Reflective Report on Person-Centred Care in Akari Care Home

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REFLECTION ON PRACTICE
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Table of Contents
Part 1: Reflective report...................................................................................................................2
Part 2: Action plan and essay...........................................................................................................8
Reference list.................................................................................................................................11
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Part 1: Reflective report
Introduction
Person-cantered practice assists to provide best quality service to the user as the decision is taken
according to the health status of the user. In time of providing service, effective policy and
principles related to healthcare setting need to be followed. As a senior carer of Akari Care,
reflection will be provided on the personal experience for applying person-centric approach,
which is linked with practice themes. Gibb’s reflective cycle will be used in order to conduct
this report.
Figure 1: Practice themes
(Source: created by learner)
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Theme1:Ethical,regulationandlawpracticeTheme2:Professionalattitudes,behaviour,andvaluesinthehealthandsocialcarepracticeTheme3:ProvidingsafetytothehealthandsafeguardingthelifeofthepatientsTheme4:Promotionofdifferences,diversityandadditionTheme5:PromotionofmentalandphysicalhealthofthepatientsTheme6:Supportingindividualsformakingthemindependent

1. Description [P5]
In time of working as a senior carer in Akari Care, I have provided care to a dementia patient
(Mr. John), who had high blood pressure and neuron disease. He was 59 years old. In addition to
this, I have to give support to the patient (Miss. Clara), who was suffering from isolation and as
a result, she was depressed. She was a young girl of 25 years old. Therefore, as commented by
Bolton (2014), in time of providing support, it is necessary to main equality and anti-
discriminatory practice for earning proper result. As a senior carer, in order to handle my
workload I have tried to create a plan according to which, I provided the service. Moreover, I
spent quality time with them and hear their issues so that they feel free in the care home.
Many a times, due to lack of experience, I could not understand the way of managing Mr. John,
In this situation, I have communicated with my senior and their support helped me to manage
my workload efficiently. For him, I constantly observed him, even, when I was not present at
floor, I monitored CCTV camera for ensuring safety of the dementia patient. Thus, I set priority
list and complete the work. In case of Clara, I behaved politely and informed her that she could
communicate with me at any time. Thus, I have extracted my break time, when I have tried to
find out my gap in this field and tried to manage it by taking help of my senior colleague in
Akari Care home (akaricare.co.uk, 2019).
2. Feelings [M1, M2, M3]
As per the viewpoint of Jasper (2013), the key principles of person-centred care include the
maintenance of dignity and supporting the values and belief of the user during providing
service. It ensures that carer follows ethical practice in the workplace. In time of supporting Mr.
John, as he was suffering from dementia, he could not be able to follow my instruction properly,
whereas, Clara heard my words. However, as per the knowledge of practice theme 1 and 2, I
need to behave politely and give importance equally with every user for maintaining equality.
Many a times, I felt frustrated to provide support to John as he was not able to recover and I lost
my patience. By following theme 3, I was aware of their activity and thus, I tried to follow the
Health and Safety Act 1974 in the care home.
On the contrary, in case of Clara, as she was depressed, I tried to follow the theme 4 so that
Clara can recover quickly. In this context, I communicated with her by maintaining her dignity
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and applying Equality Act 2010 and Care Act 2014 so that she felt free in the care home
(Oelofsen, 2012). Thus, as senior carer of Akari care home, I felt that care workers should have
patience and constantly generate knowledge related to legislation and practice themes for
satisfying the users by giving required support to them.
3. Evaluation [P1, P2, M1, M3, D1]
Comparison [P1]
Figure 2: medical model and social model
(Source: Haegele and Hodge, 2016)
The medical model highlights the systematic approach such as diagnosis, care plan and its
implementation so that users can recover quickly (Haegele and Hodge, 2016). By following this
model, in time of person-centric care, I have developed the care plan of Clara as she was
suffering from isolation. As a senior carer of Akari Care home, after diagnosis the disease, I have
communicated with her and identified the gap that due to break up, she lost her mental stability.
Hence, according to the care plan, I just spent quality time with her along psychological
counselling. Here, the issue of the individual is identified in time of providing service. It has
helped me to develop my knowledge on the application of medical model in person-centric
approach and it assisted the user to recover quickly.
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On the contrary, social model identifies the physical or mental needs of the users, for which, they
are suffering from the identified disease (Goering, 2015). During providing person-centric care
to Mr. John by the care worker of Akari Care, it is noticed that he faced huge mental turmoil,
which was the reason of his dementia. In this context, I have played memory game with him so
that he could recover quickly. In addition to this, I communicated with his family to know his
background history for supporting him. Therefore, it can be stated that social model focuses on
the background of the patient in time of providing support, whereas, medical model focuses on
the patients’ issue.
Discussion [P2]
In time of planning and implementing the program for providing support, it is necessary to find
out the daily living needs of the users. Moreover, personal communication with all users is
required so that equal opportunity is provided to all users in order to understand their choice,
beliefs, values and lifestyles. During communication, users are treated with dignity and respect
and their family members are involved so that effective care plan can be developed (Titchen,
2013). For example, in time of preparing plan for Mr. John, initially I lost my patience, as he was
not able to provide proper information about his issue, further I communicated with his family
members for developing the appropriate care plan.
