Unit 13 1.2 Outcome based practice is used to promote and develop the client’s abilities and choices. We work in a person-centred way and work with individuals to promote their needs and look at how they can be best supported to develop their skills to achieve their objectives. We need to adapt our ways of working to be able to support clients to do this and to look at what the tasks entail. The models of outcome-based practice include the logic model, where an overview of the service provision is determined, and the resources required to carry out the needs are determined. The outcome-based practice models look at setting targets and breaks down achievements into manageable …show more content…
The community care and direct payments Act 1996 was the beginning of the personalisation of budgets and meant that clients could be assessed re the costs of their care needs and then use this to buy in the care they wanted. This means that they could choose which services they wished to use and promoted their preferences and gave the control back re their care provision. This again promoted their individual needs and ensured that services changed and adapted to cater for these. The clients is assessed for their needs and how they required assistance and support to enable them to achieve aims and objectives. This replaces the Local Authority provision of services and allows choice. Putting people first was published in 2007 and this outlined the governments vision of social care for the future. It promotes the enabling and personalisation of budgets so that clients can pick and choose services to meet their needs. It promotes independence and enables clients to control where they spend their assessed budgets and on what. In 2009 this was followed up by the Personal health budgets which promoted empowering and enabling clients. It has encouraged services to be more responsive and adaptable to the needs and wants of the clients. There future viability is dependent on clients wanting to use their services. This has placed the control …show more content…
It builds on the white paper Valuing people 2001 and is based on the principles of rights, independence, choice and inclusion. It’s ideal is to promote lives of disabled people in the community to be as ordinary as possible and to promote their rights as individuals irrespective of any conditions. These values have now developed to incorporate other groups of people including older people, people with mental health problems and physically disabled people. The promotion of rights, choices and empowering people to be independent is the aim of all these legal frameworks. It is ensuring that services adapt and develop to cater for individual needs and that they strive to promote the care required and enable people to achieve the outcomes they wish to achieve. For services this means being able to change and to ensure that our provision provides a good quality service and follows the principles of choice and rights for individuals. The days of static services that worked in their way only are numbered and not sustainable. Clients expect more from the service and are able to take their business elsewhere if it is not suitable for their needs. We need to ensure that we promote enablement and that the rights and choices of our client group is upheld. They are included in all aspect of their care and determine
This was followed up by changes in the department of health where people were to be given more choice over what services they needed. The National service framework further increased the need for individualised services that related to a person’s needs rather than fitting into existing services. The care standards act 2000 developed the need to develop individualised service provision for people and for services to adapt to these needs. Person centred care was then incorporated into many policies to promote independence and the rights and choices of
The case study will identify a number if strategies to apply supportive approaches using the principals and practices of providing person-centred care, reflected against a real client situation within an organisational perspective. The case study is considering the situation with reflection of the two questions chosen from the Person-centred Care Assessment Tool. In relation to one’s ability to engage and be supported in the facilitation and management of person-centred care directives, within the role of a leisure and health officer.
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
...e service users, for instance from a supportive role to a safeguarding role. Paul Burstow, Minister of State for Care Services is trying to introduce the idea of the state as an enabling partner rather than a paternalistic authoritarian symbol of power. This is an important aspect of the personalisation, it should not entail only financial freedom from the state in the context of independent care budgets, and it should become apparent within the attitude towards service users. Leadbeater’s understanding of personalisation is astounding, he proposes subtly the application of the Nordic Model which will be discussed later on. “. . . putting users at the heart of services, enabling them to become participants in the design and delivery, services will be more effective by mobilising millions of people as co-producers of the public goods they value.” Leadbeater (2004)
Furthermore, they have introduced a human rights approach, which is to respect diversity, promote equality help to ensure that everyone using health and social care services receives safe and good quality care. Human rights approach will help to apply the principle of promoting equality. The CQC have a process in which you answer five key questions to consistently integrate human rights into the way they regulate, which healthcare providers must work alongside. They also have equality objectives which were introduced in 2017, the objectives are, person-centred care and equality, accessible information and communication, equal access to pathways of care and to continue to improve equality of opportunity for our staff and those seeking to join CQC, as well as patients. Also filling in a safeguarding adults review, which is a process for all partner agencies to identify the lessons that can be learned from complex or serious safeguarding adult’s cases, where an adult in vulnerable circumstances has died or been seriously injured because of abuse or neglect. At winterbourne view residential home, abuse and neglect had been made clear to the public eye and could clearly be identified, although no staff logged it as a safe guarding adult
The Open University (2010) K101 An introduction to health and social care, Unit 3, ‘Social Care In The Community’, Milton Keynes, The Open University.
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
Ethical Issues in Social Work I will provide practical help for new social workers to help them understand and deal with ethical issues and dilemmas which they will face. There are many ethical issues which are important to social work, but I feel that these are all covered by the care value base. The care value base Was devised by the care sector consortium in 1992, this was so that the workers in health and social care had a common set of values and principles which they would all adhere to. It is important because for the first time the social care sector had a clear set of guidelines from which ethical judgements could be made. The care value base is divided into 5 elements - The care value base covers - Equality and Diversity - Rights and responsibilities - Confidentiality - Promoting anti Discrimination - Effective communication Equality and Diversity Carers must value diversity themselves before they can effectively care for the different races, religions and differently abled people they will come across in their caring profession.
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
People inherently have the power to solve their own problems and come to their own solutions. Clients are expected to play and active role in their own change by being open to expressing their problems,creating goals and ultimately evaluating their progress. Clients often use stories to explore their problems in preparation for deciding which goals they want to set and subsequently accomplish. Each client has specific issues and life experiences which the goal should reflect. Clients are expected to put great effort into discovering a desire that the client has deep convictions about and will commit to putting in the work it takes to change behaviors that are no longer working in their life. When the client discovers what they want to be changed it can become their goal. The goal needs to be important to the client and not something that someone else wants them to change. When ...
In this essay I will analyse the origins of Community Care and what benefits emerged when the NHS Community Care Act 1990 was established. Later on, I will explain and critically evaluate the effects of privatisation in social care and health.
Davis, C; Finlay, L; & Bullman, A. (2000) ‘Changing Practice in Health and Social Care, London: Open University Press
This essay response will focus on justifying why service user involvement / participation is important in the development of services for adults. To understand this, I will first look into the ideological principles that have shifted social work practice towards user participation before looking at the different ways these concepts have played out, with a particular focus on service users with disabilities. Service user ‘involvement’ and ‘participation’ in social work practice is underpinned by the fundamental values that services should be ‘user-centred’, ‘user led’ and ‘needs led’ (Warren, 2008). I have chosen to focus on adults with disabilities because there has been much recent development and policies put into place for this group of people. However, they are still considered one of the most vulnerable groups in society (Kemshall and Littlechild, 2000. The meaning of disability is a contested concep...
Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.