Unit 517: Current Approach To Risk Management In The Organization
Lead person centered practice unit 517
Learning outcome1
Learning outcome-based work differs from task-based approach to care by using person-cantered principles to assess, plan, deliver and monitor care services
1. It is too risky. Service providers cannot condone poor or unwise decisions.
Chase Heys uses person cantered plans with its respite service users when the service user is being booked in the care staff complete a person cantered plan with them to get a general picture of the person and their needs, the plan covers if they have had any falls recently then we can offer the pressure mat to try and reduce the risk of further falls, do they use walking aids, any assistance needed with transfers or walking for example getting in and out of bed, do they have any …show more content…
sensory impairments or use sensory aids, any assistance using bathroom, assistance dressing or undressing, personal grooming, any special requirements with laundry, any oral care needs, any continence requirements, assistance with medication, any long term health conditions, any assistance applying cream skins, any skin pressure areas, special dietary needs food cut up or liquidized, any religious cultural beliefs that impact on their care, any special dietary needs due to religion, any interests or hobbies they want to continue whilst here, any assistance with decision making about their care (if the answer is yes then ask if they would like use to discuss with relatives, GP or advocate), desired outcomes what would you like staff to help you achieve during their stay.
Then there is a review section
1. Has support from care staff assisted you to achieve what you wanted to gain from chase heys? If so can you please give an example?
2. Have you been treated with Dignity and Respect?
3. Have you any suggestions to make which may improve the quality of service we provide?
4. Are there any areas of concern related to Chase Heys that you would like to record here, or, discuss in private with service manager?
A risk assessment is also attached, we also verbally say to service users if there is anything at all they wish to discuss or any activities they wish to continue or undergo just inform the care staff or senior staff and we will do our up most to accommodate as long as it is financially viable and safe to do.
2. It is too time consuming. A care plan can be formulated easily after one visit, a support plan may take much longer to devise.
The time facture shouldn’t be taken into consideration the service users’ needs is the priority and the support plans are changed, revised during their stay so it is tailored to each individuals needs as on admission some service users can give a false view of their needs hoping it won’t affect them being here so we make sure that a amendments are made then they get the appropriate care throughout their stay.
3. It is difficult to monitor workers. A task-based plan tells them exactly what to do. With a support plan they may avoid certain tasks.
The staff Are monitoring the service users as they assist them and support plans are being amended were needed the staff also report in the service users file on the assistance given, we used to have a bath book and just complete if anyone has a bath whereas now they have individual sheets in their files and staff have to record that the service user has been asked and if they refused log it and reason, so they can be monitored from recordings in files and the amendments in the service users support plans.
4. It is too difficult to operate. How can organizations plan their Rota’s if workers may come and go to suit individuals?
In the environment at Chase Heys is such that staff have to be on duty 24/7 to assist service users with personal tasks although we do review and revise staffing levels depending on occupancy levels and dependency levels.
5. It requires extra training of workers, which is costly.
All staff are shadowed by experienced staff and given an induction and probation period once the probationary period is over they have mandatory training and supervisions, so the training of staff is a must to give them a good knowledge base in the job and caring for vulnerable people and making sure that any decision made is with them and in their best interest.
Learning outcome 2
1. Device a set of top tips to help others understand the principles of person cantered practice.
Create a home from home environment to put service users at ease.
Put the person at the center of all planned care so it is about the service users’ needs and not the convenience to staff.
Looks at the person in a holistic way.
Keeps the service user in control if their life- empowers them.
People are treated as individuals they are the person that matters not what the staff want.
2. Consider your role in supporting others to adopt a person centred approach
as part of the senior staff it is my job to ensure when support plans are completed based around the service user and that there desired outcomes from being at Chase Heys are achieved, as the service users stay progresses the support plan is monitored and made sure all the information is accurate still and if any changes need to be made they are done with the consent of the service user, should the service user feel it is not necessary then as a senior member of staff would point out the reasons for the change and that it is the best interest to them and their wellbeing.
3. Consider your role in supporting the individual to participate fully in decision making.
My role is to discuss with the service user their wishes in regards their care whilst there staying at Chase Heys and if they have any activities they wish to continue to do whilst they are here, and to make staff aware in supervision that the service users is the center of any decisions made and any plans put in place.
Discuss the following points with a colleague or your assessor.
1. what are the potential risks faced by the individuals you work with.
The potential risks could be if a service user is at risk of falling we would put a pressure mat in place to alert staff they was trying to mobilize and any medication issues if the person has any eyes sight or dexterity problems to monitor or take the responsibility so safe guard them from errors that can be fatal.
2. What is the current approach to risk management in the organisation.
The organisation assess all risks and manages them risk assessments are completed for all things that have the potential to be a risk, these are cared out in the individual establishments.
3. Does this support achieve participation? if so, how does it achieve this? if not, what changes are needed.
It does achieve participation as support plans are filled in with the service user and if the staff feel anything is a risk they high light it to the senior staff who discuss with the service user and try to come to a compromise or explain the risks and if they still insist then write a document for them to sign to say against our judgement they wish to take the
risk.
4.How can you support family members to recognise the need to assess and manage risk.
Completing the support plans whilst there present gives them an idea of what can be classed as risks such as a service user may not bring a walking aid as they furniture walk at home (use the furniture for support instead of a walking aid that is issued) but in chase heys the area is larger without such furniture so aids needed.
5. Why might others be adverse to enabling individuals to take risk.
We all see the level of risk differently and what may seem like reasonable risk to one may not to another and if it is something that is not covered by a risk assessment they will not be responsible making that decision.