Review [M1]
Many challenges are there in order to implement person-centric approach such as abuse,
conflict, challenging behaviour, impact of own principles, values and many others
(McCormack et al., 2013). In time of working as a career in Akari care home, I faced the
challenging behaviour related issue of Mr. John as he was suffering from dementia. On the
contrary, few times, I had to face conflict with Clara due to the contradiction related to the care
process.
Discussion on own effectiveness [M3]
In time of managing the workload in different context of the Akari Care home, I have made plan
and set the priority list so that work can be completed properly. In addition to this, I have
communicated with my seniors in the workplace for gathering information from their
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experience. In addition to this, as a part of person-centred care team, I constantly updated my
knowledge by seeing the working process of others so that I can apply it in time of requirement.
Apart from that, in order to manage the workload, I also received support of my team members,
which helped me to achieve success.
Evaluation [D1]
During providing support, Mr. John did not want to cooperate at the first time and it created
barrier for following person-centric approach. As a result, John took huge time for recovering
his status. On the contrary, in the person-centric approach, all background information is
required and initially, Clara did not share everything. As a result, proper support was not
provided due to which she behaved aggressively.
4. Analysis [P3, M2, D2, D3]
Discussion about aspects [P3]
Equality Act 2010 and Safeguarding Vulnerable groups Act 2006 are reflected that in person-
centric care, care providers need to provide equal support and attention to the users along with
maintaining their safety so that they feel free in the care home (legislation.gov.uk, 2019). For
example, though I feel frustrated in time of providing service to John, I have paid equal attention
to Clara and John for following this legislation.
On the contrary, in person-centric approach, background information of patients is required for
providing best support. In this case, General Data Protection Act 2018 needs to be followed
(legislation.gov.uk, 2019). For example, it is found that Clara did not express her background
history; however, after explaining this legislation, she expressed it, which helped me to take
proper action as per her situation.
Discussion about challenges [M2]
 Lack of knowledge
 Instruction of Legislation and patients’ requirement are not matched (Robbins and Dunn,
2019)
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For example, in time of providing support, by maintaining Health and Social Care Act 2012, it
is mentioned to not to force users to do anything. In case of John, he needed to play memory
game for quick recovery. However, I knew that he would not want to play and I had to force.
Due to not having proper information, Care Act 2014 is not applied properly.
Critical evaluation of effectiveness [D2]
In order to meeting legislative requirements, the effectiveness of safeguarding and health and
safety system in Akari care home is followed by-
 Anti-discriminatory practice
 Preventing risk such as physical or mental abuse of users by whistle blowing Increasing
reputation of the care home (nursingtimes.net, 2019)
Critical evaluation of own practice [D3]
In the person-centric approach, I have tried to communicate with the users so that they can
explain their issues to me. It helps me to provide proper care to them so that they can recover
quickly. For example, as I freely communicated with Clara, she got back from the stage of
depression. On the contrary, initially due to lack of knowledge, I faced issue for taking
appropriate decision. With the help of my senior workers, I developed my knowledge. For
instance, during treating Mr. John, I could not handle him. Hence, by increasing knowledge on
ethical practice, legislation and practice theme, I was able to provide quality care to him.
However, many times, it is found that other carers do not follow the legislation and it decreases
the quality of care.
5. Conclusion
Using Gibbs’ reflective model, the importance of person centric approach has been reflected. It is
found that person-centric approach helps the users to recover quickly. It enhances the knowledge
of the care workers and they need to maintain dignity of users in time of giving service.
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Part 2: Action plan and essay
Introduction
The action plan helps to develop the skill of the practitioners so that they can achieve success in
the workplace. In this study, as a senior carer of Akari care home, goals will be set in order to
develop my skills. According to the goals, action plan will be developed and analysed
effectively. The areas such as maintaining dignity, continuous professional development, which
are needed to develop the knowledge on person-centric approach, will be addressed in this plan.
Action plan [P4, P6, P7, M4, M5, D4]
Action plan
Skills What is it
about
Short/medium/
long term goals
Contribution to
workplace
Ways of
monitoring
Valuing people In this skills, it
is necessary to
maintain the
dignity of the
users and need
to provide
respect (Walker
et al., 2016)
1. Behaving politely
with users –
1months
2. Effective
communication for
understanding their
needs- 1 months
Increasing the
satisfaction of
the users
Feedback of
users
Autonomy It is about the
development of
own knowledge
and skills
1. Developing
problem-solving
skills- 2 months
2. Increasing
patience in time of
handling critical
situation- 1 months
Effective service
can be provided
to the users
Feedback of
higher authority
in workplace
Life experience This skill can be
gained from the
1. Monitoring the
work process of the
Effective
performance can
Feedback of
higher authority
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experience and
after that this
knowledge can
be applied
senior workers- 1
months
2. Keeping record of
each case for
managing time – 1
months
help to increase
the satisfaction
of the users
related to
decision-
making skills in
workplace
Environment This highlights
the situation
handling skills.
