Improving Healthcare at Fleetwood Hall Home: Policies, Legislation, and Person-Centered Care

Running head: HEALTH CARE
HEALTH CARE
Name of the University
Author Note

1HEALTH CARE
LO 1:
1.1 Some of the main principles of support applied to health care are the promotion of
effective communication, promotion of antidiscriminatory practices, maintenance of the
confidentiality of the information, supporting the rights of dignity, decision making and
empowerment, acknowledging the personal belief of the person and respecting the
diversity of the patient, protecting individuals from abuse and provision of a person
centred care (Mitchell and Golden 2012).
It is evident from the case study that the registered nurses and the care staffs working
in the Fleetwood health care unit did not have effective communication between each ,
other the residents of the home and the families. Due to lack of communication with the
families and their grievances they lacked information about how residents were deprived
of their basic rights. At the time of the inspection, the inspection team found assessment
and the care records that were not patient centred and the discrepancies were not
identified at the time of the internal audit, hence failure to provide a person centred care
(Morgan and Yoder 2012). Again, the case study clearly reveals that people and the
families were never involved in the decision making process for the service improvement,
thus breaching the code of conducts by not involving the clients and their families in the
decision making process.
Principles of care could be applied to the Fleetwood Hall home by conducting regular
audits and regular feedbacks from the residents of the care homes. Representatives of the
patients should always be included while taking decision for quality improvement
strategies. In order to preserve the rights of the patient, it is necessary to conduct activities
or programs that address their needs and not on the convenience of the staff members
(Combes and Azema 2013).

2HEALTH CARE
1.2. Harm can be referred to as injury, both physical and mental, which has been
inflicted intentionally. Some of the examples that can be gathered from this Fleetwood
hall home scenario, related to patient harm are- Lack of safety for the women residents.
Although there were separate mental health units for the male and female, but they had to
share the same lounge area and the bathroom. Although separate bathroom signs were
placed outside the toilets for the male and the female, but many people with the mental
health problems might not adhere to this due to problems associated with memory.
Furthermore, there was lack of trained personnel and there were numerous incidents
reports that required safe guard concerns but, was not taken care of. Again, errors were
found in the storage, administration and monitoring of the medicines. Errors in
medications dosages and administration might lead to fatal life threatening conditions.
In order to mitigate this problem, induction or regular training has to be conducted in
order to educate and delegate the tasks to each of the care staffs, the care staffs should be
selected as per their competency level (Curran 2014). Monthly audits should be made to
identify the gaps and the loops. Separate spaces and toilets should be made for the male
and the female. Patients having problems with the processing of memory should be
accompanied by a carer while accessing the bathroom or the lounge areas Proper risk
registers should be maintained to keep a record of adverse incident and should be tallied
with previous reports in order to understand improvements (Borsonet al. 2014). The
flooring of the mental health units needs modification in order to ensure a smooth
movement of the mobility aids. Special attention should be given to the infection control
procedure, medication administration procedures, medication storage and waste
management.

3HEALTH CARE
1.3. A person centred approach in health care refers to focussing on the needs, desires and
goals of individual patients.
One of the important step for a person centred approach is to build an effective
communication system between the service users and the service providers. Effective
communication helps e health care staffs to understand the unaddressed needs of the patients.
Furthermore, in most of the cases the residents of the home were not involved in the person
centred approach. The patient or the representative of the patient should be involved in the
improvement planning of the home. Regular feedback has to be taken from the residents to
develop a person centred care plan. The recreational activities for the residents of the home
should be made as per the needs of the patients. Patient autonomy is one of the important
aspect of a person centred health care. Hence it is necessary to teach staffs regarding the
consent seeking procedure from the patients. Development of trust and the therapeutic
relationship between the staff members and the patients are necessary for a person centred
care. Special assessment teams should be made such as geriatric assessment team. It is
evident from the case study that the female required separate dwelling space, hence
arrangements should be made to separate the male and the female wards.
1.4. Ethical dilemma can be considered as a moral situation or a decision making problem
between two moral decisions, where obeying one might transgress another.
The case scenario 1 reveals that Mrs. Y is a 70 years old patient, who was suffering
from Alzheimer’s disease. Mrs. Y had suffered from a fall and had bruised herself. Mrs. Y
was supposed to keep the straps of the wheel chair on, in order to ensure safety, however she
does not like to keep the straps on. Health care workers are accountable to patient autonomy
and pay regards to their wishes in the best possible way. According to article 8, wellbeing ,
choice , dignity are the basic rights of the patients. The care workers in this scenario might