Examine the view of service providers on how to safeguard vulnerable adults from neglect and abuse in nursing homes in Redbridge Borough of London

This study aims to analyze the views of service providers on how to safeguard vulnerable adults from neglect and abuse in nursing homes in Redbridge Borough of London. It explores the concept of person-centred care approach and its importance in providing optimum health services. The study also examines the contribution of person-centred care approach in safeguarding vulnerable adults from neglect and abuse. The research is conducted in the context of health and social care in Redbridge Borough of London.

Innovation and
Improvement through
Action Research

Table of Contents
Title..................................................................................................................................................1
Introduction......................................................................................................................................1
Literature Review.............................................................................................................................4
Research Methodology....................................................................................................................7
Ethical Consideration.......................................................................................................................9
Action Research.............................................................................................................................10
Data Analysis and Interpretation...................................................................................................13
Conclusion and Recommendation.................................................................................................23
Conclusion............................................................................................................................23
Recommendation..................................................................................................................23
Future development Needs............................................................................................................24
References......................................................................................................................................25

Title
Examine the view of service providers on how to safeguard vulnerable adults from neglect
and abuse in nursing homes in Redbridge Borough of London.
Introduction
Overview of the Research
The study initiates to determine the views of services provider on how to safeguard
vulnerable adults from neglect and abuse in nursing homes. Therefore, safeguarding of adults is
recognised to be the major concern of health care professionals, this the nursing homes and their
professionals are very much concern over improvising their facilities to provide effective
services to the adults and also develop appropriate measures to reducing abuses and negligence
(Mandelstam, 2011). The growth of care homes mainly resulted through a societal requirement
to look after vulnerable individual through tedious requirement of care. Therefore, Care homes
significantly represent a communal environment where health and social care staff meet the
cognitive and physical needs of residents on a 24-hour basis. The terminology to determine care
homes is diverse, likewise group homes, nursing homes, residential care facilities, and long-term
care for older people. Therefore, for the intention of improvising the services of nursing homes
the professionals and care homes are concern over implementing person cantered care
approaches in respect to providing effective facilities to the vulnerable adults and protecting
them from abuse and negligence. There are large number of adults whom were suffered from
abuse and neglect in nursing homes. This can be determined from the presented data and
information. In the time of assortment an aggregate of 639 Protection of Vulnerable Adult
referrals were gotten over the entirety of the taking part specialists. Nonetheless, in certain
classes there was a huge level of data that was obscure. Women were distinguished as the
casualties of maltreatment in 64% (409) of referrals got as restricted to men who made up 36%
(230). A larger part of the referrals was for survivors of misuse matured 65 and over (54.8%).
There were additionally a high number of referrals for casualties matured somewhere in the
range of 18 and 64 (40.8%). Most of referrals demonstrated the casualties of maltreatment to be
White British (68.1%) with the following single most elevated classification as Black Caribbean
(2%). It is significant that in 22.5 of referrals the ethnic starting point of the casualty stayed
obscure. From the data provided, 14.4% (92) of helpless grown-ups had recently been alluded in
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a half year before the assortment time frame as well as during the assortment time frame as
casualties of misuse. 10.8% (69) of specialist organizations were the subject of a referral,
concerning either a claim of maltreatment by them, either as an assistance or including an
individual from their staff during the equivalent timescale. 7.5% (48) of supposed culprits had
recently been alluded for comparative reasons during the equivalent timescale. More established
People spoke to the single biggest class at 32.9% (210) of casualties. A further 3.6% (23) were
remembered for the Older People with Mental Health classification. Learning Disability was the
following biggest gathering (25.4%). For better understanding of the health and social care
context, study has been executed over Redbridge Borough of London; therefore, it is a London
borough in East London, England (Cooper and et. al., 2015)
. The Redbridge area is mainly formed as a part of the ancient parish of Barking, Essex
and become the part of the new civil parish of Illford in 1888 and the borough was implemented
in the year of 1965 by the London Government Act 1963. The resident population of Redbridge
was developed with 3700 individual and estimated of around 288,300 which shows a increase
range of population and Redbridge is recognised as the largest area of London. However, due to
high population range Redbridge is termed to be the effective area for consideration to execute
analysis over health and social care term.
Reason for choosing the Research
The project into undertaking is based on analysing the view of service providers
regarding implementation of person cantered care approach to safeguard vulnerable adults from
neglect and abuse in nursing homes, therefore, it is a wider area of academic research, which is
imperative in providing wider knowledge base to the people who are interested towards the area
of health care and wellbeing of people (Preston-Shoot, M., 2019). The potential intention for
choosing this analysis is that, suitable health care services are being the major challenge for the
nursing homes and the knowledge about the suitable approach implementation is required to
improvise the wellbeing of people. This study is mainly effective for the students who are beings
from the health care background or the professionals who wants to improvise their facilities for
people. In addition, the another intention for executing this analysis is the person interest of the
researcher as the investigator wants to develop knowledge about the specific area (Brown, 2019).
Research Aim:
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“To analyse the view of service providers regarding implementation of person centred
care approach to safeguard vulnerable adults from neglect and abuse in nursing homes”. A case
study on Redbridge Borough of London.
Research Objectives:
This defines to be the another important area of an exploration as it helps in assisting the
investigator to implement the investigation in right manner to reaching at the key results
(Pritchard-Jones, 2016). therefore, the key objectives of this analysis are associated as under:
 To analyze the concept of person centred care approach
 To analyze the importance of person centred care approach in providing optimum health
services to all individuals of society
 To analyze the contribution of person centred care approach in safeguarding vulnerable
adults from neglect and abuse in nursing homes
Research Question:
What is the view of service providers regarding implementation of person cantered care
approach to safeguard vulnerable adults from neglect and abuse in nursing homes?
Sub-questions of research:
 Explain about the concept of person centred care approach.
 What are the significances of person centred care approach in providing optimum health
services to all individuals of society?
 How person centred care approach contribute in safeguarding vulnerable adults from
neglect and abuse in nursing homes?
3

