Health

Principles of Health and Social Care

Introduction

The health and social care industry could be acknowledged to be one of the largest service sector industries concerning the current service and employment sector situational observations. The improvement of life expectancy measures of the human beings with the passage of time has been a direct testament to the effectiveness of the healthcare service sector from the global perspective. It is also indicative of the entire qualitative management aspect of the health and social care industry. In this context, the principles on which the health and social care operations could be formulated to benefit the healthcare subscribers could be comprehended as the most significant aspects regarding the realisation of the entire spectrum of potentials concerning the effectiveness of operations of the health and social care industry. From an academic perspective, the principles related to health and social care services could be primarily reflective of the processes through which the healthcare service providers could assist the patients and service subscribers to lead a healthy existence. These principles of healthcare are also indicative of the fact that the necessities of the patients could be understood and fathomed in the most accurate manner so that proper strategies and methods to fulfil the necessities of such patients could be put into perspective and devised in a proper manner. In this respect, the case study under consideration has been oriented towards the framework of policies which are associated with the Churchill Residential Care Home and the associated principles which are utilised as the guiding elements for the purpose of formulation of effective and person centric care services. Thus, it could be considered of utmost necessity regarding the ascertainment of the proper nature of the principles and related procedures which could impart the most effective care provisioning capability to the included staff of the Churchill Residential Care Home. The corresponding study could thus be recognised to be formulated through three individual phases of composition. The initial one would be reflective of a fact sheet based evaluation regarding the measures of implementation of such principles of health and social care which are actively being utilised at the Churchill Residential Care Home. The next segment would be dealing with the formulation of a report concerning the influence and impact of the government policies, legislations, regulatory codes and conventions of practice as well as the standardisation of the implementation methods on the overall working processes of the Churchill Residential Care Home. Ultimately, the final section of the study undertaking would be culminated in the formulation of an essay regarding the prospects through which greater contribution could be performed towards the implementation as well as the development of the organisational policies of health and social care regarding the Churchill Residential Care Home.

Understand how principles of support are implemented in Health and Social Care practice

Explain how principles of support are applied to ensure that individuals are cared for in Health and Social Care practice

The framework of the policies which are implemented at Churchill Residential Care Home is reflective the orientation of ensuring and promotion of the rights of the patients who have been suffering from different ailments, especially regarding the cerebral disorders such as the Alzheimer’s disease and Dementia. As per the conditionalities of the provided case study, the organisation under consideration associates itself with the provisions enshrined in the Charter of Rights for People with Dementia and their carers which had been stipulated during the year 2009. This has also lead the organisation under consideration, as has been observed by (), to incorporate the framework of operations which is better known as the PANEL in an abbreviated form, being inclusive of the elements such as that of the Participation, Accountability, Non-Discrimination and Equality, Empowerment and finally the factor of Legality. This specific approach is indicative of the concentration of the emphasis of implementation of effective care service practises which could ensure the impartation of appropriate care benefits for the patients suffering from Dementia and Alzheimer’s disease.

As per the research of (), the primary reasons of the patients such as that of Patricia, as has been referred to in the highlighted case scenario, of having to opt for subscribing to and undergoing of the care provisions of Churchill Residential Care Home, could related to individual circumstances.

One such circumstance could be envisaged as personal issues such as disabilities which are directly related to such disorders such as Dementia and Alzheimer’s disease. These are often related to the difficulties associated with the social existence of the patients such as negligence emanating from the family members of such patients. Another of such circumstance could be outlined as the multiplication of the physical complications which is a definite fact regarding the progression of human age and the subsequent reduction in the individual capabilities of addressing such complication related issues.

According to (), the role of the health and social care provisioning homes such as that of Churchill Residential Care Home could be envisioned to be effective concerning utilisation of the various principles of health and social care operations which could lend the operational efficacy to the service provisioning architecture of such health and social care institutions.

As per the research of (), the application of the guidelines regarding the principles of care at the health and social care homes such as Churchill Residential Care Home could be considered to be multifarious in nature and number as well.

The initial one of such processes of application could be considered as greater provisioning of choices and supervision as well as control.

In this regard, the principle of care is closely associated with the establishment of effective and sustainable relationships between the health and social care provision officials and those of the patients so that the role which such professionals could play in administering greater care to the infirm and psychologically disabled such as that of Patricia, could be added with greater value propositions.

Management of the health conditions of such patients is completely incumbent upon this factor of infusion of greater value of care which could further be augmented with that of enhanced administrative control from the perspectives of the care provision professionals. As per the opinion of (), consistent support provision to the patients through the expansion of the available settings of care could be considered to be one of the most significant procedural methods through which the prospects of imparting greater benefit to the patients of Dementia as well as Alzheimer’s could be culminated into success.

