Principles of personal development in adult social care settings Essay

A duty of give trouble is a legal obligation imposed on a cargonr requiring that they adhere to a good quality and standard of c atomic number 18. It is my duty to event pity of vulnerable adults and to insure that their needs and well- be argon looked after. I exercise reasonable cargon with respect to individuals best interests, this accepts protecting helper users from all harm or abuse that may occur and avoiding any acts that could result in injury further it likewise means respecting service users and giving them choices.see muchexplain how people may react and respond to receiving constructive feedbackI am in effect(p) enough to ensure that every service user is taken care of in a reasonable, responsible and respectful manner. It is my role to ensure that my duty is carried bug out safely and effectively schooling a abundantside my agreements policies and proceduresMy organisation and I have a duty of care to ensure that the service users we care for are safe, protected from abuse by other service users, stave, carers, friends and family. I whence work within the safeguarding policies and procedures and it is important that I receive adequate readying so that I can recognise and understand signs of abuse.It is my duty to record of all relevant information when an accident or incident occurs in the oeuvre. It is my state to trace any improper conduct or suspicion that I think may contri only whene to abuse. Duty of care and safeguarding work together be provoke its my duty of care to provide protection and rubber for a vulnerable adult whilst at the same time respecting their needs and choices.The Whistleblowing policy in my work stain fixates it clear to me and to staff that it is staffs responsibility to underwrite improper conduct that compromises service user safety whilst ensuring confidentiality and protection from abuse for service users. withdraw dilemmas that may arise between the duty of care and an individuals rights It is my duty of care to support service users with their medication and to ensure that they are in good health. I support an individual with her medication and on one occasion she refused for me to administer the tab permits. I encouraged her and explained to her that she needs to take her medicationso that she can keep in good health but she still refused. I on that pointfore gave her some time and space for her to reconsider and calm rarify approximately half an hour later I returned back to support her with her medication but she said again that she didnt essential her tablets.I therefore recorded what happened, entered this besides in the message book and carry throughd an incident sheet. Her doctor was then contacted to explain that she refused her morning medication and to check that everything lead be alright although she missed her morning medication.It is the service users right to refuse this service if they want to. It is my duty of care to ensure that service users a re supported accordingly and when they refuse a service that I record and report this. People with a learning difficulty have the same rights as anyone else in deciding whether or non to engage in a riveicular activity. It is important as it is my duty to ensure service users safety.For example a service user may be a smoker and insist on smoking in her bedroom at night instead of in the smoking room and ignores all advice from staff who are concerned about the safety of everyone. A nonher example could be a service user who is a little spasmodic on his feet but decides he wants to go out and use a bus or train instead of a jade he may be at risk of falling and injuring himself, staff and/or others around him.Explain where to get growthal support and advice about how to dismantle such dilemmas I can get additional support and advice about how to resolve dilemmas from reproduction, supervision, from my Manager, the internet and overly from appropriate professionals such as th e GP or the persons advocate. For example it is my responsibility to ensure that I assist service users in making complaints and to irritate sure that their complaint is taken poorly 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 entirely complaints and concerns are dealt with fairly in my workplace and werespond to individuals needs. It is important that all complaints are reported to a senior staff piece and logged. Once logged it looked into by the Manager who impart try and resolve it. All complaints received are important and moldiness be taken seriously. The bearing Quality guardianship (CQC) requires my organisation to gather, evaluate and generate reports about complaints this is to ensure the continual improvement of the service.The main point of these procedures is for service users to exercise their rights. Staff should a lso respond appropriately to any complaint they receive from service users or their families. If an informal complaint is made this should be discussed and this may stop it becoming a formal issue. The staff member receiving the complaint should listen carefully, take everything into consideration that is said and let the service user hump what impart then happen. If complaints are non responded to by staff appropriately then the service and the service provider go out not improve.The main points of agreed procedures for handling complaints and how to respond to complaints There are stated travel to follow when a complaint is made. In my workplace we first have to consider 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 poor services.All complaints must be dealt with quickly and fairly. In my workplace the Manager is responsible for conductin g the investigation when a complaint is received and a written letter is sent out to the service user to inform them that the complaint is organism dealt with and timescales are given to them for a response.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 ANDSOCIAL CAREDefine the pursuance seven types of abuse and for each include their associated signs and symptoms physical, intimate, emotional/psychological, financial, institutional, self-neglect and neglect by others1) Physical abuse is deliberate physical force that may result in corporal injury, pain, or impairment. Both old and young people can be physically maltreat. There are signs or indicators to show physical abuse and there are looks in which victims and abusers act or interact with each other.Physical abuse includes the smashing of fur niture and personal belongings, universe pushed or shoved, macrocosm 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, pig pulled burnt with cigarettes, acid, an iron, hot food or water Signs of physical abuse in adults are bruising, particularly in well-protected and covered areas, fractures, sprains or dislocations, lacerations, burns including friction burns and scalds, drowsiness, pressure sores, cowering and flinching, undetermined hair loss, significant weight loss, etc.Symptoms include feeling low, angry and in pain.2) Sexual abuse is when a person is forced or tricked into pickings part in any kind of sexual 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 