Literature Review
Literature review is effective in this present care to provide detailed analysis over the area of
analyse the view of service providers regarding implementation of person cantered care approach
to safeguard vulnerable adults from neglect and abuse in nursing homes, with the suitable
assistance of liable resources and the opinion analysis of authors and writers (Kong and Keene,
2018). Therefore, in this present analysis information is mainly gathered through secondary
aspects like books, journals, published articles and so on.
The concept of person centred care approach
As per the views analysis of Liz Burton, 2018, person centred care approach is one the key
aspect which is mainly encompasses over the 13 fundamental standards of care which the care
quality commission needs healthcare providers to meet. Therefore, under the person centred care
approach health and social care professionals are works collaboratively with the intention
delivering appropriate facilities to the service users. Person-centred care mainly supports
individual to develop the acquaintance, skills and confidence which are needed by them for the
purpose of effectively manage and make informed decisions in regards to their own health and
health care. In addition to this, it also imperative in coordinated and tailored to the requirements
of the individual. And, crucially, it ensures that individual is always treated with dignity,
compassion and respect (Preston-Shoot, 2019). In the context of health and social care, person
centred care approach, plays an effective part in providing appropriate health care facilities to the
people who are needy and needs proper care to be get fit and live an effective life, therefore,
person centred care approach provides guidance to the health care professions to workers to
provide equal treatment to the people and mainly render effective facilities and safeguard
vulnerable adults from neglect and abuse in nursing homes. In addition to this, person centred
care approach is tied in with giving equivalent help to all independent to the any related factor
(Levitt, 2012). It is the privilege of every individual that they should accomplish better
consideration benefits that guide in shielding their life. Here, it is essential to find out about the
conduct of patients and learn information about their issues to give viable consideration. This
must be done in the manner when clinical experts give equivalent significance to all patients and
give chance to successfully clarify their issues and their behind causes. It benefits the experts in
drug where they can give the consideration as per their particular needs (Hood, Nilsson and
Habibi, 2019).
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The importance of person centred care approach in providing optimum health services to all
individuals of society
According to the views expressed by Walji, Karimbux and Spielman, 2017, patient centred
care approach is recognised to be the imperative strategy which is significant in making care
which is more tailored to the needs of patients with multi morbidity. Personal centred care
approach is mainly defined as to providing care which is respectful of and responsive to
individual patient preferences, needs, and values and ensuring that patient values guide all
clinical decisions in imperative manner. The person centred care approach has assorted
significance in the context of providing optimum health care facilities to the people in society,
thus, the major importance are Determination of actual issue and causes, Equal assistance to all,
Improve the quality of the service, Enhancing patients experience (Goodhart, 2013). Therefore,
these are the major significance of person centred care approach, thus these ensure the optimum
health facilities to the people. In addition to this, it also improves individual independence within
the health care centre and also motivates patients to implement positive health behaviours which
advance and help them manage their own health conditions. However, for these significant
benefits, in today’s modern era nursing homes are concern over implementing person centred
care approach for the intention of promoting individual working (Herring, 2016). Person centred
care approach give the chance to get the information about conduct, issues and causes related
with persistent. This can be additionally utilized with the end goal of better consideration as
indicated by body need. The benefit of applying person centred care approach will also be
optimally ascertained in case of reducing neglect and abuse issues with patients. This is so
because in person centred care approach, individual consideration is provided to all and
treatment is provided after recognition of their all requirements i.e. cause of disease, type &
nature of body and any medical history or not. All these aspects have huge positive contribution
towards the providence of effective treatment to all patients through which they will able to
recover in earliest possible manner from their issues. The adoption of this approach not only
having the contribution towards improvement of health care service but also aid in removal of
many internal issues that have negative impact over the health and perception of patients towards
the services of care home. The major internal issue that present in care homes is related to
neglect and abuse. The adoption of person centred care approach brings an obligation over the
staff and other professionals associated with the care of a patient that perform their activities
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properly and in accordance to the standards and policies. If they will indulge in some unwanted
activities and identified as the culprit of neglect and abuse with patient, then must facing the
negative consequences that resultant into discontinuation of their service along with cancellation
medical certificate. This information clearly depicts that contribution of person centred care
approach is not limited up to the improvement of health care service simultaneously aid in
removal of major internal issues like abuse and neglect.
The contribution of person centred care approach in safeguarding vulnerable adults from
neglect and abuse in nursing homes
As per the views analysis of Tove K. Vassbø, Marit Kirkevold, David Edvardsson, Karin
Sjögren, Qarin Lood & Ådel Bergland, 2019, A person-centred care approach to nursing mainly
concern over the individual's personal requirements, wants, desires and targets so that they
become central to the care and nursing process. This can also mean to putting the individual’s
requirements, as they define them, above those identified as priorities by healthcare
professionals. Therefore, person centred care is referring as the most recognised approach which
is significantly implemented by the nursing homes for the intention of improvising their facilities
and the services that are offered to the people. However, person centred care approach has its
major contribution in providing equal treatment to the people without neglecting them within the
nursing homes, the approach binds care professionals to provide equal facilities to the people and
not neglecting them (Care Quality Commission, 2013). Furthermore, the approach also
significant in restricting over abuse, thus person centred care approach is encompassing over
government obligatory bodies and under this abuse is recognised as the major crime, so this also
bind the service provider or professionals to render effective facilities and do on abuse.
Therefore, if in any case any cause is registered in against of professionals than they will have to
ready for facing negative consequences. The person centred care approach also promotes Health
care facility that matters for patients and their health condition, thus, under the boundaries of this
approach, the professionals are needs to ensure their patients to render effective health care
benefits that are significant in terms of improvising their health condition (Akua-Sakyiwah,
2012). Rendering time and cost effective facilities are also termed as the another contribution of
person centred care approach, thus this mainly implemented by the nursing homes to ensure
effective and cost effective facilities to the people.
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Determination about the term of neglect and abuse along with the situations when it occurs
is important to know. This has significant level of importance in the direction of identifying
cases and their removal for providence of effective treatment. Abuse and neglect are regularly
experienced in both adult and the older. It happens when a caregiver, regardless of whether
through unyielding activity or absence of proper activity, makes damage or trouble the individual
under their consideration. The casualties can be experienced in various human services settings
