Adult social care settings

1.1 Define Person centred values.

Person centred values means the people whom we support are treated as equals and are involved in all aspects and areas of their care and that they are respected and valued as individuals. This means being involved in their assessments, care delivery and support planning, basically person centred values is making sure all approaches, policies and procedures and care practices put the residents at the centre of the day-to-day activities. It should also include the residents and their families in the planning and maintaining of this.

1.2 Explain why it is important to work in a way that embeds person centred values.

The underlying purpose of person centred values is to ensure that the individual needing care is put at the very centre of the decision making progress about their life and the services and support they want, need and require. Person centred values is about putting an individuals needs and choices first, respecting their privacy and dignity and giving that individual as much independence as possible.

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under this strict system, the person is always placed at the very centre of the planning of the care programme required, in that he or she will always be consulted and that his or her views will always come first. Therefore the plan is tailor-made to that particular person, and it should include all aspects of care, from the Social and Health Services, from that individual’s family and from the voluntary sector.

Outcome 2 Understand how to implement a person centred approach in an adult social care setting.

2.1 Describe how to find out the history, preferences, wishes and needs of an individual.

By working in a way that puts an individual we are supporting at the centre of any planning and communicating with them we can find out information about their history, preferences and wishes. By using this approach we aim to see the person as an individual, rather than focusing on their illness or on abilities they may have. We can also include asking their family, friends, carers, other professionals including, GPS, nurses, social workers and also by looking at documents, such as pictures, letters, etc...

2.2 Describe how to take into account the history, preferences, wishes and needs of an individual when planning care and support.

When planning individual support it is necessary to record day-to-day preferences and requirements of the individuals care and support, we can do this by addressing individuals needs and preferences in a care plan, this holds all information about the individual you are supporting, their likes and dislikes, their hobbies, family information and their health as it changes. You can find out in a care plan if an individual likes reading in the afternoon or dancing to Elvis, and you can plan their daily activities around this, it is a way you can ensure the environment promotes well-being for your individual you are supporting.

Having a holistic approach to meeting the needs and preferences of each individual is also a key skill. Things can change however depending on how that individual is feeling, say for example they feel physically sick and tired, they are not going to want to get out of bed, get washed, get dressed and sit in a room full of people all day, they are a lot more likely to want to lye in bed all day and that is fine as long as all their needs have been met and you explain what this choice will mean.

2.3 Explain how using and individuals care plan contributes to working in a person centred way.

Plans for how people want their support to be delivered are a vital part of person-centred working. People should be in centre of their plans and the planning process is a key way of ensuring that are at the centre of any support provided Care support plans are now developed by the person themselves, sometimes with support from family and friends. Plans are then agreed by the social worker or the manager. The development of a support plan is the perfect example of how person-centred working operates.

Instead offering people a choice of what is currently available and finding what best fits their needs, person-centred working looks at someone’s needs and built the support package around them. One of the important aspects of person-centred planning is to look at what people are able to do for themselves and to ensure that services are not taking over aspects of a person’s life that they could perfectly well manage without support.

Outcome 3 Understand the importance of establishing consent when providing care or support.

3.1 Define the word 'consent'

Consent is the informed agreement to an action and/or decision. Permission for something to happen or agreement to do something.

3.2 Explain the importance of gaining consent when providing care or support.

When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into something they do not want to do.

3.3 Describe how to establish consent for an activity or action.

Consent can be implied, verbal, informed or written. Good communication skills and active listening plays a key role when gaining consent, by listening and treating an individual with respect you gain their trust and this is a way of gaining consent. By openly talking to the individuals in your care and being honest with them they are more likely to trust you.

3.4 Explain what steps to take if consent cannot be established.

If consent cannot be established then you have a legal requirement to act in the best interest of the individual, to work towards solving conflict, with the use of extra support of advocates if necessary and where need to contact the person with whom has legal responsibility. All this must be recorded.

Outcome 4 Understand how to encourage active participation.

4.1 Define what is meant by active participation.

Active participation is an approach that recognizes all individuals rights and needs to participate in activities and relationships of everyday life as independently as possible, making sure the individual is actively part of their own care or support rather then a passive recipient.

4.2 Describe how active participation benefits an individual.

Active participation empowers and encourages and individual to participate in their own care, it gives them the chance to be included in their care and have a greater say in how they live their lives. Active participation has many positive benefits such as:

Physical benefits including greater activity levels.
Increased independence and autonomy in what people do.
An opportunity for individuals in health and social care settings to have a say in matters of direct concern to their lives. Increased opportunities for social contact and interpersonal relationships. Encouraging involvement and self-awareness.

Enhanced well-being, with increases in self-confidence, self-esteem and self-belief.

Active participation enhance an individual and helps to strengthening them physically, psychologically and their all over well-being.

4.3 Describe ways of reducing barriers to active participation.

There are many ways of reducing barriers to active participation, organising and providing opportunity’s for involvement in social activities, Treating all individuals equally whilst still recognizing that everyone has differences and everyone is unique, A main way of reducing barriers is to introduce different ways of communication, such as Makaton, Sign language, Braille and also just by talking nice a clear and taking the time to listen to the individual in your care.

