PERFORMANCE IMPROVEMENT PLAN (PIP) (HR-F047) Contact PERFORMANCE IMPROVEMENT PLAN (PIP) Formal Performance Improvement Plan (PIP) (HR-F047)SECTION 1: PIP FRAMEWORK & STATUTORY BASELINETitle- Select -MrMrsMissMsMxOtherStaff Member NameStaff_IDOperating Local Authority- Select -HaringeyIslingtonBarnetWaltham ForestCamdenHackneyBrentHarrowRedbridgeNewhamCity of LondonWestminsterTower HamletsBarking and DagenhamHaveringKensington and ChelseaHammersmith and FulhamEalingHillingdonHounslowSouthwarkLambethLewishamGreenwichWandsworthRichmond upon ThamesMertonKingston upon ThamesSuttonBexleyBromleyCroydonOtherRight to Accompaniment- Select -Was the employee offered the statutory right to be accompanied by a Trade Union representative or colleague for this formal PIP initiation meeting?Precursor Intervention- Select -Follows Informal Discussion (HR-F044)Follows Formal Disciplinary Outcome (HR-F046)Post-Probationary ExtensionSECTION 2: THE CAPABILITY GAP & EQUALITY ACT CHECKCurrent Performance Issue (Factual Baseline)- Select -Medication AdministrationCare Plan DocumentationPunctuality & Time ManagementClinical/Manual HandlingProfessional BoundariesInfection Prevention (IPC)The Expected Standard (The Mutima Care Benchmark)Medication StandardDocumentation StandardPunctuality StandardClinical StandardBoundary StandardIPC StandardStatutory Health & Neurodiversity Check: Has the employee disclosed any physical/mental health condition, neurodivergence (e.g., Dyslexia, ADHD), or menopausal symptoms that are actively contributing to this performance gap?- Select -YesNoN/APIP paused or adjusted- Select -PIP paused or adjusted pending an Occupational Health review or immediate Reasonable AdjustmentsEmployee's Acknowledged Root Cause- Select -Acknowledges gapAcknowledges gapAcknowledges gapAcknowledges gapDisputes gapSECTION 3: S.M.A.R.T. OBJECTIVESObjective 1 Focus- Select -Retraining & Competency Sign-offDocumentation Accuracy & TimelinessPunctuality & Rota ComplianceIPC & PPE ComplianceMeasurement Metric 1- Select -Pass formal in-field practical observation (HR-F022/HR-F041) with a Senior Manager.Achieve 100% compliance on the next 4 consecutive weekly digital care log audits.Record zero late arrivals or clipped calls over the next 4-week period via ECM data.Demonstrate zero IPC/PPE breaches during unannounced field spot-checks.Target DateObjective 2 Focus- Select -Retraining & Competency Sign-offDocumentation Accuracy & TimelinessPunctuality & Rota ComplianceIPC & PPE ComplianceMeasurement Metric 2- Select -Pass formal in-field practical observation (HR-F022/HR-F041) with a Senior Manager.Achieve 100% compliance on the next 4 consecutive weekly digital care log audits.Record zero late arrivals or clipped calls over the next 4-week period via ECM data.Demonstrate zero IPC/PPE breaches during unannounced field spot-checks.Target DateSECTION 4: MANAGEMENT SUPPORT, RESOURCE ALLOCATION & REVIEW MILESTONESNext Review Date:Support Mechanisms Authorised (Select all applied)RetrainingShadowingEquipment/Reasonable AdjustmentRota ReductionMentorshipDetails of Support Plan & Manager Actions- Select -Employee scheduled for immediate external/e-learning clinical refresher course.Employee assigned to shadow a Senior Care Worker for 3-5 shifts to observe best practice.Employee's weekly rota reduced by 20% to allow consolidation and reduce fatigue.Digital app accessibility settings adjusted (e.g., text-to-speech enabled).Weekly 30-minute 1Review 1 (Week 2) DateManager's Assessment Notes- Select -Significant improvement observed; objective fully met for this period.Partial improvement; continued focus and coaching required.No improvement observed; performance remains below the safe baseline.Performance has deteriorated; immediate escalation required.Status- Select -On TrackBehind TargetAchievedReview 2 (Week 4) DateManager's Assessment Notes- Select -Significant improvement observed; objective fully met for this period.Partial improvement; continued focus and coaching required.No improvement observed; performance remains below the safe baseline.Performance has deteriorated; immediate escalation required.Status- Select -On TrackBehind TargetAchievedSafeguarding Abort Clause- Select -I explicitly acknowledge that Mutima Care reserves the right to terminate this PIP early and move directly to a Formal Disciplinary/Capability Hearing if my performance severely drops to a level that directly endangers service users (Safe QS1).Final PIP Review DateFinal Outcome- Select -PIP Successfully CompletedPIP ExtendedFailed (Proceed to Formal Capability Hearing)SECTION 5: FORMAL WARNINGConsequence of Failure to Improve- Select -I acknowledge this PIP constitutes a formal capability process. Failure to achieve the S.M.A.R.T. objectives by the final review date will result in formal capability proceedings, up to and including dismissal.12-Month Sustainment Clause- Select -I understand that if I successfully complete this PIP, the standard must be sustained. A significant drop in performance regarding these specific objectives within 12 months will bypass a new PIP and proceed directly to a Formal Capability Hearing.Manager Declaration- Select -I confirm that I have discussed this plan with the employee, set realistic objectives, and authorised the necessary support resources to facilitate their success.Employee Declaration- Select -I understand the performance gap identified, the objectives I must reach, and the support Mutima Care is providing. I understand the consequences, including potential dismissal, if my performance does not reach and sustain the required standard.PIP Commencement DateExpected PIP Completion DateSUBMIT FORM