Promote Person-Centred Approaches in Health and Social Care Skills for Care QCF Level 3 Certificate In Stroke Care City and Guilds 3084 1

Group Agreement Time keeping Mobile phones Adult learning environment Confidentiality Respect WC? Fire alarms?

Outline of Training Day Information Giving – Activities, Clips, discussion and feedback. Activities in your work place.

What is Person-centred care? 1.1 An approach to care planning and support which empowers individuals to make the decisions about what they want to happen in their lives. These decisions then form the basis for any plans that are developed and implemented. 4

Person Centred Values 1.1 Individuality Independence Rights Respect Choice Dignity Privacy Partnership How do these values influence aspects of social work and why? Discussion to the front: How they influence? Calling the person by their preferred name Adapting the service around the person where possible Treating the family as partners Building connections with the community Continuing to listen and learn with the person. Why? 5

If you are being person centred, who are you working with? 1.1 The individual – someone requiring care or support. Families, friends, advocates. Those of importance to the individual. Others around the individual – Team members and colleagues, other professionals.

Care Plans / Support Plans 1.2 Definition: (taken from Unit handbook) The document where day to day requirements and preferences for care and support are detailed.

Evaluating Care / Support Plans 1.2 What do care plans mean to you? What should they include? Discussion to the front. Key messages – A place to record assessment of need Describes regular action staff should take to support wellbeing and quality of life. Agrees who, How, what, Eval, review.

Assess Evaluate Plan Implement Needs Difficulties Strengths Formal Ongoing Plan Day to day care Goals for the future Implement Practicalities Communication Management style/ organisation Induction/ training The Planning Cycle- Adapted from A little book of care planning. See refs. Walker, Manterfield 2010

Activity 1.2 Look at the support plans with your group. What do you like about it? What do you dislike? Does it need any more information? Have you had enough training to carry out the needs of the support plan? Does it reflect person centred values? Hand out Care Plan / Support Plan. Ask group to elect a scribe and record on flipchart paper what they think.

Feedback….. 1.2

SCIE Clip Use Personalisation in a care home (5 Mins)

Working in a Person Centred way - Activity 2.1 Split into groups- discuss and record the following – Discussion point 1 – How might you work in a Person Centred way on a day to day basis? Think about the values we have discussed. How can you bring those to life?

Maintaining Person Centred Approaches in complex or sensitive situations. 2.2 Discussion point 2 How can you demonstrate person centred values in a complex or sensitive situation? Ask group to think of complex or sensitive situations. Call to front.

Maintaining Person Centred Approached in complex or sensitive situations. 2.2 For example – Distressing or traumatic, eg Hospital Appointment, Individual out of regular environment. Doing something the individual perceived to be threatening or frightening . Likely to have serious implications or consequences, eg discussions about the future. Of a personal nature – During personal care. Involving complex communication or cognitive needs. (Making an activity meaningful with for someone with dementia.)

Will an individual’s needs and preferences always stay the same? 2.3 Will an individual’s needs and preferences always stay the same? How can we adapt our actions and approaches? Discussion to the front.

Lucy’s Story… Cont LO 3 Watch the clip and think about capacity and consent.

Jade’s slides here…..

Case Study Ann’s Story Hand out laminate of Ann Part 1. Read out in full. ******Note that this concludes with end of life care, so ask people to take care of themselves if they feel this would upset them.********* 19

Activity 4.1 In groups: discuss and note- How could we make Ann an ‘Active Participant’ in her care? Go through activity instructions. Ask whole group about terms underlined, do they know the meaning? 20

Active Participation 4.1 Working in a way that recognises the person’s right to participate in activities and relationships of everyday life as independently as possible. The person is regarded as an active partner in their own care / support rather than a passive recipient. Simply put– increasing a person’s independence. Promoting independence. Doing with vs doing to? Ask for example of this. 21

Activity cont… 6.2, 6.4 How can we ensure Ann’s wellbeing and spiritual needs are catered for?

Well being is connected to: 6.2, 6.4, Sense of Hope Self Esteem Confidence Identity Ability to communicate wants and needs Ability to make contact with other people Ability to show warmth and pleasure Experience of showing pleasure and enjoyment.

Activity Part 2: 4.3 How can active participation address holistic needs of an individual? How will this consideration support Ann? Discuss to the front.

Think about… 4.2 Who would we involve to on agree how active participation will be implemented for Ann? State this is part of preparation for the witness testamony. Discussion to the front.

How could you promote active participation in your own workplace? 4.4 How could you promote active participation in your own workplace? Discussion to the front, or split into groups with the same colleagues and gather ideas. Feedback.

Ann’s Story: Part 2 5.1, 5.2 Discuss- How could you support Ann to make an informed choice about continuing to self medicate? How could you use your role and authority to support Ann’s right to make her choices about her future dietary decisions? Hand out Laminate of Part 2 Read and pose questions. Either full group smaller groups.

Ann’s story- , Part 3 5.3, 5.4 How would you support Ann to question or challenge the decision to not allow Ann to have a hot bath with candles? How could you manage this risk whilst still enabling choice?