Improving Quality of Care Services

This assignment focuses on improving the quality of care services through effective treatment and practices. It emphasizes the responsibility of care workers to provide effective treatment and care services to patients, and highlights six practices for change that can be adopted by individual care workers. The assignment also stresses the importance of management organizing training programs and adopting equipment to improve service quality.

REFLECTION AND EVALUATION
ON WORKPLACE PLACEMENT

TABLE OF CONTENTS
REFLECTION.................................................................................................................................2
EVALUATION................................................................................................................................7
CONCLUSION................................................................................................................................9
RECOMMENDATIONS.................................................................................................................9
REFERENCES..............................................................................................................................10
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REFLECTION
In order to improve personality and professionalism reflection plays a very crucial role.
As in the reflection, experience of individual includes which show how it helpful for that
particular person and what he/she perceives from the past observation and experience. Reflection
assists to individual in improving the personality and power of critical thinking. Individual
ability to reflect on the experience and knowledge assists him in improving various aspects of
personality and professionalism. Reflection is also very important because it helps to individual
in learn in many ways and it is critical components in this learning practice. As per the given
case scenario, I have got placement in health and care organisation named Westminster
Homecare which is situated in United Kingdom. The major objective of this health and care
organisation is to deliver high quality of services and treatment to patients through which they
can improve their health issues and problems.
I have got placement in the Westminster Homecare where I have major roles and
responsibilities is to provide effective treatment and care to patients by which health problem can
overcome. One day I have interacted with an old lady in a care home who was suffering from
dementia. It is a serious health issue in which patient’s memory level decreases. In a general
term, it can be said that dementia is a mental loss problem in which individual’s mental ability
gets down by which their interaction power gets down and they unable to communicate with
other. This issue is generally caused due to the physical change in brain (Sethares and Asselin,
2017). I have assessed that patient was facing serious health issue but there was not proper
arrangement and treatment provided to her by staff members and health care experts. I have
analysed that old lady was neglected and no health experts and staff members were delivering
effective care services to that patient. Moreover, I have also assessed that health care
organisation management has not designed a proper arrangement of treatment for old lady due to
which she was suffering in high level of pain. One day I saw that she was being aggressive
because no one provided proper treatment and facility to her. As per this situation, I have decided
to use the 6 choices of care to her and provide effective treatment for her health issues. These 6
choices are discussed as below:
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 Choice One- it has seen by me that staff members was not being compassionate so I have
decided to adopt collective working through which every staff member collectively work
and resolve issue regarding old lady. Choice Two- I have seen that staff members and health experts were ignoring the health
of patient and so, for overcoming this problem, I have designed a systematic planning
through which systematic services and treatment can be delivered to old lady. Choice Third- I will provide high quality of services and overcome unnecessary
administrative task. By this, we can effectively utilise available resources and gain
maximise benefits for patients. Choice Four- I have decided to attend training and development program through which
I can understand the issue of patient in a better way and become able to deliver effective
treatment and care to them. Choice Fifth- It has been decided by me to design impressive working environment at
the workplace through which patient can feel better.
 Choice Six- I adopted familiar interaction with patient through which I can understand
the issue of them and resolve same in a better manner. With the help of familiar
behaviour, I can easily understand issue and resolve them in an effective manner.
As per the above discussion, it has been analysed and assessed that in Westminster
Homecare, I have got placement as a care worker and seen that old day who was suffering from
dementia was not getting proper treatment from health care experts and doctors. From this
situation, in Westminster Homecare, I have learnt many new things and gained knowledge and
skill. This experience in Westminster Homecare can be defined with the help of Gibbs reflective
model which are discussed as below: Description- While I have got the placement in the organisation where I have major
responsibility is to deliver high quality treatment and care to the old lady. I have seen that
within the organisation, there is not proper facility and arrangement for the patient who
have serious health issue. I have seen that management have not done the proper
arrangement and have not designed effective working practices for the patients. While I
was seen this situation I have decided to change the working practices and strategy
through which patient can able to get proper treatment and care services. In order to
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deliver care services and effective treatment I have taken the decision to select 6 care
choices under which I have design the effective planning, collective working, familer
interaction, training and development, working environment etc. With help of these
changes I would be able to change the working environment and arrangement for the
patient and can be able to provide high quality of treatment to patient so as they can
improve their health issue. Feeling- As I have got my placement in the Westminister Homecare I have analysed that
it is my great responsibility to provide effective treatment and care services to patient so
as they can improve their health issue. As I have seen that management and organisation
worker do not have focus on the quality of working, care services and patient
improvement. Thus, I have decided to change the 6 care choices such as familiar
interaction, working environment, care working practices, training and development etc.
I have analysed that with help of these care choice and changes I would be able to make
some necessary changes within the organisation through which right treatment and care
can provide to patients. One major choice of care is training and development that help
me and other care worker in acquiring the knowledge and skill regarding effective
treatment for patient. In addition to this with help of this training and development I can
easily able to learn the criteria to deliver impressive treatment to patient in care home. In
addition to this, another working practices is regarding collective working under which I
will work with other care worker through which effective outcome will obtain at
workplace. By develop effective working environment, I can easily provide such
environment under which patients can live easily and comfortably. Apart from this by
adopting familer nature I can easily connect with lady through which she can share her
views, opinion and idea. Evaluation- As per the discussion I have analysed that with help of these six working
practices regarding changes in the organisation I will able to improve health of old lady.
