June 2018 exam

Question 1

List three key features of personalisation

3 marks

Answer 1

personal budget
direct payment
managed accounts

Question 2

Explain one principle of a person-centred approach to care

3 marks

Answer 2

Independence and rights– being able to live life
the way they want to, the right to be employed, the
right to form meaningful relationships

Co-production, choice and control – being
treated as an equal partner in decision making
about their care, being able to make decisions
about their life/care, being able to have more of
what is important to them. Decisions are made by
individual and professionals working together

Inclusive and competent communities - being
able to participate in community activities, to be
able to volunteer, to feel they belong in their
community

Question 3

2(c) Emma, 35, lives in a residential care home. There are three members of staff working at the care home: Naomi, Steven and Rachel. Naomi is Emma’s key worker. Emma’s friend Tom also lives at the care home. Emma sees Laura for physiotherapy once a week. Emma’s parents visit occasionally but are not closely involved in her care. She also has a sister who does not visit.
Describe two ways that a doughnut chart could be used in a person-centred review.
(4 marks)

Answer 3

 When planning a person-centred review to decide who
should be there.
 During the meeting – to clarify roles and
responsibilities, e.g. to see who is important to them/to
see who is involved in their care
 During the meeting – to think about what is working or
not working in their network.
 During the meeting – to think about ways to
expand/improve someone’s network.
 During the meeting – to see what care a person
receives

Question 4

3(b) Jessica, 45, is a lawyer. She is married and has two children. Jessica has motor neurone disease, and her condition is deteriorating. She is no longer able to walk without support. She is finding household tasks increasingly difficult to manage.
State two questions that the facilitator might ask Jessica at the meeting as a result of her deteriorating condition.
(4 marks)

Answer 4

 What can we do to support you ?
 What is/isn’t working well for you?
 What is/isn’t working well for your family?
 What are your wishes/needs etc?
Example questions (two marks)
 How does it make you feel now your condition is
deteriorating and you are able to do less things?
 What do you need to stay well-supported as you
become less mobile
 What care do you think is best for you now and
afterwards when your condition deteriorates further?
 What is important to you for the future now that your
needs are changing?
 How are you

Question 5

3(c) Jessica, 45, is a lawyer. She is married and has two children. Jessica has motor neurone disease, and her condition is deteriorating. She is no longer able to walk without support. She is finding household tasks increasingly difficult to manage.
Explain the benefits of personalisation for Jessica.
(6 marks)

Answer 5

 Maintain control over her life
 Be able to continue to work as
long as she can
 Be able to remain in her own
home with her family if she
wishes to
 Be included in her community
 Receive the care she
wants/needs
 Improve her emotional health and
wellbeing e.g. confident, happier,
empowered.
 Not defined by her condition
 Improved quality of life
How benefits arise
 Personal budget can be spent on
adaptations
 Personal assistant can adapt care
to individual needs
 Receives improved information
and guidance about her choices
 Care givers are trained in a
person-centred approach
 Community facilities are adapted
to suit those with limited mobility

Question 6

4(a) Give three examples of none-person centred care in a residential home.
(3 marks)

Answer 6

 lack of choice of activities
 lack of choice of meals
 lack of choice of routines
 treating residents all the same
 focusing on deficits rather than capabilities
 not getting to know people as individuals
 not focusing on what is important to individuals
 carers making decisions for individuals
 not taking time to understand how individuals
communicate their needs
 no adaptations made to individual needs
 fixed routines e.g. visiting hours

Question 7

4(b) Explain how barriers to a person-centred approach could be overcome in a residential care home.
(6 marks)

Answer 7

 values based recruitment
 staff training
 regular review of the support given to
staff and individuals
 recognising when support is not
person-centred and taking action to
rectify, e.g. fixed bed times are
changed to variable bed times.
 modelling behaviour
[Barriers to a person-centred approach
(may be implicit in the answer)
Lack of staff training
Staff attitude (thinking you know what is
best for an individual)
Communication issues
Medical rather than social model of care]

Question 8

3(b) Jessica, 45, is a lawyer. She is married and has two children. Jessica has motor neurone disease, and her condition is deteriorating. She is no longer able to walk without support. She is finding household tasks increasingly difficult to manage.
State two questions that the facilitator might ask Jessica at the meeting as a result of her deteriorating condition.
(4 marks)

Answer 8

Two questions required. Two marks each.
Example questions (one mark):
 What can we do to support you ?
 What is/isn’t working well for you?
 What is/isn’t working well for your family?
 What are your wishes/needs etc?
Example questions (two marks)
 How does it make you feel now your condition is
deteriorating and you are able to do less things?
 What do you need to stay well-supported as you
become less mobile
 What care do you think is best for you now and
afterwards when your condition deteriorates further?
 What is important to you for the future now that your
needs are changing?
 How are you

Question 9

3(c) Jessica, 45, is a lawyer. She is married and has two children. Jessica has motor neurone disease, and her condition is deteriorating. She is no longer able to walk without support. She is finding household tasks increasingly difficult to manage.
Explain the benefits of personalisation for Jessica.
(6 marks)

Answer 9

Benefits of personalisation for
Jessica:
 Maintain control over her life
 Be able to continue to work as
long as she can
 Be able to remain in her own
home with her family if she
wishes to
 Be included in her community
 Receive the care she
wants/needs
 Improve her emotional health and
wellbeing e.g. confident, happier,
empowered.
 Not defined by her condition
 Improved quality of life
How benefits arise
 Personal budget can be spent on
adaptations
 Personal assistant can adapt care
to individual needs
 Receives improved information
and guidance about her choices
 Care givers are trained in a
person-centred approach
 Community facilities are adapted
to suit those with limited mobility

Question 10

4(a) Give three examples of none-person centred care in a residential home.

Answer 10

One mark for an example. Three required.
Examples of non-person centred care:
 lack of choice of activities
 lack of choice of meals
 lack of choice of routines
 treating residents all the same
 focusing on deficits rather than capabilities
 not getting to know people as individuals
 not focusing on what is important to individuals
 carers making decisions for individuals
 not taking time to understand how individuals
communicate their needs
 no adaptations made to individual needs
 fixed routines e.g. visiting hours

Question 11

4(b) Explain how barriers to a person-centred approach could be overcome in a residential care home.

Answer 11

 values based recruitment
 staff training
 regular review of the support given to
staff and individuals
 recognising when support is not
person-centred and taking action to
rectify, e.g. fixed bed times are
changed to variable bed times.
 modelling behaviour
[Barriers to a person-centred approach
(may be implicit in the answer)
Lack of staff training
Staff attitude (thinking you know what is
best for an individual)
Communication issues
Medical rather than social model of care]