Principles of Health and Social Care Practice in the health and Social Care Organisations –ABC Care Home Rules and regulations: Plagiarism is presenting somebody else’s work as your own. It includes: copying information directly from the Web or books without referencing the material; submitting joint coursework as an individual effort; copying another student’s coursework; stealing coursework from another student and submitting it as your own work. Suspected plagiarism will be investigated and if found to have occurred will be dealt with according to the procedures set down by the College. Please see your student handbook for further details of what is / isn’t plagiarism. Coursework Regulations 1 Submission of coursework must be undertaken according to the relevant procedure – whether online or paper-based. Lecturers will give information as to which procedure must be followed, and details of submission procedures and penalty fees can be obtained from Academic Administration or the general student handbook. 2 All coursework must be submitted to the Academic Admin Office and a receipt must be obtained. Under no circumstances can other College staff accept them. Please check the Academic Admin Office opening hours. 3 Late coursework will be accepted by Academic Admin Office and marked according to the guidelines given in your Student Handbook for this year. 4 If you need an extension (even for one day) for a valid reason, you must request one. Collect a coursework extension request form from the Academic Admin Office. Then take the form to your lecturer, along with evidence to back up your request. The completed form must be accompanied by evidence such as a medical certificate in the event of you being sick. The completed form must then be returned to Academic Admin for processing. This is the only way to get an extension. 5 General guidelines for submission of coursework: a) All work must be word-processed and must be of “good” standard. b) Document margins shall not be more than 2.5cm or less than 1.5cm c) Font size in the range of 11 to 14 points distributed to including headings and body text. Preferred typeface to be of a common standard such as Arial or Times New Roman for the main text. d) Any computer files generated such as program code (software), graphic files that form part of the course work must be submitted either online with the documentation or on a CD for paper submissions. e) The copy of the course work submitted may not be returned to you after marking and you are advised to have your personal copy for your reference. f) All work completed, including any software constructed may not be used for any purpose other than the purpose of intended study without prior written permission from St Patrick’s International College. • Aim The aim of this unit is to develop understanding of the values, theories and policies underpinning health and social care practice and the mechanisms that exist to promote good practice. • Unit abstract This unit develops understanding of the values and principles that underpin the practice of all those who work in health and social care. Learners will consider theories and policies that underpin health and social care practice and explore formal and informal mechanisms required to promote good practice by individuals in the workforce, including strategies that can influence the performance of others. • Learning outcomes On successful completion of this unit a learner will: 1 Understand how principles of support are implemented in health and social care practice 2 Understand the impact of policy, legislation, regulation, codes of practice and standards on organisation policy and practice 3 Understand the theories that underpin health and social care practice 4 Be able to contribute to the development and implementation of health and social care organisational policy. UNIT 2: PRINCIPLES OF HEALTH AND SOCIAL CARE PRACTICE Unit content 1 Understand how principles of support are implemented in health and social care practice Principles of support: respecting individuality, rights, choice, privacy, independence, dignity, respect and partnership; equal opportunities; respecting diversity, different cultures and values; providing care, support and attention, eg for individuals, family, friends, carers, groups and communities Confidentiality: importance of, limits of, policies about sharing information Person-centred approach: supporting preferences, wishes and needs; supporting privacy and dignity; supporting others to make informed choices about the services they receive Protection from risk of harm: assessing risk to self and others; right of individuals to take risks; informing relevant people about identified risks 2 Understand the impact of policy, legislation, regulation, codes of practice and standards on organisation policy and practice Current policy: as relevant eg Every Child Matters, Rights to Action, Quality Protects, Children First; current policy guidance eg Procurement, working together to safeguard children: a guide to inter-agency working to safeguard and promote the welfare of children, Valuing People, Fulfilling the Promises Current legislation: as relevant eg the Care Standards Act, 2000 Current regulations: as relevant eg Care Homes Regulations, 2001, The Care Homes (Wales) Regulations 2002 Current codes of practice: as relevant eg Code of Practice for Social Care Workers and Code of Practice for Employers of Social Care Workers, The Code: standards of conduct, performance and ethics for nurses and midwives