Domiciliary Care in Improving Safety and Quality

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DOMICILIARY CARE IN IMPROVING SAFETY AND QUALITY
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Domiciliary care in Improving safety and Quality
Domiciliary care is a type of medical care provided to patients at their homes. The
services are home-based but the patients still need additional support from health providers
different from their normal schedule (Bar-Zeev et al, 2012, p. 368). The support may be
informed of household activities, provision of personal care. These assistances are designed
to improve health status and independence of an individual. Quality assessment affects social
and health care delivery because values norms are stipulated to safeguard the interests of the
patients (Allen et al, 2014, p. 346). Quality and safety affect social healthcare delivery
positively or negatively depending on the care providers. Experienced staff works best to
ensure that patients are safe from any medical risk.
Legislations on Quality and Patient Safety
All healthcare practices have done based on the legislation that guides health officers
in their operations. The legislation is provided by the government in an attempt to safeguard
the rights of all people and attain quality healthcare to it's the citizens. There are various
health legislations established in the United Kingdom that are made specifically for
improving patient safety and healthcare quality to those people receiving home-based
medical care. First, the Health and Social Care Act of 2012 was established to promote
equality in healthcare. Prior to the adoption of the law, there were inequalities in terms of
healthcare provision in the country. Through the implementation of this legislation, many
health groups have been brought together towards achieving a common goal. The groups
included in this Act include the Health Department, Clinical groups, and Public Health
Associations. The legislation came with amendments on the responsibilities of the health
groups and local authorities responsible for overseeing and supervising all healthcare
practices in the country (Basner et al, 2014, p. 1325). Secondly, another law called the Equity

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Act of 2010 was passed to bring equity through an integration of all activities performed by
the concerned groups. The aim of this Act was to improve daily businesses and make all
healthcare organizations accountable for their operations. Accountability is important in
ensuring safety and quality service delivery because charges are placed for any facility the
does not adhere to the standards of the legislation.
Effects of Communication on Healthcare Provision
Communication is a critical component that determines the performance of any
organization in all aspects of life. Many theoretical frameworks have been provided by
medical scholars, social workers, and psychologist to elaborate on the importance of
communication in healthcare provision. The analysis of the impacts of communication to
healthcare should focus on how to improve home-based care to patients, and overall safety
and quality. According to statistics done by scholars, more than half a million people die
yearly in the world due to errors and risks incurred in hospitals and other health centres (Lo et
al, 2012, p. 725). Effective communication helps in minimizing medical errors and related
risks. Many reports have been published by various England medical journal groups. From
these reports, it is clearly shown that medical errors reduce with higher rates when patients
are involved in the medication process and decision-making. One of the theories that explain
the relationship between communication and healthcare is Peblau’s Theory of Interpersonal
Relationship. This theory puts more emphasis on the relationship of a nurse and the patient in
the therapeutic context. The type of communication that happens in this process is affected by
environment, cultural beliefs and attitudes of both the nurse and the client. Effective
communication is essential in the decision-making (Bode, Gardin and Nyssens, 2011, p. 228).
For effective decision-making appropriate decision-making to be achieved, the patient's
consent is important.