and might be in danger of different wellbeing outcomes. The ideal result for these people may
rely on early acknowledgment of the signs and indications of misuse or potentially disregard and
brief assessment. This can incorporate physical maltreatment, sexual maltreatment or misuse,
mental maltreatment, disregard or surrender, and imprisonment. Inclining factors for adult abuse
and disregard are multifactorial, going from financial stressors to hurtful social practices all
adding to the different level of weakness among the world grown-up populace. Some of the
common categories in which it exists at maximum level includes poor socioeconomic status,
domestic violence case, drug and alcohol addict, gender discrimination case and unwanted or
unplanned pregnancy. These are the all situations when patient need most care from others for
the purpose of recovery from trauma. But, the same is not present in actual because in all these
cases observed that they were neglected or abused by the staff and caregivers. This was
happened with them because they were so distressed in the situation that unable to know what is
happening and what they have to do to safeguard themselves. In the situation, the main
obligation is upon the management and professionals of care home that adopt such approaches
that will help to provide best care and simultaneously govern the activities of other staff
members that they never work beyond to the policies and standards of care home. The one best
approach that will help to serve both aims of care is person centred care. This provides an
opportunity to all the patients that they will going to be treat on the basis of their actual cause
and need of body. Here, professionals under the obligation that check the patients personally and
made the report about the health of patient. The personal level of daily regulation and checking
eliminates the chance of neglect and abuse with patients in nursing homes. Also, this will
diminish the any point of neglect and abuse from the side of professionals because they have to
submit the daily medical report. So, this is the best approach that help the nursing homes to
eliminate the issue of neglect and abuse from their premises along with development of
atmosphere where focus will be provided on effective care with requirements of patient.
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Research Methodology
This comprise to be the most basic piece of research project as it helps in do the entire
research exercises in very much arranged way. This piece of research depends on certain
applications which are critical to the examination and aides in coming to at conclusive outcome
and result (Cave, 2017). This section of a research helps in providing suitable assistance to the
investigator to execute the research activities in effective manner to drawn valid and reliable
results, thus, appropriate selection of methodologies is required to assist the investigation over
the area of analysing the view of service providers regarding implementation of person cantered
care approach to safeguard vulnerable adults from neglect and abuse in nursing homes. The
suitable selections of methodologies are associated as under:
Type of Investigation: The selection of investigation type is recognised to be the most important
area of research methodology as the entire execution of the research is based on the selection of
research type, Therefore, the choice is mainly in corporate over qualitative and quantitative
research types (Braye and Preston-Shoot, 2016). However, the choice is being made by the
investigator via considering data that are accumulated to assist the work. For undertaking the
present investigation area quantitative research has been implemented by the researcher as it is
best possible method for execution of investigation based on evaluating the execution of person
centred care approach to safeguard vulnerable adults from neglect and abuse in nursing homes
via the assistance of gathering numerical or factual information that are efficient in generating
valuable results (Morris and Nott, 2018).
Research Approach: This is likewise an another basic piece of research technique as in this
researcher is having alternative to choose most appropriate methodology so as to executing all
examination exercises and tasks in successful and proficient way (Porteous, Adler and Davidson,
2015). This section is mainly encompasses over two imperative aspects i.e. deductive and
inductive research approach, therefore, the selection of approach is mainly based on the
investigation type and in the context of this present investigation work, deductive research
approach is being applied by the investigator because it is well established approach for
quantitative research and helps in providing detailed information with the support of observing
views and evaluate theories and hypothesis that are based on the area of analysing the
implementation of person cantered care approach to safeguard vulnerable adults from neglect
and abuse in nursing homes (Stewart and Roberts, 2016).
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Research Philosophy: Research philosophy is defined as the set of thinking which has been
followed for executing a specific investigation by collecting, analysing and interpreting
information that are relay upon a specific subject area (Herring, 2020). There are basically two
form of investigation philosophy that are known as positivism and Interpretivism. For presenting
current study over the area of analysing the implementation of personal centred approach to
safeguard vulnerable adults from neglect and abuse in nursing homes, positivism philosophy has
been applied by the researcher because it terms to be the significant aspect which facilitates
detailed analysis via the views evaluation of authors and writers with actual facts and figures to
drawn valid and reliable results (Blake, 2013).
Data Collection Source: This area of methodology mainly encompasses over two aspects like
primary and secondary sources, therefore in the context of this present investigation both the
tools are equally significant to accumulate valid data that leads the whole investigation in the
manner of generating valuable outcome. However, primary research is being considered for
gathering data that are specific for analysing the implementation of person cantered care
approach to safeguard vulnerable adults from neglect and abuse in nursing homes, as in this
information accumulation is based on questionnaire and this is filled via executing survey among
the respondents (Herring, 2014). Despite from this, secondary investigation is significant in
developing theoretical perspective via implementing literature review with the suitable support
of analysing books, journals, articles and past investigations that are based on the specific area of
study.
Data Sampling Tools: Sampling mainly defined to the procedure of selecting sample through
actual population. There are two form of sampling that are defined as probability and non-
probability. Within this present investigation work, random sampling under probability sampling
has been used by researcher to gather information, therefore 40 respondents are being select by
the researcher who are the service provider of Redbridge Borough of London, as they
are the appropriate selection made by the researcher because they are more
liable in providing valid data to reaching at potential results (Vizard and
Burchardt, 2015).
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Ethical Consideration
This is a significant and fundamental piece of the research methodology for the explanation
that it bolsters researcher in consummation of whole paper in ethical and deliberate way. There
are some primary standards of research ethics, for example, limiting the risk of damage,
acquiring educated assent, ensuring anonymity and privacy, diversion misleading works on,
giving the option to take their approval back from the entire work. All these are considering
fundamental standards of research ethics that must be following by agent for leading present
investigation deliberately too ethically (Hull, 2013). Therefore, in the context of this present
investigation, the investigator needs to ensure their participants about the safety and security of
their private information, thus, in this primary research is being considered for the major source
of information so security recognised to be the key concern for the researcher as the respondents
are having the risk of unauthentic use of their private data. In addition to this, researcher needs to
make suitable arrangement of time so that the assistance can be provided to complete the work in
effective manner. Thus, the investigator needs to design an appropriate time scale in which all
the activities are needs to be effectively implemented with suitable time to complete the task in
imperative manner (Woods and et. al., 2012).
10

