Care: Values and Principles – H21C76
Ben is a twenty-two-year-old diagnosed with DiGeorge Syndrome, mild learning disabilities, moderate depression and anxiety, dislocated elbow and poor circulation. Ben is unemployed and lives in a bungalow. Ben is close with his siblings and has a few close friends he sees regularly. He enjoys playing guitar and has an interest in photography. Ben has the help of a support worker with cleaning, cooking, phone calls and finances.
1.1 Analysing the needs of an individual using a care service.
The SPECC model is one way a professional can assess what needs an individual’s requires support to meet. It is best to have a discussion with the individual as everyone has a different perspective of needs. (Anon, n.d.)
Needs Assessment Why is this important?
Ben has a few close friends and his family to socialise with.
He sees his friends regularly.
The way ben socialises with his friends and family is important as he does not fully isolate himself. Isolation can be detrimental to mental health.
Ben lives in a bungalow with good, easy access to local amenities.
Support with household tasks
Ben requires support with cooking and cleaning due to his dislocated elbow, which can cause him discomfort. Living close to shops allows Ben to have freedom to access food and electric when needed. This can prove beneficial as he does not have to rely on transport and worry about carrying too many bags at once.
It is vital that Ben receives support and encouragement to help him keep his home a comfortable environment for him to live in, so he feels secure at home. Ben’s quality of life could plummet if he did not receive this support. Security and eating properly supports physical, emotional and cognitive development.
Emotional Mental Health
Ben suffers from depression and anxiety.
He requires support with phone calls due to his anxiety.
Ben can go out and making connections with friends and family.
People who suffer with depression and anxiety can become overwhelmed by feelings of worthlessness and result to avoiding people, even those close to them. (Mental Health and Employment, n.d.) If Ben avoids his friends and family, he could end up isolating himself which could negatively impact his mental health further.
It’s important that Ben is supported to continue to be independent he can improve his self-belief and therefore have confidence to maintain and expand his social circle.
Cognitive Learning new skills
Ben has learning disabilities and is currently unemployed.
Ben enjoys playing the guitar and photography.
Ben requires support with his finances. Unemployment can increase the severity of Ben’s depression and anxiety if he feels inadequate.
Ben is creative and enjoys stimulating activities. These activities are good for learning new skills, including employable skills.
This could prove vital because if Ben cannot afford electric or food, he will struggle emotionally and physically.
Ben enjoys spending time with his friends and family. He also has regular visits from a support worker. Being included in events is important for Ben to feel valuable and cared about. His visits from his support worker provides a sense of routine for him. This also allows Ben to be included in decisions about his care.
1.2 Explain the role of the care planning process in identifying needs.
The care planning process begins with gathering information about the individual through meetings and assessing the information. The professional, with permission, can invite the individual’s family and other professionals to meetings. This can help get a better picture of the individuals’ circumstances or make them feel more comfortable. However, the focus must still be on the person requiring support. Then find strategies to meet these identified needs through various planning processes. This can be done by using SMART goals, which breaks down in to ‘specify’, ‘measurable’, ‘achievable’, ‘realistic’ and ‘time limited’. It is important that the individual is fully involved in the discussions and decisions made about their care, taking in to account their wishes. This allows for a person-centered approach, or “needs-met” and for the individuals’ needs to be tailored to. Once the needs have been identified and several strategies have been put in place, it is important that they are implemented, and action is taken. The needs of individual can always change therefore, strategies should be regularly monitored for any changes and for reviews to take place. (Miller, J. 2015. P258-271) Using SMART goals helps to regularly evaluate the individual’s needs as the goals are time limited. It is important to make sure the overall changing needs of the individual are continuously being met.
