Analyzing Health and Social Care: East & West Care Home Case Study

This report provides a detailed overview of the health and social care industry, utilizing a case study of East & West care home. It explores fundamental principles of support, emphasizing privacy, dignity, and person-centered approaches. The report examines safeguarding procedures for clients and employees, analyzes the benefits of a person-centered approach, and identifies ethical dilemmas in the sector. It also explains the implementation of rules and legislation, the development of local policies, and the impact of these on organizational policy. Furthermore, the report discusses theories relevant to health and social care practice, analyzes the impact of social processes on users, and evaluates inter-professional work environments. Finally, it explains roles, responsibilities, and duties within the sector, evaluates contributions to organizational policy development, and suggests recommendations for achieving good practice requirements, culminating in a comprehensive analysis of health and social care challenges and best practices.

PRINCIPLES OF HEALTH AND SOCIAL CARE

Executive summary
The current assignment will be helpful for the readers as it will briefly cover the several elements
of the health and social care industry. This kind of assignment which is supported by the case
study of East & West care home is very apt in order to highlight the intricacies of the health and
social care industry. The organisations need to identify and protect the service users and cannot
compromise on quality and legislations and thus they need to find a way to put the existing
resources available in order to deal with the various obstacles that can be expected in this
industry.

Table of contents
Introduction......................................................................................................................................4
Task 1...............................................................................................................................................4
1.1 Explaining the principles of support provided to individuals in health and social care........4
1.2 Outlining the procedures for protecting clients and employees from harm..........................5
1.3 Analysing the benefits of having a person-centred approach................................................5
1.4 Explaining the ethical dilemmas that arise in the health and social care sector....................6
Task 2...............................................................................................................................................7
2.1 Explaining the implementation of rules and legislation present in the health and social care
.....................................................................................................................................................7
2.2 Explaining the development of local policies in terms of national and global policy
requirements................................................................................................................................7
2.3 Explaining the impact of legislations, rules and codes of practice on organisational policy 8
3.1 Explaining the theories pertaining to health and social care practice....................................8
3.2 Analysing the impact of social processes on users................................................................8
3.3 Evaluating the effectiveness of inter-professional work environment..................................9
Task 3.............................................................................................................................................10
4.1 Explaining roles, responsibilities and duties while working in health and social care........10
4.2 Evaluating impact of contributions made for development of organisational policy..........10
4.3 Suggesting recommendations to achieve the good practice requirements..........................11
Conclusion.....................................................................................................................................12
References......................................................................................................................................13

Introduction
Health and social care are one of the most rapidly growing service sectors that tend to the day to
day needs of the individuals who face mental and physical inabilities either due to sickness or old
age. The care homes are responsible for keeping these individuals safe and sound and thus, it is
very important for the administration and management to understand and acknowledge the flaws
of the existing system and structure and accordingly utilise their managerial capacities to control
the situation and steer the organisation onto the right course. The current assignment deals with
the situation of East & West care home which is situated in London. This organisation has been
under scrutiny from the Care Quality Commission and hence, by acknowledging the
shortcomings of the organisation, the management is looking forward to managers and
individuals who can display effective managerial skills in order to tread the right path.
Task 1
1.1 Explaining the principles of support provided to individuals in health and social care
Every procedure, every practice involves a very deep understanding of the underlying principles
that are very important in order to maintain the routine care work and these principles are
necessary to be accessible to all who have been engaged in the health and social care homes. The
first and foremost principle that is to be kept in mind while treating a patient is that the
organisation needs to respect the individual's privacy and dignity and should not be in any way
responsible, either directly or indirectly, in jeopardising these two basic rights of the service user
(Brett et al. 2014, p.642). This kind of respect towards the residents is of critical importance as
each of the service users have been accomplished individuals at some past and have a strong
sense of pride and dignity which is why they can get offended if they are treated as children who
are dependent upon them.
Thus, as observed by Makai et al. (2014, p.89), by treating them as adults, the self-esteem of
these troubled souls can be maintained and also helps in developing a sense of freedom. This
freedom and independence can be easily brought about by allowing the service users to take care
of themselves as responsible adults and enjoy choices to control the care practice, thus enabling a
very person-centred approach. It is also important that the service users be recognised and
appreciated for their individual spirit and religious diversity which is critically the freedom to
express their own religious beliefs. The safety is also a prime concern for the staffs as fear and
anxiety increase the chance of self-harm.

