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Health and Social Care > Unit 6- personalisation and a person-centred approach to care > Flashcards

Unit 6- personalisation and a person-centred approach to care Flashcards

1
Q

Define department of health personalisation

A

Personalisation is a social care approach described by the department of health as meaning that “every person who receives support, whether provided 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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2
Q

Benefits to individuals when having personalisation

A

Choices and control as they are central to their own care

Have freedom,meaning they will feel empowered

It ensures people receive care and support whilst they remain central to the process

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3
Q

How is personalisation more than just about money?

A

The individuals has the choice to become active. For example they can live where they want to

They have access to support

It removes barriers to everyday activities as it helps to ensure people remain in control

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4
Q

What is the implication for social care professionals?

A

Care workers should feel empowered to support individuals creatively as it helps to promote personalisation

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5
Q

What does personalisation to an individuals mean?

A 
Empowerment
Addressing needs
Control
Independence
Participation
Choice
Preferences
Meeting aspirations
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6
Q

What is a statutory service

A

A type of government mandated care or service to the public

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7
Q

Define aspiration

A

Is a hope or ambition of achieving something

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8
Q

Define proactive

A

Creating or controlling a situation rather than just responding to it after it has happened

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9
Q

What is a personal budget?

A

It is a finance plan that allocates future personal income towards expenses, savings and debt repayment

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10
Q

What is a support plan?

A

It is a process which helps people set out their own aims and then secure the support and care that are needed to achieve them

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11
Q

What do social care outcomes measure?

A

They measure how well care and support services achieve the outcomes that matter most to people

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12
Q

Means-tested for social welfare payments

A

To qualify for a social assistance payment you just satisfy a means test

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13
Q

Benefits of personalisation to an individual

A 
Improved quality of life
Improved self-esteem
More opportunities to socialise
Improved information and guidance
Gained and maintain control
Can remain in their own home
Inclusion in the community
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14
Q

Choice and control

A

People must be informed about all choices and empowered and supported to make decisions about their care

Services should be tailored to the needs of the individuals

Role of the professional- support individuals to make an assessment of their own needs and provide them with information so that they are able to make informed choice about the care they revive

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15
Q

Co-production

A

Underpinned by a view of people who revive care as assets with a skills and with a contribution to make

Means that individuals receiving care are involved in designing and planning services, deciding about the allocation of resources, delivering services

Example- volunteering and evaluating services

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16
Q

Personalisation

A

The fundamental principle which underpins health and social care

Everyone who is in need of care has choice and control about the support they receive

Example- using a personal budget to employ a personal assistant to facilitate independent living

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17
Q

Personal budget

A

Allocation of funding which has been assessed as being sufficient to meet the needs of an individual who requires care and support

They can receive this budget as a direct payment or the local authority can manage the budget on behalf of the person whilst still ensuring the person chooses how their care needs are met

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18
Q

Person-centred approach

A

The way professionals think about individuals who are in need of care and the relationships they build with them

Means that individuals in need of care are at the centre of decisions, and are seen as experts and equal partners

Being compassionate, empathic and respectful are crucial

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19
Q

Challenges that impact on personalisation

A

Care is limited to the prescribed budget
(Set amount of money and does not change for the year, need to be reassessed to keep receiving the money)
(If suddenly need money you cannot get it)
(If not informed successfully and needs not met properly you could end up paying for the wrong thing or wrong type of care)

Availability and access to some services may be restricted in some areas
(If live in densely populated area demand of caters will be higher than how many their will be available)
(Direct payments- the local authority will ask for proof on how it was spent)

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20
Q

Independent living movement

Project 81?

A

Project 81 made principles of the independent living movement such as asserting control about decisions in their lives, empowering themselves, taking more responsibility of what happens to them and developing their choices

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21
Q

Health and social care act 2012

A

Strengthened the collective voice of patients, service providers and commissioners should welcome feedback as a means of assessing the quality of their services

Act provided the basis for better collaboration partnership working and interrogation across local government and the NHS

reinforced personalisation in social care and empowers patients to make choices

Enables patients to choose services that best meet their needs

Can choose to have their treatment in a hospital if their choice

Provided the establishment of health watch England as a statutory committee of the care quality commissions

