describe a situation where this has been put into practice
When contracting us to provide their care and support, clients are informed that staff may share their information with other professionals and/or their families as long as it is in their best interests and on a need-to-know basis. Clients can choose to sign to agree to this or not.
A client I work with had agreed to this, which meant that I was able to share details of his support plan with his social worker so that she could complete his assessment.
Describe how the situation would have been handled differently if an alternative consent model had been adopted
By having a cover-all consent model as long as it is best interests, the social worker was able to complete her assessment quickly without having to ask the client for consent multiple times.
What impact would this have had on the individual?
If the client were to be repeatedly asked for consent, this may have resulted in them becoming bored and lack motivation to complete the assessment. It could also result in them becoming upset or angry.
Conversely, if the client had not been asked for consent at all, as well as breaking the law this may have resulted in them feeling less valued, lower self-esteem and lower confidence.
compare the ethical and moral dilemmas involved in both models
Both opt-in and opt-out consent models allow the individual to make an informed choice.
What is/are the main reasons for having systems?
To ensure adherence to legislation and good practice, that confidential information is secure and correct records are kept.
Who is the information and data for?
The information is for staff, clients and the business.
Who owns the data and information?
The company owns the data
how do the systems in place meet legal and ethical requirements?
Confidential and personal information is secured and only accessible on a need-to-know basis.
reflect on the links to respect and privacy issues for the data and information in your systems
The online system only allows access on a need-to-know basis. Similarly, paper records are locked away and secured to ensure that only the relevant individuals can obtain access to them. This is covered by GDRP.
Explain the difference between subjective and objective recording
Objective recording only contains the facts, whereas subjective recording also contains the individual’s own personal thoughts, feelings and views.
From your experience, identify three consequences of inaccurate or incomplete records
- An appointment is missed
- Time is spent doing something that has already been completed by someone else
- Medication overdose (given twice as first administration was not recorded)
Consider why and how you might share records with people who access care and support, carers and relatives
Personal information about a client should only be shared with their consent unless not doing so would result in harm or injury to themselves or others or result in the law being broken.
Information should then only be shared in a private setting and on a need-to-know basis and should also be in the client’s best interests.
What difference might this make to the format and storage of any records?
Records should be kept and archived until no longer needed.
Provide specific examples of how you might use accurate records to support positive outcomes for people who access care and support
Showing records of a clients meals and snacks to their dietitian so that they can offer the best health advice for the individual.
Informing a pharmacist of the conditions and current medications of a client before supporting them to buy over-the-counter medication.
Brief Description of situation
A member of staff called to say that she couldn’t do her shift because she had had some major personal issues that had put her in a precarious mental state.
how did you demonstrate empathy?
I told her that I was sorry to hear about her situation and expressed that I would not know what to do myself if it had happened to me. I told her not to worry about work as family is more important and I would arrange to get her shift covered.
What difference did it make to the person?
It gave her an opportunity to offload her personal issues, made her feel like she had a sympathetic ear and made her feel less guilty about taking time off work.
how did you demonstrate active listening?
She was very upset but just having someone to listen to her seemed to help a lot. I demonstrated I was listening by repeating back to her what she had said in my own words for confirmation that I had I understood.
How did that enhance effective communication?
She became less frantic and more relaxed.
Take a look at CQC’s Fundamental Standards here.
In brief, they are:
- Person-centred care
- Dignity & respect
- Safeguarding from abuse
- Food & drink
- Premises & equipment
- Good governance
- Fit & proper staff
- Duty of candour
- Display of ratings
||Dignity & Respect
||When a client gets upset he likes to go to his bedroom for some quiet time to calm down. He has complained that support staff constantly disturb him to ask him how he is and if he wants anything, which aggravates him further, despite him telling them that he wants to be left alone.
There is no valid reason to disturb him if he wants to be left alone and staff should respect his privacy whenever he wants it. There is also no associated risk with him being left alone.
Speaking to staff, the reasons for their actions are to try to help the individual and because they are worried about him when he is upset.
|How will you inspire colleagues?
||During the next team meeting, the manager will raise the concerns of the client. Staff will discuss privacy, respect and choice. They will be asked to think about what it would be like to have constant support whether they want it or not and how it would feel to not be able to experience alone time without someone disturbing them regularly.
|Leadership style(s) to use
||Democratic and coaching
|How will you monitor compliance?
||Weekly dialogue between client and manager to discuss the issue.
Client to keep a record of any disturbances to his alone time, including date, time, staff member, reason for disturbance etc. to be given to manager weekly.
|Audit tools required
|Record sheet for client
Consider the following list of legislation taken from the CQC website page referenced above. Choose three pieces of legislation that might be particularly relevant to your organisation and the setting in which you work and explore the impact in more detail using the table to record your findings.
||Nice to know
| Safeguarding Vulnerable Groups Act 2006
||All staff (both paid and unpaid) must have a DBS check. This is a legal responsibility of the employer.
|| There are two types of DBS check – one for working with vulnerable adults and another for working with children.
| Equality Act 2010
||All staff must be treated equitably and given the same opportunities.
||The Equality Act supercedes several other pieces of legislation including the Disability Discrimination Act, Equal Pay Act, Sex Discrimination Act etc.
| MCA Code of Practice
||Individuals should be assumed to have capacity to make decisions unless it has been proved otherwise. Making unwise decisions does not mean lack of capacity,
||Individuals must be assessed on a decision-by-decision basis. Individuals should be given all the support they need to make informed decisions before being assessed as lacking capacity.