Principles of personal development in adult social care settings Essay

A responsibleness of c be is a legal obligation imposed on a c ber requiring that they adhere to a good quality and standard of c ar. It is my craft to prepare guardianship of undefended vaingloriouss and to en certain(a) that their needs and well- universe are looked after. I exercise reasonable flush with respect to singulars best interests, this embarrasss defend inspection and repair substance handlers from any harm or misdirect that whitethorn snuff it and avoiding any acts that could result in injury however it as well means respecting utility users and big them elections.see much(prenominal)explain how people whitethorn react and respond to receiving constructive feedbackI am proficient tolerable to en incontestable that every gain user is interpreted care of in a reasonable, responsible and respectful compo getionner. It is my role to en indisputable that my craft is carried bulge safely and effectively perishing a longside my brass sections p olicies and single-valued functionsMy organisation and I stock in a duty of care to ensure that the do users we care for are safe, nurseed from corrupt by other dish up users, mental faculty, carers, friends and family. I accordingly utilization within the sentry going policies and surgical procedures and it is important that I set rough adequate come behinding so that I target recognise and render signs of maltreatment.It is my duty to leger of any relevant training when an accident or incident occurs in the workplace. It is my responsibility to accounting any improper add or suspicion that I think may contri neverthelesse to horror. craft of care and safeguarding work together be bowel movement its my duty of care to try protection and safety for a threatened adult whilst at the akin time respecting their needs and choices.The Whistleblowing policy in my workplace sees it clear to me and to rung that it is staffs responsibility to report improper con duct that compromises attend user safety whilst ensuring confidentiality and protection from abuse for service users.Describe dilemmas that may arise between the duty of care and an undivideds disciplines It is my duty of care to support service users with their music and to ensure that they are in good health. I support an somebody with her medication and on unity occasion she refused for me to administer the tablets. I encouraged her and explained to her that she needs to take her medicationso that she gage keep in good health but she still refused. I thitherfore gave her some time and space for her to reconsider and calm d deliver approximately half an hour later I returned back to support her with her medication but she said again that she didnt emergency her tablets.I therefore videotapeed what happened, entered this as well as in the pith book and drop offd an incident sheet. Her doctor was consequently contacted to explain that she refused her good break of day medication and to check that everything go out be al secure although she missed her morning medication.It is the service users right to refuse this service if they compulsion to. It is my duty of care to ensure that service users are support consequently and when they refuse a service that I register and report this. state with a learning difficulty have the same rights as anyone else in deciding whether or non to engage in a incident activity. It is important as it is my duty to ensure service users safety.For example a service user may be a smoker and aver on smoking in her bedroom at night alternatively of in the smoking room and ignores alone advice from staff who are touch on slightly the safety of everyone. A nonher example could be a service user who is a little wobbling on his feet but decides he wants to go out and use a bus or train instead of a taxi he may be at try of f all tolding and injuring himself, staff and/or others around him.Explain where to get ad ditional support and advice about how to resolve such dilemmas I brush off get additional support and advice about how to resolve dilemmas from training, supervision, from my Manager, the internet and withal from appropriate professionals such as the GP or the souls advocate. For example it is my responsibility to ensure that I assist service users in do complaints and to flummox sure that their complaint is taken seriously and that they are listened to. An advocate could be a person that supports a service user when needed and help with advising about how to resolve dilemmas.Describe how to respond to complaints two complaints and concerns are dealt with fairly in my workplace and werespond to item-by-items needs. It is important that all complaints are reported to a senior staff member and logged. in one case logged it looked into by the Manager who exit try and resolve it. All complaints standard are important and essendial be taken seriously. The Care step Commission (CQC) requires my organisation to gather, evaluate and generate reports about complaints this is to ensure the regular improvement of the service.The main point of these procedures is for service users to exercise their rights. faculty should also respond appropriately to any complaint they receive from service users or their families. If an informal complaint is do this should be discussed and this may stop it bonnie a formal issue. The staff member receiving the complaint should listen carefully, take everything into reflection that is said and let the service user know what give accordingly happen. If complaints are non responded to by staff appropriately so the service and the service provider entrust non improve.The main points of concord procedures for handling complaints and how to respond to complaints there are stated steps to wed when a complaint is made. In my workplace we first have to make sure that the service user is given the correct form to complete and sometimes staff help service users to complete these when they are not able to especially when they have been given shortsighted services.All complaints must be dealt with quickly and fairly. In my workplace the Manager is responsible for conducting the probe when a complaint is received and a written letter is sent out to the service user to inform them that the complaint is macrocosm dealt with and timescales are given to them for a reply.The complaints policy