1.2 Outlining the procedures for protecting clients and employees from harm
Safeguarding and protecting the residents and employees is a very difficult obstacle that the
administration needs to overcome. There is no room for any mismanagement as it would be
ironic to call an organisation to be health and social care organisation if they fail to undertake
safety and security measures for the service users as well as the employees (Millar and Hall,
2013, p.923). The first approach in this direction is by assessing the levels of protection that can
be provided to the service users in order to safeguard these vulnerable individuals from any harm
and thus, protect these individuals from harm and abuse and accordingly resolve the issue of
impending civil and human rights.
The East & West care homes would be advised that they understand the direction and flow of
power related to enforcement of the principles and philosophies existing in the given
environment and how these policies can be effectively applied in order to protect the residents
and employees of the East & West care homes. Hence, in words of (Snape et al. 2014,
p..004943), it is essential to give the staff members the correct training by utilising which they
can be able to deal with complicated situations dealing risk to the service users and also upon
self along with better sanitation and hygienic food which collectively helps in providing a better
care and reduces the chance of harm.
1.3 Analysing the benefits of having a person-centred approach
The person-centred approach is an individualistic way of look at the health and social care and
this was developed by Carl Rogers which helped him to be autonomously able to use therapies
and counselling sessions in order to formulate a non-directive approach (Hewitt et al. 2014,
p.501). The East & West care home is focussed upon the fulfilment of needs of the users and
thus by undergoing such a transformation, the care home can be expected to be able to be
prepared enough to cater to the people with disabilities and help them accomplish the day to day
chores. Thus, by inclining towards a person-centred approach, the care home organisation can be
able to find out the areas that need serious remodelling and restructuring in order to support the
service users.
The simplest of support can mean a great deal for a person who is unable to make full use of
their body. The principles of choice and control can be achieved in the organisational policy and
thus the residents have their own say in matters of lifestyle choices. As observed by Mason et al.
(2015, p.180), the main objective of organisations such as East & West care homes is to plan the

lives of the service users without being non-intrusive yet focussed on service user’s health and
social care.
1.4 Explaining the ethical dilemmas that arise in the health and social care sector
A situation where choice and decision-making process is subjected to debate leading to choosing
a single alternative, among the vast arrays of alternatives can be termed as the ethical dilemmas.
These dilemmas are faced on a routine basis by the administration, management and the on-field
employees (Pulsford et al. 2013, p.231). In the case of East & West care homes, the
administration has repeatedly failed to look into the matters of abuse and care that are faced by
the residents and remain hidden under fear. The ethical issue of treating the patient's right is quite
a dilemma indeed and without resolving these issues, it is very difficult to provide the correct
and appropriate services and also becomes seemingly difficult to conduct development
programmes for the expansion of the organisation.
There can also be cases of medication abuse by both the service users as well as the care workers
and this, as observed by Peel and Harding (2014, p.647), becomes a very critical ethical issue as
these addictions can result in foggy memories, sudden mood changes which make it very
difficult to track the progress of curing process in terms of the service users and depletes the
ability to render proper services in terms of care workers.

Task 2
2.1 Explaining the implementation of rules and legislation present in the health and social
care
The course of action that is undertaken by any organisation in order to take decisions and actions
is termed as policy. The policies are important for the functioning of the East & West care homes
as they legislations lay down the key for future ground work which are to be undertaken by the
health and social care organisation. Under the health and safety policy of 1974, the care workers
need to undertake practices which minimises the harm to the patients (Glynos et al. 2015, p.50).
The RIDDOR act of 1995 dictates the organisations to undertake proper reporting mechanism in
order to report injuries and fatalities that have occurred in the past so as to conduct future
investigation and resolve the issue (Cairns et al. 2013, p.28). The care home workers need to
organise interaction sessions which helps them to feel part of the society. The quality product
policy dictates the organisation to not compromise on the quality of the services that are
available to the patients (Speed and Gabe, 2013, p.570). In case criminal offenders are logged in
the care home, the rehabilitation of offender’s act of 1974 states that the care home needs to
provide programmes in order to rehabilitate the individuals during their time of stay (Petch et al.
2013, p.627). The Human Right Act of 1998 states that every individual has a right to live and no
one can play God thus allowing the individuals the freedom to live and pursue their own lifestyle
(Moorhead et al. 2013, p.85).
2.2 Explaining the development of local policies in terms of national and global policy
requirements
These policies and legislations are often touted to the health and social care organisations in
order to inhibit the abuse that the service users may face. These legislations differ depending
upon the type of clients the service provider entertains and such directives provides the care
workers with a clear-cut guideline which they can use in order to provide legal and fair services
to the clients (Grajales III et al. 2014, p.13). The local policies are offshoot of the national and
global policies that are imposed by the state government as well as a global body so that the
service users can be protected against the corrupt practices that may exist in public, private and
voluntary health care organisations.

