Adult social care settings Essay

1.1 Define Person centred values. Person centred values means the people whom we support are treated as equals and are involved in all aspects and areas of their care and that they are respected and valued as individuals. This means being involved in their assessments, care delivery and support planning, basically person centred values is making sure all approaches, policies and procedures and care practices put the residents at the centre of the day-to-day activities. It should also include the residents and their families in the planning and maintaining of this. 1.2 Explain why it is important to work in a way that embeds person centred values. The underlying purpose of person centred values is to ensure that the individual needing care is put at the very centre of the decision making progress about their life and the services and support they want, need and require. Person centred values is about putting an individuals needs and choices first, respecting their privacy and dignity and giving that individual as much independence as possible. under this strict system, the person is always placed at the very centre of the planning of the care programme required, in that he or she will always be consulted and that his or her views will always come first. Therefore the plan is tailor-made to that particular person, and it should include all aspects of care, from the Social and Health Services, from that individual’s family and from the voluntary sector. Outcome 2 Understand how to implement a person centred approach in an adult social care setting. 2.1 Describe how to find out the history, preferences, wishes and needs of an individual. By working in a way that puts an individual we are supporting at the centre of any planning and communicating with them we can find out information about their history, preferences and wishes. By using this approach we aim to see the person as an individual, rather than focusing on their illness or on abilities they may have. We can also include asking their family, friends, carers, other professionals including, GPS, nurses, social workers and also by looking at documents, such as pictures, letters, etc†¦ 2.2 Describe how to take into account the history, preferences, wishes and needs of an individual when planning care and support. When planning individual support it is necessary to record day-to-day preferences and requirements of the individuals care and support, we can do this by addressing individuals needs and preferences in a care plan, this holds all information about the individual you are supporting, their likes and dislikes, their hobbies, family information and their health as it changes. You can find out in a care plan if an individual likes reading in the afternoon or dancing to Elvis, and you can plan their daily activities around this, it is a way you can ensure the environment promotes well-being for your individual you are supporting. Having a holistic approach to meeting the needs and preferences of each individual is also a key skill. Things can change however depending on how that individual is feeling, say for example they feel physically sick and tired, they are not going to want to get out of bed, get washed, get dressed and sit in a room full of people all day, they are a lot more likely to want to lye in bed all day and that is fine as long as all their needs have been met and you explain what this choice will mean. 2.3 Explain how using and individuals care plan contributes to working in a person centred way. Plans for how people want their support to be delivered are a vital part of  person-centred working. People should be in centre of their plans and the planning process is a key way of ensuring that are at the centre of any support provided Care support plans are now developed by the person themselves, sometimes with support from family and friends. Plans are then agreed by the social worker or the manager. The development of a support plan is the perfect example of how person-centred working operates. Instead offering people a choice of what is currently available and finding what best fits their needs, person-centred working looks at someone’s needs and built the support package around them. One of the important aspects of person-centred planning is to look at what people are able to do for themselves and to ensure that services are not taking over aspects of a person’s life that they could perfectly well manage without support. Outcome 3 Understand the importance of establishing consent when providing care or support. 3.1 Define the word ‘consent’ Consent is the informed agreement to an action and/or decision. Permission for something to happen or agreement to do something. 3.2 Explain the importance of gaining consent when providing care or support. When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into something they do not want to do. 3.3 Describe how to establish consent for an activity or action. Consent can be implied, verbal, informed or written. Good communication skills and active listening plays a key role when gaining consent, by listening and treating an individual with respect you gain their trust and this is a way of gaining consent. By openly talking to the individuals in your care and being honest with them they are more likely to trust you. 3.4 Explain what steps to take if consent cannot be established. If consent cannot be established then you have a legal requirement to act in the best interest of the individual, to work towards solving conflict, with the use of extra support of advocates if necessary and where need to contact the person with whom has legal responsibility. All this must be recorded. Outcome 4 Understand how to encourage active participation. 4.1 Define what is meant by active participation. Active participation is an approach that recognizes all individuals rights and needs to participate in activities and relationships of everyday life as independently as possible, making sure the individual is actively part of their own care or support rather then a passive recipient. 4.2 Describe how active participation benefits an individual. Active participation empowers and encourages and individual to participate in their own care, it gives them the chance to be included in their care and have a greater say in how they live their lives. Active participation has many positive benefits such as: Physical benefits including greater activity levels. Increased independence and autonomy in what people do. An opportunity for individuals in health and social care settings to have a say in matters of direct concern to their lives. Increased opportunities for social contact and interpersonal relationships. Encouraging involvement and self-awareness. Enhanced well-being, with increases in self-confidence, self-esteem and self-belief. Active participation enhance an individual and helps to strengthening them physically, psychologically and their all over well-being. 