ensures that service users are given a good service and protected from harm and abuse as all complaints have to be responded to and regulatory bodies notified.PRINCIPLES OFSAFEGUARDING AND PROTECTION IN HEALTH AND amicable CAREDefine the stick withing seven types of abuse and for each include their associated signs and symptoms strong-arm, versed, mad/psychological, financial, institutional, self-neglect and neglect by others1) corporeal abuse is deliberate physical force that may result in bodily injury, pain, o r impairment. both(prenominal) old and young people brush off be physically maltreat. There are signs or indicators to show physical abuse and there are modalitys in which victims and abusers act or interact with each other.Physical abuse includes the smashing of furniture and personalized belongings, world pushed or shoved, being held against your will, slapped, bitten, kicked, pinched, punched, choked or ducked under water, threatened or hurt with a weapon, threats of violence, locked in or out of the house, hair pulled burnt with cigarettes, acid, an iron, hot forage or water Signs of physical abuse in adults are bruising, peculiarly in well-protected and c everywhereed areas, fractures, sprains or dislocations, lacerations, burns including friction burns and scalds, drowsiness, compel sores, cowering and flinching, unexplained hair loss, signifi stick outt weight loss, etc..Symptoms include feeling low, irascible and in pain.2) Sexual abuse is when a person is force d or tricked into taking surgical incision in any kind of cozy activity. When sexual contact is non-consensual, it is an abuse. It can happen to men and women of any age that is both old and young. It can include sexual penetration of any give out of the body with a penis, finger or any object, sexual exploitation, making threats about sexual activities, exposure to pornographic material, touching of breast or genitals, kissing, etc. issueivities such as showing pornographic material, forcing the person to curb sex acts or forcing the person to undress are also considered sexual abuse.The signs and symptoms of sexual abuse in the elderly can be bruises around breasts or genitals, genital infections, unexplained vaginal or anal bleeding, torn, stained, or bloody underwear, disturbed sleep patterns, vulnerable adult appears withdrawn and fearful, strange dressing, etc3) Emotional Abuse is where one person gains power and control over some other through words and gestures which gradually undermine the others self-respectEmotional abuse can be name-calling, blaming, screaming, making threats, cry.neglecting, manipulation, not listening, withholding affectionbelittling and untrue accusations. Signs of emotional abuse are depression, anxiety, withdrawing or refusing affection, fearful or agitation, lower self-esteem and self-confidence, cheering or swearing, behaviours such as rocking, hair twisting and self-mutilation, vulnerable adult withdrawn and fearful4) Financial abuse is stealing or defrauding mortal of money, goods and/or property, allowing others to steal money or property, tricking or threatening case-by-cases into giving away money or property, withholding money, refusing to allow item-by-items to manage their finances, etc. for example when a support worker is taking money from a service users purse without his or her knowledge.Signs of financial abuse are signatures on cheques that do not resemble the service users signature, or signed when the service user cannot write, unexplained withdrawals of large sums of money by a person ac high societying the service user, want of amenities, such as TV, personal planning items, appropriate clothing, that the service user should be able to afford, deliberate closing off of service user from friends and family, resulting in the support worker alone having fall control, the unexplained sudden transfer of assets to a family member or someone outside the family. Symptoms include the person feeling fearful, anxious, embarrassed and belittled.5) institutional abuse happens when the lifestyles of service users are sacrificed in favour of the routines and/or restrictive practices of the home. Institutional abuse comprises neglect, physical abuse, sexual abuse, verbal abuse, discriminatory abuse, psychological and emotional abuse, financial abuse, service users not being allowed to go out, their personal garner are opened and read, their privacy not respected, their interestnot at the centre of every decision being made, excessive medication and complaints procedure not made available for the service users.Signs and symptoms include lack of birth personal clothing and possessions, no flexibility of bedtimes, eating times or waking times, dirty clothing or bed linen, misuse of medication, lack of care plans, lack of heating, staff entering into service users rooms without knocking.6) Self-neglect is when a person does not pay attention to their health and well-being. Service users can neglect themselves due to illness or depression or top executive intentionally neglect themselves. The signs and symptoms include living in dirty conditions, poor personal hygiene, poor nutritionnot getting medical help, not being interested in the way they look, long toe nails not taking medication.7) Neglect is when a carer does not carry out their duty of care and fails to care for a service user this can be deliberate or unintentional due to the carer being ill or stresse d Signs and symptoms of neglect include absence of food, water, and heat poor personal hygiene including soiled clothing, dirty nails and skininappropriately dressed for glacial or hot weather, bedsores.constant hunger, withdrawn, illnessDifferent factors that may contribute to an somebody being more vulnerable to abuse Living with the carer may affix the chances for abuse to occur as this may cause stress and impertinence if the carer feels they cannot cope. If an individual is looked after staff who do not have the right training, any supervision at work or support, are stressed, have personal problems or do not like working in care indeed this can increase the encounter of an individual being abused.If an individual is not mobile, is confused, has dementia, or is aggressive or challenging then this can increase the risk of abuse as the carer might not know how to deal with this, get frustrated and might take it in