Action Research
Action research is effective in developing idea and knowledge based on enquiries executed
within specific and often practical contexts. As articulated earlier, the purpose of action research
is to learn by action that then leads on to personal or professional development (Lansley and
Mack, 2015). Therefore, in this present study analysis based on health and well being of people,
questionnaire is termed to be the best way to accumulated efficient data to analyse the
recognition of implementing personal care approach to safeguard vulnerable adults from neglect
and abuse in nursing homes.
Questionnaire
Name:
Age:
Gender:
Email:
Q1) Do you have an appropriate understanding in relation to the concept of person centred care
approach?
Yes
No
Q2) According to you, the implementation of person centred approach is effective for
professionals to safe guard vulnerable adults from neglect and abuse?
Yes
No
Q3) Do you have an idea about the level of neglect and abuse in Borough?
Yes
No
Q4) What are the different ways on the basis of which neglect and abuse happened with patients?
Non consideration of their views
Physical maltreatment
Sexual maltreatment or misuse
Mental maltreatment
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Q5) Whom is the major impacted from the issue of neglect and abuse in nursing homes?
Adult Male
Adult Female
Children
Elderly people
Q6) What current measures are present that will safeguard the patients from neglect and abuse in
care homes?
Government standards and policies
CQC provisions
Management policies
Q7) What aspect will be the best in direction of eliminating the issue of neglect and abuse in
nursing home?
Person centred care approach
Regular supervision
Regular auditing
Effective implementation of CQC principles
Q8) As per your view, what are the major significance of person centred care approach in
rendering effective health care services to all people of society?
Determination of actual issue and causes
Equal assistance to all
Improve the quality of the service
Enhancing patients experience
Q9) From your opinion, what are the key framework that are requires to be developed by nurse
academics to help practising nurses implemented person centred care?
Knowing the patient as an individual
Promoting physical and emotional comfort
Fostering trusting care giving relationships
Respecting the individual’s values, preferences and needs
Q10) According to your perspective, what are the major contribution of person centred care
approach in safeguarding vulnerable adults from neglect and abuse in nursing homes?
12

