Be able to work in a person-centred way

2.1- Work with an individual and others to find out the individual’s history, preferences, wishes and needs I should refer to any previous files held with regards to that person Social workers/agencies/person involved in placing the individual into our care should provide as much background info as possible, (psychical, mental, social and emotional health, medical history, behavioural history, personal interests so forth)- myself and the rest of my staff team should familiarise themselves with these files. A new client will undergo assessment, assessing the client’s wishes, preferences and needs.

This assessment should be completed within 6 weeks of coming into our care.

It allows us to truly acknowledge the clients care needs and wishes, providing us with the grounds to formulate and implement an effective care plan that shows a true reflection of the client’s needs, character and preferences. Individuals in our care will be given chances to engage in regular discussions about their care and how we are promoting their care towards their own wishes and preferences.

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Comments will be required from the individual to evidence they are given several opportunities to have their input when discussing their care and care strategies. If a care plan doesn’t reflect a true individual’s wishes and needs and does not promote person centred care then I have the responsibility of reporting this to my line manager, in order for it to be altered to a more effective person centred document.

2.2- Demonstrate ways to put person-centred values into practice in a complex or sensitive case Complex cases vary depending upon the client and their individual circumstances, values and beliefs.

For instance a client’s care needs may be that they require support in personal care, however the client wishes for this support is to be as minimal as possible to maintain some dignity and self independence. Here our service needs to assess how we can me the individual’s care needs but also promote person-centred care by accommodating the client’s wishes. This can be done by figuring out what support the client is comfortable with and not. For example the client may be happy to have assistance when bathing, providing intimate areas are correctly covered, and staff allow them to dress and undress on their own to maintain privacy. Here all care needs regarding personal care and hygiene are being met as well as delivering it in a person-centred approach.

2.3- Adapt actions and approaches in response to an individual’s changing needs or preferences Care records and individual risk assessments need to be constantly reviewed in order to make in an appropriate working document. Strategies, approaches and the clients preferences may alter meaning methods of delivering care may change. Therefore in order to ensure care needs can be met in a person centred care approach, records need to be changed and staff need to be communicated and updated on strategy changes. Staff should have full training in ‘care plans’ and how they work; therefore they will be able to monitor the care plan on a daily basis and act in according to the care strategies. They will become aware of any changes in the client and whether they need to implement alterations. If I notice certain areas of the care plan are not working efficiently to meet the needs our client and could be improved, it is then my responsibility to report this back to my manager, so they can review and update if necessary. When working with the client if I notice any unusual behaviour or causes of concerns I should report it to my manager then depending on the circumstances the care records and risk assessments will be reassessed and the client’s behaviour will be monitored. Be able to establish consent when providing care or support

3.1 Analyse factors that influence the capacity of an individual to express consent The term “consent capacity” describes an adult’s ability to understand information relevant to making an informed decision. These decisions can vary on the importance such as what the client eats, to activities they participate in, medical consent, so forth. In more complex care decisions such as care strategies, medical options, safe guarding approaches, etc consent from the client may actually not be what’s best for client. Ones mental/intellectual ability can be affected for various reasons, disorders, conditions, and injuries can affect a person’s ability to understand such information. Informed consent is a phrase often used to legally indicate that the consent a person gives meets certain minimum standards. In order to give informed consent, the client concerned must have adequate reasoning ability and be in possession of all relevant facts at the time consent is given. Impairments to reasoning and judgment which may make it impossible for someone to give informed consent.

For example basic intellectual or emotional immaturity, high levels of stress such as PTSD, or severe learning difficulties, mental illnesses affecting one’s own welfare, intoxication, severe sleep deprivation, Alzheimer's disease, or being in a coma. In these cases consent would need to sought elsewhere, this needs to be from the acting legal guardian for the client (even if its short or long term guardian ship, until the client is able to make appropriate decisions for their own welfare, consent will be needed from legal guardians) such as an acting family member taking legal parental ownership, social workers, having actual legal guardian status, etc.