Quality statement 7: Staff supervision

Quality statement

Mental health professionals supporting people with borderline or antisocial personality disorder have an agreed level and frequency of supervision.

Rationale

Some mental health professionals may find working with people with borderline or antisocial personality disorder challenging. People with personality disorder can experience difficulties in communication, building trusting relationships and respecting boundaries. This can be stressful for staff and may sometimes result in negative attitudes. Mental health professionals have a varied remit when supporting people with borderline or antisocial personality disorder. This means that the level and frequency of support and supervision that mental health professionals receive from their managers needs to be tailored to their role and individual needs.

Quality measures

Structure

a) Evidence of local arrangements to ensure that mental health professionals supporting people with borderline or antisocial personality disorder have an agreed level and frequency of supervision.

Data source: Local data collection.

b) Evidence of local arrangements to ensure that the level and frequency of supervision of mental health professionals supporting people with borderline or antisocial personality disorder is monitored.

Data source: Local data collection.

Process

Proportion of mental health professionals supporting people with borderline or antisocial personality disorder who have an agreed level and frequency of supervision.

Nominator – number in the denominator who have an agreed level and frequency of supervision.

Denominator – number of mental health professionals supporting people with borderline or antisocial personality disorder.

Data source: Local data collection.

Outcome

a) Staff retention among mental health professionals.

b) Job satisfaction among mental health professionals.

Data source: Health and Social Care Information Centre (2014) NHS Outcomes framework and NHS Staff Survey

What the quality statement means for service providers, mental health professionals, and commissioners

Service providers (mental health trusts) ensure that mental health professionals supporting people with borderline or antisocial personality disorder have an agreed level and frequency of supervision with their managers. This is recorded and reflects the individual professional's needs.

Mental health professionals supporting people with borderline or antisocial personality disorder have an agreed level and frequency of supervision with their managers. This is recorded and reflects the individual professional's needs.

Commissioners (clinical commissioning groups and NHS England local area teams) commission services that ensure that mental health professionals supporting people with borderline or antisocial personality disorder have an agreed level and frequency of supervision with their managers. This is recorded and reflects the individual professional's needs.

What the quality statement means for service users and carers

People with borderline or antisocial personality disorder are supported by mental health professionals who are supervised by their managers to make sure they provide a good level of care.

Source guidance

Definitions of terms used in this quality statement

Staff supervision

Staff supervision can be focused on monitoring performance, supporting the individual professional or a mix of both these objectives. Staff supervision should:

  • make use of direct observation (for example, recordings of sessions) and routine outcome measures

  • support adherence to the specific intervention

  • promote general therapeutic consistency and reliability

  • counter negative attitudes among staff.

[Adapted from Antisocial personality disorder (2009) NICE guideline CG77]