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22
Q

Local authority circular 2008 - personalisation guidance

A

Choice and control over how that support is delivered- confident that services are of high quality are safe and promote their own individual requirements for independence, well being and dignity

Reinforces the commitment to personalisation

Will have a voice and a choice in their care, enabling them and their supporters to maintain or improve their well-being and independence

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23
Q

The care act 2014

A

Puts people and their carers in control of their care and support

People in need of support are encouraged to think about what outcomes they want for a better sense of physical or emotion wellbeing

A greater emphasis on the use of advocates

Greater emphasis on safeguarding vulnerable individuals from neglect and abuse

Greater emphasis on personalised budgets and payments

If a carers has needs and is eligible for support they have a legal right to assembly and to receive support

The individuals knows themselves and their needs best

Views, wishes, feelings and beliefs should always be considered

Any decisions should take into account all relevant circumstances

An individuals wellbeing should be balanced with that of involved family and friends

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24
Q

Children and families act 2014

A

Focuses on putting children and young people at the heart of planning and decision making through co-production and person- centres practice

Choice and control for the children, young people and families involved in decision making

A single, co-ordinated assessment

Importance of involving young people and their parents, carers in all decisions

Empowering young people so they are engaged and supported to plan for their future

Single, education, health and care plan (EHCP)

Local authority to provide information, advice and support on health, social care and educational

Local authority to carry out a child’s needs assessment (CNA) for young people who may need support to make informed choices for their fortune

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25
Q

Education, health and care plan (EHCP)

A

Written in partnership with children and parents

Assess and considers the needs of a child’s education, health and care

Replaced the statement of special educational needs and learning children’s assessment

Involves parents, carers, children in decision making

26
Q

When is a child entitled to an EHCP?

A

If they have a severe or complex long-term need that affects everyday life

Require help and resources that are not normally available

Need intensive help and support from more than one agency

Show evidence that they are making limited of no progress despite high levels of support

Show evidence of a graduated response to interventions, support and resources already in place

27
Q

Fair access to care

A

Implemented by the government in 2003

A common framework to determine if someone was eligible

Stop any inconsistencies- everyone is treated fairly

28
Q

What are the 4 strands to being eligible to a fair access to care?

A 
If need are:
Critical
Substantial
Moderate 
Low
29
Q

Choice of residence

A

Personalisation means that individuals should have choices about where and how they live

The authority must make sure the homes can be accessed by the individuals who live there

There should be a range of specialist housing available with options making them meet individuals needs

30
Q

Housing adaptions

A

This could be to an individuals home or an already adapted purpose built home

Example- wheelchair friendly homes while beef a lower kitchen sink and bench areas. The hob/oven needs to be accessible too and w hoist system might be needed to use the bathroom or get into bed.

31
Q

Meeting housing needs

A

If an individual wants to stay in their own home they will be assisted to do so by social services by using specialist equipment.

Other options might be moving to purpose build or adapted accommodation with things such as wider doors

Sheltered accommodation that gives an individual the independence of having their own flat with the security of an alarm systems

A residential home may be suitable for someone who finds it difficult to look after themselves.

Residential care ensures ensures that all physical needs re met, care staff care available day and night

32
Q

What is the role of monitor when talking about the health and social care act 2012

A

Monitor is the regulator for NHS foundation trusts. It’s main duty is protected and promote the interests of patients by ensuring the provision of effective health care services.

Monitor most have particular regard for maintaining the safety of people who use healthcare services.

33
Q

What is decentralisation?

A

It is the process of redistribution or shifting function from a central authority or location.

Commissioning is the process of planning, agreeing and monitoring services

34
Q

What are the key concepts of person-centres approach

A 
Knowing the person as an individual 
Empowerment and power
Respecting the individuals values and preferences
Choice and autonomy
Respect and dignity
Empathy and compassion
35
Q

Enhancing voice, choice and control

A

Wishes of the individual and the duty of care must also be carefully balanced. There may be some level of compromise on behalf of the individual, their family, carer or a professional.

Empowerment should mean allowing an individual to make heir own decisions that carers may disagree with.

A balance has to be achieved between levels of protection and levels of choice and control

36
Q

Clarification of roles and responsibilities

A

It is the role and responsibility of the carer/ personal assistant to provide support for the individual to enable them to live the life they want.

Professionals are no longer in charge of making decisions about an individual life

It is the duty of the individual to make their wishes clear to the carer.