Churchill Residential Care Home has to be consistently attentive towards finding the best possible measures through which the betterment of health service efficiency could be achieved.

This is also reflective of the prospects of identification of the individual necessities as well as the opinions of the service subscribers in an accurate manner so that proper care principles could as well be identified through which the recurrent challenges regarding the critical ailments of patients such as that of Patricia could be addressed properly.

Care and affection are two of the cornerstones which are necessary to be observed as effective practices for the purpose of promotion of healthcare principles within Churchill Residential Care Home.

As has been opined by (), the prime objective of any care provider is to ensure that both the physical as well as the psychological health of the care home residents and patient inmates could be preserved.

This specific undertaking could be reflective of the necessity to consistently promote the awareness regarding such varied conditionalities of the diseases under consideration as well as the care potentials which could be proven to be ultimately effective in treatment of such patients such as Patricia.

According to (), it is necessary for every such health and social care home to consistently emphasise on the utilisation of every possible health initiative which could be applied with the purpose of benefiting the health of the inmates and patients in the most sustainable manner.

As has been stated by (), ensuring the privacy of the care home resident as well as maintaining the confidentiality of the care home inmates regarding the personal as well as the administrative information, which also involve medical reports of the patients, are essential concerning the safeguarding of the self esteem of such patients who could be residing in these care homes. Two primary responsibilities in this regard could be acknowledged as the preservation of the respect by the organisational staff of the healthcare institution for the care home inmates for the purpose of maintaining their dignity and refraining from any practice which could lead to the emergence of the sense of humiliation and frustration on part of the patients such as Patricia.

As per the research of (), it is of utmost necessity for the care provisioning professionals of the Churchill Residential Care Home to be consistently engaged in greater attempts to enable the patients and service subscribers as well as the care home inmates to arrive at their decisions by their own accord and thus abjure any dependence factor on the care staff regarding the majority of decisions which have to be stipulated regarding the duration through which the inmates have to spend their time within the care setting of the healthcare home. It is necessary for the care home inmates to be accorded adequate decisional capabilities and liberty to take such decisions for the purpose of performing the routine tasks. According to (), it is also significant from the perspective of ensuring the rights of the patients and according such rights to the inmates of Churchill Residential Care Home so that the same could be properly exercised. This could as well be considered to be one of the most frequent sources of care provisioning dilemma since the necessity of formulating the most effective care provision setting on part of the care delivery professionals working at Churchill Residential Care Home could encounter serious contention and could come into conflict regarding the exercise of the rights of the patients. This has been exemplified by the conflict of opinions on part of the care residence professionals and that of Patricia regarding what Patricia should be doing during the time when she could not be undergoing her treatment. Sufficient time is necessary to be provided the patients with Dementia and Alzheimer’s disease so that they could acclimatise themselves and then become adjusted to the new surroundings of theirs within the regulated environment of the Churchill Residential Care Home. This is especially significant concerning the provided case scenario of the 84 year old widow Patricia regarding the obligation of patient to be an inmate of the aforementioned care home facility for her entire life. This could lead the evaluation process, as has been researched by (), to the next realisation regarding the principles of health and social care. This could be envisaged as the patient centric approach utilisation on part of the care home under consideration. According to (), the care provisioning personnel have to be careful to consider regarding the collective impact of all of the factors which could be having long term impacts on the psychological conditions of the patients such as that of Patricia and the best possible care strategies which could be adopted and duly applied for the purpose of making such patients such Patricia to come to terms with their situations in the most positive manner.

Risk Taking Responsibility

As per the research of (), it is always the prerogative of the care provisioning personnel to ensure that the curriculum designed for the patients of Dementia, Alzymer’s disease and of other incurable cerebral ailments, who could be residing at Churchill Residential Care Home, should be consistently encouraged to be proactive and enthusiastic in their routine activities as well as in their engagements with each other. In this respect, as per the observations of (), it is necessary of the person centric approaches of principled health and social care services to be consistently communicated to the healthcare staff at Churchill Residential Care Home and proper sensitisation of the staff as well as arrangement of training of such personnel could be some of the aspects which could require greater necessity in this regard. Institutionalisation of shared learning and information circulation regarding the critical challenges of managing the various requirements and health considerations of patients of such intractable diseases such as Alzymer’s and Dementia could also be efficacious in preventing any untoward event regarding the health management of such patients at the care home under consideration.

