Health and social care practice Essay

1.1 ending ground premeditation is about putting the customer at the marrow squash of the disquiet service of do by and not prescribing a ace size fits tout ensemble policy. C ar should always be bespoke to the customer taking into card their require and choices. Care should wholeow the customer to live a effect vitality, help them identify and achieve the things they would like to do. Outcome establish take requires careful schemening with full involvement from the customer their relatives should they wish and impudent(prenominal) health care professionals if requi wild. Teamwork and communication is essential to ensure continuous type mitigatement, and process and outcome measurement.There are key benefits of outcome ground care1.2 thither are positives and negatives to outcomes based expend. The positives could be that failing or poor areas of practice will be targeted on and outcomes will be measured and new improved ways implemented. For volume using a ser vice this would be beneficial to them as they will be provided with a holistic service, take everyplace and care. So this derriere be demonstrated that whatsoever individual using as service is being supported in both areas instead than only in certain areas. Negatives whitethorn be that there is too practically(prenominal) focus on outcomes, goals and results which potentially could think about that the wishes and opinions of mess using the service may not be taken into account as the focus may be on outcomes rather than the person. Making a system less person centred and more line of reasoning focussed.1.3 Theres a lot of legislation that refers to outcome based practice which have led to changes in health and social care. The wellness and Social Care Act, Regulation of run by CQC, (to a fault the new regulations in April 2015 Fundamental Standards. The Green Paper 2009 and the White Paper 2010 re a national assessment of health and social care incorporating joined up working with all professionals and informattion, advice being more readilyavail suit adequate to(p) which would represent what the outcomes were from an assessment, and what the advice was to ensure that the outcomes could be achieved and also what the plans were for the future. The Equality Act 2010 re fashioning it illegal for anyone to discriminate which snitchs it easier for everyone to gain employment and assenting services.1.4 Positive changes in individuals lives can come from proper assessments that highlight care charters and therefore services can be put in set so the individual can live a comfortable cipher a lot longer in their own home or they can be put in touch with outside services in the community that they can call upon for support to live an independent life such as day services or charity based service to assist with things like shopping etc the salvation army the red cross or age concern and they may also purpose the respite service in the future givin g them a command or their carers a break.Outcome 2. Be able to lead practice that publicises social, emotional, cultural, spiritual and intellectual well-being.2.1 Abraham Maslow (Maslows Hierarchy) importanttained that basic physical require are fundamental as without food, water, hotness, shelter and clothing people would not survive so before anything else in life people need these things to continue in life then achieve the other things as in seriousty, social, esteem and self-actualization.2.2 When booking in the staff go through with(predicate) a check list and a Person centred plans are alter in on individuals so that all formulas of their inescapably are looked at and all the individuals well-being is viewed from Physiological needs their dieting requirements and preference heating control in rooms for suitable warmth situ of bed and bedding to aid restful sleep as much as possible, the security of the individual do they need pressure mat to reduce risk of falls a re they likely to wonder or leave building and be at risk ,the social aspect communal areas where they can mix with others any activities taking place to have got them mentally and physically invest them the sense of being part of a group belonging, to energize the individual feel they are still utile and give them some self-esteem, worth and boost theirego.2.3 The person centred plans that are undefiled on each individual look at all aspects of care needs and try to use following.Support self-carepromote independence come on risk taking where assessment has been madeclearly promote choice, arrogance and respectrecognise and promote individual cultural preferencespromote equality and human rights.Policies confer these things, staff are actively encouraged to promote self-care. Our protectioning policies promote the 6 principles of safeguarding empowerment, protection-pr level(p)tion-proportionate response partnership and accountability.Outcomes 3 Be able to lead practice that promotes individuals health.3.1 On admission care staff suffice in an admission check list and diet requirements asked and then a person centred plan filled in and this is covering diet, personal care needs, religious beliefs, past medical history, toileting needs and interests and hobbies making sure that all aspects of well-being are covered and health and healthy choices, staff also monitor and review a persons needs as they deal with them on a one-to-one basis.3.2 obtain culture applicable to health and wellbeing in an assessment, using a questionnaire physical measurements e.g. height, weight, consulting with people close to the individual family, carers other health professional.3.3 contact doctors surgery, district nurses, dietitians and family or carer if any health concerns.3.4 nutrition, first aid and safe guarding training is given to staff including domestics then they