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health and social > Unit 6- LO1 > Flashcards

Unit 6- LO1 Flashcards

1
Q

define personalisation

A

recognising that the person has strengths, preferences, wishes, and aspirations.
putting them at the centre of care

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2
Q

what does the department of health state

A

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

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3
Q

what is a support plan

A

a document where the day-to-day requirements and preferences for care and support are detailed to enable an individual to live with dignity and respect in the community. -‘care plan’

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4
Q

how is an individual ‘being proactive’

A

if they are involved in their own care

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5
Q

what the key features of personalisation

A
  1. choice and control
  2. self-assessment of needs
  3. personal budgets
  4. co-production
  5. changing role of professionals
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6
Q

choice and control in terms of personalisation

A

personalisation is a commitment to giving individuals more choice and control over their care
-increases autonomy

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7
Q

what does choice and control do for an individual

A

supports them to make their own decisions about where and how care is provided, and support needed to live a full independent life

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8
Q

why might individuals not want choice and control

A
  • afraid/lack confidence
  • not want the responsibility/ scared in case make mistake
  • denial about needing care/ resistance to change
  • want professional to make decision for them
  • might not have appropriate info/ be aware of choices
  • lack of mental capacity
  • not know what is best for them now or in future
  • may not be supported to make choices/ understand the choices
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9
Q

what is a self-assessment of needs

A

led as far as possible by the services user together with a professional

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10
Q

what is the focus of a self-assessment of needs

A

focuses on outcomes the services user wants to achieve

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11
Q

what does the self-assessment of needs look at

A
  • circumstances
  • situations
  • needs of the service user
  • carers
  • family
  • other who provide support
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12
Q

what is the local authority responsible for in a self-assessment

A

decide if the service user is eligible for long-term social care support

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13
Q

what is an indicative personal budget

A

if the local authority decides long-term social care support needed, they will decide how much money they will need to pay for this support

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14
Q

what will a self-assessment collect

A

information about how the individuals care needs might be met,
could include identifying how preventative measures or info about support available in the community might meet their needs

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15
Q

what must the local authority give in a self-assessment

A

must give individual a copy of their needs assessment or careers assessment

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16
Q

what is the use of a carers assessment

A

to see if they need support to carry on with this role
-family and friends as unpaid carers can have take this assessment

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17
Q

key points of a self assessment

A
  • individual at centre of care
  • can work with professional in the self-assessment
  • can decide on priorities and what support they may need to help
  • may include others e.g. family, school, professionals
  • can suggest equipment to help them personally at home or school
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18
Q

what is a personal budget

A

an agreed amount of money used to carry out or deliver certain aspects of provision set out in an individual’s support plan

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19
Q

what did the government state in 2007 about personal budgets

A

“all people eligible for a social care and support should have access to a personal budget with the intentions that they could use it to exercise choice and control. it is a means tested cash payment made in the place of regular social service”

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20
Q

what can personal budgets be spent on

A
  • anything related to support plan
  • if eligible for community care service, can receive an agreed amount of money from social care instead of care provided
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21
Q

what are the 2 types of personal budgets

A
  • direct payment
  • managed account
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22
Q

what is a direct payment

A

a budget payed to a person or nominated person

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23
Q

how does direct payments help an individual

A

gives them responsibility for making decisions

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24
Q

what can direct payments be spent on

A

can spend as they please as long as related to support plan
- gives them choice about their care

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25
Q

who do direct payments apply to

A

only to non-residential care services and shot-term care services

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26
Q

what is a managed account

A

a personal budget allocated to meet care needs managed by the local authority in line with personas wishes

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27
Q

what can managed accounts be spent on

A

community care services provided by the local authority, or personal assistants

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28
Q

how can managed accounts help an individual

A

gives the individual choice about their care

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29
Q

define a lack of mental capacity

A

not being able to make a reasoned decision and understand information

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30
Q

what happens with the personal budget if a service user lacks mental capacity

A

payment not made directly

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31
Q

what is changing role of the professional

A

when control has moved from professionals to the person, by professional listening to individual’s dream aspirations, empowering them to make their own decisions and have control over their life.

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32
Q

what must the professional be when dealing with service users (changing role of professional)

A

Must be sensitive and non-judgemental, even if the professional feels it may not be the right decision

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33
Q

what is the professionals role (changing role of professional)

A

to provide the individual with all the relevant information and allow them to make their choice and their decisions, without compromising safeguarding issues

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34
Q

what is co-production

A

collaboration between the service user and provider to improve public services

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35
Q

why is co-production used

A

to empower citizens to contribute time expertise and effort in their local communities

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36
Q

what have governments done for co-production

A

have committed themselves to involving people more directly in service provision

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37
Q

what is co-production based on

A

based on the idea that those who use a service are best to design it

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38
Q

what are the benefits of personalisation (RIIGS)

A

Remaining in own home
Inclusion in control
Improved information and guidance
Gaining control
Self-esteem, socialisation, quality of life improved

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39
Q

how is remaining in own home a benefit of personalisation

A

-it is important as service users may feel they have to leave behind memories and possessions if they have to go to residential care.
-may think they come dependent on other if moved into care
- remaining with support, will mean individual can stay dependent