Equal treatment without neglecting
Restriction over abuse
Health care facility that matters
Rendering time and cost effective facilities
Q11) As per your view, what are the key principles of person centred care approach that are
needs to be implement by health care organisations to safeguard vulnerable adults from neglect
and abuse?
Treat individual with dignity, compassion, and respect
Provide coordinated care, support, and treatment
Enable service users to distinguish and develop their strengths
Offer personalised care
Q12) According to you, in which manner the implementation of person centred approach
influences the facilities provided by nursing care homes of London in the manner of safe
guarding adults?
Positive
Negative
Neutral
Q13) As per your opinion, what are the basic role performed by the person centred care approach
within nursing homes?
Improvising individual facility
Enhancing patient experience
Providing safe environment
Good communication with patients
Q14) According to your view, what are the key barriers that mainly faces by nursing care homes
in implementation of person centred care approach?
Sceptical, stereotypical attitudes from professionals
Tradition practices and structure
Lack of confidence
13

Q15) As per your view, what are the potential measures that can be opt by nursing homes to
improvise person centred care approach?
Reward the Champions
Suitable training to professionals
Increasing awareness about the roles and responsibilities ‘
Collect feedback about your treatment facility
Q16) To suggest effective practices to the health care professionals and nursing homes to provide
best possible ways to treat adults and reducing the chances of abuse.
14