can be conscious(predicate) of the signs if an individual appears to be failing or a change i n their wellbeing.Outcome 4. Be able to lead inclusive readinesss that give individuals choiceand control over the outcomes they want to achieve.4.1 Take time to record and know the person, their previous lives and past achievements, and support people to develop life story books Treat people as equals, ensuring they remain in control of what happens to them. Empower people by making sure they have access to jargon-free information about services when they want or need it. gibe that people are fully involved in any close that affects their care, including personal decisions (such as what to eat, what to wear and what time to go to bed), and wider decisions about the service or establishment (such as menu planning or recruiting new staff). Dont assume that people are not able to make decisions.Value the time spent supporting people with decision-making as much as the time spent doing other tasks. Provide opportunities for people to participate as fully as they can at all levels o f the service, including the day-to-day running of the service. Ensure that staff have the necessary skills to entangle people with cognitive or communication difficulties in decision-making. For example, full accompaniment of a persons previous history, preferences and habits can be employ by staff to support choices consistent with the persons piece. (Randers and Mattiasson, 2004).Identify areas where peoples independence is being undermined in the service and look for ways to redress the balance. Work to develop local advocacy services and raise awareness of them. Support people who wish to use channelize payments or personal budgets. Encourage and support people to participate in the wider community. Involve people who use services in staff training.4.2 To make sure that the individuals have a healthy diet option and that there they are warm comfortable and there are as much social interaction and stimulation as the individual wants.4.3 daily reports are written on service users and questionnaires are completed throughout their proceed also a review is carried out on the person pertain plans.4.4 All staff have mandatory training which is monitored and reviewed to makes sure the distract training is given to all staff.4.5 There is already systems and processes in place on the person centered plans and this would not be in my telephone circuit description to implement them.Outcomes 5 Be able to manage effective working partnerships with carers, families and significant others to achieve positive outcomes5.1 If we work with careers and family shares we can make sure that the individual has an as normal as possible support plan as at home with the added extra of company 24/7 and different activities and a varied diet.5.2 On admission process the care staff who books in the individual completes most of the person centred plan and the write in the individuals personal file and verbally hand over to the next shift.5.3 Management needs to always remain c alm when transaction with conflict and dilemmas, plus never get personally involved. Mediating conflict and dilemmas is one of the starting points for management to help solve issues. There are propagation where caring can have a negative impact on the carers health and wellbeing, due to the anxiety and depression of the duties itself, that can cause carers to release tense and anxious, therefore causing issues with other workers. It is of the essence(predicate) to acknowledge and oppose to the different circumstances and get the carer to address the issue and may even require extra time off to relax and become gathered again.Also recognise the diversity of care alliances, with different cultures and other barriers that may add to different situations. As for addressing conflicts and dilemmas that arise between individuals, staff, families and significant others, it is important that one is take ining and sympathetic to the different situations and understand the history of t he relationship and changes in the relationship due to the care role, including cultural considerations and the role of family member in decision making.It is important to help to negotiate outcomes to meet the needs of both parties Address all the important positive questions to help everyone understand theoutcomes, such as describe your family routine, how do you manage feel after the recipient/, what do you find most difficult or tiring? Or are you sleep OK? Creating understanding and acknowledging ones needs and depravations over the need of the recipient can help solve issues.5.4 The emphasis is upon empowerment, person centred planning, public protection and a well-trained and regulated workforce to expect quality services. There are trends in legislation, policy and guidelines all reflect the same aim. To name a few, CODE OF PRACTICE, HUMAN RIGHTS ACT, DISABILITY disparity ACT 1995, DATA PROTECTION ACT, CARE STANDARDS ACT 2000, MENTAL wellness ACT, Covering The need to ac hieve positive outcomes for people the need to safeguard and protect people for all forms of danger, harm and abuse employment practices for the provision and service data protection, recording and reporting making and dealing with comments and complaints to improve services Whistle blowing Health and Safety Equality and Diversity5.5 The main piece of legislation is the Data Protection Act 1998. This covers the medical, social, credit information and the local authority. There are eight principles. The data must be -fairly and lawfully processed -processed for intended purposes -adequate, relevant and not excessive -accurate -not unploughed for longer than necessary -processed in accordance with the data subject rights -kept salutary -not transferred to countries without adequate protection.