1.1 Person centred planning (PCP) should encompass every aspect of a service users support. Effective PCP is designed to ensure that the individual’s needs are always central when creating an effective support plan. Aspects such as an individuals goals, history, communication requirements, likes, dislikes and personal preferences should all be dutifully incorporated to create a fair, effective and unique care plan. For example, we have to respect the choices of the User. If the spiritual believes could appear not adequate for us, doesn’t mean that we are right and they are wrong. We need to do everything we can for help to promote adequate and good care for this user respecting their choices, independence and privacy.
1.2 The Care Plan is our bible. It provide all the information we need to provide the care that the Users desire. The person is at the centre of our work, this mean we need plan and let the person to maintain their independent. Care Plans need to be review regularly to fulfil the individuals needs.
Using effective care plans that apply person centres values provides the service user the chance to create a plan that it directly linked to their values and needs. Nobody likes to feel as though a generic method of care is applied when considering his or her support needs. Everyone is unique with requirements that relate exclusively to them 2.3 It is important to remain flexible when considering a service users support needs. An individual will always be changing and growing so it is important that this is reflected within their care plan.
For example when I have previously supported NP goals relating to his ability to gain confidence whilst walking outside had to be met in a way that made the goal attainable. At first a goal of independent walking had been included within his IPP however any strict detail as to why and how this were to be most effectively achieved had to be assessed whilst communicating with him during our 1:1 support sessions. It turned out hat this goal was advised so that he could gain the confidence to go to work independently without the need to get a life from his relative. As we would commonly visit the supermarket we created a method whereby the journey to the local supermarket was broken into segments where he would walk independently, slowly managing a further and further distance each week.
Had I said that he should walk the entire journey by himself without breaking it down into manageable steps this goal would have not been completed. Therefore the effective completion of this goal was only attained through the needs of the individual being met on a personal level. 3.1 Mental capacity can be a complicated and ever adapting benchmark when assessing a person’s ability to do what is best for themselves. People must always be allowed to make mistakes as this will always be an inalienable human right of any individual. Ensuring that people do not put themselves or anyone else in direct and immediate danger is the reason behind why the mental capacity act has been created.
Factors such as anxiety and tiredness can affect an individuals ability to express consent which is reflective of their true needs. When a care plan is created it is always best to do it at a time and place where a service user feels relaxed and able to express their needs in a manner that is in alignment with their true feelings. For example at time times when I have supported ES he has been unable to convey a true account of his feelings due to being anxious at the time. If this is the case it is best for ES to spend some time doing relaxation exercises so that he can effectively participate in the design of his IPP.
3.3 For example when we admin Medications Stop any other activities we are doing, check and read all the information we have (care plan, MAR chart, blister pack … ) Log in the LogBook. If anything happen, report immediately to line manager, inform the user and report it in the LogBook.
If consent cannot be readily established an assessment of the persons capacity would need to be carried out. Firstly it would have to be considered that the individual understands what they are being asked to do, why they are being asked to do it and to what the concequences of their choices may be.
It is worth considering if they are relaxed, tired or preoccupied at this time. It can be beneficial to implement relaxation exercises to try and calm down a service user or even getting in touch with their family to ensure that their needs are fully met. If they are putting themselves or anyone else in immediate danger it can at points be necessary to contact emergency services depending on the severity of the situation. However this should always remain a the last option available when trying to diffuse a situation.
4.1 Encouraging people to do as much as possible for themselves , settings goals and task. Listening and acknowledging someone strengths and weakness. Allow individuals time to think and evolve in what they want to do. Recognising achievements however big or small they have made. If they cannot understand or make decisions by their self, the next of kin will be informed and asked. The order usually is spouses, parents, children (this may change)
5.3 Risk assessments are a vital part to an individuals care plan. It ensures that they will not be putting themselves or anyone else in danger. Whilst being an important part of any care plan they should remain as non invasive as possible to ensure that a service users retains the right to make their own choices.
Certain risk assessments will contain a higher risk factor than others. It is when risks such as crossing road in a dangerous manner are enacted that the service users choice can become secondary to the fact that they are putting themselves in immediate danger. Risk factors such as ones that relate to dietary factors often have a smaller risk factor making it more possible to fully involve the service user in the decision making process when trying to effectively manage the risk in question. 5.4 Ensuring they have the correct information and know when these decision were made on their behalf. Inform them of the rights that they have. Assisting on searching of more information which that may help them make their decisions. If they would like to make a complaint, inform them the Company policy and help them in making the complaint if necessarily
6.1 : Personal Identity is the way we see our self and is related to our self image. This is important because it we will affect the way we feel about our self ( self esteem )
Personal Identity includes:
Who we are
What make us unique
What are our values
Physical identity Internal Identity Personals Goals
6.2 Those can be very different for different reasons but everyone can reach a good level of fulfilment. For someone could be physical or mental health. Is important that everyone knows this fact because will improve well-being and therefore our level or care. For example one person is important be eating a health meal or for another is not important. Or for an individual is important go to church but for other is more appealing watching a TV show.
6.3 When supporting an individual it is important to make sure that you can meet their needs in a way that promotes their sense of identity, self-image and self-esteem. When I have supported MC he has explained about how he has felt unfairly treated at work. This was mainly due to his lack of career progression as well a request for a transfer not being met, although having been promised. To help with this we constructed an information leaflet about his condition, which we gave to his employers so that they were fully aware of how to best interact with him. I also started communicating with his employer about getting a transfer to a branch that was closer to where he lived. As a result of this he has now been transferred closer to where he lives as well as feeling more valued as an employee. This has helped with develop his self-identity and self image through an increased sense of self worth as well as helping to improve his self-esteem.
7.1 A Risk Assessment will be done depending on the circumstances and surrounding. Like if the user live in the community or live in a care home. The risks are different in those scenarios and different actions need to be taken for make the living area safe. Risk assessments help decipher whether an individual needs 1:1 support or 2:1 support. They can also allow health care professionals to implement safeguarding techniques to guarantee that the service user will not come into harm. This can include procedures such as giving individuals location devices if they are prone to wondering of whilst not being fully aware of their actions amongst many other advantageous practices to ensure the individuals safety.
7.2 The purpose of risk assessment is to eliminate any risk that may cause harm or loss to both service user and carer worker. However, in relation to the service user is important to remember their human rights are respected. For example the right to choose.
If they are assessed also for a Mental Health Capacity and the outcome show that they are able to decide they are allow to make unwise or eccentric decisions.
However it is important to identify the risk or possible outcomes, inform the Service User which will support to make a decision that will possibly involve taking some risks.
7.3 : Everyone’s circumstances could change over time in better or worse. Is important to identify any furthers changes or risks so the care plan can reflect the person immediate needs. Also people opinions and what they wants may change. Is important to keep the “person centred care approach” in mind all the times and during reviews. Also keep in mind our duty of care.
the goal of effective support is help empower service users to the point where they feel able to lead an independent and rewarding life. As this is the goal of any support provider they must be aware that for one to achieve this they need to learn to manage the risks that they are subjected to in an independent manner. Therefore as a person grows and develops towards a heightened state of independence it is important to let them take control of their own lives and that means realising that risks that they may have formerly posed a threat to their well being will be withdrawn as they will know how to autonomously manage these hazards themselves.
Courtney from Study Moose