Leadership For Health & Social Care Services

somebody centred pr strikeice (PCP) or more than commonly referred to as person centred intend is ground on the principles of inclusion and taking a holistic climax when intend the c be utility receivey. at that place ar five discern features of PCP The individual is at the centre of the plan. The plan will commit what is important to the individual and identify the individuals strengths and what fend for they will require to execute their potential. The individuals incite network be involved in the ongoing planning and polishing put to work. The plan will conjure comp any society for the individual.The plan is a live document which is reviewed by every involved token(prenominal) any 6 months or when circumstances change. The safeguard planning, monitoring and reviewing of carry on plans be rudimentary aspects to working with individuals and accusation proletarians. In line with PCP key aspects moldiness be adhered to including legislation and policy t o find out(p) the individual is at the heart of the plan & review process. However we must remember non to get caught up in the planning and administration process its self, we must remember the true purpose of the maintenance plan. Such mannikin of this dissolve be seen by a retell from a improvement exploiter I dont soak up a carry off pathway.I have a life. (Scottish executive, 20055) C are plans must be d star properly and all(prenominal) relevant parties involved. Some people whitethorn non k nowa daytimes what a dish out plan is. When people dont feel dear(p) they need support to be involved. After all, wherere planning their care and the individual must be at the centre of the plan. A assist user who contributed to the chronicle Developing social care service users view for adult support, felt strongly that social care should be based on the social model informing policy, pr shamice and procedures (Beresford 2005).The Department of health clearly states t hat it supports the social model of disability (DoH 2008a). This social model is underpinned by a range of legislation and policy which steers the provision of person centred care. There are several Acts that underpin PCP. The human rights act 1998 sets a loyal base line for pcp. The act covers the individuals right to conversance and security, respect for private and family life, and the right for rationalisedom of thought conscious and religion.This act sets a firm base line for good practice in health and social care by underlining the needs of the individual are paramount and that everyone has the right to receive quality care. Age Concern quote (2008) the dignity needs and wants of older people must be tack together at the centre of their care, and Human Rights are the perfect vehicle to ensure this and deliver quality care services Whilst drawing up a care plan there are several legislations and policies to adhere to, on a lower floor I have listed a few which have an inte gral utilization in pcp.There is a statutory duty on public government activity to ensure they eliminate unlawful discrimination and harassment and to promote equality of opportunities between men and women. This is governed by the equalities act 2006 which makes it unlawful to discriminate on the grounds of a persons sexual orientation, religion and beliefs when providing a service and exercising a public operate on. This act has established a commission for equality and human rights (CEHR) which is responsible for promoting the understanding of human rights and equality, besides challenging unlawful discrimination.The disability discrimination act 1995 main function is to stop discrimination for disabled individual, heavy(p) those equal rights and access to goods, facilities and services. This act states that providers are non allowed to treat the disabled less favourably because of their disability. virtually companies and organisations that provide service, facilities or goods, be it either paid or free both private and public bodies / companies must adhere to this act.One aspect of the NHS and community care act 1990 is that local authorities must conduct a needs-lead judging which takes into answer for a persons superstar of taste devising it pcp. On the other hand a resources-lead assessment only takes into account the resources easy and not the individual. In my area of work an example would be an individual would be sent to a day service where their preference would be a sit in service which would be more appropriate. This example goes against all principles of pcp.All care service providers are regulated by an independent body as outlined in the Care quantity Act 2000. In Wales we are regulated by the CSSIW. This independat body carries out regular inspections to ensure compliance with all relevant legislation and one of their key focus is serve up user quality of life which is close linked to pcp. In addition to legislation there ar e legion(predicate) policies in place to ensure compliance with pc care. The white newspaper publisher Valuing people (DoH 2001) stipulates that person centred approach will be essential to deliver real change in the lives of people.Whilst this white paper is aimed at individuals with nurture disabilities the principles can be applied to all types of care. The national service frameworks are long term strategies for improving specific areas of social care. PCP is a theme that runs finished the white paper. We as care providers have stripped expectations which are required of us by the government national minimum standards. These standards are not legally enforceable but are guidelines for providers and commissioners to justness the quality of a care service. There are some(prenominal) slipway consent is established with individuals.During a PCP meeting the individual whitethorn be able to make their wishes and expectations known clearly. In which case the attend to user wi ll give consent. On the other hand the affable might act 2005 is in place to empower individuals who lack capacity to make their own decisions. There are five core principles Its assumed an individual has capacity unless an assessment has taken place that determines otherwise. Individuals must be given appropriate support prior to devising decisions (prior to a judgement cosmos made to say the individual can not do so.Individuals have the right to make an unwise decision, by making an unwise decision it does not mean the individual lacks capacity. When an individual is assessed as lacking in capacity, any decisions made for them must be in their crush lodge in. Any actions that are result of an individual lacking in capacity must be the least restrictive in foothold of their basic rights and freedoms. By applying all these