Principles of Health and Social Care Practice: PP Report

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Principles of Health and Social Care Practice (PP)
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Table of Contents
Introduction................................................................................................................................3
LO1............................................................................................................................................4
1.1 Explain how principles of support are applied to ensure that individuals are cared for in
health and social care practice....................................................................................................4
1.2 Outline the procedure for protecting clients, patients, and colleagues from harm..............5
1.3 Analyse the benefit of following a person-centred approach with users of health and
social care services.....................................................................................................................6
1.4 Explain ethical dilemmas and conflict that may arise when providing care, support and
protection to users of health and social care services................................................................7
LO2............................................................................................................................................8
2.1 Explain the implementation of policies, legislation, regulations and codes of practice that
are relevant to own work in health and social care....................................................................8
2.2 Explain how local policies and procedures can be developed in accordance with national
and policy requirements.............................................................................................................9
2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on
organisational policy and practice..............................................................................................9
LO3..........................................................................................................................................11
3.1 Explain the theories that underpin health and social care practice....................................11
3.2 Analyse how social processes impact on users of health and social care services............12
3.3 Evaluate the effectiveness of inter-professional working..................................................13
LO4..........................................................................................................................................14
4.1 Explain own role, responsibilities, accountabilities and duties in the context of working
with those within and outside the health and social care workplace........................................14
4.2 Evaluate own contribution to the development and implementation of health and social
care organisational policy........................................................................................................14
4.3 Make recommendations to develop own contributions to meeting good practice
requirements.............................................................................................................................15
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Conclusion................................................................................................................................16
Reference List..........................................................................................................................17
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Introduction
In the health and social care industry, it is crucial for the healthcare workers to endure that
they are able to ensure the maximum health and wellbeing of the healthcare users. In order to
ensure high quality, the healthcare workers are adhering onto some crucial philosophies in
health and social care, which helps the care providers to accomplish adequate standards in
care practice. Further, it is crucial for the care workers to ensure that the standard health care
policies and practices are maintained by the care workers. In addition, ensuring ethical
practice is also a crucial duty of the care workers. The organizations are responsible for
aligning with the national standards of policy requirements, while developing their own
policies and procedures (Minkman, 2016). Further, it is also noteworthy that the skills and
competence of every care workers are significantly affecting the overall quality of service
delivered to the care users. In the following assignment, the key focus is upon exploring the
key principles of health and social care in the context of Fleetwood Hall Home. The
particular care home has a range of discrepancies in their service and CQC inspection has
rated the service as “inadequate” and “improvement required”. Considering this, the
following assignment would focus upon analyzing the principles and aligning these with the
service the care home is providing, for improving the overall service quality.
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LO1
1.1 Explain how principles of support are applied to ensure that individuals are cared
for in health and social care practice
The healthcare organizations, including the care homes are offering a range of support
services for ensuring that people living there, are being adequately cared. In this context, it is
noteworthy that the principles of support are implemented for ensuring that people are cared
for health and social care practices. Principles are simple rules or guidelines, for governing
the healthcare practices. The principles of support are helping the care providers to
understand and implement the best practices for the care users. In this regards, it is
noteworthy that these principles are enabling the care workers to ensure that the care user’s
needs are being met and their rights have been preserved. In this regards, some key principles
of support that the Fleetwood Hall Home should follow are:
Quality care: The quality of care must be ensured by the care workers within the care
premises, aligning with the standard quality guidelines (Kredo et al., 2016).
Promote holistic health and wellbeing: The care homes must ensure that the care users’
holistic needs are being met. In order to do this, it is crucial address their needs related each
domain of wellbeing, instead of emphasizing only upon mental or physical wellbeing.
Increasing choice and control: The care providers should attempt to establish a strong
relationship with the care users, while empowering them to be engaged in their own
healthcare planning. It ensure that resident’s needs are being prioritized; whereas, making
them more satisfied with the health care system, by promoting their choice and control.
Adopting person-centred care approach: It is an evidence based care approach, which keeps
the patient’s priorities in the centre of care planning, where the care planning is developed in
a personalized way, making it more effective (Ekman et al., 2011).
Respecting privacy self – esteem: The care givers should also ensure that the privacy and
data security of each resident are being maintained with the legal and ethical frameworks.
Every care workers has a crucial duty to respect privacy and dignity of the care users,
considering their cultural and ethnic background. As a result, the care users’ self esteem
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would be increased and they would feel more inclusive and valued within the care
environment (Holt and Allen, 2015).
Encouraging independence: In the care homes, usually older people or people with
disabilities are found as residents. Instead of emphasizing upon their disabilities, it is crucial
for the care workers to empower residents’ independence. It also enhances their self esteem.
