Working practices

Question 1

What happened in December 2012?

Answer 1

In December 2012, the Chief Nursing Officer for England launched a three-year
strategy for all nurses and midwives entitled ‘Compassion in Practice’. Central to her
campaign was the focus on six key values, which came to be known as the Chief
Nursing Officer’s 6Cs

Question 2

What are the 6Cs?

Answer 2

Communication
Compassion
Competence
Commitment
Care
Courage

Question 3

Describe communication

Answer 3

it is central to the caring relationship, particularly the ability to listen carefully to service users. The motto to guide practice should be ‘no decision about me without me’.

Question 4

What does competence mean?

Answer 4

Competence means ensuring that staff are able to understand their service users’ needs, and have the up-to-date expertise and knowledge to deliver effective care and support.

Question 4

What does competence mean?

Answer 4

Competence means ensuring that staff are able to understand their service users’ needs, and have the up-to-date expertise and knowledge to deliver effective care and support.

Question 4

What does competence mean?

Answer 4

Competence means ensuring that staff are able to understand their service users’ needs, and have the up-to-date expertise and knowledge to deliver effective care and support.

Question 4

What does competence mean?

Answer 4

Competence means ensuring that staff are able to understand their service users’ needs, and have the up-to-date expertise and knowledge to deliver effective care and support.

Question 5

What does commitment mean?

Answer 5

Commitment means that this vision for service users can be realised, and the needs of service users consistently met.

Question 6

Describe courage

Answer 6

Courage to always do the right thing for service users and to speak up when there
are concerns, particularly about poor practice.

Question 7

How do policies and procedures affect workers/users?

Answer 7

• They are presented so that professionals, service users and their carers can understand them clearly, and they are more rigorously enforced.
• The inspection agencies have a specific responsibility to monitor standards of provision, and to require immediate action where significant failings are identified.

Question 8

How does regulation affect workers?

Answer 8

• Where provision is failing to meet the standards required, immediate action can be required and its implementation carefully monitored.
• Where care professionals fail to meet the standards set by their regulators, they can be disciplined and in the most serious cases removed from their professional register. This means they can no longer practice either voluntarily or in paid employment.

Question 9

How do working policies affect service users?

Answer 9

• The policies, procedures, legislative requirements and regulation of health and care providers is in place to ensure that standards are high, and also to ensure that service users can take action where there are failings in provision.
• Also ensures all needs are met

Question 10

Give examples of how poor working practices have been identified and addressed

Answer 10

• Victoria Climbié
• Peter Connelly (Baby P)
• Winterbourne Care Homw

Question 10

Give examples of how poor working practices have been identified and addressed

Answer 10

• Victoria Climbié
• Peter Connelly (Baby P)
• Winterbourne Care Home

Question 11

What happened to Victoria Climbié?

Answer 11

She was abused by her great aunt and her great aunt’s boyfriend. Victoria was born in the Ivory Coast and came to live in London with her great aunt + great aunt’s bf. In January 2001, they were convicted of her murder.

Question 12

How was Victoria let down?

Answer 12

During the period she suffered horrific abuse, several organisations had contact with her ‘family’ and noted signs of abuse. This included the police, social workers, the NHS, the National Society for Prevention of Cruelty to Children (NSPCC) and local churches.

Question 13

What happened after Victoria’s death?

Answer 13

An enquiry was set up by Lord Laming to investigate how and why this tragedy was allowed to happen.

Lord Laming identified poor practice within these services/organisations with very poor levels of communication.

Question 14

What did Lord Laming’s report lead the government to do?

Answer 14

▸ Every Child Matters (ECM)
▸ The Children Act (2004)

Question 15

Describe Every Child Matters

Answer 15

this initiative was launched in 2003. ECM was to ensure that all children, regardless of their background, should have the chance to reach their full potential by reducing levels of ill health, eradicating abuse and neglect and improving educational success for all children.

Question 16

What does ECM aim to achieve for all children?

Answer 16

for children to:
* stay safe
* be healthy
* enjoy and achieve
* make a positive contribution
* achieve economic wellbeing

Question 17

What did the Children Act lead to?

Answer 17

• appointment of a Director of Children’s Services in every local authority, who has
  responsibility for the care and education of children in their area
• ‘duty to cooperate’ for all services concerned with the care and safeguarding of
  children
• setting up of local Safeguarding Boards, which are responsible for monitoring the
  professional practice of agencies in the safeguarding of children in their area
• creation of a Children’s Commissioner, with responsibility for representing
  and promoting the interests of children and young people, particularly the
  disadvantaged and children whose voices are rarely heard.

Question 18

What happened to Baby P?

Answer 18

in 2008, 17 month old Peter Connelly died after suffering serious physical and psychological abuse over a 9 month period.

Question 19

Why was Baby P let down?

Answer 19

He had been seen by numerous health and care professionals during this period, but they failed to intervene.

Question 20

What happened after Baby P’s death?

Answer 20

Lord Laming conducted a review to establish why, despite the changes in legislation after Victoria Climbié, why the tragedy had occured.

Question 21

What did Lord Laming found following the enquiry after Baby P’s death?

Answer 21

• poor communication
• unprofessional practice
• inadequate standards of care

Question 22

What did Lord Laming recommend as part of his review following Baby P’s death?

Answer 22

▸▸ a review of the recruitment, training and supervision of social workers to ensure
that they received better child protection training
▸▸ improved safeguarding training for staff with a responsibility for the care of children

Question 23

What was Winterbourne View Care Home?

Answer 23

Winterbourne View was a private hospital for people with learning disabilities

Question 24

How was the abuse at Winterbourne View discovered?

Answer 24

On 31 May 2011, an undercover investigation by the BBC’s Panorama programme revealed criminal abuse by staff of patients at Winterbourne View Hospital near Bristol.

Question 25

What happened after this was found out?

Answer 25

• Winterbourne View closed, with the remaining residents placed in other settings
• South Gloucestershire Safeguarding Adults Board began a Serious Case Review
• the police launched their own investigations, with 11 criminal convictions
• The Care Quality Commission (CQC) inspected all hospitals and homes operated
  by Winterbourne View’s owners (Castlebeck Care) and conducted a wider “health
  check”, inspecting 150 learning disability services across England.
• The government set up its own review

Question 26

What did the government review on Winterbourne View care home find?

Answer 26

• Patients stayed at Winterbourne View for too long and were too far from
  home
• There was an extremely high rate of ‘physical intervention’
• Multiple agencies failed to pick up on key warning signs
• There was clear management failure at the hospital