4.3 Describe ways of reducing barriers to active participation. There are many ways of reducing barriers to active participation, organising and providing opportunity’s for involvement in social activities, Treating all individuals equally whilst still recognizing that everyone has differences and everyone is unique, A main way of reducing barriers is to introduce different ways of communication, such as Makaton, Sign language, Braille and also just by talking nice a clear and taking the time to listen to the individual in your care. 4.4 Describe ways of encouraging active participation. To encourage active participation you first should explain the benefits of participation and how it will motivate, encourage and support an individual. We can also involve family and friends to make experiences more meaningful and to be able to discuss with family and friends that activities cater to the needs and ability’s of an individual. Encouraging active participation is all about making that individual under your care feel good about themselves through, praise, compliments, patience and constructive feedback. Its all about making that individual feel comfortable, helping them feel as if their home, helping to improve their fitness, and helping to develop their social skills. Outcome 5 Understand how to support an individuals right to make choices. 5.1 Identify ways of supporting an individual to make informed choices. Informed choice is a voluntary, well-considered decision that an individual  makes on the basis of options, information, and understanding. To offer informed choices in a care setting staff need to empower their clients offer them up-to-date information and knowledge encourage independence 5.2 Explain why risk taking can be part of an individuals choices. We all take risks in life, its a way we grow and learn about ourselves and our limitations. Taking risks can empower us and teach us consequences, it is part of an individuals choice to take risks as long as those risks do not hurt others. To take a risk is an individuals choice the decision they make will result in some sort of consequence, negative or positive but it is down to the individual to make that choice. If the individual has the mental capacity to make an informed choice then they should be allowed to explore those risks. A person centred approach seeks to focus on people’s rights to have the lifestyle that they chose, including the right to make ‘bad’ decisions. You have to try and use person centred thinking tools, to help people and those who care about them most to think in a positive and productive way about how to ensure that they can achieve the changes they want to see while keeping the issue of risk in its place. 5.3 Explain how agreed risk assessment processes are used to support the right to make choices. Each individual in adult care should have a formal risk assessment carried out as part of their care plan. Risk assessments should contain information about the individual and the type of care and support they need. It will provide the most appropriate options for keeping the individual and anyone else involved as safe as possible. It will also tell you how to do some tasks where these tasks have been risk assessed and the best option has been established. Using a person-centred approach helps professionals involved in assessing risk to address significant issues of health and safety whilst supporting choice by also taking into account things that are important to people. A person centred approach can be one of the best ways to: Consider taking a particular risk or risks Establish and improve capacity to make decisions Make a best interest decision 5.4 Explain why a workers personal views should not influence an individuals choices. Every person in the world has the right to make his or her own decisions as long as it doesn’t involve another individual getting hurt. When an individual in your care makes a decision which you feel is risky, you need to make the individual aware of any consequences of their decision, however you mustn’t try to influence them with you own views, thoughts and feeling. The choice is the individuals not yours, they need to make their own decisions in order to feel in control of their lives, this leads to positive thinking, motivation, and positive feelings towards, dignity, pride and satisfaction. 5.5 Describe how to support an individual to question or challenge decisions concerning them that are made by others. Family and friends sometimes make decisions on behalf of an individual in care, these decision can be about the type of care or support they are receiving or the life style they are leading, but these decisions are not always discussed with the individual in question, and they may no be happy or comfortable with the outcome. It is essential that you obtain and understand the facts and reason these decisions were made so you make sure the individual has a clear understanding. If the individual remains sure that he/she is not happy with the decision, once he/she has this information, you can work with the individual to support them to challenge the decision. Any changes that are made to these decisions must be noted and reported and they must be made safe for yourself, the individual and anyone else involved. You should never make changes to a care plan or anything smiler without the proper training or discussing it first with you supervisor or line manager. 6.1 Explain how individual identity and self esteem are linked with well being Everyone has the right to identify themselves however they want, everyone has there own thoughts and beliefs and they shouldn’t be made to feel bad or have there self esteem lowered because someone doesn’t believe or think the same ways as someone else. Maintaining someone’s identity is done by always recognising that person as an individual, recognising that everyone has there own thoughts, feelings, beliefs, wishes and views and that makes them unique. You must always try to deal with views and choices of another person in a positive and caring manner, all this will contribute to their sense of well-being. 6.2 Describe attitudes and approaches that are likely to promote an individuals well-being. By always ensuring that the individual is treated in a professional, kind, caring and courteous way, their sense of well-being is always assured. Care workers can also make sure that they use a number of different approaches empowering approaches that enable the individual to take control, a positive approach that encourages the individual to feel good, working in a trusting and professional way enables a good relationship to build between the care worker and individual promoting a sense of well-being. 6.3 Identify ways to contribute to an environment that promotes well-being. There are many ways to contribute to an environment that promotes well-being, the individual in your care needs to feel safe, secure and at home in a welcoming environment that makes them feel comfortable, the best way to do this is for the individual to have their personal belongings around them, things that matter and make them feel good; Photos, Ornaments, Books, Pieces of furniture An environment that is easy for them to get around in, that is adapted for their needs/abilities, set out in a way of their choosing e.g their bedroom is personal to them, furniture placed in the way they have chosen, they’re decision on how it’s laid out, their decision on how it is decorated, it is their home and it should be made to feel welcoming, open and comfortable. Adult social care settings Essay Outcome 1 1.1 People communicate to understand their needs, to have a conversation, to express feelings, needs, to build relationships and trust. They communicate to share information and opinions, to ask questions and get answers. 