As per the opinion of (), this could be reflective of the necessity to generalise and develop multipronged operational care plans based on the individual experiences related with the numbers of inmates and residents such as Patricia of Churchill Residential Care Home. These plans are required to be consistently revised and reviewed so hat better prospects regarding the improvement of the health conditions of the patients and delivery mechanisms of the care services which could be better reflective of the necessities, requirements and critical issues of the individual patients such as the individual wishes, preferences and views of the residents of the aforementioned care home as well.

Outline the procedure for protecting clients, patients, and colleagues from harm

According to (), certain means and procedures have to be adopted and implemented for the purpose of prevention of the undesirable circumstances at the care settings at Churchill Residential Care Home.

As per the observations of (), the initial of such procedures could be understood to be the extension of assistance regarding the health and social care necessities to the residents of the Churchill Residential Care Home.

The primary necessity is always related to the fulfilment of the requirements of the patients such as that of Patricia.

It is also reflective of the multiplicity of differentials regarding the medical conditions which have to be resolved regarding each and every patient on an individual basis.

The dual fold approach regarding ensuring the proper medication application as well as maintaining the extra curriculum activities which could benefit the patients suffering from Dementia and Alzymer’s disease would be essential for the care providers of Churchill Residential Care Home to optimise the principled approach of health and social care services which could be observed within the organisational scenario of this specific institution.

The principle of personal assistance could further be provided through the regularised interaction and individual centric care management process through which the entire prospect of physical as well as psychological improvement of the patients could be maintained consistently.

According to (), the maintenance of the emotional and psychological wellbeing another of the most significant aspects of the health and social care based operations which has to be consistently emphasised upon by the care experts and the Churchill Residential Care Home professionals and employees.

This could acquire greater significance from the perspective that healthcare home residents such as that of Patricia could always be vulnerable to suffer from depression and psychological trauma from coming to terms with their actual situation. This has been amply exemplified in the case study where the patient has been told more often than not that her mother is no more and this has led to experience profound psychological ill effects.

To this effect, as per the research of (), the greater measure of sensitivity based emotional support provision to the residents of the Churchill Residential Care Home could be one of the instruments through which proper health and social care operations could be performed. Patience and careful deliberations regarding such initiatives are off utmost necessity.

Analyse the benefit of following a person-centered approach with users of Health and Social Care services

According to (), the necessities of the care home inmates have to be evaluated from the perspective of the required care services as well as the methods through which such presumed services could be utilised in the most efficacious manner.

has opined that the proper utilisation of the person centric approach is key in this regard for the purpose of administering holistic care.

According to (), the benefits in this regard could be understood to be multiple in number. One such benefit could be acknowledged as the formulation of a beneficial as well as positive environment for patients such as Patricia.

This could be assistive in the management and control operations within the working environment of the care home. This could as well benefit the personnel suffering from Dementia and Alzymer’s disease to remain self motivated and shed the practices which could be harmful for their health and wellbeing such as sleeping through the day and not resting in the night which had been an enduring problem with that of Patricia.

It helps in building better relationships in the facility. The old aged people feel a sense of association with the care givers and hence are very co-operative with them because of the bond they develop.

As per the research of (), person centric approaches are also effective concerning the formulation of better relationships between the care providers and the residential inmates of the care homes.

This fosters the sense of association and belonging within the patients and inmates which could further ease the problems of overcoming the psychological barriers which could exist within the care impartation scenario.

Changing of the perspective of the patients to adapt to the methodical manner of living which is observed within the care home conditions could as well be facilitated through such approaches.

Explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of Health and Social Care services

The conditionalities associated with the 84 year old widow, Patricia, who has been interned for the rest of her life at the Churchill Residential Care Home, are complicated to a great extent.

The psychological conditions and the inclinations of the patient are of problematic nature since the patient is of extreme old age and is not receptive of much of the prescribed techniques of treatment at the Churchill Residential Care Home.

In this respect, the care dilemma could be analysed, as per the observations of (), from the perspective that the care providers are faced with the situation where they have to undertake proper care impartation responsibilities without having to jeopardise the sensibilities and wishes of the patient.

This situation is further exemplified from the situational perspective where Patricia has been insistent to pay a visit to her deceased mother without realising that she had passed away.

The reminding of this reality with her has been often the source of her deteriorating emotional conditions since the news of her mother having been dead regularly drives her into tears.

This has multiplied the dilemma manifolds as well as the conditions where the patient has been regularly reluctant to engage in specifically designed physical activities meant to keep her proactive.

Specific strategies are necessary through which such dilemmas could be resolved.