37
Q

What is meant by personalisation

A

The action of designing or producing something to meet someone’s individual requirements

38
Q

Explain what is meant by an education, health and care plan (EHCP)

A

It is a legal document which describes a child or young persons special educational needs , the support they need, and the outcomes they would like to achieve

39
Q

Explain what is meant by an individual budget

A

It is a system for organising individualised funding where the person is told how much they are entitled to spend.

It is a needs based approach to setting budgets, instead of service based approach.

40
Q

Four principles of person-centred care

A

Person is treated with dignity, compassion, respect
Care is personalised
Care is co-ordinated
Care is enabling

41
Q

Independence and rights

A

To live their life the way they want

For example:
To be employed- the equality act 2010 ensures people are not discriminated against and allows for a person to have independence

To from meaningful relationships- allowing a person to live in a community and build relationships rather than being in an instituting or away from a community

42
Q

Co-production, choice and control

A

To be treated as an equal partner in decision making about their care

To be able to make decisions about their life and care

To have more of what is important to them

43
Q

Inclusive and competent communities

A

To be able to participate in community activities - this helps a person to feel valued and gives a sense of having part of a team

To volunteer means that they can develop hobbies and gives them a reason to carry on going and make friends

To feel they belong to club, societies or groups

44
Q

The policy landscape

A

His is where acts of parliament such as the equality act and the health and social care act are in place to enable people to be treated in a fair and equal way.

It also states about the features of personal budgets

45
Q

Define screening

A

The process of identifying healthy people who may be at risk of disease

Example- breast screening and smear test

46
Q

Define preventative measures

A

Using methods to stop or prevent something

47
Q

Define universal services

A

Service led provision is when an individual had to fit into existing services such as day centres

48
Q

Define needs assessment

A

The process for identifying and recording the health and social care needs of an individual and evaluating their impact on daily living and quality of life

49
Q

Define degenerative condition

A

Medical problems that worse over time

50
Q

Why might people be resistant to change

A

Not want they are used to
Fear if the unknown
Professionals may feel that they have lost control

51
Q

Institutional history of public services

A

Professionals know best and individuals would accept what the doctor/ nurse was saying without wisest job. This restricted choice and there could have been misdiagnosis

52
Q

Institutions promoting a medical model of disability

A

Sees disability as a problem and therefore the person is limited and cannot function in society

What is the focus of the NHS

Fix individual without the need of surgery

53
Q

Lack of staff training

A

Unable to offer person- ventured care as don’t understand what it is

Need skills to provide person centred approach

54
Q

Communication barriers

A

Misunderstanding, frustration, resentment, professionals not providing care to service users could be unable to communicate wants, needs and wishes

55
Q

Respecting choice when alternative may promote better health or wellbeing

A

Respect their choice and do not go against it even if it may be successful or put them at risk

56
Q

Methods for overcoming challenges

A

Values based recruitment

Staff training

Regular review of support provided

Recogninsing when provision is not person centred and taking action to rectify this

Modelling behaviour

57
Q

What is a values based recruitment

A

Is an approach which attracts and recruits students, trainees and employees on the basis that their individual values and behaviour align with the values of the NHS constitution

58
Q

What is the purpose of a values based recruitment

A

It ensures that the right workforce is recruited, not only with the right skills, in the right numbers but with the right values to support effective team working in delivering excellent patient care and experience

59
Q

Positives of staff training

A

Reduces job stress

Reduces staff turnover

Increases job satisfaction

Increases confidence to deliver person centred care through knowledge gained in education and training

60
Q

Regular review of support provided

A

The review is the mechanism by which the need for a revision is determined

Reviews should be completed in a person centred way when the individual, their family and professions feel it is necessary

The review date should be included in the support plan with the possibility of a sooner time should the need arise

Care and support plan should never be revised unless a review has taken place

61
Q

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

A

Could happen if service provider is working fails to constantly check that the individual is aware of what is happening and that they are in control of the process

If the individual does not feel in control then this can be rectified by the professional

This could be a person taking a passive role in their care

This needs to be identified and challenged

62
Q

Modelling behaviour

A

Showing good practice and high lighting when practice is good

This means that others can observe and then model the behaviour too which highlights better practice

Health and Social Care (3 decks)

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