1.2 Communication between staff effects service provision, understanding each other, team work and dignity in care. If communication is not effective, it can affect again residents-we can do harm to them, it can affect their health and well-being. Communication with staff is essential for passing information from one person to another. Information can be passed from carer worker to carer worker via verbal communication or written documents from care plans and daily reports, to fire books. Written communication has to be effective as it provides an on-going picture of a certain person, situation. Effective communication between staff is essential for care to be professional. Without effective communication care needs of the clients may go unnoticed leading to medical problems, abuse, depression etc. Communication with residents is most important in care job. That’s the way how you can easier understand they needs, requirements. It can affect service that carer provide to reside nts-more effective communication, better service to residents; with effective communication carer is building trust between residents and staff that helps in future work with them. 1.3 The care worker should always observe an individual’s reactions to see whether person fully understands what you have said to them. If the resident for example looks confused then the carer must then adapt their communication and ask again the question or other. In this way communication will be effective. It is also important to observe an individual’s reactions so as to spot anything that may be worrying them or upsetting them; the carer must to change their approach – this may be noticed through the resident change in facial expression or body language. If resident cannot verbalise what they want or prefer, then observing their reactions staff can make a decision about resident needs. Outcome 2 2.1 It makes more effective communication, more understand what other person trying to say. More understand they culture, religious believes. To be involved in their daily life. To avoid the individual feeling excluded, becoming distressed, frustrated or frightened. 2.2 Is verbal and non-verbal communication. Non-verbal communication is all without making noises, sounds. It can be writing, showing pictures with food choice, walk in park, toilette need. Can be even facial expressions, eye contact, body language, gestures or touch to get attention, physical gestures, behaviour. Verbal communication is vocabulary and tone in what person like to talk, involved in conversation. Outcome 3 3.1 Communication barriers can be place where person is, people around, noisy environment, values, culture, beliefs, his wishes and needs. Reason can be even lighting, how close you stand to that person or language barrier. 3.2 Communication barriers can reduce if you take the person to another room. Can try to turn lower music volume on television or radio. Try to talk with person in more private place, ask about his needs. Another way how we can reduce the impact of this barrier is by using a translator when you or resident do not understand what you both are saying because of a language barrier. Finally this would work because by using a translator you will not be offending people who speak a different language. Communication barrier can be because of different cultures and they include different cultures using different words or signs which may not be accepted in other cultures. One example of a mechanism which can be used to reduce the impact of this barrier to communication is by respecting other people’s beliefs and social habits. 3.3 To be sure that person understand me I can see it by his facial expressions, body language or his action on what I said. Ask if the person understand me, rephrasing. Some person need more time for get right answer or you should repeat a question, sentence. 3.4 It can be more enable: Colleague – staff member who knows resident issues, needs, wishes, more  about his culture, values, beliefs. Speech therapist – can tell who has had a stroke. GP – is person who know more about resident general health problems, how staff can make that person more relax and comfortable. Family – can tell more about carrier person daily life, person food choice, needs. Psychotherapist – can advise on exercise for people at all stages of dementia. They can also give advice carers on safe ways of helping someone to move. Dentist – can be used if the individual has dentures which are to loose and move when speaking. Outcome 4 4.1 Confidentiality means keeping residents information private and safe and passing information to only those who have rights to it. Confidentiality means also not passing information outside care house, keeping information safe and private. 4.2 Confidentiality you can maintain with not passing information outside of work or to other resident visitors. Be professional and don’t talk about residents in public places when you have a meal with work colleagues or in public transport on a way home. Don’t leave a written personal records lying around. You need to put them in safe place, where access is just for staff members. Health records are confidential. They should be shared only on a need-to-know basis. Carrier can give access to resident relevant information to those who have rights to know it. 4.3 Can share confidential information when the person is being placed in danger, harmed or abused. You can share information with other staff members in situation if for example resident is telling you he feels in danger of other resident or staff member and ask you not to tell anyone. It is situation where you need to explain person that you can’t keep information, because you want him to be in safety and need to help him by acting straight away. Can share when a criminal act has taken place. However, even, where it is clearly beneficial to share information for direct care, rules about confidentiality and privacy still apply. That means that only those who have a clear need to know should have access to the relevant confidential information. 4.4 Can seek advice about confidentiality if speaking with manager or with the organisation’s confidentiality policy. If someone is calling by phone and asking some information about any of residents and you are not sure who it is you can always ask him to speak with manager or just  take persons phone number and tell him that manager will call him back. The Data Protection Act is a law that applies to all social services and health records. It means that any information about resident should be kept accurately and securely, and there should be measures restricting who can see it. There are circumstances when an authority may have the right to break the rules about confidentiality. This is normally in extreme situations.