In this regards, it is noteworthy for the key care workers can make the residents more adhered
onto their care planning, through encouraging their independence, which makes them more
responsible for their wellbeing, as well as improve their self management (Mitchell and
Golden, 2012).
It has been revealed from the case scenario that the CQC report identified that none of the
above-discussed support principles are followed in Fleetwood Hall Home. In this regards, it
is noteworthy from the report that residents are not engaged here in their care planning. No
person centred care approaches are being followed in the organization. It has also been
revealed that the care plans are not always reflecting the current needs of residents. In terms
of independence, staffs are not familiar with mental capacity and consent. The adult
safeguarding policies are also not aligned with standard guidelines. Residents reported that
the environment does not make them to feel safe. In regards to care quality, a range of
discrepancies, from audit report, incident rate to medication, have been identified by CQC
inspection, which needs improvement.
1.2 Outline the procedure for protecting clients, patients, and colleagues from harm
In the Fleetwood care home, the care givers are responsible for safeguarding or protecting the
residents, families and staffs from harm. Although the approaches for safeguarding are
compromised at Fleetwood care home, the key procedures they have adopted for this purpose
are:
Following safeguarding guidelines – It is crucial for adhering onto the safeguarding
guidelines, to ensure that people are protected in the care environment. It has been revealed
that Fleetwood Hall Home is not relying upon standard national safeguarding policies. Even,
there is no up-to-date training for the staffs to adhere onto standard safeguarding guidelines.
System for monitoring quality and safety – A standard system has been adopted by the
organization to ensure that quality and safety is effective for the care practices. However, the
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environment has not found to be rigorous. The service related to the quality and safety system
is ineffective (Mozley, 2017).
Complaint procedure – The organization possess a complaint system through which
residents, families could communicate their issues in the care home (Minkman, 2016). It has
been revealed that the system is ineffective, with no standard system for addressing
complaints.
Audit report and monitoring – The audit report includes discrepancies, which does not pick
up the serious issues identified often.
Alignment of procedures with adult safeguarding policy – The operational policies reflected
that these are not reflecting local practices or national guidance.
Incident monitoring system for risk management – The organization also possess incident
and risk registered, which has also been found to be ineffective.
Individual resident’s safety – Women residents identified that the environment is not safe.
1.3 Analyse the benefit of following a person-centred approach with users of health and
social care services
The person-centred care approach is crucial for every care organizations to follow, as it
ensures that the maximum health benefits for the residents and care users. Identifying and
prioritizing individual’s needs are the key priority for the person-centred care approach. The
care giver in Fleetwood hall home can follow this approach for addressing and prioritizing
each resident’s needs. It enables the care givers to allow residents to be engaged in their care
planning. In one hand, it helps to develop strong bonding with the care user and care provider
(Bechtel and Ness, 2010). On the other hand, it empowers autonomy and self management of
the residents, as their self esteem is improved through this care approach. The person centred
approach enables the care givers to exchange information and make informed consent from
the user. As a result, the quality of healthcare practices is ensured and no ethical or legal
issues arise, related to the patient’s rights. Emphasizing upon focused care, the chance of
error could be minimized, while ensuring cost effective practice. Implementing evidence
based care; it could improve the quality of life of the residents.
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1.4 Explain ethical dilemmas and conflict that may arise when providing care, support
and protection to users of health and social care services
In HSC setting, a range of ethical dilemmas or conflicts could be raised. For instance, in case
of Mr Y in the case scenario, an ethical dilemma has been raised, in terms for preserving
human rights of the patient. It has been revealed from the scenario that Mrs. Y is
uncomfortable and not willing to use the strap; prioritizing her autonomy, the care users
removed the strap, while moving. In one hand, the incident is ethical, as it has prioritized the
users’ choice or decision for her care, thereby meeting the principle of person-centred care.
On contrary, the impact of the conduct was not well (Tumlinson et al., 2018). For instance,
while moving without strap, she had bruised herself. Therefore, the ethical principles of
beneficence and non-maleficence have not been fulfilled here, indicating an unethical care
approach. It creates a significant dilemma in terms of prioritizing patient’s rights and her
beneficence.
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LO2
2.1 Explain the implementation of policies, legislation, regulations and codes of practice
that are relevant to own work in health and social care
In order to ensure effective HSC service, it is crucial for Fleetwood Hall Home to follow the
policies, legislations and regulations, which the care givers must follow.
Data protection Act 1998 – The legislation is indicating that the care givers are protecting the
privacy and confidentiality, by keeping resident’s data safe and confidential.
Mental capacity act 2005 – The key purpose of this legal framework is to ensure decision
making on behalf of the adults, who are lacking capacity for making their own care related
decision.
Health and safety act at work 1974 – This piece of legal framework ensures that the
organization has set such an organizational environment, which is ensuring adequate health
and safety of the staffs (Paterson, 2011).