Learning outcome1
Learning outcome-based work differs from task-based approach to care by using person-cantered principles to assess, plan, deliver and monitor care services
1. It is too risky. Service providers cannot condone poor or unwise decisions.
Chase Heys uses person cantered plans with its respite service users when the service user is being booked in the care staff complete a person cantered plan with them to get a general picture of the person and their needs, the plan covers if they have had any falls recently then we can offer the pressure mat to try and reduce the risk of further falls, do they use walking aids, any assistance needed with transfers or walking for example getting in and out of bed, do they have any …show more content…
sensory impairments or use sensory aids, any assistance using bathroom, assistance dressing or undressing, personal grooming, any special requirements with laundry, any oral care needs, any continence requirements, assistance with medication, any long term health conditions, any assistance applying cream skins, any skin pressure areas, special dietary needs food cut up or liquidized, any religious cultural beliefs that impact on their care, any special dietary needs due to religion, any interests or hobbies they want to continue whilst here, any assistance with decision making about their care (if the answer is yes then ask if they would like use to discuss with relatives, GP or advocate), desired outcomes what would you like staff to help you achieve during their stay.
Then there is a review section
1. Has support from care staff assisted you to achieve what you wanted to gain from chase heys? If so can you please give an example?
2. Have you been treated with Dignity and Respect?
3. Have you any suggestions to make which may improve the quality of service we provide?
4. Are there any areas of concern related to Chase Heys that you would like to record here, or, discuss in private with service manager?
A risk assessment is also attached, we also verbally say to service users if there is anything at all they wish to discuss or any activities they wish to continue or undergo just inform the care staff or senior staff and we will do our up most to accommodate as long as it is financially viable and safe to do.
2. It is too time consuming. A care plan can be formulated easily after one visit, a support plan may take much longer to devise.
The time facture shouldn’t be taken into consideration the service users’ needs is the priority and the support plans are changed, revised during their stay so it is tailored to each individuals needs as on admission some service users can give a false view of their needs hoping it won’t affect them being here so we make sure that a amendments are made then they get the appropriate care throughout their stay.
3. It is difficult to monitor workers. A task-based plan tells them exactly what to do. With a support plan they may avoid certain tasks.
The staff Are monitoring the service users as they assist them and support plans are being amended were needed the staff also report in the service users file on the assistance given, we used to have a bath book and just complete if anyone has a bath whereas now they have individual sheets in their files and staff have to record that the service user has been asked and if they refused log it and reason, so they can be monitored from recordings in files and the amendments in the service users support plans.
4. It is too difficult to operate. How can organizations plan their Rota’s if workers may come and go to suit individuals?
In the environment at Chase Heys is such that staff have to be on duty 24/7 to assist service users with personal tasks although we do review and revise staffing levels depending on occupancy levels and dependency levels.
5. It requires extra training of workers, which is costly.
All staff are shadowed by experienced staff and given an induction and probation period once the probationary period is over they have mandatory training and supervisions, so the training of staff is a must to give them a good knowledge base in the job and caring for vulnerable people and making sure that any decision made is with them and in their best interest.
Learning outcome 2
1. Device a set of top tips to help others understand the principles of person cantered practice.
Create a home from home environment to put service users at ease.
Put the person at the center of all planned care so it is about the service users’ needs and not the convenience to staff.
Looks at the person in a holistic way.
Keeps the service user in control if their life- empowers them.
People are treated as individuals they are the person that matters not what the staff want.
2. Consider your role in supporting others to adopt a person centred approach
as part of the senior staff it is my job to ensure when support plans are completed based around the service user and that there desired outcomes from being at Chase Heys are achieved, as the service users stay progresses the support plan is monitored and made sure all the information is accurate still and if any changes need to be made they are done with the consent of the service user, should the service user feel it is not necessary then as a senior member of staff would point out the reasons for the change and that it is the best interest to them and their wellbeing.
3. Consider your role in supporting the individual to participate fully in decision making.
My role is to discuss with the service user their wishes in regards their care whilst there staying at Chase Heys and if they have any activities they wish to continue to do whilst they are here, and to make staff aware in supervision that the service users is the center of any decisions made and any plans put in place.
Discuss the following points with a colleague or your assessor.
1. what are the potential risks faced by the individuals you work with.
The potential risks could be if a service user is at risk of falling we would put a pressure mat in place to alert staff they was trying to mobilize and any medication issues if the person has any eyes sight or dexterity problems to monitor or take the responsibility so safe guard them from errors that can be fatal.
2. What is the current approach to risk management in the organisation.
The organisation assess all risks and manages them risk assessments are completed for all things that have the potential to be a risk, these are cared out in the individual establishments.
3. Does this support achieve participation? if so, how does it achieve this? if not, what changes are needed.
It does achieve participation as support plans are filled in with the service user and if the staff feel anything is a risk they high light it to the senior staff who discuss with the service user and try to come to a compromise or explain the risks and if they still insist then write a document for them to sign to say against our judgement they wish to take the
risk.
4.How can you support family members to recognise the need to assess and manage risk.
Completing the support plans whilst there present gives them an idea of what can be classed as risks such as a service user may not bring a walking aid as they furniture walk at home (use the furniture for support instead of a walking aid that is issued) but in chase heys the area is larger without such furniture so aids needed.
5. Why might others be adverse to enabling individuals to take risk.
We all see the level of risk differently and what may seem like reasonable risk to one may not to another and if it is something that is not covered by a risk assessment they will not be responsible making that decision.