Critically review approaches to outcome based practice
As outcome based practice is becoming more recognised you have to listen to the person you are providing care for and to individualise the service to meet their requirements and needs. This means you will need to develop person centred approaches to meet this. This is all reflected in the persons care plans and this will deliver meaningful outcomes to each person using our service. The recent changes and requirements to health care services based on person-centred planning is only one example of a new approach to positive outcomes. This is all reflected in CQC’s (Care Quality Commission) care guidelines.
I use an outcome based approach within my job role, when supporting people to achieve their goals. We do this in many ways. One way is when a person has their 6 monthly PCP review. We discuss their goals for the future and put in place an action plan for that person and the staff to follow. This will high light a time scale for the person to work against. If we find that they are not meeting their chosen targets we review the plan and discuss where we need to amend what is needed to support them to achieve their goals. For example a person we support wanted to travel to his volunteer work independently. We therefore put in place travel training with a suitably approved trainer. This consequently resulted in the person being able to commute independently to his volunteer place of work.
Analyse the effect of legislation and policy on outcome based practice
There’s a lot of legislation that refers to outcome based practice which have led to changes in health and social care. The Health and Social Care Act, Regulation of services by CQC, The Equality Act 2010 re making it illegal for anyone to discriminate which makes it easier for everyone to gain employment and access services.
The most challenging aspects of implementing a more outcome-based approach in the care service is that the people we support may have mental health, learning disabilities, schizophrenia, autism etc. Due to cognitive impairments it can be difficult to verbally express a persons preferred care needs and we have to liaise with family and other health care professionals to put in place a package that we all feel meets that person’s needs. At times this can be difficult as sometimes the family don’t have their relative’s best interest at heart or the most common cause in my area of autism, they have a lack of understanding of their relative’s diagnosis and we may have to challenge this constructively.
Explain how outcome based practice can result in positive changes in individuals lives
It demonstrates how good support, guaranteed by person centred planning, can change the path of a person’s life in a positive way. The people who use our service, have positive control of their lives and if they are to have self-directed lives within their own communities then those who are around the person, especially us as staff, who do the day to day work, need to have person centred thinking skills. Not many people need to know how to write good person centred plans but everyone involved need to have good skills in person centred thinking, this is why we have a high degree of training around person centred care. By liaising with authorities over the care needs required by people we support, this has ensured that the support and service that we provide has more flexibility. For example, one of the people we support has a set number of hours per week of staff support which he uses when it fits into his busy schedule. This can fully meet his support need as it needs to be flexible. This empowers him to live a fulfilling life in the manner he wishes, when he chooses.
Explain the psychological basis for well-being
Psychological health is important with respect to how we function and adapt, and with respect to whether our lives are satisfying and productive. However, general well-being does not mean that you are free from anxiety and depression, but for general purposes, it can usually be said that its two sides of the same coin. Usually, people are either happy or they’re not, and if their mood is not good, they are often distressed to some extent. Psychological health and well-being should also not be confused with whether or not you suffer from a mental or emotional disorder. The research on well-being concerns itself with the feeling of normal individuals, or subjects from the general population. When we talk about psychological health, we refer to how ‘ordinary’ people are doing in life. In other words, if you are feeling distressed, that doesn’t necessarily mean that you are mentally ill. Psychological well-being is a more sustainable practice of well-being: self-acceptance is a major source of wellbeing and living a happy life.
Review the extent to which systems and processes promote individual wellbeing
Processes that support well-being in my workplace are providing a person-centred approach to each person’s care needs which is in turn placed in the person’s care plan/ support package. All staff are encouraged to read these and carry out care to the person as stated as this has been put in place based around the person’s preferred care needs. For example this could be that a person has time to pray before leaving the bedroom which is what they have done all their life and is a part of their religion and identity, without this the person could feel upset that their basic needs are not being met. Processes that undermine well-being could be person’s families as they may not visit them that often or may not be able to visit at all due to other commitments, transport or distance. This is unfortunately out of our control and all we can do is comfort the person, support them emotionally and perhaps try to give them the ability to understand why this is happening.
Explain the necessary steps in order for individuals to have choice and control over decisions.
In order for people to have choice and control over decisions they need to be involved and listened to, we have monthly care plan reviews, this is to make sure that the care being provided is what the person wants and needs, we also hold monthly people we support meetings, this involves them about decisions in the home, i.e. choices of food, activities and even choice of preferred staff. They will also have a yearly review by me and the manager and social services to make sure they are happy with the care they are receiving from us.
I have recently been looking at care practices and whilst the support workers are very caring and have had the basic training I have been talking to my manager about some more in depth training, Worcestershire County Council have a brilliant MCA and DOLS full day training course. This will give the staff more knowledge and aid them to understand how this can empower clients and improve their well being
Analyse the importance of effective working relationships with carers, families and significant others for the achievement of positive outcomes
It is important to work effectively with carers and others who have a close relationship with the person using our service as this can influence the quality of outcomes for that person. If carers are recognised for their contribution towards the persons care, this can have a beneficial effect. Carers and others who have a close relationship with the people in our care are viewed as highly important to be able to provide the best quality, person-centred care for our people. Where appropriate they are always able to have input to the persons care needs via supervision, monthly meetings and reviews. We will always inform them of any change or deterioration to the person’s needs. We understand that carers/family may need support from us at times and all staff are understanding to their needs and treat them as if they themselves are receiving care from us also as this comes in to our way of working. We like to make others feel as ‘part of the family’
Explain how legislation and regulation influence working relationships with carers, families and others.
In my work setting there are a number of legislations and regulations which influence my working relationship with carers, families and others. My organisation has clear and concise policies and procedures which all employees are expected to adhere to. These dictate our individual roles and responsibilities and accountability for me when leading others and also when managing working with the people we support family. There are also local authority, UK, European legislation, standards, guidance and organisational requirements for the leadership and management of work with people, families, carers and others. I work with different people, each with their own preferences, wishes and needs. We emphasize on empowerment, person centred planning, public protection and a well-trained and regulated staff team to deliver quality services. Legislation, policies and procedures and guidelines all reflect the same aim. These are as follows, Human rights act, Code of practice, Disability discrimination act, Data protection, Care standards Act 2000, Mental capacity act, DOLS. These cover
the need to achieve positive outcomes for people, the need to safeguard and protect people from 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 Diversity