Care act 2014 – This act is ensuring that the care home is offering high quality care practices
to people seeking care and support, regardless to their background or ability for state –
funded care.
Control of Substance Hazardous to Health Regulation (COSSH) 2002 – It is ensuring that
employees and residents at the care home are protected from the physical, chemical or
biological hazardous substances.
Adult safeguarding regulations – The Care Act 2014 has instructed for identifying the
“adults at risk” and offered clear guidelines for protecting adults at risk of neglect or abuse
(Donnelly et al., 2017).
Human rights act 1998 – This act is directing staffs to protect the human rights of the care
users, which is crucial for empowering and developing trust among the residents.
Code of professional conduct – This code is highlighting the guidelines for the care givers’
responsibilities and duty of care.
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Code of ethics – The code of ethics highlights the standards for care giver, following which
they could ensure ethical care practices (Parrott, 2014).
2.2 Explain how local policies and procedures can be developed in accordance with
national and policy requirements
It is crucial for the communities to develop local policies and procedures related HSC,
according to the national and policy requirements. For instance, in case of Fleetwood Hall
Home, the organization needs to align their safeguarding policies, with the “National Adult
Safeguarding policy” (Minkman, 2016). The local policies and procedures might be narrowed
in regards to scope, for which it is crucial to be aligned with the national policy requirements.
The Fleetwood Hall Home should align their practice with the with the cultural and diversity
policies at national level, so that the staffs are able to work in diverse situations, addressing
needs of diverse population, for improving the quality of care. Further, the incident register
and audit procedures of the organizations must be aligned with the national guideline for risk
register and audit procedures, to ensure that these procedures are effective. Aligning with the
national guidelines provided in the Care Act 2014 in regards to diagnosis and safeguarding
the “adults at risk”, the Fleetwood Hall Home should develop its “Adults Safeguarding Policy
and Practices”, for safeguarding the residents (Boyle, 2015). Further, the quality standards
and policies in the care home could be shaped with the national standards of quality care, set
by NHS England and NICE.
2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on
organisational policy and practice
Implementing and adhering onto the policies, legislations, regulations and codes of practice
could offer significant benefits to the Fleetwood Hall Home, in terms of improving the
quality of care. For instance, following the Codes of professional conduct will enable the
staffs at the care home to be more up-to-date, followed by gaining adequate training and skill
development. Following adequate Codes of Ethics would improve the ethical standards of
practice, while ensuring satisfaction and trust building among the care providers. Following
“Adult Safeguarding Policy” would impact positively, upon the quality of safeguarding
practices in the organization (Anand, 2019). Residents would feel safe and empowered. The
complaint procedure would also be improved, enabling the staffs to immediately identify and
resolve the conflicts reported. With adequately implemented COSSH, the organization would
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become more hazards free and safe, ensuring no harm to the residents. On the other hand, the
staffs would feel safe and more committed, by adhering onto “Health and Safety at Work Act
1974” (Westra et al., 2015). All residents’ data would be kept confidential, eliminating any
kinds of discrepancies in audit report or incident reports. The organization would also be able
to serve the community in an improved manner, thereby improving the resident’s quality of
life.
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LO3
3.1 Explain the theories that underpin health and social care practice
In the context of underpinning the theories, healthcare worker in Fleetwood Hall Home need
to develop and apply the social processes regarding the learning disability unit in the settings.
Behaviorist Theory includes the considerations due to establishing the effective and required
healthcare setting to support and ensure the duty of care (McCormack and McCance, 2016).
Duty of care ensures the risks regarding the medical services due to involving in decisions
due to developing the care home settings. The theory is effective to apply in Fleetwood Hall
Home in the context of behaviourism in philosophy approach in psychology that is
performing due to developing and establishing the health impacts on learning development
with establishing the psychological and other medical health context. The theory is effective
to focus on developing the operation and philosophical outcomes to develop the change
behavioural approaches within the healthcare setting (Minkman, 2016).
Theory of planned behaviour can be applied to state the prediction with individual’s focus
and benefits due to developing the subjective scenario to establish the subjective evaluation
for risk overcoming in the context of model development and benefits (Baines and Edwards,
2015). In Fleetwood, the healthcare workers have the responsibility to develop and establish
the success to predict and explain the health behaviours and achievement due to developing
the representation as it structured as controlling the behaviour based development.
Behavioural beliefs, attitudes of behaviour based development, normative beliefs and
subjective norms are focused to develop and explain the control beliefs as per case study of
Mrs. Z. As duty of care includes the management due to developing and increasing the search
content with developing the care, the theory is used to establish the effective management
with establishing the protection and consent with establishing and delivering the effective
treatment process by the healthcare professional and workers (Wallerstein et al., 2017).
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