Impact of initiatives: changes to practice, development needs 3 Understand the theories that underpin health and social care practice Explanations for the characteristics and circumstances of individuals: theories of human growth and development; managing loss and change; managing stress and behaviour Social processes: leading to marginalisation, isolation and exclusion eg poverty, unemployment, poor health, disablement, lack of education and other sources of disadvantage; their impact on the demand for health and social care services Nature of health and social care services in a diverse society: concepts eg prejudice, inter- personal, institutional and structural discrimination, empowerment and anti-discriminatory practices Inter-professional working: significance of partnership working eg social care, education, housing, health, income maintenance and criminal justice services 4 Be able to contribute to the development and implementation of health and social care organisational policy Considerations: supervision, roles and accountability; quality assurance systems; maintaining and upgrading knowledge and skills; support networks and professional registration; working with the regulators Outcomes and assessment requirements Learning Outcomes Assessment requirements To achieve each outcome a learner must demonstrate the ability to: LO1 Understand how principles of support are implemented in health and social care practice 1.1 explain how principles of support are applied to ensure that individuals are cared for in health and social care practice 1.2 outline the procedure for protecting clients, patients, and colleagues from harm 1.3 analyse the benefit of following a person-centred approach with users of health and social care services 1.4 explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services LO2 Understand the impact of policy, legislation, regulation, codes of practice and standards on organisation policy and practice 2.1 explain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in health and social care 2.2 explain how local policies and procedures can be developed in accordance with national and policy requirements 2.3 evaluate the impact of policy, legislation, regulation, and codes of practice on organisational policy and practice LO3 Understand the theories that underpin health and social care practice 3.1 explain the theories that underpin health and social care practice 3.2 analyse how social processes impact on users of health and social care services 3.3 evaluate the effectiveness of inter-professional working LO4 Be able to contribute to the development and implementation of health and social care organisational policy. 4.1 explain own role, responsibilities, accountabilities and duties in the context of working with those within and outside the health and social care workplace 4.2 evaluate own contribution to the development and implementation of health and social care organisational policy 4.3 make recommendations to develop own contributions to meeting good practice requirements. Learner declaration I certify that the work submitted for this assignment is my own and research sources are fully acknowledged. Student signature: Date: In addition to the above PASS criteria, this assignment gives you the opportunity to submit evidence in order to achieve the following MERIT and DISTINCTION grades Grade Descriptor Indicative characteristic/s Contextualisation M1 Identify and apply strategies to find appropriate solutions An effective approach to study and research has been applied M1 can be achieved when complex problems have been successfully explored whilst analysing in detail how social processes impact on users of health and social care services. (LO3 3.2) M1 can be achieved when you made effective judgements in regard to the benefits of following a person-centred approach with users of health and social care services. (LO1 1.3) M2 Select/design and apply appropriate methods/techniques A range of sources of information has been used throuout the assignment M2 can be achieved, when student select appropriate resource materials for the assignment with the use of Books, Journals, publication and text and internet. The student will have to cite all references and sources of material used both for in-text citation and reference page. M3 Present and communicate appropriate findings The appropriate structure and approach has been used throughout the assignment The case scenario has been used throughout the assignment with appropriate Presentation M3 can be achieved when appropriate structure and sequence is followed throughout the assignment. M3 can be achieved when the case scenario is used appropriately throughout the essay and be creative in resolving the issues in the case scenario. D1 Use critical reflection to evaluate own work and justify valid conclusions Conclusion arrived at through synthesis of ideas & justicfied D1 can be achieved when conclusions arrived through synthesis of ideas in relation to the effectiveness of inter-professional working with justification. (LO3. 3.3) D2 Take responsibility for managing and organising activities The importance of interdependence and independent thinking recognised and achieve D2 can be achieved when you have successfully demonstrated autonomy and independence when you have evaluated own contributions to the developments and implementation of health and social care policies (LO4 4.2.) D3 Demonstrate convergent/lateral/ creative thinking Innovation/Creative thought have been applied D3 can be achieved by demonstrating that an effective and self-reflective thinking has taken place and that some problems have been solved when recommendations have been made to develop own contributions to meeting good practice requirements. (LO4. 