2.3 Explaining the impact of legislations, rules and codes of practice on organisational
policy
According to Bien et al. (2013, p.1033), Care standard act of 2000 was focussed towards
reforming the organisational regulatory systems present in the health and social care
organisations of the United Kingdom. This act was responsible for bringing about these reforms
in the private and voluntary health and social care organisations and helped in founding of the
independent monitoring and reviewing body known as the National Care Standards Commission
so as to autonomously review, monitor and regulate the social services (Antheunis et al. 2013,
p.428). The General Social Care council was established in order to provide the employees with
better and safe working environment. The vulnerable act of 2006 was responsible for identifying
and authenticating individuals who wished to work with children and vulnerable adults.
3.1 Explaining the theories pertaining to health and social care practice
The theories of health and social care is the foundation for all the undertaken practices which is
utilised by the organisation in order to formulate organisation legislation and policies. The
delivery of care is also dependent upon the future researches and theories. In words of Lewis and
West (2014, p.11), the humanistic theory states that the care system must be designed in a way to
accommodate the individual characteristics of the service user without hurting their autonomy
and dignity. This also focusses in developing the inter-professional activities within the
organisation and is responsible for imbibing the effectiveness of communication processes. The
social learning theory states that the learning through observation is very important in order to
model and adhere to the care plans and models (Iliffe et al. 2016, p.125). As the various fields of
professionals work together it would be suggestive that the employees pick up certain abilities
based on their observation and perfect the same by undertaking routine practice sessions. As the
anti-oppressive states the importance of social justice and individual rights while the anti-
discriminatory theory helps the care workers to work without much trouble in a racial and ethnic
diverse work setting.
3.2 Analysing the impact of social processes on users
The social processes and other such behaviours are highly influential to the health and social care
practices. These impacts are varying and can be found more commonly in the people-centred
approach (Thomas-Gregory, 2014, p.622). The professionals and service users are more focused
towards integrating the various perspectives of the involved individuals and thus, such an

interaction can significantly improve the health care setting and services of an organisation. The
health and social care is an umbrella term that employs a variety of professionals and initiating a
partnership among these professionals can be helpful in strengthening the organisational policy
and care. In words of Vlachantoni et al. (2015, p.344), the previous model of health care system
was reaction oriented but nowadays, this has changed and the organisations display more
proactive approach in order to cater to the needs of users.
3.3 Evaluating the effectiveness of inter-professional work environment
The inter-professional model of working allows the health and social care organisations such as
East & West healthcare homes to foster a sense of collective work environment where the work
of the different organisations is valued and encouraged so as to generate of model of health and
social care that promises to provide better and higher quality of care services in the UK (Garg et
al. 2015, p.300). Along with this, the collaborative model allows the professionals to undergo
training which helps them in understanding the importance and value of inter-professional work
setting. Though such settings can be counter-effective without the proper support system and
training regimes to enlighten the managers and professionals. As highlighted by Glasby (2014,
p.259), it also requires a monitoring and review system that helps in measuring the effectiveness
of the inter-professional model and bring about the necessary changes and modifications.