40
Q

how is inclusion in community a benefit of personalisation

A

-means individuals are involved in same activities as rest of community
-feel valued, treated with respect and feel part of community
-this involvement provides access to social network so individual can widen their social group

41
Q

how is improved information and guidance a benefit to personalisation

A

-to make good decisions about support needed, everyone must have access to the right advise, guidance, information, advocacy.
-must have as much information as possible to ensure widest choice in how their needs can be met by universal services, such as housing, education, health
-local authorities should ensure information, advice and support are available

42
Q

how does gaining and maintaining control a benefit of personalisation

A

-if using direct payments, individuals can gain control of their personal budgets
-if employ personal assistant, they can control every aspect of their life that others take for granted, don’t have to fit into others timetables

43
Q

how does socialisation, self-esteem, and quality of life improved benefit personalisation

A

-if an individual has more control over their life, quality of of it improves as they have a choice
-improves self-esteem
-if people feel good about themselves, they are more willing to meet new people

44
Q

challenges of personalisation

A

-care is limited to prescribed budget
-limited availability and access to some services
-worrying about spending

45
Q

how is care being limited to a prescribed budget a challenge of personalisation

A

-one spent sum of money, no more till the next financial year
-need to plan ahead for the year to apply for the correct support, if no may miss out on funding
-can be stressful to manage

46
Q

how is limited availability and access to some services a challenge of personalisation

A

services in high demand, very competitive so given to people who need it most, meaning some might miss out

47
Q

how is worrying about spending a challenge of personalisation

A

-keeping evidence of all spending for local authority, prove they using correctly
-limks to direct payments

48
Q

what is legislation

A

laws passed by the government
-protects those receiving and providing care

49
Q

what are the 4 acts for LO1

A

-health and social care act 2012
-local authority circular(DH) 2008
-the care act 2014
-the children and families act 2014

50
Q

what are the 2 main aims of the health and social care act 2012

A
  1. patients have more control
  2. those responsible for care have the freedom and power to commission care that meets local needs
51
Q

what are the 5 key points of the health and social act 2012

A
  1. “no decision about me without me”
  2. clinical commissioning group (CCG)
  3. feedback should be welcomed
  4. healthwatch England
  5. created the care quality commission (CQC)
52
Q

define “no decision about me without me” (HSC act)

A

-can choose their health service
-empowers individuals
-collaborative working
-puts patient first in decision making

53
Q

define clinical commissioning groups (CGC)(HSC act)

A

-made up of GP’s and other healthcare professionals who work directly with patients(co-production) so local needs are met

54
Q

what does the CQC do (HSC act)

A

these groups meet regularly and they have to consult the public and involve them in any changes that may affect patient services

55
Q

what is meant by feedback should be welcomed (HSC act)

A

help them assess their quality of their services

56
Q

define healthwatch england (HSC act)

A

national body representing the views of service users/the public

57
Q

what is the role of healthwatch England (HSC act)

A

-allows a greater collective voice for patients
-ensures views and feedback from patients and carers are considered when services are commissioned
-increases voice of service users!

58
Q

how does the health and social care act 2012 promote personalisation

A

-puts people at the centre of decision-making, enhancing voice, choice and control
-Clinical-led commissioning: health professionals can directly commission services for their local populations​
-Regulating providers: people can choose services that best meet their needs, including from charities or the private sector​
-Greater voice for patients: Healthwatch organisations set up to promote greater involvement​
-No decision about me without me​
-Better collaboration and partnership working across local government and the NHS​

59
Q

what is the local authority circular(DH) 2008

A

-convey important info for local authorities about personalisation
-about prevention rather than waiting for something to go wrong
-reinforce commitment to personalisation

60
Q

what does local authority circular do

A

seek to reassure individuals that, whatever the circumstances, they have a voice and choice in their care
-enables them and their supporters to maintain and improve their wellbeing and independence rather
-provides guidance to the local authority on how to uphold the commitments to personalisation

61
Q

what does the local authority circular 2008 enable service users to do

A

-enables them and their supporters to maintain and improve their wellbeing and independence rather than relying on intervention at the point of an emergency crisis

62
Q

what does the care act 2014 do

A

-puts people and their carers in control of their care/support
-It sets out what local authorities have to do to provide support.​

63
Q

what did the care act 2014 introduce

A

The Act introduced personal budgets for all individuals in need of care and support.​

64
Q

how does the care act 2014 benefit individuals

A

-encouraged to think about what outcomes they want.​
-If a carer has needs and is eligible for support they have a right to assessment
-preventing or delaying the need for care services as local authorities promote a healthy life
-Local authorities must provide clear guidance to help individuals make informed choices and stay in control of their lives​

65
Q

how does the care act put people and carers in control of their care

A

-Greater emphasis on the use of advocates​
-Greater emphasis on personalised budgets (e.g. choice between direct payments/managed accounts)​
-People may appeal against the LA’s decisions on eligibility and funding for care and support​

66
Q

how does the care act provide guidelines for professionals working with service users

