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Health and social care > Unit 6 > Flashcards

Unit 6 Flashcards

1
Q

Describe the term ‘self-assessment of needs’

A

Focuses on outcomes the individual wants to achieve and decides if they are eligible for support

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2
Q

What are the challenges to adopting a person-centred approach?

A

Resistance to change
Institutional history of public services
Institutions promoting a medical model of health
Lack of staff training
Communication barriers
Respecting choice when alternatives may promote better health/wellbeing
Focusing on deficits rather than capacities
Lack of clarity over roles and responsibilities

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3
Q

What are the methods for overcoming challenges?

A

Values-based recruitment
Staff training
Regular review of support provided
Recognising when provision is not person-centred and taking action to rectify this
Modelling behaviour

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4
Q

How do inclusive and competent communities support person-centred care?

A

Individuals should have the opportunity to participate in community activities.
They should have social contacts and reasons to go out

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5
Q

What is a needs assessment?

A

The process of identifying the needs of an individual and evaluating their impact so appropriate action can be taken

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6
Q

Doughnut chart

A

Helps professionals to see their core responsibilities, where to use their creativity and judgement and what is not their responsibility

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7
Q

How to develop person-centred plans and records

A

Understand how they communicate
Focus on their capabilities and how they can best be supported to make decisions
Finding out what is important to a person
Finding out who is important in a person’s life

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8
Q

What are review meetings?

A

Meetings held to check that the individuals care plan is still right for them

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9
Q

Decision-making charts

A

Breaks decisions into 3 sections- important decisions- how must I be involved- who makes the final decisions
This shows the professional how much control the individual has

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10
Q

Personal futures planning

A

Starts with their current situation and focuses on future changes. Helps integrate them into society

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11
Q

PATH

A

Planning alternative tomorrow’s with hope
Identifies a persons hopes and how to move them nearing to them
May create a picture of where they want to be or identify who will help them

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12
Q

What questions might be asked at a review meeting?

A

What are their strengths?
What can we do to help them achieve their goals?
What is important to them now?
What is important for their future?
What is/isnt working?

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13
Q

How do you make individuals comfortable at a review meeting?

A

Ensure time and location is accessible
Give choice over who attends
Invite who they would like

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14
Q

What is a facilitator?

A

A person who directs a meeting

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15
Q

What are the roles and responsibilities of a facilitator?

A

Invite contribrutions from others
Helps the group compare and explore different perspectives
Assist the group to agree
Checks the individual is happy with the meeting

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16
Q

What is the tool used to clarify roles and responsibilities?

A

Doughnut chart

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17
Q

Building effective relationships

A

Learning to talk and listen to individuals is the only way to get to know them.
People should always be treated with dignity and respect

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18
Q

Communication charts

A

This is used when a person doesn’t communicate with words
Helps with understanding and decreases frustration

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19
Q

What are the tools used to enhance voice, choice and control

A

Communication charts
Decision-making charts
Building effective relationships

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20
Q

One-page profiles

A

A summary of what is most important to the individual

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21
Q

Relationship circles

A

Helps to identify who is closest to the individual

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22
Q

Top tips

A

Learn what is most important for the individual
Helps when carers have a short amount of time to learn what is useful
Should be shared in 2 minutes or under

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23
Q

Routines

A

This can provide an idea of what is/ isn’t working for the individual

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24
Q

Good days/ bad days

A

Encourages an individual to describe a good and bad day so professionals know what is needed for a good day.

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25
Q

What tools are used to find out what is important to a person?

A

Good days/ bad days
Routines
Top tips
Relationship circles
One page profiles

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26
Q

Importance of review meetings

A

Putting the individual at the centre of the meeting
Build and share information collaboratively
Generate actions

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27
Q

Purpose of review meetings

A

To ensure that the individual has their needs met through:
Identifying and meeting changing needs
Reviewing the budget
Ensuring effective relationships have been built
Reviewing the person-centred description and ensuring it is being met

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28
Q

What are statutory services?

A

Services that are provided to the public by the government and laid down by legislation

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29
Q

Why is co-production beneficial to service users?

A

Allows people with different experiences to share ideas to their local community
Provisions can be made more accessible and secure

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30
Q

What is decentralisation?

A

The process of redistributing functions from a central authority

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31
Q

Effect of the Health and Social Care Act 2012 on personalisation

A

Stated that services should welcome feedback
Healthwatch- independent service which aims to protect service users. Communicates opinions to commissioning bodies
No decision about me without me is the guiding principle that provides service users with more control
Ensures public voices are heard.

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32
Q

What are EHC plans?

A

A legal document for individuals 0-19 that states their needs and abilities. explains to educators what must be done to meet their needs

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33
Q

How can housing be linked to personalisation?

A

Choice of residence- offering individuals choice over how and where they will leave
Housing adaptations- individuals are assessed by social services to see what adaptations they may need.
Meeting housing needs- if neither of these things are possible. individuals can reside in residential living where care is provided to them

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34
Q

What is the removal of geographical barriers?

A

When a person who recieves care and support moves, there will not be a gap in receiving care

35
Q

What is Fair Access to Care?

A

A framework that helps local authorities with seeing a persons eligibility for support

36
Q

Describe the term ‘Personal budget’

A

An agreed amount of money awarded by the local authority to spend on what is important to them

37
Q

Why are personal budgets beneficial to service users?

A

Allows the service user to access provisions such as social care and housing

38
Q

Describe the term ‘Changing role of professionals’

A

Professionals should be sensitive and non-judgemental around a person’s dreams and aspirations

39
Q

Why is changing the role of professionals beneficial to the service user?

A

Allows individuals to feel valued and empowered

40
Q

What is the definition of personalisation?