Data Analysis and Interpretation
Theme 1) The individual have an appropriate understanding in relation to the concept of person
centred care approach.
Q1) Do you have an appropriate understanding in relation to the concept of
person centred care approach?
Frequency
Yes 39
No 1
Interpretation:
From the detailed analysis of the survey it has been interpreted that, the recognition has been
executed to analyse the appropriate understanding of the respondents about the area of person
centred approach and the study is being executed among 40 respondents and out of that 39
people are in favour with the statement as they are having appropriate idea about the same and
remaining people are not in favour with the same as per their view they are not having any idea
about the concept of person centred care approach.
15

Theme 2) The implementation of person centred approach is effective for professionals to safe
guard vulnerable adults from neglect and abuse.
Q2) According to you, the implementation of person centred approach is effective
for professionals to safe guard vulnerable adults from neglect and abuse?
Frequency
Yes 38
No 2
Interpretation
In this present context the analysis is mainly developed to determine the area that the
implementation of person centred approach is effective for professionals to safe guard vulnerable
adults from neglect and abuse, therefore, 38 out of 40 people are in favour with this statement as
per their view the person centred care approach is valuable in terms of rendering effective health
care facilities to the people and leftover respondents are not in concern with the same.
Theme 3) Determination of the idea about the level of neglect and abuse in Borough
Q3) Do you have an idea about the level of neglect and abuse in Borough? Frequency
Yes 35
No 5
16

Interpretation: It is interpreted from the above graph that out of the 40 respondents 35
have the opinion that they have the knowledge regarding the aspect of neglect and abuse in care
homes. They clearly stated that staff is not performing the duties properly where they take the
advantage of their situation. On the other hand, 5 respondents have the opinion that they do not
have knowledge regarding the aspect pf neglect and abuse. They also do not believe that
someone takes the advantage of other’s bad situation.
Theme 4) Determination of the different ways on the basis of which neglect and abuse happened
with patients
Q4) What are the different ways on the basis of which neglect and abuse
happened with patients?
Frequency
Non consideration of their views 8
Physical maltreatment 15
Sexual maltreatment or misuse 7
Mental maltreatment 10
17

Interpretation: It is interpreted from the above information that there are many ways on
the basis of which neglect and abuse happened with patients. Out of the total number of
respondents, 8 having the opinion that non consideration of their views is the aspect that present
negligence in nursing homes. 15 respondents having the opinion that physical maltreatment is the
issue that majorly present as neglect and abuse in the nursing homes. 7 respondents stated that
sexual maltreatment or misuse is the issue that present as reason of neglect and abuse in the
nursing homes. This is majorly occurring with the females. In last, 10 respondents have the
opinion that mental maltreatment is the issues that present as abuse among nursing homes. This
is done specially with the persons who are not in perfect condition or facing any kind of chronic
disease.
Theme 5). Determination of the category who is major impacted from the issue of neglect and
abuse in nursing homes
Q5) Whom is the major impacted from the issue of neglect and abuse in nursing
homes?
Frequency
Adult Male 10
Adult Female 15
Children 5
Elderly people 10
18

Interpretation: It is interpreted from the above graph that out of the total number of
respondents, 10 having the opinion that the persons who were impacted majorly from the neglect
and abuse in nursing homes are adult male. In this case, the main reason is chronic health
disease. 15 respondents have the opinion that whom were majorly impacted are adult females.
This is so because lack in support and knowledge about the rights. Afterwards, 5 respondents
have the opinion that children were mainly impact of neglect and abuse and in last 10 having the
opinion that elderly people because they need extra care in every aspect of work which makes
the staff frustrated.
Theme 6). Determination of the current measures that are present that will safeguard the patients
from neglect and abuse in care homes
Q6) What current measures are present that will safeguard the patients from
neglect and abuse in care homes?
Frequency
Government standards and policies 10
CQC provisions 20
Management policies 10
19

