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Louise Berry

Lead person-centred practice Unit 517

1.1 Explain person centred practice.

All customers should be treated as individuals and their care should reflect this. Person-

centered practice is an approach that puts the patient at the centre of their care andtheir care is structured around their individual needs. It involves them in makin

decisions about thins that affect them Person centered plannin is crucial to providin!uality care and support. It helps professional care and "orkers find out "hat is

important to the person they support and enables services to be built around "hatmatters most to that individual.

#hen you et to kno" the customer "ell$ you can provide care that is more

specific to their needs and therefore provide better care.

By promotin and facilitatin reater patient responsibility$ customers are more

likely to enae in treatment decisions$ feel supported to make behavioral

chanes and feel empo"ered to self manae

1.% &ritically revie" approaches to person centred practise.

#ith person-centered practice the main person is the customer. 'he service "ould be

orani(ed for their individual needs concernin their personal care and "ell bein. Itshould cover all aspects of health and social care. It must include the follo"in)

Ensurin that the customer is treated "ith dinity and respect at all times

Enablin them to achieve as much independence as possible.

Ensurin that the patient has choices.

Ensurin that the customer is treated as an individual.

Ensurin that their rihts are maintained. Person-centered practice ives the

individual the control over aspects of makin decisions and overcominbarriers to participate in every day events. 'his "ill ive the patient a feelin

of "ell bein.

1.* Analyse the effect of leislation and policy on person-centered practice.'he overnment continues to provide policies to enable patients to be promoted "ith

the choice of their care by promotin leislations. Leislations as follo"s)

+epartment of ,ealth % has proposals to broaden the rane of providers andintroduce more competition into care services.'he ,ealth /oundation %1% reports that implementin 0no decision about me$

"ithout me re!uired a considerable chane in culture and

Practice in care settins. 'his has enabled the patients to be consulted reardintheir everyday care needs.

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1.2 Explain ho" person-centred practice informs the "ay in "hich consent isestablished "ith individuals.

Person centered practice can inform ho" consent is established. Person-centeredpractice may include that the individual needs an advocate or social "orker to act on

their behalf. 'hey must be allo"ed this choice. 'his "ill enable the customer to be

treated "ith the values and beliefs they "ish. If the patient has difficultycommunicatin "ith the care "orker there are various "ays to communicate. If thecustomer is hard of hearin$ sin lanuae may be used. If the customer speaks

Enlish as a second lanuae$ an interpreter may be used. 'his is all arranedaround the customer3s person-centered practice and must be included in their every

day care. If they are not capable of ivin consent$ then they must have a mentalcapacity assessment and their care must be centered around their best interests.

'hey are iven an informed choice.

1.4 Explain ho" person-centred practice can result in positive chanes in individual3s

lives'he aim is to ive the customer as much control over their lives as possible. It may

only be a small chane. I.E. "e may have recently had a customer "ith Allied that

needed #arfarin administered every evenin. ,o"ever he en5oyed a lare lass ofport every evenin and "ished to o to bed early. Allied contacted his doctor and

asked if the #arfarin could be iven in the mornin. 'he doctor areed to this. 'hisenabled the customer to carry on "ith his everyday life$ en5oyin his lass of port at

niht and Allied ensurin he had his medication correctly every day. Person-centeredpractice may be on a larer scale. I.E. a stroke customer may be entitled to +irect

Payments "hich "ould enable him to conduct his o"n manaement of care andenable him to have care "orkers "hen he chose to have them. 'his may enable

them to o shoppin or to the ym or to day centers. 'he choice "ould be thecustomers.

%.1 6upport others to "ork "ith individuals to establish their history$ preferences$

"ishes and needs.As I care coordinator it is my responsibility to "ork "ith the care "orker and

customer to establish their o"n individual care plan "hich sho" the customersmedical history and care needs. 'his "ill enable the care "orker "hen carin for the

customer.

%.% 6upport others to implement person centred practice

'o support others in implementin person centred practice one of our field caresupervisors "ould monitor the carer and customer by carryin out relevant spot

check to enable the carer is abidin by the customer3s needs and "ishes and

follo"in the care plan correctly.6hould the care "orker not suit the customer it "ould b my 5ob to find another care

"orker for the customer$ I "ould sort this out "hen completin the care "orkersrotas and sortin the customer a suitable care "orker into the template of care on

our system.

%.* 6upport other to "ork "ith individuals to revie" approaches to meet individual3s

needs and preferences'he customer should be involved as much as possible in their decision makin

process$ reardin "hich oranisation they re!uire$ everybody should "ork toether$6ocial "orkers$ family$ kicks team$ occupational therapist$ care "orkers$ care office

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manaers to revie" approaches to the customer3s needs and preferences$ this is"hen "e "ould carry out a revie" "ith the 6ocial "orker and any other relevant

people re!uired dependin on the customer3s needs$ should the customers carepackae re!uire chanin "e "ould do so.

%.2 6upport others to "ork "ith individuals to adapt approaches in response to

individuals$ emerin needs or preferences

A "ay of revie"in approaches is by carer supervision$ "hen I complete thesupervision "ith the care "orker I ask them if there is any trainin they feel that

they need to o on to enable them to do their 5ob correctly and properly. 'hisimproves their !uality of "ork$ they tell me "hat is effective "hilst carryin out their

roles and it is an opportunity to see if there is any alternative "ays that can be triedin practice. 'he customer may have dementia but the care "orker is strulin and

needs more advanced trainin I "ould then book the care "orker onto moreadvanced trainin.

*.1 evaluate ho" active participation enhances the "ell-bein and !uality of life ofindividuals

'he main essential part of Lead person-centered practice is to include the customeras an active participant in their every day care. If the customer is not included then

it is not person-centered practice. #orkin "ith Allied "e can communicate "ith7ccupational 'herapists and Physiotherapists "ho set therapy oals "hich are

individual to each customer. 'hey ask the patient "hat their oals are i.e. I "ouldlike to o back to "alkin to the shops. 'he therapist "ill set these oalsas their

"ishes and the care "orkers visit "ould assist the patient "ith their therapy oals.'his enables the customer to have a feelin of self "orth and achievement "hen the

oals are met.

*.% Implement systems and processes that promote active participation

*.*6upport the use of risk assessments to promote active participation in all aspectsof the lives of individuals

As a &are co-coordinator one of my roles is to implement the customer onto the

system$ I then hand over to one of our field care supervisors "ho the o out to

access the customer and make sure that the necessary riskassessments are donebefore these practices are carried out. 'he field care supervisors reularly monitor

the care "orkers "hen they are carryin out their care "ith the patients to ensurethat lead centre practice is included and that they are ivin the customers a choice

in their every day care and mobility aims. 'he care "orkers must not tell thecustomers that they need to do these oals if they feel they do not "ant to do them.

'hey must al"ays ive them a choice. If the oals that the patients ask for are toodemandin for them$ a compromise needs to be done to ensure that they carry out

these oals safely. 6ystems and processes on individual patients include)

'he customer3s personal history.

A full assessment on the customer3s abilities$ needs$ "ishes and preferences.

Askin the patient "hat they "ant from the service and ho" they "ould like

to be addressed.

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