4.3.) Assignment brief Assignment title Principles of Health and Social Care Practice in the health and Social Care Organisations –ABC Care Home Purpose of this assignment The health and social act 2012 requires health practionals and social care managers to be more innovate, more productive and more accountable while delivering the NHS, Adult Social care and Public health outcomes (quality, safety and patient experience) The aim of this unit is to develop understanding of the values, theories and policies underpinning health and social care practice and the mechanism that exist to promote good practice. Scenario: The given case scenario is to be used across all the learning outcomes and assessment criteria. ABC Care Home is situated in London and caters to care needs of vulnerable people. The service users come from diverse ethnic and religious background and have varied physical and medical needs. (You may choose the category of service users you work with). You have recently been appointed as Manager in ABC care home. During the first formal meeting with the Board of Directors you were informed about the various problems at ABC care home and the recent visit of the CQC. There are various complains from the residents and families about the quality of care, staff errors due to insufficient knowledge or application of clinical-care standards and protocols, lack of guideline and inadequate supervision that compromised the safety and efficiency of care. There are allegations of poor care and mistreatment of the elderly residents for example underfeeding of the residents, left soiled in their beds and unexplained bruising. There have also been some cases of stealing cash from the residents and a case worker was suspended over allegations that he had mistreated the residents. There has been some cases where residents were given wrong doses of medication, and in one case staff falsified medical records after reaslising a patient had been overdosed and shredded the evidence. CQC recently published the findings following an inspection of services provided at ABC Care Home Ltd and the report was discussed in Board meeting. CQC report states: After considering a range of evidence inspectors conclude that the registered provider, ABC Care Home Ltd, had failed to ensure that people living in the Care Home were adequately protected from risk, including the risks of unsafe practices by its own staff. The report concludes that there was a systemic failure to protect people or to investigate allegations of abuse. The provider had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when they had gone missing. Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour. People who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly. Some staff were too ready to use methods of restraint without considering alternatives. Inspectors who visited ABC Care Home considered taking urgent action to close the center, but decided that it was in the best interests of the patients to allow NHS and local authority commissioners further time to find alternative placements. CQC ensured that there would be an immediate stop on admissions and that extra staff would be brought in to protect patients until they could be moved. The report which is published today finds that ABC Care Home Ltd was not compliant with 10 of the essential standards which the law requires providers must meet. CQC’s findings can be found below. • The managers did not ensure that major incidents were reported to the Care Quality Commission as required. • Planning and delivery of care did not meet people’s individual needs. • They did not have robust systems to assess and monitor the quality of services. • They did not identify, and manage, risks relating to the health, welfare and safety of patients. • They had not responded to or considered complaints and views of people about the service. • Investigations into the conduct of staff were not robust and had not safeguarded people. • They did not take reasonable steps to identify the possibility of abuse and prevent it before it occurred. • They did not respond appropriately to allegations of abuse. • They did not have arrangements in place to protect the people against unlawful or excessive use of restraint. • They did not operate effective recruitment procedures or take appropriate steps in relation to persons who were not fit to work in care settings. • They failed in their responsibilities to provide appropriate training and supervision to staff. As a newly appointed manager, you are required to refer to the above report and answer the following: Learning outcome 1 (1.1, 1.2, 1.3, 1.4) 1.1 Explain how principles of support are applied to ensure that service users are cared for in ABC care home. 1.2 Outlines the procedures that are adopted in ABC care home for protecting clients and colleagues from harm. 1.3 Analyse the benefit of following a person-centred approach with the service users of ABC care home. (M1 1.3) 1.4 Explain any ethical dilemmas and conflict that may have arisen when providing care, support and protection to the elderly clients in ABC care home. (For example) Ethical Dilemma: One of the given scenario of Mrs Y and Mrs Z need to be used to asnswer 1.4 Scenario 1 ABC Care Home: Mrs Y Mrs Y is her late 70s and