Interpretation: It is interpreted from the above graph that 10 respondents have the
opinion that currently government policies are exist that safeguard against neglect and abuse. 20
respondents having the opinion that CQC provisions playing the major role in this direction. In
last, 10 respondents having an opinion that role of management policies is important in the
direction of eliminating neglect and abuse from nursing homes.
Theme 7). Determination of the best in direction of eliminating the issue of neglect and abuse in
nursing home
Q7) What aspect will be the best in direction of eliminating the issue of neglect
and abuse in nursing home?
Frequency
Person centred care approach 20
Regular supervision 5
Regular auditing 5
Effective implementation of CQC principles 10
20

Interpretation: It is interpreted from the above graph that 20 respondents are in support
with aspect that person centred care approach must help in removal of neglect and abuse.
Afterwards, 5 respondents having the belief on exercise of regular supervision and another 5
voted on aspect of regular auditing. In last, 10 respondents said that effective implementation of
CQC principles is helpful in direction of removing neglect and abuse.
21

Theme 8) There are multiple significance of person centred care approach in rendering effective
health care services to all people of society.
Q8) As per your view, what are the major significance of person centred care
approach in rendering effective health care services to all people of society?
Frequency
Determination of actual issue and causes 8
Equal assistance to all 12
Improve the quality of the service 10
Enhancing patients experience 10
Interpretation
As per the detailed analysis of the above mentioned graph it has been identified that as per
the opinion analysis of the respondents here are multiple significance of person centred care
approach in rendering effective health care services to all people of society. Therefore, 8 out of
40 people are in favour with determination of actual issue and cause, 12 responsive are select the
significance of Equal assistance to all, 10 participants are in favour of Improve the quality of the
service and leftover people are go with Enhancing patients experience.
22

Theme 9) There are assorted key framework that are requires to be developed by nurse
academics to help practising nurses implemented person centred care.
Q9) From your opinion, what are the key framework that are requires to be
developed by nurse academics to help practising nurses implemented person
centred care?
Frequency
Knowing the patient as an individual 10
Promoting physical and emotional comfort 8
Fostering trusting care giving relationships 13
Respecting the individual’s values, preferences and needs 9
Interpretation
The current analysis is executed to determine the key framework that are requires to be
developed by nurse academics to help practising nurses implemented person centred care .
However, 10 out of 40 people are in concern with aspect of Knowing the patient as an individual,
8 participants go with Promoting physical and emotional comfort, 13 responsive are select the
area of Fostering trusting care giving relationships and 9 responsive are in favour of Respecting
the individual’s values, preferences and needs
23

Theme 10) There are different contribution of person centred care approach in safeguarding
vulnerable adults from neglect and abuse in nursing homes.
Q10) According to your perspective, what are the major contribution of person
centred care approach in safeguarding vulnerable adults from neglect and
abuse in nursing homes?
Frequency
Equal treatment without neglecting 7
Restriction over abuse 15
Health care facility that matters 8
Rendering time and cost effective facilities 10
Interpretation
According to the detailed analysis of the survey report it has been evaluated that here are
different contribution of person centred care approach in safeguarding vulnerable adults from
neglect and abuse in nursing homes. However, people select different options as per their view
like 7 out of 40 people are in favour of equal treatment without neglecting, 15 responsive are go
with restriction over abuse, 8 participants go with health care facility that matters and remaining
people are go with rendering time and cost effective facilities.
24

Theme 11) There are different principles of person centred care approach that are needs to be
implement by health care organisations to safeguard vulnerable adults from neglect and
abuse.
Q11) As per your view, what are the key principles of person centred care
approach that are needs to be implement by health care organisations to
safeguard vulnerable adults from neglect and abuse?
Frequency
Treat individual with dignity, compassion, and respect 10
Provide coordinated care, support, and treatment 10
Enable service users to distinguish and develop their strengths 10
Offer personalised care 10
Interpretation
As per the in-depth analysis of the study it is being determined that, here are different
principles of person centred care approach like Treat individual with dignity, compassion, and
respect, provide coordinated care, support, and treatment, enable service users to distinguish and
develop their strengths, offer personalised care that are needs to be implement by health care
organisations to safeguard vulnerable adults from neglect and abuse.
25

Theme 12) In different manner the implementation of person centred approach influences the
facilities provided by nursing care homes of London in the manner of safe guarding adults.
Q12) According to you, in which manner the implementation of person centred
approach influences the facilities provided by nursing care homes of London
in the manner of safe guarding adults?
Frequency
Positive 36
Negative 2
Neutral 2
Interpretation
According to the detailed evaluation of the graph details based on the area of the impact of
person centred care approach over the operations of nursing care homes, therefore, 36 out of 40
responsive said that, the implementation of person centred approach has positive impact over the
operations of the business. 2 responsive are not in favour with the same and remaining
participants are not providing any discussion about the same.
26