1. To maintain
diversity in the
workplace – 1
months
This skills of me
help the users to
get appropriate
service
Reviewing the
feedback of the
users
Understanding
relationships
Collaborative
atmosphere can
be achieved by
developing this
skills (Coad et
al., 2018)
1. To communicate
with seniors- 1
months
2. Developing
negotiation and
team management
skills -2 months
Users’
satisfaction rate
can be improved
Feedback of the
co-workers
Table 1: Action Plan
(Source: Created by the learner)
As commented by Silverman et al. (2016), action plan helps to develop the skills of the
individual so that they can achieve success in the market. As a senior carer of Akari care, I have
developed an action plan and understood that every skill can be achieved with 3 months.
Therefore, these are short terms goals. The first goal is to develop effective communication
system among users so that they feel satisfied. Most of the cases, it is found that due to lack of
communication, users cannot express their issue to the workers. I will develop this skill and it
will be measured by feedback of the users. It will also help to develop the reputation of the
venture.
Another goal is to enhance problem-solving skills so that team performance in Akari care can be
improved. As I had lost patience during providing service, I will do meditation for increasing
my patience. It will help me to give accurate support to the users. For developing problem
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solving skills, I will attend training on it. On the other hand, as commented by Madden et al.
(2018), every user needs to receive equal care from the workers. Due to lack of knowledge, I was
not able to provide proper care to John. As per the second practice theme, I will try to develop
knowledge on the human psychology and behaviour so that this issue can be removed. When I
will be able to develop my knowledge on human psychology, it will be helpful for understanding
the nature of the users. Thus, proper service can be provided and in return, it will help to achieve
reputation for the care home.
As per the viewpoint of Townsend et al. (2015), support providers can gather knowledge from
their life and it assists to earn fruitful result. In time of supporting Clara, I knew that break up
can ruin the mental stability of the person. It helped me to give the user proper support.
However, most of the cases, I do not have life experience, hence; I have developed the goal of
sharing knowledge with seniors. Thus, I will try to note down the incident and information so
that further in context of same case, I can handle easily. Thus, time can be managed and it will
help the users to get on time service. Relationship with co-workers can be developed in order to
build a good working atmosphere in the venture. As I was new in the venture, I could not express
my issues to the higher authorities. Therefore, by keeping in mind, I will try to attend all
meeting so that relationship can be build. Moreover, I will negotiate with my seniors in the free
time related to work. It will help me to enhance my knowledge in this field. I will monitor my
progress by asking feedback from the colleagues as well as higher authorities. I will try to
constantly develop my knowledge related to ethical practice and legislation so that I can develop
my skills. Thus, by following the action plan, skills can be improved and it will help the social
care setting to increase its reputation in market.
Conclusion
In time of concluding this portion, action plan can be followed for achieving appropriate result.
As I have communication and time management issue, I need to create plan for solving this
issue. As I was impatient, I will meditate for removing it. Developing negotiation and decision-
making skills, appropriate support can be provided and in return, it will help to increase the
satisfaction level of the users.
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Reference list
akaricare.co.uk 2019, Akari Care Home, Available at: https://akaricare.co.uk/about-us/our-
vision/ [Accessed on: 15th June, 2019]
Bolton, G.E.J. 2014. Reflective Practice: Writing and Professional Development (4th Ed.)
London: Sage Publications Ltd.
Coad, J., Smith, J., Pontin, D. and Gibson, F., 2018. Consult, negotiate, and involve: evaluation
of an advanced communication skills program for health care professionals. Journal of Pediatric
Oncology Nursing, 35(4), pp.296-307.
Goering, S., 2015. Rethinking disability: the social model of disability and chronic
disease. Current reviews in musculoskeletal medicine, 8(2), pp.134-138.
Haegele, J.A. and Hodge, S., 2016. Disability discourse: Overview and critiques of the medical
and social models. Quest, 68(2), pp.193-206.
Jasper, M. 2013. Beginning Reflective Practice (2nd Ed.) Boston: Cengage Learning Inc.
legislation.gov.uk 2019, Various Legislation, Available at:
https://www.legislation.gov.uk/ukpga/2006/47/contents [Accessed on: 15th June, 2019]
Madden, D., Sliney, A., O'Friel, A., McMackin, B., O'Callaghan, B., Casey, K., Courtney, L.,
Fleming, V. and Brady, V., 2018. Using action research to develop midwives’ skills to support
women with perinatal mental health needs. Journal of clinical nursing, 27(3-4), pp.561-571.
McCormack, B., Manley, K. and Titchen, A. (eds.) 2013. Practice Development in Nursing and
Healthcare (2nd Ed.) Oxford: Wiley Blackwell.
nursingtimes.net 2019, Nursing Times A practical approach to promote, Available at:
www.nursingtimes.net [Accessed on: 15th June, 2019]
Oelofsen, N. 2012. Developing Reflective Practice: A Guide for Students and Practitioners of
Health and Social Care (Oxon Ed Edition) Gloucestershire: Lantern Publishing Ltd.
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