person and abuse the individual. Domestic violence can also p lay a part as can the relationship between the individual and their nourish or spouse if it was poor and involved abuse.KNOW HOW TO RESPOND TO guess OR ALLEGED ABUSEThe actions to take if there are suspicions that an individual is being abused If I suspect abuse through noticing a sign of physical abuse or change in the behaviour of an individual, I will make sure that I ask the individual what has happened revealing the individual the changes that I have noticed. If it is in my place of work and the name of the person that abused the individual is kn own, whether staff or another service user, I must also record and report this. I will listen to the individual carefully it is up to them to tell me, I would not ask them any questions about this as this is not part of my job role and would stay calm.I will make sure that I record what the individual tells me using the individuals own words. I will make sure that I quieten the individual and explain that their safety is the almos t important and that it is my duty of care to tell the theater director. I will make sure that I let my theatre director know what has happened immediately and pass this information on in cloak-and-dagger and make sure my report is also confidential. I will unless report and record the facts what the individual has told me. Depending on what is gear up out the individual might need to continue to be monitored and a plan of care will be put in place that must be followed to protect the service user.I will make sure that I let my theatre director know and report and record this in personal but if the allegement is about my manager or the manager is indisposed to do anything, I will follow my company policy of insurance coverage abuse and report to CQC.The actions to take if an individual alleges that they are being abused If an individual alleges that they are being abused, I will make sure that I listen to the individual carefully to know exactly what happened. If it is in my place of work and the name of the person that abused the individual is known, whether staff or another service user, I must also record and report this.I will make sure that I record the detail of all allegations that theindividual tells me using the individuals own words I will not ask any questions or make any judgements about what I have been told and I will stay calm. I will make sure that I record the date and time when the abuse was reported and then sign this record.I will make sure that I take the allegations seriously and reassure the individual that they are right to tell me as their safety is the most important.I will make sure that I let my manager know and report and record this in private but if the allegation is about my manager or the manager is unwilling to do anything, I will follow my company policy of reporting abuse and report to CQC.Different ways to ensure that evidence of abuse is preserved shipway to ensure that evidence of abuse is preserved are as foll ows By leaving things as they are and not touching anything.By not removing, cleaning or washing what the individual is wearing and by not handling the individuals dress or bedding. By keeping the area safe and not allowing anyone to enter into the area. By recording and reporting carefully, confidentially and in full all that was told to me by both the individual and others if present at the time and also what I noticed stating the facts only.By preserving any first aid items used.UNDERSTAND THE NATIONAL AND LOCAL scene OF SAFEGUARDING AND PROTECTION FROM ABUSENational policies and local systems that relate to safeguarding and protection from abuse and explain the roles of antithetical agenciesNational policies .Safeguarding Vulnerable Groups Act 2006, the Vetting and Barring abstract run by the self-directed Safeguarding Authority (ISA), Criminal Records Bureau, Human Rights Act 1998. Local Systems SafeguardingAdults Boards, Safeguarding policies and procedures for vulnera ble adults. Safeguarding Adults Boards these bring together a number of different local agencies that work with vulnerable adults to share information and monitor their work i.e. local agencies like the police, MIND, housing aggroups, advocacy groups. The Police their role is to safeguard vulnerable adults, investigate all reports of vulnerable adult abuse and protect and uphold the rights of vulnerable adults.CQC to monitor and provide guidance on what all health and social care providers must do to safeguard vulnerable adults from abuse the safeguarding policies, procedures and systems developed are in place to prevent vulnerable adults from being abusedReports into serious failures to protect vulnerable adults from abuseA report about Castlebeck Care Ltd which failed to ensure that the vulnerable living at Winterbourne View were adequately protected from risk, including the risks of unsafe practices by its own staff. Individuals in Winterbourne View which is a home owned by C astlebeck Care Ltd were pinned down, slapped, doused in cold water and repeatedly taunted and teased by staff in the home. Castlebeck Care Ltd failed to notify the Care Quality Commission of these incidents, injuries to individuals and of occasions when individuals had asleep(p) missing.A report about the murder of Steven Hoskin, a young man with learning difficulties who was abused and murdered in July 2006. In addition to being pushed over the railway and falling from a great height, it was also found that Steven had taken paracetamol tablets, had been drinking alcohol and had sustained recent injuries from cigarette burns. In addition he suffered appalling treatment from his abusers who took over his bed sit and he had neck bruises from having been hauled around his home by his own front-runners dog-lead and the backs of his hands had themarks of foot-prints.Where can you go to get information and advice about your role in safeguarding and protecting individuals from abuse?Loca l dictum Adult Services Department like Social Services My manager, colleaguesMy companys policies and procedures on safeguardingThe internetCare Quality CommissionIndependent Safeguarding AuthorityBooksTraining and advice from training centres.UNDERSTAND WAYS TO REDUCE THE likeliness OF ABUSEHow working with person centred values can reduce the likelihood of abuse Person-centred values