principles in a MDT meeting a decision can be reached which will be in the best interest of the individual.During the PCP/ MDT/ BIM the individual may hav e family, friends, HCP, advocate beat to enable a holistic approach to the individuals care pathway. By exploitation person centred practice positive outcomes can be achieved by adopting all the above legislation, regulations, policies the individual will receive the level of care and support they require, as decided by themselves and people who have the individuals best interests as paramount to the individuals care. In my role I have reviewed all nutrition in relation to the primary assessment our military service Users undergo prior to our auction pitch of care.The assessment takes a holistic approach to the service of process Users life, from mobility to cognitive function and is undertaken in the divine service Users home with their preferred family member, social thespian and any other health care superiors that have input into the advantage Users life. Following a management and staff meeting and consultation with assistance Users families and HCP to gather their f eedback and views I have implemented changes to the documentation to make the assessment and subsequent care plan / file user friendly as needed by the Service User.By implementing this Im ensuring compliance with regulations and legislation. I support my team to implement person centred practice in many ways. Adequate training as detailed in the care players captain reading plan and led by example, I believe being the best. PCP is discussed at management meetings which is then cascaded down to the care workers through their team meetings and supervising sessions.We have recently introduced a new set care plan, which Im supporting the team leaders to stark(a) use the alive(p) support model of care. During the recruitment process, all care workers undergo a 5 day induction period, during which PCP is introduced with the support of accredited dvds from Mullbery House and the new care worker is given the opportunity to demonstrate how they would apply pcp. Also a bitty library of reference books are available for care workers to loan for their professional development.I have recently supported one of the team leaders to review the manual handling care needs of a new Service User, no-capacity, whos family were not familiar with manual handling techniques, by using techniques that were not prescribed the Service Users was being put at gamble of injury as were the family. During the primary assessment this was discovered and immediately inform to myself. In conjunction with the team leader we contacted the social service to localise for OT assessment, besides we submitted a VA1 to inspectorate reporting our safeguarding concerns.During the OT assessment the Service User, family, social worker and our team leader was present to enable a best interest care plan to be drawn up. Several items of equipment were agreed and ordered, and care plan agreed by all. Several weeks later, the Service User is now in receipt of appropriate approved equipment and manual handling techniques which meets his needs. I have implemented a handover sheet for care workers prior to their delivery of care to new Service Users / from new care workers to ensure the Service User receives continuity of care.The handover takes place between the primary assessor and the care worker. The care worker and assessor discuss the care plan and run a pretend assessments. At the Service Users first call the care worker is introduced by the assessor. All the care workers are required to notify the office of any changes to the Service Users care needs or preferences immediately, care workers are also encouraged to discuss Service Users needs/ preferences during their 6 weekly supervision session. Care workers are made aware of changes to the care plan in the handover and during the monthly team meeting where all Service User changes are discussed.Im in the process of reviewing policies and procedures, which will ensure we are Service User led and not service led. Service user active participation has many proven positive outcomes. Active participation may lead to increased confidence and self-esteem, the chance to acquire new skills, and modify material resources if for example it helps them to acquire paid employment. Active participation leads to greater satisfaction (Department of Health & Farrell, 2004) and improved quality of life (Wallerstein, 2006).For instance service users who have had greater control in decisions about the support they receive, report greater satisfaction and better health than those who have not. Beyond benefits to the individual, the participation process may also help create a stronger sense of community involvement. For active participation to succeed the culture of the company must allow for regular change and want to hear what the Service User has to say, take it on board and action it. All our Care workers are required to report to the office any feedback / comments/ changes from the Service User and the care work. Within XXXXXXXXX all new starter undergo a 5 day induction period, one element of this induction is active support. The care workers are given an insight into active support. Further training is made available periodically, training is an ongoing commitment to the care worker professional development and the quality of service we provide our Service Users with. A good example of active support I like to use is, if the Service User enjoys cooking but is unable to bear their weight etc take the veg to them. The Service User may enjoy peeling the veg at the table or in their chair.This enables the Service User to take control of their meal preparation, giving them a sense of purpose and satisfaction. When we receive a referral the Service User may have already undergone the 6 week enablement package of care, after(prenominal) their discharge from hospital. In line with the care plan we encourage the Service User to remain independent and re-able the Service User to achieve their aspir ations. To promote Service Users to actively participate in all aspects of daily backup skills, during the primary / review assessment risk assessments must be agreed.This is not to prohibit the Service User from participate in daily living skills but to ensure we are supporting the Service user in a safe environment where risks have been assessed and minimised or where possible removed. During this process a person centred approach is paramount involving outside agencies, eg OT, family and friends, social worker, advocate. Adaptions, equipment, tele care etc may be available for the Service User to minimise the risk whilst promoting participation in daily living skills.