Understand the impact of policy, legislation, regulation, codes of practice and standards on organization policy and practice

Explain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in health and social care

The care home helps the old aged people to lead a life of respect and self-esteem. They have been left alone by their families because of financial liability or physical disability. The care home looks after the needs of such old people and is governed by a separate code of conduct and legislations and ethics as mentioned by law. These guidelines are given below: -

Agents and Appointees: Agents and appointees are nominees who are appointed by the residents. They pay for the fees or any other payments of the residents till the time the resident is in the facility of the home care. These nominees could be the relatives or friends of the resident. The department of Social Service appoints the nominee, if the resident does not have a relative or a friend.

Safety Laws: The environment of the care home is governed by stringent rules and regulations to prevent any mishap from happening in the premises of the care home. It also takes into consideration rules regarding any happening or incident which may hamper the daily schedule of the residents. Any attendant, staff or individual violating the rules is dealt with very strictly.

Power of Attorney: If the old aged person is incapable of performing the financial or legal transactions on his own, the same by authorized to an agent or any relative. This is known as power of attorney. The person delegated the authority in this case is responsible for all the actions taken by the individual. (Walker, Alber & Guillemard, 1993).

Power of Attorney: If the old aged person is incapable of performing the financial or legal transactions on his own, the same by authorized to an agent or any relative. This is known as power of attorney. The person delegated the authority in this case is responsible for all the actions taken by the individual. (Walker, Alber & Guillemard, 1993).

Trusts: Sometimes, the residents have a good amount of financial assets and are themselves physically incapable of managing them. In such situations the trusts manage the finances of the old aged people in the care home.

Court of Protection: The court of protection exists to solve any financial issues or conflicts that may arise for the old aged. This is especially for the advantage of the old aged who does not have a relative or any agent to solve the conflict.

explain how local policies and procedures can be developed in accordance with national and policy requirements

The policies are procedures in the home care for the elderly have to be maintained according to the national policy requirements. The same have been explained below: Appointing of Agents: The family members or relatives need to be appointed are agents. And the agents are accountable for the timely renewal of fees. They are also responsible in case of any emergency related to the patient.

The old aged also have the right to lead to high quality, disease free life. The basic requirements for this are Health, Care and Nutrition. Hence the care home is responsible for fulfilling these three basic needs and requirements of old-age people to ensure that they do not have dependence on anybody to lead a high quality life.

The social, economic and cultural barriers need to be removed. All the residents have an equal right to lead a high quality life irrespective of any discrimination. This principle is called expanding the community services.

The old aged people should be given a balanced and nutritious diet so as to help them lead a healthy life in this declining phase.

Evaluate the impact of policy, legislation, regulation and codes of practice on organizational policy and practice

The rules and regulations of the national policy also have an impact on the regulations and laws of the home care for old people. The same have been explained below: Optimum levels of health and nutrition are maintained at the home care. Best possible hygiene facilities are maintained. Regular health camps are being conducted. Administration of the facility have become more efficient All the dues from the relatives or agents of the elderly people have been cleared. The policies have encouraged community services and more such centres have been opened to ensure that the adults lead a life of great respect and dignity

Be able to contribute to the development and implementation of health and social care organisational policy

explain the theories that underpin health and social care practice

The theories that underpin one’s work in a social care centre are: - Values and Ethics: This is related to the conflicts one might have due to his value centre that gets affected by certain activities at the social care home. An elderly person who has been living for the last 5-6 decades of his life governed by certain set of values and is now suddenly made to follow some other set of values, is bound to have conflicts.

Discriminatory Approach: Sometimes due to direct orders from higher authorities, the attendants have to show some personal bias towards certain patients at the cost of other patients that can harm the atmosphere within the social care home.

Automatic Selection: There are times when there is a possibility of conflict in the choice of a particular activity by the attendant or by the patient. Even though the activity is not favourable for the patient and the patient is adamant to do that, the attendant faces a dilemma as to what he/she should do in this case.

Social Learning:Social care home for the aged people is a place where elderly people spend maximum time interacting and communicating with people of similar age group. They tend to learn and pick up a lot of things from the peer group and then try to imitate the same once they are in their enclosure. But some activities that are harmless to one individual might be harmful to them.

analyse how social processes impact on users of health and social care services

Social processes prevalent in our society can have both positive and negative impact on the service users in the home. They can affect the social care home in the following ways: -

People in the social care home tend to find other people compatible with them in the facility and prefer spending maximum time with them as they like each other’s company and cherish their friendships.

Social or peer groups within the social care home tend to provide the elderly people with friends and sometimes partners. When they start spending time interacting and indulging in activities, a bond of social togetherness grows and people in old age enjoy the same (House, Kessler & Herzog, 1990).