1.3 Explaining features of positive care practice, including values and principles.
Scottish Social Services Council (SSSC)This is a regulatory service that was set up under the ‘Regulation of Care Scotland Act 2001’. (User, S. 2018)The SSSC register and regulate people who work within social services, such as care assistants, support workers and students studying to work in the industry. The SSSC have set standards in values, qualifications and codes of practice that workers must meet and can investigate if workers are not meeting these. They also have Code of Practice for social worker employers, which mean that the employer must provide the necessary training to their employees so that they can work to the set standards. (User, 2018)Social Service workers must protect the rights, choices and interests of the service users; be trustworthy and promote confidence in the service to service users and colleagues; promote the service users to be independent while protecting them from danger; respect service users right while promoting overall safety; and to take responsibility for their own practice and promote public confidence in the service. (Codes of Practice for Social Service Workers and Employers, 2016)
National Care Standards These may appear to hold similar values to the SSSC Codes of Practice. The Scottish Government revised and published new National Care Standards in April 2018. The National Care Standards are for the use of all health and social care workers across the board with the aim of providing better outcomes. The public can also use these to see if the level of care delivered is up to standard. (SDF – Scottish Drugs Forum, 2018) There are five principles of the National Care Standards. These are ‘dignity and respect’, which means service users should be treated fairly, as an individual have their privacy respected; ‘compassion’, which means service users should be treated with kindness and have their needs and wishes listened to; the right to ‘be included’ in all aspects of their care and to encourage inclusion; ‘responsive care and support’, meaning that the needs of the service user are monitored, listened to and adaptions are made to fit their individual needs; and ‘wellbeing’, which means each individual is supported to live to their full potential. (Newcarestandards, Scot. 2018) Care Inspectorate
This is a regulatory body that promotes positive practice and supports improvements to necessary care services. All health and care services must be registered with the Care Inspectorate. They inspect all care services in Scotland, normally on a six-month basis. The inspector will rate the service from 1- unsatisfactory to 6 -excellent. (Kimmet, G. 2018) Services that have low ratings will be inspected more regularly to ensure that the service is making important suggested and required changes to improve the quality of care provided to service users. Members of the public, service users and service workers can contact the Care Inspectorate if they have a complaint about a service and do not feel like the service provider is listening. The Care Inspectorate will investigate all complaints, ensuring protection and promoting public confidence. They will close a service if it is putting people at unnecessary risk. (The Hub, 2015)
1.4 Analysing positive care environments and evaluating how they meet needs.
Banff Day Services is a support service for adults with learning disabilities, mental health problems and physical disabilities. This service aims to provide social and employment support to those in the surrounding areas. (Aberdeenshire.gov.uk, 2018)1
The building does not look particularly inviting. It looks similar to a regular, plain office block. Positive aspects of the building are that it has automatic doors and an access ramp, which makes the building easily accessible to people with physical ailments. Although the building is well lit, the décor is plain and classroom like.
B.E.A.T is one of the local businesses run by Aberdeenshire Council that works with Banff Day Services to provide valuable work experience to service users. B.E.A.T recycle and reuse materials and sell them at low prices to the community. This integrated service could provide Ben with a safe learning environment to develop essential employability skills such as communication skills, confidence and a sense of importance. On top of this, Banff Day Services runs a magazine called Banff Buzz’. The service users are encouraged to write, read and take photographs for this magazine. The magazine is distributed around the community. This could be enjoyable for Ben as he can practice his interest in photography and advance on his employability skills. (Aberdeenshire.gov.uk, 2018)2
In the Banff Day Services building, there is a multi-sensory room which facilitates for individual’s needs. This is portrayed as a safe environment which can fill an individual’s need for stimulation through lighting, sounds and various texture, which can also meet the need of those who need a sense of calm in their life. Therapeutic environments can be very beneficial for a person’s mental health so this could be useful to help Ben manage his anxiety and possibly give him a safe environment to practice his musical talent. (Aberdeenshire.gov.uk, 2018)1
As stated by the Care Inspectorate report (2016) Banff Day Services is run to an excellent standard. It had up-to-date self-assessment documents of staff members, training records, management training packs and risk assessments in place along with service user support plans. There is evidence in the Care Inspectorate report that supports that each individual service user is listened to and encouraged to actively take part in the planning and running of their own experiences. (Care service inspection report Full inspection Banff Day Services Support Service, 2016) The evidence supports that staff are trained to a high standard; practice according to the national care standards set by the government and by Aberdeenshire councils set policies and procedures. This service would protect Ben’s right to individuality and to have support tailored to his direct needs.
1.5 Explaining the role of legislation in promoting a positive care environment.
Legislation is important in care because it protects service users, employees and the public from health and safety risks; helps to structure the organisational running of a service and enhances the quality of care provided.