include the individuality of the person, the rights of the individual, the individuals choice, the individuals privacy, the individuals independence, the individuals dignity and the individual being respected If person centred values are taken into consideration when supporting an individual there is less likely to be abuse as all the staff will be working in the same way and will feel shamed if they abuse because of the way that they have been taught to work. If an individual is considered to have a say in what he or she wants and is at the centre of any decision, it will be more unlikely that the re is abuse.The individual will know what suits him or her and will not get so frustrated. I always put the service users I work with, their families and friends at the centre of any decision about them and they are an active partner in their own care. Individuals decide what to do, where to go, what clothes to wear and are treated with dignity, respect, confidentiality and are able to make their own choices.How encouraging active participation can reduce the likelihood of abuse Active participation is a way of working that recognises an individuals right to participate in the activities and relationships of everyday life as individually as possible the individual is regarded as an active partner in their own care or support, rather than a passive recipient.So if the individual participates actively in their daily activities, which is what I practice, then the risk of abuse is low. For example in choosing the kind of meal to prepare I support individuals to make the lists of what t hey want to buy and go shopping with them so that they can choose the brand they want. The individual cooks the food the way they want it with little or no support. This is the same with all choices of clothes and outings.How promoting choice and rights can reduce the likelihood of abuse Individuals are supported to make their choices in anything they want like in choosing food or drink, in what to wear, whether to use hot or cold water to bathe, etc. No individual will choose what will hurt him or her therefore abuse is reduced to the minimum. Individuals rights are hiked throughout the service.My service user has the right to do anything that they wish to do and if it is what they want as long as it is not redoubted a risk assessment is then do to stop any abuse happening. I ensure that I promote service users rights and choices by allowing them to make their own choices and support them to have the rights of anyone else.why an get-at-able complaints procedure is important for reducing the likelihood of abuse The complaints procedure gives the complainant the right to be heard and supported to make their views known. An accessible complaints procedure is understandable and easy to use. It sets out clearly how to make a complaint, the steps that will be taken when the complaint is looked into.It also provides flexibility in relation to target response times. An accessible complaints procedure resolves complaints more quickly as the complainant feels that they are being listened to and their complaint taken seriously. This sets up an open culture of making sure that abuse will not be tolerated in any form and encourages the complainant to not accept this.I remember when Mr R felt very glad when his complaint of being denied sleep was recorded in the complaints procedure. I supported him to write down the complaint and this was taken seriously.Unsafe practices that may affect the public assistance of individuals Unsanitary conditions can spread infection a s cross-contamination can occur and can affect the well-being of the individual and others. unlawful hand washing can also pose a risk. pestilential kitchen surfaces and equipment can spread infections, not covering hair when cooking can pose a risk to individual as can not reporting faulty equipment when working or not having cleaning materials can also be unsafe.In terms of health and safety not having risk assessments in place when a service user hurts themselves. Staff not checking when a service user is ill or unsteady on their feet. Staff not recording in care plans about a service users wellbeing and health and not monitoring them.Other unsafe practices which also amount to abuse can occur such as leaving a service user on the toilet too long, ignoring or not listening to them.tag on body not taken seriously and complaints not taken seriously can put them at more danger, harm and risk of abuse. I ensure that I keep to all the procedures for checking for abuse and the wellbe ing of the individuals that I work with by following these and the individuals care plan I keep within the minimum standards of care and also work in a person centred way to make sure all individuals are happy and safe.The actions to take if unsafe practices have been set If I identify unsafe practices then I must follow the whistle-blowing procedure and report to the appropriate person(s). I will report to my manager immediately or if it involves my manager then to another appropriate person(s).I will monitor all unsafe practices and make sure that I record and report in full all the evidence and then will talk to my manager because all unsafe practices are dangerous practices that could cause harm to the individual and others. For example, I talked to my manager last hebdomad about things being left on the stairs that may cause service users and others to fall over and hurt themselves. She has talked to the staff and now this has stopped.The actions to take if suspected abuse or unsafe practices have been reported but nothing has been do in response If suspected abuse or unsafe practices have been reported but nothing has beendone in response or if it has to do with my manager then I will report to the next level or manager. If it has to do with my manager then I will report to management, then to the social worker and safeguarding team and to the care quality commission and even to the police depending on the response I get.When I worked in a nursing home there was some abuse of service users being left too long on the toilet and I talked to the nurse in charge and changes were made immediately. I had to record the information and give the nurse and manager a copy of my confidential report. If the nurse or manager had not done this then I would follow the whistle blowing procedure.