Adjustments to care: Mental health, dementia and learning disabilities - The Care Certificate

Understand the adjustments which may be necessary in care delivery relating to an individual who may have a mental health condition, dementia or learning disability

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Individuals with mental health conditions, dementia and learning disabilities may need adjustments made to their care provision, which may mean that different health and social care organisations have to work in partnership to find solutions.

For example, an individual with learning disabilities may have an occupational therapy assessment provided in-house or by the local authority or health service. This will identify what their capabilities are and what they may need help with to live as full and independent life as possible. Simple adjustments like setting phone alarms as reminders to do things or creating a pictorial activity planner can have be massively beneficial to some people.

An individual with dementia may need their carers to communicate with them by speaking clearly and slowly and giving them plenty of time to respond. Or they may need their finances to managed by an independent appointee.

An individual with psychosis may require a staff team that has had specialist training or experience in behaviour management or restraint (e.g. PROACT-SCIPr).

An individual with anxiety or depression may need access to support networks that can offer counselling. This could be one-to-one or as part of a group provided by the staff team or an outside agency. It could be face-to-face or via phone, text or even social media.

Your employer’s agreed ways of working (policies and procedures) will explain how you should report concerns if you feel that an individual’s needs are not being met. In most cases, this will involve informing your manager or supervisor of your concerns. It is also prudent to make a record of your concerns using whatever information systems are provided by your organisation. Records should be accurate, factual, legible and signed and dated.

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