A

-The individual knows themselves and their needs best
-The individual’s views, wishes, feelings and beliefs should always be considered​
-Any decisions should be made with the individual’s involvement ​
-Professional’s focus should be on the individual’s wellbeing, reducing their need for care and support in the future ​

67
Q

how does the care act 2014 remove geological factors

A

-continuity of care
-no gap in services, responsibility of local authority to organise this
-provides a system to follow when someone decides to move

68
Q

how does the care act 2014 support personalisation

A

-increased innovation in health and social sector
-provides more flexible support (guidance, and info so more choice)
-greater choice in ways to deploy personal budgets, use of advocates

69
Q

what is the role of the children’s commissioner

A

works to promote and protect the rights of children
-works to influence policy and raise awareness on issues affecting children

70
Q

what does the children’s commissioner do

A

-ensures that children’s voices are heard,
-their rights are upheld,
-they receive the support and services they need to thrive and be safe

71
Q

how does the children’s commissioner link to personalisation

A

-tailoring policies, services, and support to meet the unique needs of each child
-this could involve listening to individual children’s experiences and feedback
-ensures their specific circumstances are considered when decisions are made

72
Q

how does using the children’s commissioner using personalisation benefit children

A

-ensures their specific circumstances are considered when decisions are made
-ensures that every child gets the help and opportunities they need to reach their full potential

73
Q

what is the aim of the children and families act 2014

A

to ensure that all children, young people and their families are able to access the right support and provision to meet their needs

74
Q

what is the role of the children and families act 2014

A

puts children and young people at the heart of planning and decision making through co-production and person-centred approach

75
Q

what did the children and families act 2014 introduce

A

-children’s commissioner
-family courts and justice
-SEND
-parents

76
Q

what does the children’s commissioner include(c+f)

A

-stronger powers
-rights of all children
-increased role

77
Q

what does SEND include(c+f)

A

-EHCP introduced
-needs assessed holistically
-families involved in EHCP
-must communicate info of support entitlements
-schools given support to SEND students
-work together with health/social care and education services

78
Q

what does family courts and justice include(c+f)

A

-26 week deadline to rule on care proceedings
-courts help parents splitting do what is right for the child
-parents to be involved in child’s life
-‘child arrangements order’ to replace other ideas

79
Q

how does the children and families act 2014 help parents

A

-parental leave
-unpaid leave for up to 2 antenatal appointments
-time off for clinic appointments
-time off work to attend adoption meetings

80
Q

in terms of personalisation, what does the children and families act focuses on

A

-importance of involving young people and parents in all care decisions
-choice and control for the children, young people and families involved in decision making
-empowering young people so they are engaged and supported to plan for future

81
Q

what are the different role of the local authority

A

housing, assessments, the care act 2014, decentralising and commissioning

82
Q

how does the local authority help housing

A

-housing adaptations
-choice of residence
-meet housing needs ,

83
Q

what is included in housing adaptions

A

-in individuals home or already adapted house
-asessed by LA’s social services to enable individual to live independently
-e.g stairlift

84
Q

what is meant by choice residence

A

-make sure involve individuals in decisions of their care, giving people choice of where and how they live
-ensure home is accessible and designed with individuals needs in mind
-a core service for specialist housing with a range of additional options as required to meet individuals needs

85
Q

what is meant by meet housing needs

A

-if want to stay, service will do their best to make this happen, can do this by giving specialist equipment adaptations
-if can’t adapt: purpose-built accommodations to meet needs
-sheltered accommodations (warden)
-residential home

86
Q

what assessments does the local authority deal with

A

-educational health care plans (EHCP)
-fair access to care services (FACS)

87
Q

what does the educational health care plan involve

A

-one meeting a year to review plan
-assessing needs holistically
-high expectations for goals
-themes- wellbeing, home, education
-legally binding document
-child’s views, wishes, and feelings
-child and family need to have information to support them through their choices and process

88
Q

what is the local authorities role in the EHCP

A

-carry out an assessment for an EHCP
-outline any special educational needs a child has
-and the provision LA must put in place to help them

89
Q

what does fair access to care services assessment involve

A

-provides local authority a framework for determining individuals eligibility for social care services
-guidelines introduced by government in 2003

90
Q

what does individual budgets involve

A
  • for this, local authority assess individual’s goal is to live independently
    -how much money people are entitled to, determined by self-assessment process(SAP)
    -dont have to manage their now budgets, can appoint an advocate
91
Q

how does the care act remove geographical barriers

A

local authority must ensure continuity of care when moving around England

92
Q

define decentralising

A

process of redistributing or shifting functions from a central authority or location

93
Q

define commissioning

A

process of planning, agreeing and monitoring services

94
Q

what does decentralising and commissioning involve

A

-outsourcing services
-greater range of change

95
Q

what does outsourcing services involve

A

-give better value for money
-better choice services available
-local authorities must show they have consulted
-individual must be involved start to finish

96
Q

how might local authorities not offer support

A

-professionals may not be trained in person-centred approach
-there may not be a range of services available
-may be insufficient funding for services
-budgets may be insufficient for care needs

health and social (3 decks)

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