has Alzheimer’s. She used to be a very active individual and had a love for dancing. Nowadays she has difficulty walking and spends a lot of time in her room where she is supported by care workers. She used to be a dance teacher as well and many visitors who come to see her are her ex-pupils. One of these visitors, Susan, notices that Mrs Y is somewhat distressed. Susan asks her what is wrong and Mrs Y is unable to tell her. It is then that Susan notices some bruises on Mrs Y’s legs. She asks one of the care workers what had happened. The staff member tells Susan that normally when Mrs Y is moved from her bed to a chair in the sitting room a wheelchair is used and that normally transit straps are used to stop Mrs Y from falling. The worker says that Mrs Y doesn’t like the straps and earlier in the day she had refused to allow the straps to be used. Unfortunately, when being moved Mrs Y had a slight tumble and had bruised herself as a result. Susan tells the care worker that it is in Mrs Y’s own best interest to have the straps on while being moved, even if she does not want them. Susan gets the distinct impression that as she is not Mrs Y’s relative she is not being listened to. The potential human rights at stake here are: • Article 3 – Mrs Y may feel that the straps are degrading. However, not using the straps and causing injury could also be ill treatment if sufficiently serious. It is unlikely that these measures will meet the threshold of seriousness required for Article 3 • Article 8 may also be applied as it covers the right to well-being through retaining autonomy, choice and dignity. Scenario 2 ABC Care Home: Mrs. Z Mrs Z has mild learning disabilities who lives in ABC care home. She is the youngest resident by a considerable age and is certainly the fittest and most mobile. She has been placed there because there was no other provision for her support. Mrs Z has a history of starting fires. She loves the bright colours of the flames. She calls fire the ‘dancing lights.’ Although this has not occurred for over three years now, care home staff are instructed by her psychiatrist to routinely carry out a search on her each time Mrs Z returned after being out unsupervised, to ensure she did not have matches or a lighter with her. Mrs Z is increasingly annoyed at having to endure the intrusion of a personal search every time she comes back to the home and her family complains to the manager and staff on her behalf. Their justification is that they are not only following medical advice but that their actions are primarily for the protection of other residents to whom they have a duty of care to ensure that Mrs Z does not increase the risk of a fire starting in the home. The manager also suggests that Mrs Z might not be allowed out at all if she does not consent to the search upon her return. Mrs Z has a mild learning disability and it seems she is capable of being involved in decisions about her. However, decisions have been made without involving her and without her views being taken into account. Mrs Z is being searched every time she enters the care home which she finds to be an invasion on her privacy rights. The potential human rights at stake here are: The potential human rights at stake here are: • Article 8 – the searches undermine Mrs Z’s privacy • Article 2 – the purpose of the searches is to protect the right to life of the care home residents Learning outcome 2 (LO 2.1, 2.2, 2.3) TASK 2 In the context of above mentioned scenario, 2.1 Explain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in ABC Care Home. 2.2 Explain how policies and procedures can be developed in ABC care home in accordance with national policy requirements. 2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on policies and practices of ABC care home. Learning outcome 3 (LO 3.1, 3.2, 3.3) In context of above scenario…. 3.1 Explain the theories that underpin your work as care worker in ABC Care Home. 3.2 Analyse how social processes impact on your service users in ABC Care Home (M1 3.2) 3.3 Evaluate the effectiveness of inter-professional working for your service users in ABC Care Home. Learning outcome 4 (LO 4.1, 4.2, 4.3) 4.1 Explain your own role, responsibilities, accountabilities and duties in the context of your work as a Manager within and outside ABC Care Home to resolve the failings mentioned by CQC. 4.2 Evaluate your own contribution to the development and implementation of organisational policy in ABC Care Home to rectify the shortcomings pointed out by CQC (D2. 4.2) 4.3 Make recommendations to develop own contributions to meeting good practice requirements in ABC care home in the future. (D1 4.3) Assignment: You need to produce one written piece of work of 3000 words (+/- 10%) covering all the assessment criterion in LO1-LO4 as one document. Formative Submission Information LO1 Learning outcomes 1 may be submitted shown to tutor on week 5 for formative assessment. Formative assessment will take place to advise you on your progress throughout the term and ways in which you could improve before the final (summative submission). At the formative submission stage, you can show your work on LO1. The feedback is for your benefit and is not part of your final grade for the unit. Formative feedback may however not be as detailed as the final feedback you receive, and may be in verbal and/or written form (at the teacher’s discretion). You may also be asked to submit the essay in electronic form to your teacher, to which you will receive verbal and/or written feedback.