Trainee Care Support Worker 2

Question 1

What does personalisation mean in terms of care?

Answer 1

Recognising the people you are caring for as individuals with their own needs, strengths and preferences, and putting them at the centre of their own care. Attaining information about someone’s preferences and finding ways to incorporate those preferences into their care.

Question 2

What are the 6 safeguarding principles outlined in the Care Act 2014?

Answer 2

Protection, prevention, making connections in the community, accountability, empowerment, proportionality

Question 3

What is the CQC?

Answer 3

Independent regulator of health and social care in England

Question 4

How do you take someone’s pulse?

Answer 4

Always explain what you are doing first. Palpate the radial wrist artery using the first and second fingers, pressing firmly on the site until a pulse is felt. Count for one minute, noting rate, depth and rhythm.

Question 5

How do you take someone’s respiratory rate?

Answer 5

Don’t tell the patient what you are doing as this may affect their breathing. Place the hand on the stomach, observe rise and fall of chest for 30 seconds. Multiply by 2 for a minute measurement.

Question 6

How do you take someone’s blood pressure?

Answer 6

Using a sphygmomanometer, which consists of a stethoscope, arm cuff, pump and dial.
Make sure the patient is sitting with back supported, legs uncrossed. Ask them to roll up their sleeve so that the cuff can be placed around their upper arm. Place their arm on an armrest so it is roughly level with the heart. Be calming and relaxed. Place the stethoscope bell just below the edge of the cuff (pit of elbow) Rapidly pump up the cuff to 180mmHg to restrict blood flow, or until pulsation disappears. Release air at a moderate rate (3mm/sec). Listen with stethoscope- first knocking sound is systolic pressure. When it disappears that is the diastolic pressure.

Question 7

What is a CCG

Answer 7

Clinical Commissioning Group (local body that monitors and controls funding for NHS services)

Question 8

Mental Capacity Act

Answer 8

Ensures the correct and safe treatment of people with reduced capacity for decision making (ie with dementia, mental health issues, learning difficulties) by providing guidelines for assisting them in making decisions

Question 9

Mental Health Act

Answer 9

Main piece of legislation that covers the assessment, treatment and rights of people with a mental health disorder.

Question 10

IAPT

Answer 10

Improving Access to Psychological Therapies–provides evidence based psychological therapies to people with anxiety disorders and depression

Question 11

What are the NHS core values

Answer 11

Respect/dignity
Commitment to quality of care
Compassion
Improving lives
Working together for patients
Everyone matters

Question 12

What are the Caldicott Principles

Answer 12

Principles put in place to uphold patient safety and confidentiality. These are:
Justify the need for confidential info
Do not disclose more info than needed
Disclose on a need to know basis
Every use must be lawful
Everyone needs to understand their responsibility
Do not disclose anything to those who don’t need it
Duty to share information can be as important as the duty to protect patient confidentiality

Question 13

CRHT

Answer 13

Crisis Resolution and Home Treatment team- assess and gatekeep admissions to the ward

Question 14

KSF

Answer 14

Knowledge and Skills Framework (adhered to by NHS staff to provide quality services)

Question 15

Section 5 (4)

Answer 15

Some nurses can prevent hospitalised patients from leaving until a doctor is available to assess them (this is effective for up to 6 hours)

Question 16

What is a Section 5 (2)? (Follows on from Section 5 (4))

Answer 16

The doctor decides the patient must stay and detains them for up to another 72 hours, while a further assessment is carried out for whether continued detention under the MHA is appropriate

Question 17

How does an emergency detainment under the MHA work

Answer 17

Police can enter the home under Section 135 warrant. Can be held in safe place for up to 24 hours until assessed. In a public place the same applies with Section 136

Question 18

What is the Care Act 2014?

Answer 18

Sets out official responsibilities for local and health authorities for the integration of care and support. Local authorities are responsible for safeguarding. The Act lays this out in full

Question 19

If for any safeguarding reason you need to disclose confidential information about a patient, what qualities does this information need to have?

Answer 19

Necessary, proportionate, relevant, accurate, timely and secure

Question 20

What are the DoLS

Answer 20

Deprivation of Liberty Safeguards- these are a legal framework for protecting those who lack capacity to consent to their treatment.