Distance Supervision Contract

 
 
1. Contract between Rosemary Nash, (Supervisor), and
 
………………………………………………………, (Supervisee ),  
 
Contact details: work ph………………………mobile……………………………
 
Fax…………………………………………….email………………………………………….
 
………………………………………………………………………
 
Home contact details if wanted…………………………………………………………… and
 
Organisation details( if applicable):
*Line Manager …………………………………Contact details: ph…………………….
 
*email…………………………………………….mobile………………………………………
 
*Details for sending Invoice………………………………………….(name/designation)
 
*………………………………………………………………………………( postal address)
 
*……………………………………………………………………(Agency Street Address)
 
2. The Purpose of this Contract.
 This contract is to clarify our accountability to, and expectations of, each other within our respective roles.
 
The Supervisor, Supervisee and Employing Agency are responsible for informing each other about their specific expectations and requirements of Supervision and for ensuring that the Supervision will meet the needs of the Supervisee and the Employing agency.
 Professional Supervision to be provided will be based on the following concepts:
·       Professional Supervision is based on a formally arranged relationship between Supervisor and Supervisee that creates a safe supportive situation conducive to learning through reflection, exploration and discovery, and application.
·       Our process will be based on Adult Learning theory supported by neuro science findings, and can be likened to a spiral which initially captures relatively unformed ideas and issues, identifies them and eventually deepens and clarifies understanding and meaning, ending in a plan for practical application.
·       Professional Supervision between will involve a reflective conversation around topics of the Supervisees choice with the aim of enhancing the Supervisees development as a professional and enhancing outcomes for clients..
·       Professional Supervision takes into account professional and personal objectives within the context of organisational expectations.
·       Professional Supervision provides an opportunity to:
o      Continually develop Competent Practice
o      Ensure practice is Ethical and Accountable to client, organisation, and Professional Standards
o      Strengthen Professional Identity and Organisational Role
o      Support the Integration of the personal –professional interface
·       Professional Supervision does not provide performance management.
 
 
 
 
3. Supervisee Goals
 
 
 
 
 
 
 
 
 
*4. Employing Agency Goals
 
 
 
 
 
 
 
 



5.Structure of Supervision
 
a)    Frequency: …………………..
 
b)    Duration: 1 Hour
 
c)    Time: ………………..
 
d)    Cost: ……………..per session
 
e)     Medium: circle chosen option: Email or Skype, or combination of both email & Skype.
 
f)      Commencement, ……………………………………..
 
g)    * Review date: ……………………………………….
 
 
h)    * Reporting requirements: (circle one) Report based on
·       agency report format
·       Supervisor’s report format
·       Face to face meeting
 
i)      Arrangements for additional support:
·       The Supervisor is committed to trying to arrange an occasional  face to face meeting with the supervisee ( and his/her employer) in the early stages of the relationship, and on an annual basis thereafter. this would be in lieu of a scheduled distance session. However this may not always be possible, depending on the supervisee’s location.   The usual fee would apply, as agreed above. The supervisee will be required to provide the venue for such meetings.
·       Additional telephone support between sessions for  consultation or queries will be provided at  a pro rata of the hourly rate.
·       * The Supervisee is authorised by the employing organisation to request an additional………..sessions per year if required
or
·       *The Supervisee is required to seek authorisation for any additional sessions.
(delete one).
 
 
6. General Expectations
a)    Supervisee and Supervisor will annually diary future distance appointments.
b)    The supervisor will advise 3 weeks in advance of the possibility of any face to face session.
c)    The Supervision will begin and end at the agreed time and both or all parties will be available 5 minutes before the agreed starting time.
d)    If the appointment cannot be kept by either party, notification will be made by email at least 24 hours in advance.
e)    In an emergency, supervisees should cancel appointments by TEXT or phone message to mobile phone, or landline if mobile facility is unavailable.  
f)      Where the supervisee is unable to communicate cancellation due to personal emergency, the organisation will advise the supervisor by TEXT or phone message to mobile (or landline if mobile facility is unavailable).  
g)    another appointment is to be negotiated at the time of cancellation or as soon as possible afterwards, however the Supervisor cannot guarantee the availability of times for rescheduled appointments.
h)    Emergency Cancellation/ non availability by the Supervisor will be notified at least 3 hours in advance by TEXT or phone message to the supervisee or the organisation, or the next session will be provided at no cost.
i)      Each will prepare adequately for supervision.
j)      It is the Supervisee’s responsibility to determine the topics of conversation for each session.
k)    It is the Supervisor’s responsibility to ensure that the conversation follows a constructive learning process.
l)      The Supervisor and Supervisee will negotiate the most effective way of recording Supervision learning for the Supervisee’s use.
m) Personal issues will be dealt with insofar as they affect the Supervisee’s work but the responsibility to raise these issues rests with the Supervisee.
n)    Supervision Time will be maintained as a sacred space. Both Supervisor, Employing Agency, and Supervisee will take every step to ensure the period of supervision will not be interrupted. Privacy for Skype supervision must be arranged.
o)    Supervisee Non availability without cancellation will be notified by the Supervisor to the Supervisee’s Line Management.
p)    Supervision will be reviewed at least annually between the Supervisor and Supervisee.
q)    Should the Supervision be considered unsatisfactory by either party, appropriate steps are to be taken to resolve the issues.
 
