1.1All patients should be treated as individuals and their care should reflect this. Person-centred practice is an approach that puts the client at the centre of their care and their care is structured around their individual needs. It involves them in making decisions about things that affect them (Health Foundation 2012). Person centred planning is crucial to providing quality care and support. It helps professional care and support workers find out what is important to the person they support and enables services to be built around what matters most to that individual. When you get to know the client well, you can provide care that is more specific to their needs and therefore provide better care. By promoting and facilitating greater client responsibility, clients are more likely to engage in treatment decisions, feel supported to make behavioural changes and feel empowered to self manage.
1.2With person-centred practice the main person is the client . The service would be organised for their individual needs concerning their personal care and well being. It should cover all aspects of health and social care (hasan,2009). They must include the following:
Ensuring that the client is treated with dignity and respect.
Enabling them to achieve as much independence as possible.
Ensuring that the client has choices.
Ensuring that the client is treated as an individual.
Ensuring that their rights are maintained.
Person-centred practice gives the individual the control over aspects of their life, making decisions and overcoming barriers to participate in every day events. This will give the client a feeling of well being.
1.3. The government continues to provide policies to enable patients to be promoted with the choice of their care by promoting legislations.
Legislations as follows:
Department of Health 2009 has proposals to broaden the range of providers and introduce more competition into care services. This enables the clients to be able to go to their local surgeries instead of wasting time at the local hospital. The Health Foundation 2012 reports that implementing “no decision about me, without me” required a considerable change in culture and practice in care settings. This has enabled the clients to be consulted regarding their everyday care needs.
1.4. Person centred practice can inform how consent is established. All staff that work for ACRC Care are given training in how to obtain consent from individual clients and the different ways that we can obtain consent. Person-centred practice may include that the individual needs an advocate or social worker to act on their behalf. They must be allowed this choice. This will enable the client to be treated with the values and beliefs they wish.
If the client has difficulty communicating there are various ways to communicate as was discussed in Unit CU2941. If the client is hard of hearing, sign language may be used. If the client speaks English as a second language, an interpreter may be used. This is all arranged around the client’s person-centred practice and must be included in their every day care. If they are not capable of giving consent, then they must have a mental capacity assessment and their care must be centred around their best interests. They are given an informed choice.
1.5. The aim is to give the client as much control over their lives as possible. It may only be a small change. I.E. we have recently had a patient at ACRC that needed Warfarin administered every evening. However she enjoyed a glass of whisky every evening and wished to go to bed early. ACRC contacted her doctor and asked if the Warfarin could be given in the morning; the doctor agreed to this.
This enabled the patient to carry on with her everyday life, enjoying her glass of whiskey at night and ACRC ensuring he had his medication correctly every day. Person-centred practice may be on a larger scale. I.E. a stroke survivor may be entitled to Direct Payments which would enable him to conduct his own management of care and enable him to have rehab assistants and care assistants when he chose to have them. This may enable them to go shopping or to the gym or to day centres. The choice would be the clients.
2.1. As a senior care officer with ACRC it is my responsibility to work with clients and their families to establish their personal history. All clients have their individual care plan which show the client’s medical history and care needs. This will enable the care worker when caring for the client. As a senior care officer I would monitor the care worker to ensure they are abiding by the client’s wishes and needs .I.E if the Client has OCD and is obsessive with putting their clothes in order; the care worker would work alongside the patient and ensure that this is done.
2.2. 2.3 Care staff are given a weekly rota and the care workers feed back any information that the client requires a person-centred approach so this can be fed back to the other Care workers that visit. This is also documented in the client’s care plan. As a senior care officer I also observe this when I monitor the acre workers whilst doing spot checks and supervisions. Support others to work with individuals to review approaches to meet individuals’ needs and preferences. Observation and discussion will enable us to work together as a team and ensure that the client’s needs are being met.
2.4. One way of reviewing approaches is by supervision. When I have supervision with the care workers I ask them if there is any training that they feel they need to enable them to do their jobs properly and correctly. This improves their quality of work. They tell me what they feel is effective whilst carrying out their roles and it is an opportunity to see if there are alternative ways that can be tried in practice. The care workers may visit clients that have suffered from a stroke. They assist with getting the client comfortable in bed. All ACRC care workers attend a Stroke Workshop training session and one of the things they learn is how to align a patient who has suffered from a Stroke. This enables the patient to be more comfortable when they sleep and gives the care worker confidence when assisting them.
3.1.Evaluation how active participation enhances the well-being and quality of life of individuals. The main essential part of Lead person-centred practice is to include the client as an active participant in their every day care. If the client is not included then it is not person-centred practice. Working with ACRC we have Social Workers, Occupational Therapists and district nurses who set plans which are individual to each client. This enables the clients to have a feeling of self worth and achievement when the goals are met.
3.2 3.3 As a senior care officer with ACRC one of my roles is to implement active participation with the clients and make sure that the necessary risk assessments are done before these practices are carried out. I regularly monitor the care workers when they are carrying out their duties with the clients to ensure that lead centre practice is included and that they are giving the clients a choice in their every day care. Care workers must not tell the clients that they need to do these tasks if they feel they do not want to do them. They must always give them a choice. If the tasks that the client asks for are too demanding for them, a compromise needs to be done to ensure that they carry out these tasks safely. Systems and processes on individual clients include: Their personal history.
A full assessment on their abilities, needs, wishes and preferences on a regular basis. Asking the client what they want from the service and how they would like this to be addressed. Respecting every client’s culture and other personal characteristics, whether due to ethnicity, age, gender or other criteria.