Adult Support and Protection (Scotland) Act 2007
This piece of legislation promotes organisational and therapeutic aspects of an environment as it protects vulnerable adults (16+) from abuse. There are several types of abuse. These are financial, physical, psychological, sexual abuse and neglect. Abuse can be subtle, and the abuser can be anyone, whether that be a family member or a professional working in the health and social care sector. This legislation makes sure that anyone who suspects the abuse must report the act according to policies and procedures, or risk being branded the abuser. It also supports individuals using care services to report suspected abuse to regulatory bodies, as they are well within their right to do so and their concerns will be taken seriously. (Careinfoscotland.scot, 2018)
Social Care (Self-directed Support) (Scotland) Act 2013
This legislation promotes the choices and wishes of individuals using care services. This ties in closely with the National Care Standards, specifically the principle ‘Be Included’, requiring services to allow the individual to choose a care service based on the services they are eligible to. (Legislation.gov.uk, 2018) This enhances therapeutic aspects of a service as workers are bound by law to listen to an individual’s wishes; inform the individual of available services and support them to make informed choices about their care.
Word count – 2007
Aberdeenshire.gov.uk. (2018)1. Banff Day Opportunities – Aberdeenshire Council. online Available at: https://www.aberdeenshire.gov.uk/social-care-and-health/community-care/living-independently/day-services-for-adults-with-disabilities/banff-day-opportunities/ Accessed 11 Nov. 2018.
Aberdeenshire.gov.uk. (2018)2. Banff Day Opportunities skills development and training – Aberdeenshire Council. online Available at: https://www.aberdeenshire.gov.uk/social-care-and-health/community-care/living-independently/day-services-for-adults-with-disabilities/banff-day-opportunities/projects/ Accessed 11 Nov. 2018.
Anon, (n.d.). ebook p.15. Available at: https://www.pearsonschoolsandfecolleges.co.uk/AssetsLibrary/PDFs/HNCinSocialCaresamplechapter.pdf Accessed 10 Nov. 2018.
Careinfoscotland.scot. (2018). Adult Support and Protection (Scotland) Act 2007 | Care Information Scotland. online Available at: http://www.careinfoscotland.scot/topics/your-rights/legislation-protecting-people-in-care/adult-support-and-protection-scotland-act-2007/ Accessed 11 Nov. 2018.
Care service inspection report Full inspection Banff Day Services Support Service. (2016). ebook Care Inspectorate. Available at: http://file:///C:/Users/megan/Downloads/InspectionReport-283477%20(1).pdf Accessed 11 Nov. 2018.
Codes of Practice for Social Service Workers and Employers. (2016). ebook Dundee: Scottish Social Services Council, pp.7-13. Available at: http://www.sssc.uk.com/about-the-sssc/multimedia-library/publications?task=document.viewdoc&id=4921 Accessed 11 Nov. 2018.
Kimmet, G. (2018). Quality grades. online Careinspectorate.com. Available at: http://www.careinspectorate.com/index.php/inspections/change-of-grades Accessed 11 Nov. 2018.
Legislation.gov.uk. (2018). Social Care (Self-directed Support) (Scotland) Act 2013. online Available at: http://www.legislation.gov.uk/asp/2013/1/section/1/enacted Accessed 11 Nov. 2018.
Mental Health and Employment. (n.d.). ebook p.3. Available at: https://www.lancashirecare.nhs.uk/media/Publications/Mental%20Health%20Fact%20Files/nmhdu-factfile-1.pdf Accessed 10 Nov. 2018.
Miller, J. (2015) p258-271. Care in Practice Higher. 2nd edition. Glasgow: Hodder Gibson.
Newcarestandards.scot. (2018). What are the principles? | New Care Standards. online Available at: http://www.newcarestandards.scot/?page_id=15 Accessed 11 Nov. 2018.
SDF – Scottish Drugs Forum. (2018). New Scottish care standards to come into force in April 2018 – SDF – Scottish Drugs Forum. online Available at: http://www.sdf.org.uk/new-scottish-care-standards-come-force-april-2018/ Accessed 11 Nov. 2018.
The Hub, C. (2015). About us. online Careinspectorate.com. Available at: http://www.careinspectorate.com/index.php/about-us Accessed 11 Nov. 2018.
User, S. (2018). About us – Scottish Social Services Council. online Sssc.uk.com. Available at: http://www.sssc.uk.com/about-the-sssc/what-is-the-sssc/about-us Accessed 11 Nov. 2018.
User. (2018). What are the SSSC Codes of Practice? – Scottish Social Services Council. online Sssc.uk.com. Available at: http://www.sssc.uk.com/about-the-sssc/codes-of-practice/what-are-the-codes-of-practice Accessed 11 Nov. 2018.