As I have seen that management of health care organisation have not focused on the care
services of patient so it is very important to design such impressive changes through
which patient can get high level of measurement. While I have implemented collective
working practices then I have seen that care worker started to focusing on the high
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quality treatment. All care workers were collectively providing treatment and service to
old lady through which she has come in the normal situation (Bass, Fenwick and
Sidebotham, 2017). Another choice of care is related to systematic planning in which I
have designed systematic planning for delivering treatment and care services to old lady.
With the help of this planning, I have set systematic schedule, types of treatments,
medicines, etc. for old lady. Apart from this, I have able to communicate with patient
through which I have understood her body language, feelings, attitudes, thoughts, etc. By
creating a positive environment at workplace, I have successfully understood nature and
behaviour of an old lady and designed proper schedule of care services for her. I have
analysed that other staff members and care workers has supported me in treating old lady
and they all adopted my 6 changes regarding treating and care of that lady. However, I
have seen that it was very difficult to influence other care workers for adopting a new
choice of care because they were not ready to adopt new changes in the practices and
policies of care services. Furthermore, my Another weakness is that I am weak to
handle high work pressure at single time. Analysis- From this evaluation and discussion, I have analysed that I have learnt many
new skills and abilities from experience in Westminster Homecare with an old lady who
was suffering from dementia. In order to provide effective treatment and care services to
dementia patient, designed six care of choice designed by me through which I have able
to improved condition of old lady. It has been observed by me that at the time of
implementing six choices of care, I have faced several issues as most of the care workers
have not accepted the changes. If they will accept the changes then patient health issue
will easily improve and they can get high quality of care services. Conclusion- From this entire discussion,it has been assessed by me that I have some
strengths and weaknesses in my current role in the Westminister Homecare. I assessed
that my major strength is my analytical and observation skill through which I have
understood the issue of old lady and carelessness of staff members of Westminister
Homecare. Apart from that Effective decision making skill in me through which I have
taken decision to make changes with organisational practices by which old lady can get
proper treatment and care. I have skill of effective team working because I effectively
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coordinated with team members at workplace. However, it has been also assessed that my
major weakness is lack of ability to handle pressure and many patients at a single time.
While any pressure situation occurs then I get in stress and frustration. Furthermore,it has
been analysed by me that management of Westminster Homecare has not developed
systematic health care practices and policies for patients suffering with dementia. This is
very serious health issue due to which anyone can loss their memory and unable to
interact with someone. So, for patient suffering with dementia, management should
develop a separate section and department as well as arrange effective facilities and
equipment for treatment. Staff members and health care experts should adopt such
effective behaviour with dementia patients through they can improve their health issue.
Overall, it can be said that management of Westminster Homecare should design such
practices and policies through which health care experts can focus on the dementia
patients. As per the experience in the Westminster Homecare, I have improved my
decision making and analytical skill. By working with other workers and staff members,
my team working skill and team working skill have also been improved. By this working
experience in Westminster Homecare with dementia patient, I have improved my overall
personality in health care sector which will help me in the future to become a successful
health expert who can resolve major health problems among patients.
 Action Plan- As per the above discussion, it has been analysed that there are some
requirements for improving the weaknesses in my personality while I was treating an old
lady. It has been assessed by me that due to the lack of ability to handle lots of work at
the workplace at single time. In order to improve this weakness, I will attend training and
development program in health and care setting. Furthermore, I will also attend
personality development class through which I can be able to improve my working
criteria. By attending training and development program and personality development
class, I can also improve my skills, knowledge and abilities to work in the health and care
setting. In context of Westminster Homecare, there is the requirement to improve current
working practices and policies regarding patient as well as staff members.
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EVALUATION
INTRODUCTION
In this evaluation, I will analyse Westminster Homecare and its type of structure and functioning.
Further, it will outline the changes in policies and practices which are required to be done as per
the reflection and situation in which there is lack of care for old lady who is suffering from
dementia. This will identify the rationale, aim and objectives of working with firm. Also, it will
outline the direction of change and time which is required to completely implement these
changes.
MAIN BODY
Westminster Homecare is the voluntary organisation focused on serving quality of life
and care. It is the national provider of home health care services in order to promote healthy
living among people. It is funded by the local authorities who need support and also seek for
funds from government
The rationale behind existence of Westminster homecare is to provide support to people in order
to deliver better living standard. The rational of care home is to provide home healthcare to
people who are neglected by society due to, dementia, mental health, disabilities, sensory
impairment, physical disabilities etc. In this, the care home is focused on serving better and
quality living standard to people who are physically and mentally challenged. Further, the
ultimate aim of care home is to serve care services to disabled people at their home and
maximization of income for elders and vulnerable individuals who are local residents of
Westminster. Apart from this, main objective of care home is to serve the best care services in
order to build own reputation of quality care services. Further, in order to manage this, the firm is
focused on integrity and dealing with all the requirements of clients and care providers.