7. Supervisor Responsibility
a)    Initiate the session by calling or emailing the supervisee.
b)    Ensure privacy for Skype appointments, remembering that the room being used will be visible to the supervisee.
c)    Consider with the Supervisee what her learning goals are and help find ways to achieve them
d)    Enquire into the way the Supervisee learns best, in order to help the Supervisee achieve identified Supervision goals
e)    Support the Supervisee:
a.    to develop in-depth reflection skills to assist identification of ‘what works’ in practice
b.    to develop strategies for enhanced application of ‘what works’
c.     to strengthen the Supervisee’s sense of identity in his/her chosen profession
f)      Use a range of supportive and challenging responses to the Supervisee’s conversation appropriate to the Supervisee’s learning style and support needs.
g)    Maintain a supervision record for the purposes of Supervision. This record is only available to the Supervisor and Supervisee.
h)    Keep all electronic records secure through a personal Log-in, and secure paper based records in a locked cabinet.
i)       
8. The Supervisee is expected to:
a)    Clarify her learning objectives and the way she learns best.
b)    Diary scheduled sessions. Reminders will not automatically be sent.
c)    Maintain her/his own attendance record.
d)    Prepare for Supervision by identifying starting points for the   Supervision conversation and emailing these and any related information to the Supervisor at least 24 hours in advance of the session.  
e)    Advise the supervisor in advance if unavailable.
f)      Ensure privacy for Skype appointments remembering that the room being used will be visible to the Supervisor.
g)    Save email and other electronic supervision records securely under Personal Log-in. 
h)    In the case of electronic disconnection, hang up and wait for supervisor to call back
 
9. Organisation Responsibility:
a)    to complete and return this contract and maintain a copy on the personnel file.
b)    Where the supervisee is unable to notify the cancellation due to personal emergency, the employing agency shall be responsible for doing this.
c)    to ensure the supervisee has access to electronic equipment required and agreed for distance supervision.
d)    to ensure privacy and uninterrupted time for supervision appointments by email or skype 
e)    to ensure the supervisee has access to secure electronic and paper based storage of Supervision records, emails etc.
f)      to provide advance notice of additional reporting requirements to allow sufficient time for a transparent review process to take place.
g)    to give one month’s notice of termination of this contract.
h)    to be available to discuss supervisee issues arising in 10. below.
i)      to provide copies of Professional Development Plans resulting from Annual Appraisals to provide context for supervision.
j)       
* 10. Management of Issues impacting on the ability of the supervisee to continue to practice in a competent, safe, and ethical way. (organisation to specify required process).



 
11. Cancellations
a) Where the appointment cannot be kept, it will be rescheduled whenever possible. However the Supervisor cannot guarantee availability for rescheduling.
b) If the supervisor is notified by email 24 hours before the scheduled session, or by TEXT or phone message to mobile phone within 3 hours of the appointment time in emergency situations, there will be no charge for cancellation.
c) where notice is not given by the supervisee or employing organisation, there will be a fee of half the normal session fee .
d) if the supervisor fails to advise a cancellation of a scheduled appointment the next scheduled session will be provided at no cost.
 
12. Reports.
     a) Reports will be provided at a cost of half the normal supervision fee.
     b) Reports will be a summary of the discussion between Supervisor and
 Supervisee based on the format agreed in 5. h) above.
 
13. Confidentiality
a)     Each will respect the confidentiality of the session, only what is learned in the session may be shared out side the session unless with explicit agreement.
b)    The Supervisor’s notes are for her use only.
c)    Confidentiality may be broken if any party identifies risk to self or others, with prior notice to the other party where ever possible.
d)    Casework Discussions will remain confidential to the supervision session.
 
14. Complaints.
a)    Should the Supervision be considered unsatisfactory by any party, appropriate steps are to be taken to resolve the issues.
b)    Complaints against the Supervisor should if possible, in the first instance, be addressed to the Supervisor.
c)    Assistance with the Complaint could be obtained from the Supervisee’s management, and/or the ANZASW Complaints Advisory Service. , PO Box 1072, Dunedin.
d)    Unresolved Complaints should be addressed to the Social Worker Registration Board, PO Box 10-150, The Terrace, Wellington, 6143.
 
 
____________________________________________Supervisor        /     /      
 
 
_____________________________________________Supervisee      /     /      
 
_____________________________________________Agency …../…../…….