It can so happen that at time attendants of the social care home are asked to perform their duties every day without fail but then in cases where the duties are dependent on some other activity then there is a conflict. For example if the afternoon time is reserved for cleanliness and organizing the patients room and suddenly if an elderly person feels like sleeping or resting at that very time it’s almost impossible to refuse and the activity gets postponed and later the attendant is penalized for negligence.

People in the social care home tend to find other people compatible with them in the facility and prefer spending maximum time with them as they like each other’s company and cherish their friendships.

Human being is one of the most intelligent creations of God, but when it comes committing crimes he is also the most dangerous. Some of the most heinous and cruel crimes are known to have been committed on elderly people as they provide minimum resistance to the criminals and are easy targets.

evaluate the effectiveness of inter professional working

Different health and social care policies encourage people in the social care home to work and in some cases support their needs and desires themselves by indulging in some useful and creative activities. Elderly people in these facilities tend to form groups with the people they get along well with and undertake some activity. These activities keep them occupied and at the same time address their immediate needs and wants. These also provide a sense of confidence in the person as he gets the feeling of being independent at such a high age.

The facility can conduct workshops where they can teach other people to perform these activities and in turn they can get to learn other activities thereby making the social care home self-sustaining and independent. For example people in the social care home can build small projects for students and can earn money with which they can buy stuff for their daily need. They tend to apply the expertise of what they have learnt during their younger days and perform activities similar to that as they are proficient in them

Contribution to the development and implementation of health and social care organisational policy

Explain own role, responsibilities, accountabilities and duties in the context of working with those within and outside the health and social care workplace

The major points to be considered on priority basis as the newly appointed manager of the home care would be:

The quality issues at the home care should be attended to by introducing quality policies to ensure that the food is of good quality and the cleanliness and hygiene is maintained at all times. Policies should be developed to deal with the staff that violates the policies at the care home. A proactive approach should be followed to plan for emergencies as there are chances of emergency arising at home care of the elderly. Proper training for handling the elderly to be given to all the care givers. Inspection of the home care centre should be done on a regular basis by setting up a special quality commission. The needs of the patients should be understood and attended with top priority. Special departments to be set up for different tasks and a head to be appointed for each for regular basis to avoid abuse of any kind.

Evaluate own contribution to the development and implementation of health and social care organisational policy

In addition to the guidelines mentioned in the care quality commission, the other policies that could be implemented as a manager at the social care home to make the system more perfect in implementation.

The most important problem that needs to be immediately addressed in the care home for the old aged is of abuse. Many a times the officials are not even aware of the abuses made to the old aged. A formal committee needs to be formed to look into this matter. The staff members found guilty should be given a strict punishment to the extent of suspending their services from the care centre and not offering them a re-employment at all.

A proper hierarchy needs to be set up to check the implementation of the processes and policies being adopted at the care centre. Workshops maybe arranged for the old aged people to make them aware of their rights and also train them to manage their basic needs. Proper account of the supply of medicines can be maintained to avoid any misuse of the same. Regular counselling sessions may be organized for the elderly people who have suffered from abuse. This will help them to put the past behind and lead a normal life ahead.

Make recommendations to develop own contributions to meeting good practice requirements.

A number of recommendations can be made for the development and implementation of the organizational structure and policies to make the activities at the facility more efficient and organized. Proactive approach to pre-plan and hence avoid undue emergencies The critical activities of the care home to be monitored personally to avoid any untoward incidents. Appointing separate committees for evaluating the basic functioning of the social care home. Regularly updating the care quality commission regarding all the faulty activities in the care home and the bad practices being followed there. Protocols to be developed to maintain the health and hygiene of cleanliness and ensuring the implementation of the protocols. Regular training of the staff at the care centre. In order to ensure that entire staff is well-equipped to perform all kinds of activities, the policy of staff rotation should be followed. This will also ensure that the old aged are not being subjected to any abuses and no wrong practices are being practiced at the care centre.

The dealing with the people should be fair i.e. no discrimination or biases should be made on any parameters. Arrangement for regular health check-ups and a visiting faculty of well qualified doctors. A healthy and friendly working environment should be maintained in the facility to ensure that the elderly are willing to become a part of the care home for a better quality of life ahead.

Conclusion

The common core principles to support better mental health and prosperity in adult social care, based on work by the Mental Health foundation has been published by Skills for Care. An immense framework for the social care workforce to serve harmonious high quality social care as well as support to promote the mental health and advancement of people who are facing lack of care and support have been outlined in the common core principles and two key areas. In these range this show people to well practice based on actual life, which explain how each of the ten principle and two key areas work.