Theme 13) There are multiple roles that are performed by the person centred care approach
within nursing homes.
Q13) As per your opinion, what are the basic role performed by the person
centred care approach within nursing homes?
Frequency
Improvising individual facility 12
Enhancing patient experience 8
Providing safe environment 9
Good communication with patients 11
Interpretation
The analysis of the survey represents that here are multiple roles like Improvising individual
facility, enhancing patient experience, providing safe environment, Good communication with
patients and so on that are mainly performed by the person centred care approach within nursing
homes.
27

Theme 14) Here are different key barriers that mainly faces by nursing care homes in
implementation of person centred care approach.
Q14) According to your view, what are the key barriers that mainly faces by
nursing care homes in implementation of person centred care approach?
Frequency
Sceptical, stereotypical attitudes from professionals 12
Tradition practices and structure 16
Lack of confidence 12
Interpretation
According to the detailed evaluation of the project it has being determined that here are
different challenges that are mainly faced by the nursing care home in execution of person
centred approach, thus, 12 out of 40 people are in favour of Sceptical, stereotypical attitudes
from professionals, 16 respondents are in concern with Tradition practices and structure and
remaining people are go with Lack of confidence.
28

Theme 15) There are different potential measures that can be opt by nursing homes to improvise
person centred care approach.
Q15) As per your view, what are the potential measures that can be opt by
nursing homes to improvise person centred care approach?
Frequency
Reward the Champions 8
Suitable training to professionals 12
Increasing awareness about the roles and responsibilities ‘ 10
Collect feedback about your treatment facility 10
Interpretation
As per the detailed analysis of the project it has been interested that, here are different
potential measures such as Reward the Champions, Suitable training to professionals, increasing
awareness about the roles and responsibilities, Collect feedback about your treatment facility that
can be opt by nursing homes to improvise person centred care approach.
29

Conclusion and Recommendation
Conclusion
After conducting a detailed analysis over health care subject it has been concluded that,
person centred care approach is recognised as the most effective strategy which requires to be
implemented by the nursing homes for the purpose of providing effective health care facilities to
safeguard vulnerable adults from neglect and abuse. Therefore, as per the detailed evaluation of
the opinion of the respondents it has also been evaluated that, majority of people are in favour
with the statement that the implementation of person centred approach is effective for
professionals to safe guard vulnerable adults from neglect and abuse in nursing homes. In
addition to this, from the evaluation of the project it has also been evaluated that here are
assorted significance like Determination of actual issue and causes, Equal assistance to all,
Improve the quality of the service and Enhancing patients experience , thus these are the major
benefits for which nursing homes and its professionals are concern over implementing person
centred care approach with their operations and enhance the experience of the patients and
ensure them about the effective treatment.
Recommendation
From the descriptive study executed over the area of health and wellbeing improvement it
has been recommended to the nursing homes to implement effective strategies and initiatives to
develop the operations of the care homes and providing satisfaction to the patients. However, for
improvising the care home facilities the nursing homes needs to provide effective professional
trainings to their service providers in respect to rendering good individual health benefits to the
needy people, thus it eventually helps the business in developing customers experience with the
nursing homes. In addition to this, nursing homes are also requires to be concern over executing
person centred care approach in respect to promoting the individual care for providing better
facilities and motivating people to take a turn towards improvising their condition and self care.
Furthermore, as per the evaluation of the project it has also been recommended to nursing homes
to provide rewards to the stand out performance of the professions thus, this might helps the
business in developing employees morals and business should also create awareness about their
job role and the key responsibilities thus this would be beneficial in determining the positive
working of professionals and improvise their performance.
30

Future development Needs
The project into consideration is based on developing the health care facilities for increasing
wellbeing of people, thus, this study is effective in providing a wider knowledge base in relation
to the area of determining the aspect of personal centred care approach to safeguard vulnerable
adults from neglect and abuse in nursing homes. Therefore, this study has provides wider
knowledge to the health care professionals to gain suitable idea to attain growth via providing
best health care facilities. In addition to this, the present analysis would be significant in
providing wider idea base to execute future projects based on health and wellbeing improvement
in more liable manner, thus this enhanced knowledge about business or academic skills will
helps in gaining growth in the future projects.
31

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