4.4 Describe ways of encouraging active participation.

To encourage active participation you first should explain the benefits of participation and how it will motivate, encourage and support an individual. We can also involve family and friends to make experiences more meaningful and to be able to discuss with family and friends that activities cater to the needs and ability’s of an individual. Encouraging active participation is all about making that individual under your care feel good about themselves through, praise, compliments, patience and constructive feedback. Its all about making that individual feel comfortable, helping them feel as if their home, helping to improve their fitness, and helping to develop their social skills.

Outcome 5 Understand how to support an individuals right to make choices.

5.1 Identify ways of supporting an individual to make informed choices.

Informed choice is a voluntary, well-considered decision that an individual makes on the basis of options, information, and understanding. To offer informed choices in a care setting staff need to empower their clients

offer them up-to-date information and knowledge
encourage independence

5.2 Explain why risk taking can be part of an individuals choices.

We all take risks in life, its a way we grow and learn about ourselves and our limitations. Taking risks can empower us and teach us consequences, it is part of an individuals choice to take risks as long as those risks do not hurt others. To take a risk is an individuals choice the decision they make will result in some sort of consequence, negative or positive but it is down to the individual to make that choice. If the individual has the mental capacity to make an informed choice then they should be allowed to explore those risks.

A person centred approach seeks to focus on people's rights to have the lifestyle that they chose, including the right to make 'bad' decisions. You have to try and use person centred thinking tools, to help people and those who care about them most to think in a positive and productive way about how to ensure that they can achieve the changes they want to see while keeping the issue of risk in its place.

5.3 Explain how agreed risk assessment processes are used to support the right to make choices.

Each individual in adult care should have a formal risk assessment carried out as part of their care plan. Risk assessments should contain information about the individual and the type of care and support they need. It will provide the most appropriate options for keeping the individual and anyone else involved as safe as possible. It will also tell you how to do some tasks where these tasks have been risk assessed and the best option has been established. Using a person-centred approach helps professionals involved in assessing risk to address significant issues of health and safety whilst supporting choice by also taking into account things that are important to people. A person centred approach can be one of the best ways to:

Consider taking a particular risk or risks
Establish and improve capacity to make decisions
Make a best interest decision

5.4 Explain why a workers personal views should not influence an individuals choices.

Every person in the world has the right to make his or her own decisions as long as it doesn’t involve another individual getting hurt. When an individual in your care makes a decision which you feel is risky, you need to make the individual aware of any consequences of their decision, however you mustn’t try to influence them with you own views, thoughts and feeling. The choice is the individuals not yours, they need to make their own decisions in order to feel in control of their lives, this leads to positive thinking, motivation, and positive feelings towards, dignity, pride and satisfaction.

5.5 Describe how to support an individual to question or challenge decisions concerning them that are made by others.

Family and friends sometimes make decisions on behalf of an individual in care, these decision can be about the type of care or support they are receiving or the life style they are leading, but these decisions are not always discussed with the individual in question, and they may no be happy or comfortable with the outcome. It is essential that you obtain and understand the facts and reason these decisions were made so you make sure the individual has a clear understanding.

If the individual remains sure that he/she is not happy with the decision, once he/she has this information, you can work with the individual to support them to challenge the decision. Any changes that are made to these decisions must be noted and reported and they must be made safe for yourself, the individual and anyone else involved. You should never make changes to a care plan or anything smiler without the proper training or discussing it first with you supervisor or line manager.

6.1 Explain how individual identity and self esteem are linked with well being

Everyone has the right to identify themselves however they want, everyone has there own thoughts and beliefs and they shouldn’t be made to feel bad or have there self esteem lowered because someone doesn’t believe or think the same ways as someone else. Maintaining someone’s identity is done by always recognising that person as an individual, recognising that everyone has there own thoughts, feelings, beliefs, wishes and views and that makes them unique. You must always try to deal with views and choices of another person in a positive and caring manner, all this will contribute to their sense of well-being.

6.2 Describe attitudes and approaches that are likely to promote an individuals well-being.

By always ensuring that the individual is treated in a professional, kind, caring and courteous way, their sense of well-being is always assured. Care workers can also make sure that they use a number of different approaches empowering approaches that enable the individual to take control, a positive approach that encourages the individual to feel good, working in a trusting and professional way enables a good relationship to build between the care worker and individual promoting a sense of well-being.

6.3 Identify ways to contribute to an environment that promotes well-being.

There are many ways to contribute to an environment that promotes well-being, the individual in your care needs to feel safe, secure and at home in a welcoming environment that makes them feel comfortable, the best way to do this is for the individual to have their personal belongings around them, things that matter and make them feel good;

Photos,
Ornaments,
Books,
Pieces of furniture

An environment that is easy for them to get around in, that is adapted for their needs/abilities, set out in a way of their choosing e.g their bedroom is personal to them, furniture placed in the way they have chosen, they're decision on how it's laid out, their decision on how it is decorated, it is their home and it should be made to feel welcoming, open and comfortable.