A

Every person who receives support whether by statutory services or funded by themselves, will have choice and control over the shape in all care settings

41
Q

Why is the definition of personalisation limited?

A

Does not explicitly state that the individual is placed in the centred of their care

42
Q

What are direct payments?

A

Cash payments given to an individual or a nominated person

43
Q

What are managed accounts?

A

Accounts that are managed by the local authority

44
Q

What are aspirations?

A

A persons desire to achieve something

45
Q

What are social care outcomes?

A

The results after a person has received social care they desired

46
Q

What are means-tested payments?

A

Payments given to an individual based on their financial circumstances

47
Q

What are service-led provisions?

A

Provisions where an individual has to fit into existing traditional services

48
Q

What are universal services?

A

Services that can be accessed by everyone

49
Q

Why is choice and control beneficial to the service user?

A

Allows them to have options in housing and care

50
Q

Effect of the Children and Families Act 2014 on personalisation

A

Puts children and young pepole at the heart of planning and decision-making
importance of involving young people and their parents in all decisions
Empowers young people
Focuses on voice, choice and control for children and families

51
Q

What are the principles of a person-centred approach?

A

Independence and rights
Co-production, choice and control
Inclusive and competent communities

52
Q

How does independence and rights support person-centred care?

A

A person can live the way they want and form meaningful relationships

53
Q

How does co-production, choice and control support person-centred care?

A

Individuals are able to make decisions about their life

54
Q

How does a person-centred achieve good practice?

A

Can help to achieve good clinical outcomes when individuals carry on with their treatments

55
Q

The policy landscape

A

All of the Act’s confirm that the government is committed to personalisation

56
Q

Effect of Local Authority Circular 2008 on personalisation

A

Reinforces their commitment to personalisation
Everyone who receives social care support will have choice and control over how that support is delivered
Supports independence of an individual
Whatever the circumstance, people will have support

57
Q

Effect of the Care Act 2014 on personalisation

A

Combined existing legislation that put people and their carers in control of their support
Aims to give more control to those in need
Places a greater emphasis on personal budgets
Wishes and needs must be considered
Removed geographical barriers

58
Q

What is a Support plan?

A

A document which entails how care should be given to someone. May include goals and preferences

59
Q

MAPS

A

Making action plans
Builds on a committment to help the individual to move towards a positive future
Draws on history, dreams and strengths

60
Q

What does personalisation mean to people?

A

Addressing needs
Independence
Participation
Allows them to reach goals
Control
Empowerment
Having choice

61
Q

Describe the term ‘Co-production’

A

A partnership between individuals and professionals where everyone is an equal partner

62
Q

Why is self-assessment of needs beneficial to the service user?

A

Gives individuals motivation to work towards their goals
May allow them to access support

63
Q

What is commissioning

A

The process of planning, agreeing and monitoring services

64
Q

Describe the term choice and control

A

Supporting and enabling individuals to make their own decisions

65
Q

Focusing on deficits rather than capabilities

A

Previously, professionals assessed individuals by what they couldn’t do and set goals to overcome the deficits rather than their strengths

66
Q

Respecting choice when alternatives may promote better health or wellbeing

A

Professionals may find it hard to accept an individuals choice, especially if it could affect their health

67
Q

Lack of staff training

A

In order for person-centred care be successful, all staff should be re-trained

68
Q

Communication barriers

A

Good communication is the basis of forming trusting relationships, also ensures info is understood

69
Q

Institutions promoting a medical model of health

A

Medical model of health sees disability as the individuals problem
Institutions focus on curing the indvidual

70
Q

Institutional history of public services

A

Traditionally, common practice was to accept the professionals decision, this will not change overnight

71
Q

Modelling behaviour

A

This is when an individual observes a professional carry out person-centred care and then imitating it

72
Q

Recognising when a provision is not person-centred and taking action to rectify this

A

If the individual is not in control then this should be recognised and action should be taken

73
Q

Values-based recruitment

A

If employers ask potential employees question about their behaviours at previous jobs, the employers have a better insight into their values and if they can provide high quality care

74
Q

Lack of clarity over roles and responsibilities

A

In a person-centred approach everyone is an equal partner
Roles and responsibilities are shared which could cause problems

75
Q

The Disability Rights Movement and person-centred approach

A

Person-centred approach originated when disabled people wanted independent living, choice and control
1995 protest led to DDA making it illegal to discriminate against disabled people

76
Q

How many challenges of adopting a person-centred approach are there?

A

8

77
Q

Resistance to change

A

Patients may not want to lose the safety net of professionals making decisions

78
Q

Regular review of support provided

A

Reviews should be conducted when the individual, family and professionals feels it is necessary

79
Q

Staff training- overcoming barriers

A

Can reduce stress and add to job satisfaction, can increase confidence

80
Q

What is a person-centred approach

A

Seeing the person as an individual, focussing on their needs, wants and aspirations

81
Q

What are the positive impacts to personalisation

A

Direct payments allow rapid access to care
Inclusion in communities means individuals can support each other
Remaining in own home improves quality of life
Access to info+guidance means individuals can make informed choices
New opportunities are opened up

82
Q

What are the challenges to personalisation?

A

Care is limited to the prescribed budget
Availability and access may be limited in some areas
May worry about spending the money as it has to be accounted for

83
Q

Benefits to personalisation

A

Gain and maintain control
Individual can remain in own home
Inclusion in communities
Improved information and guidance
Improved quality of life, self-esteem and socialisation

84
Q

Essential lifestyle planning

A

Uses detailed planning to see how a person’s life can be more enhanced
Uses communication charts, learning logs and relationship circles

Health and social care (2 decks)

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