part of the body with a penis, finger or any object, sexua l exploitation, making threats about sexual activities, exposure to pornographic material, touch modality of breast or genitals, kissing, etc. Activities such as showing pornographic material, forcing the person to watch 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, inappropriate dressing, etc3) Emotional Abuse is where one person gains power and control over another(prenominal) through words and gestures which gradually undermine the others self-respectEmotional abuse can be name-calling, blaming, screaming, making threats, yelling.neglecting, manipulation, not listening, keep back affectionbelittling and untrue accusations. Signs of emotional abuse are depression, anxiety, withdrawing or re fusing affection, fearful or agitation, lower self-esteem and self-confidence, shouting or swearing, behaviours such as rocking, hair twisting and self-mutilation, vulnerable adult withdrawn and fearful4) Financial abuse is stealing or defrauding someone of money, goods and/or property, allowing others to steal money or property, tricking or threatening individuals into giving away money or property, withholding money, refusing to allow individuals 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 gestural when the service user cannot write, unexplained withdrawals of large sums of money by a person accompanying the service user, lack of amenities, such as TV, personal groom items, appropriate clothing, that the service user should be able to afford, deliberate isolation of service user from fr iends and family, resulting in the support worker alone having total 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 beingness allowed to go out, their personal letters 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 own personal clothing and possessions, no flexibility of bedtimes, ingest times or waking times, dirty clothing or bed linen, misuse of medication, lack of care plans, lack of heating, staff entering into service users suite 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 king 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 stressed Signs and symptoms of neglect include absence of food, water, and heat poor personal hygiene including soiled clothing, dirty nails and skininappropriately dressed for cold or hot weather, bedsores.constant hunger, withdrawn, illness divergent factors that may contribute to an individual being more vulner able to abuse Living with the carer may increase the chances for abuse to occur as this may cause stress and resentment 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 then this can increase the risk 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 personally and abuse the individual. Domestic violence can also play a part as can the relationship between the individual and their parent or spouse if it was poor and involved abuse.KNOW HOW TO RESPOND TO SUSPECTED OR ALLEGED contumelyThe 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 c hange in the behaviour of an individual, I will make sure that I ask the individual what has happened telling 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 known, 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 reassure the individual and explain that their safety is the most important and that it is my duty of care to tell the manager. I will make sure that I let my manager know what has happened immediately and pass this information on in private and make sure my report is also confidential. I will only report and record the facts what the individual has told me. Depending on what i s found out the individual might need to continue to be monitored and a plan of care will be stupefy in place that must be followed to protect the service user.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.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 preservedWays to ensure that evidence of abuse is preserved are as follows 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 clothes 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 othe rs 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 CONTEXT OF SAFEGUARDING AND PROTECTION FROM ABUSENational policies and local systems that cerebrate to safeguarding and protection from abuse and explain the roles of different agenciesNational policies .Safeguarding Vulnerable Groups Act 2006, the Vetting and Barring Scheme run by the Independent Safeguarding Authority (ISA), Criminal Records Bureau, clement Rights Act 1998. Local Systems SafeguardingAdults Boards, Safeguarding policies and procedures for vulnerable 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 teams, advocacy groups. The Police their role is to safeguard vulnerable adults, investigate all reports of vulnerable adult abuse and protect and pres erve 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 certain 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 possess by Castlebeck 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 gone missing.A report about the murder of Steven Hoskin, a young man with learning difficulties who was abus ed 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 pets 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?Local authority Adult go 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 LIKELIHOOD OF ABUSEHow working with person centred values can reduce the likelihood of abuse Person-centred values includ e the identicalness 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 there 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 nimble 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 th eir own choices.How encouraging active fellowship 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 mundane life as independently 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 they 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 promoted 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 dangerous a risk assessment is then done 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 accessible 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 access ible 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 happy 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 wellbeing of individuals unsanitary conditions can spread infection as cross-contamination can occur and can affect the well-being of the individual and others. Improper hand washing can also pose a risk. Dirty 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 observe them.Other unsafe practices which also amount to abuse can occur such as leaving a service user on the lot too long, ignoring or not listening to them.Marks 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 wellbeing 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 identified If I identify unsafe practices then I must follow the whistle-blowing procedure and report to the appropriate person(s). I will report t o 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 week 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 done 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 sham of my confidential report. If the nurse or manager had not done this then I would follow the whistle blowing procedure.