Task 3
4.1 Explaining roles, responsibilities and duties while working in health and social care
It is funny how the professional divides and qualifications mean little when working on the field
and the thus it is observed that the organisations working as a team have more chances of
sustaining and overcoming problems (Appleby, 2013, p.10). The inter-professional environment
allows this kind of environment to be fostered and thus imbibes the working professionals with
general and specific codes of ethics that are observable in the health and social care industry and
thus, each of the individual employees is responsible and accountable for their knowledge and
expertise when it comes to professional duties and responsibilities. According to Rand and
Malley (2014, p.377), each of the individuals is also responsible for sharing their knowledge and
exhibit field specific principles and values that are dictated by the National Health Service and
their guidelines for promoting social governance among the health and social care organisations.
These sharing and showcasing of the values and information is impossible without the existence
of a very well planned and well-organised communication process supported by reliable and
supportive communication channels. In words of Bircher and Kuruvilla (2014, p.370), this means
that among the employee’s effective verbal and nonverbal communications need to exist. Along
with these, there must be an environment of mutual respect and understanding among the
professionals pertaining to the knowledge of their colleagues. This helps in better division of
work and thus without any kind friction, the work culture is more role and responsibility oriented
focussed at providing a holistic experience to the service users (Gili et al. 2013, p.105). Thus, all
employees are encouraged to be updated with the various developments in their fields and others
as well thus educating these individuals to improve the quality and efficiency of the organisation.
4.2 Evaluating impact of contributions made for development of organisational policy
In order to understand the impact of the organisation’s work, it is very critical to analyse and
assess the impact of the organisational policy and its relativity with the social and health care
reforms. The kind of duties and responsibilities handled in the health and social care
environment are varied and thus, employees are concerned with the inception, implementation
and inquiry of the organisational policies as they are key actors who have the capability to direct
the same (Thackeray et al. 2013, p.21). These health and social care workers are not only
responsible for directing the organisational policy but are also responsible for providing the
valuable insights and observations to the professionals from the government or educational

institutions. This insight is of critical value to these professionals as this enables them to carry
out their own professional duties and responsibilities.
It is very necessary to understand that the health care workers are the very first line of support for
the vulnerable population and thus are very important to safeguard and defend them
(Karanikolos et al. 2013, p.1325). The employees understand the modifications that are
necessary in the existing organisational policy and thus, accordingly direct the organisation to
modify and tweak its policy making in order to protect these vulnerable individuals. In words of
Hutchison (2015, p.130), at the same time, while protecting the dignity, privacy and rights of the
service users, there is a need to undertake proper resource procurement and appropriate budget
allocations so as to set up high standards of health and social care.
4.3 Suggesting recommendations to achieve the good practice requirements
The first thing that is very crucial for the development of the practices and protocols or social
and health care industry is the educational qualification of the prospective employees (Larsspn et
al. 2014, p.241). Learning is a continuous process and without practice and update this kind of
education and knowledge is lost. Thus, the employees should be offered extra training courses
and events that help them to showcase their expertise as well as help them inculcate newer
methodologies and techniques into their work intelligence. This not helps the employees to
sharpen their skill set but also helps them add a thing or two to their existing arsenal. Thus, as
observed by De Los Santos et al. (2014, p.375), the professionals can be fully expected to tackle
and manage a diverse population of service users without compromising on the quality of service
that is offered by the organisation.
By incorporating the evidence into the health and social care practices, the levels of quality of
the services can be enhanced by leaps and bounds and thus, this requires in-depth analysis and
understanding of the new research articles that are related to the health and social care field
(Schnohr et al. 2015, p.64). Better understanding means an implementation of these protocols
and procedures in the professional practice. In views of Harper (2014, p.588), a combination of
strategies is very necessary in order to protect the vulnerable groups and by fostering an inter-
professional interactive and collaborative environment helps in promoting an environment where
the goal is to provide the best services in adherence to the practice standards.

Conclusion
The current assignment helps in understanding the various underlying aspects of the health and
social care industry. This industry deals with one of the most complicated machinery in the
known universe, the human body and mind. This is jab profile with high-stress levels and erratic
work hours but guarantees a satisfaction that even blue collared jobs would not fetch. Thus, the
case of East & West care home was a very good observation point which helped in identifying
the various principles supporting the health and social care and also outlines the protocol to
safeguard the clients. The importance of policies and their impact on the working of the
healthcare organisations is also observed. The various theories associated with health and social
care practices were also discussed in brief in order to understand the overall roles and
responsibilities of the employees in terms of quality of service and formulation of organisational
policy and recommendations were suggested accordingly.

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