNTABILITY

Emergency Pathway Confirmed

Delegating Professional Name

Care Worker Declaration

Care Worker Name

Care Worker Declaration

Next Review Date: