Topc Area 4: Best Practice in health and social care settings

Examples of health care settings

• hospital

• GP surgery

• Nursing home

• Dentist

Examples of social care settings

• homeless shelter

• Day centre

• Food bank

• Retirement home (minimal support for independent living)

What is person-centred care about (person centred values)

focusing care on the specific needs of individuals

What does following person-centred values do (person-centred values)

• empowers the individual - gives them the confidence to make decisions and be in control of their life

The person centred values of care (person-centred values)

EPIC DRRIP

• Encouraging decision making

• Privacy

• Individuality

• Choice

• Dignity

• Rights

• Respect

• Independence

• Partnership

What is individuality and an example of how to promote it (person-centred values)

• treating each service user as an individual and encouraging them to be their own person

• E.g personalised care plans take into account how the individual wants their care or treatment to happen

What is choice and an example of how to promote it (person-centred values)

• enabling service users to make their own choices to give them more control

• E.g having a range of different activities at a day centre

explain why you need to support an individuals rights and an example of how to promote them (person-centred values)

• protected by the Equality act and Humans Right Act - everyone is entitled to rights

• E.g ensure patients give informed consent before they are given a treatment - know side effects (consultation)

What is independence and an example of how to promote it (person-centred values)

• enabling service users to do as much for themselves as they are able so they are in control

• E.g devices sent home to monitor their own blood pressure rather than having to stay in hospital

What is privacy and an example of how to promote it (person-centred values)

• showing respect for a service users personal space and personal information

• E.g knocking on a service users door before entering

What is dignity and an example of how to promote it (person-centred values)

• treating service users in a kind way so they feel listened to and respected

• E.g addressing people using their preferred name and title

What is respect and an example of how to promote it (person-centred values)

• treating service users well and valuing their rights, beliefs and opinions

• E.g respecting religious requirements and providing a prayer room

What is partnership and an example of how to promote it (person-centred values)

• Making sure the individual and agreed members of the family are involved in decisions or professionals working together to provide effective care

• E.g a GP sharing information on a need-to-know basis with a social worker

What is encouraging service users decision making and an example of how to promote it (person-centred values)

• providing service users with information and support to ensure they can make their own informed decisions

• E.g Presenting information in an easy read format to help individuals understand the information

Explain the 6Cs and why they were introduced (the 6Cs)

• values that the health and social care workers should hold to ensure service users are treated with dignity and respect

• introduced after cases of neglect and abuse in HSC sector

Name the 6Cs

• Care

• Compassion

• Competence

• Communication

• Courage

• Commitment

Explain care and give an example in HSC settings (the 6Cs)

• Doing all you can to maintain and improve a service users health and well-being

• E.g opticians giving advice on how to look after your eyes properly

Explain compassion and give an example in HSC settings (the 6Cs)

• being able to provide care with kindness, respect and empathy

• Develop a connection with the individual and understand from the view of the service user

• E.g doctors and nurses spending time talking to patients about their concerns

Explain competence and give an example in HSC settings (the 6Cs)

• the ability to do a particular job - gives service users confidence

• E.g GPs having a good knowledge in their field of work so they can accurately diagnose conditions

Explain communication and give an example in HSC settings (the 6Cs)

• Being able to listen carefully and speak in a way that individuals can understand

• Workers need to be able to adapt communication to the needs of different people

• E.g workers in care homes learning to read body language, behaviour and facial expressions like a dementia patient walking around might need the toilet

Explain courage and give two examples in HSC settings (the 6Cs)

• having the mental strength to do what is right and speak up about concerns

• E.g in care homes reporting colleagues who are mistreating individuals, delivering bad news about a diagnosis

Explain commitment and give an example in HSC settings (the 6Cs)

• being determined to provide the best care for people and carry out the responsibilities of their job to the required standard

• S.g doctors and specialist nurses being on call

Consequences if the 6Cs are not demonstrated (the 6Cs)

• Feeling like they are a burden if they do not feel cared for

• feel frustrated or anxious if they can’t ask questions - communication

• Not understand the care or treatment they are receiving - lack of knowledge and competence

What is safeguarding (safeguarding policies)

• strategies and procedures put in place to protect the wellbeing of vulnerable people

The main aims of the safeguarding policy (safeguarding policies)

• stop abuse and neglect where possible - needs to be recognised and taken seriously

• Prevent harm - can be caused by abuse, neglect, accidents and unsafe practices

• Reduce the risk of abuse and neglect of adults who have care and support needs- running services in a way to reduce the risk of this happening

• When responding to concerns about vulnerable adults - take their wishes into consideration - so they feel they have control over their life

How is it legal requirement to have a safeguarding policy (safeguarding policies)

• Under the Health and Care Act 2022

e.g of what it states:

• HSC services have a statutory duty to safeguard and promote the welfare of children, young people and adults at risk of abuse

• regular training of staff on safeguarding

• Agencies share information to prevent abuse

• Procedures should be clear on who is accountable for what

What are the key features of a safeguarding policy (safeguarding policies)

• each setting should appoint a DSL (designated safeguarding lead)

• requires ALL staff to be trained in safeguarding

• all staff should have a DBS

DSL responsibilities (safeguarding policies - each setting should have a DSL)

Designated safeguarding leader - responsible for safeguarding

• members of staff report concerns of abuse or neglect to the DSL

• Give training and guidance to staff e.g how to spot abuse

• Make sure safeguarding procedures and policies are being followed and are up to date

• Make decisions in individuals safeguarding cases such as which agencies to involve

• Keeping all safeguarding records up to date

What does DBS stand for and the two things if checks (safeguarding policies - DBS)

• Disclosing and Barring service

• Disclosure → checks police records to see if an individual has been convicted of any offence (not necessarily meaning they won’t be employed)

• Barring → checks against a list of people who are barred from working in HSC settings

3 types of DBS checks (safeguarding policies - DBS)

• standard DBS check - lists any convictions that the police holds on their records

• Enhanced DBS check - same as standard plus additional information the police may have about the individual - might not be convictions just concerns

• Enhanced with Barred list DBS check - a list of people not permitted to work with children or vulnerable adults - usually as they have been convicted for a crime related to harm and abuse - against the law to employ them

Who need enhanced and standard DBS checks (safeguarding policies - DBS checks)

• standard - people who don’t work directly with vulnerable individuals- e.g maintenance workers

• Enhanced - people who have direct contact with vulnerable people -e.g nurses