The care services of Westminster are focused on mentally and physically challenged elders and
local residents of Westminster. The employees of health care organisation are focused on
addressing the care needs of individuals who require personal care and who lives alone at home.
In accordance with the given scenario which is highlighted in reflection, it has been evaluated
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that due to mismanagement of staff services, the lady suffering with dementia became
aggressive. However, still there is benefit of working with care home because providing care to
physically and mentally disabled individual of society is a blessing for care providers.
According to six choices, it has been analysed that it will take 6 months to implement complete
modification but these changes will assist in removing the chance of mismanagement, duplicate
of work, lack of care and patient’s safety (Holm and et.al., 2017). Moreover, the focus of
organisation will be to enhance working practice of care workers by organising regular training
and development session. These sessions will make care providers familiar to situations which
can come across while handing the mentally and physically challenged individuals.
Implementing the changes in work practices will assist in managing alteration and patient care
effectively. The hierarchical model of organisation does not work because in this, no individual
except top management has the power of making decision. Due to this practice sometimes care
workers faces problems in managing patients safety especially in cases of emergency (Baumann
and et.al., 2014). Tall structure of organisation does not motivate working of staff as in this type
of structure, Lack of involvement of employees in decision making process leads to lack of
confidence in care workers practices hampers their working productivity. However, tall structure
of care home can be effective because it helps in controlling and monitoring staff practices.
Therefore, as per the situation, implementing hierarchical control on staff members is the most
effective way to control work place practices implementing effective changes, enabling safe
organisational culture, providing benefits, job security and work life balance (Coyteand
McKeever, 2016).
In my opinion and the situation which I came across, I feel workers are not exploited by clients
because no worker in organisation was working effectively with old lady, due to which she
became aggressive. It is important for the home care to implement strict monitoring practices in
order to review staff’s behaviour with clients on regular basis. Monitoring is the best and
effective process of evaluating staff performance on regular basis. Apart from this, it is important
for the organisation to train its staff about the basic need and tactics to handle physically and
mentally challenged patients. Hence, as per the situation, six choices of change are analysed in
which client needs are considered. Thus, with all alternation in working practices organisation
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will train staff for 4 major work practices that is, right patient, right medicine, right dose, right
time (Harris-Kojetin and et.al., 2016).
CONCLUSION
From this entire evaluation of the working experience in Westminister Homecare, it has
been concluded while any individual have got some experience then it reflects to their
personality. Every one can learn something new from the past experience. From this entire
discussion it has been analysed that care worker have great responsibility to provide effective
treatment and care services to patient through which they can able to improve health issue. By
adopting effective practices and strategy, management can able to improve quality of care
services. In this case, individual have developed six practices for change through which they can
able to deliver effective treatment to patient.
RECOMMENDATIONS
It can be said that organisation should focus on the quality of care services through which
it can focus on patient’s health issue and improve them in an effective manner. Management
should organise training and development programs for its health experts and care workers
through which they can improve their current skills, abilities and knowledge to provide effective
treatment to patient at workplace. Furthermore, management should adopt such equipment and
practices by which care service quality can be improved. In addition to this, management should
adopt effective monitoring method by which it can measure and monitor every care worker’s
performance and outcomes.
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REFERENCES
Books and Journals
Bass, J., Fenwick, J. and Sidebotham, M., 2017. Development of a Model of Holistic Reflection
to facilitate transformative learning in student midwives.Women and Birth.
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functional impairments and dissatisfaction with received information and home-care
services among survivors living at home two years after stroke onset. BMC neurology.
14(1). p.92.
Coyte, P.C. and McKeever, P., 2016. Home care in Canada: Passing the buck. Canadian Journal
of Nursing Research Archive. 33(2).
Grant, A., McKimm, J. and Murphy, F., 2017. Developing Reflective Practice: A Guide for
Medical Students, Doctors and Teachers. John Wiley & Sons.
Harris-Kojetin, L. and et.al., 2016. Long-term care providers and services users in the United
States: data from the National Study of Long-Term Care Providers, 2013-2014. Vital &
health statistics. Series 3, Analytical and epidemiological studies. (38). pp.x-xii.
Holm, S.G. and et.al., 2017. Allocation of home care services by municipalities in Norway: a
document analysis. BMC health services research. 17(1), p.673.
Rolfe, G., 2017. Chapter Eight: The Reflective Practitioner as Critical Theorist. Critical
Approaches in Nursing Theory and Nursing Research: Implications for Nursing
Practice.14. pp.169.
Sethares, K.A. and Asselin, M.E., 2017. The effect of guided reflection on heart failure self-care
maintenance and management: A mixed methods study. Heart & Lung: The Journal of
Acute and Critical Care.
Shorten, A. and Ruppel, H., 2017. Looking for zebras and finding horses: A qualitative narrative
study of pre-RN licensure nursing Students' experience of a “normal” postnatal
simulation. Nurse Education Today. 48. pp.185-189.
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