Care of residents

Scenario: ABC Care Home is situated in London and caters to care needs of vulnerable people. The service users come from diverse ethnic and religious background and have varied physical and medical needs. (You may choose the category of service users you work with). Assuming you are a care worker working in this Care Home providing care services to the service users:

1.1 Explain how principles of support are applied to ensure that individuals are cared for in health and social care practice 1.2 Outline the procedure for protecting clients, patients, and colleagues from harm.1.3 Analyse the benefit of following a person-centred approach with users of health and social care services1.4 Explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services (E.g. Mrs. M is a service user in the residential care home.

She is 67 years old. She likes to smoke and drink whisky, which has caused serious problem to her health by having lung cancer. Despite the advice and recommendations of the doctors, the social worker and the manager of the care home she cannot cease this habit. Lately Mrs. M has been suffering from acute pains.

The painkillers prescribed by the doctor are not working effectively to relieve the pains of Mrs. M. The doctor is refusing to prescribe stronger painkillers because of their serious adverse effects and possible addiction. But the manager and staffs cannot see Mrs. M suffering by screaming and wandering throughout the premises asking for help.) .

TASK 2In the context of above mentioned scenario,2.1 Explain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in health and social care. 2.2 Explain how local policies and procedures can be developed in accordance with national and policy requirements. 2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on organisational policy and practice


In context of above scenario….3.1 Explain the theories that underpin health and social care practice.

3.2Analyse how social processes impact on users of health and social care services.

3.3 Evaluate the effectiveness of inter-professional working TASK 4

Today CQC publishes the findings following an inspection of services provided at ABC Care Home Ltd. After considering a range of evidence inspectors conclude that the registered provider, ABC Care Home Ltd, had failed to ensure that people living in the Care Home were adequately protected from risk, including the risks of unsafe practices by its own staff. The report concludes that there was a systemic failure to protect people or to investigate allegations of abuse.

The provider had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when they had gone missing. Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour. People who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly.

Some staff were too ready to use methods of restraint without considering alternatives. Inspectors who visited ABC Care Home considered taking urgent action to close the center, but decided that it was in the best interests of the patients to allow NHS and local authority commissioners further time to find alternative placements. CQC ensured that there would be an immediate stop on admissions and that extra staff would be brought in to protect patients until they could be moved. The report which is published today finds that ABC Care Home Ltd was not compliant with 10 of the essential standards which the law requires providers must meet. CQC’s findings can be found below.

The managers did not ensure that major incidents were reported to the Care Quality Commission as required. Planning and delivery of care did not meet people’s individual needs. They did not have robust systems to assess and monitor the quality of services. They did not identify, and manage, risks relating to the health, welfare and safety of patients. They had not responded to or considered complaints and views of people about the service. Investigations into the conduct of staff were not robust and had not safeguarded people.

They did not take reasonable steps to identify the possibility of abuse and prevent it before it occurred. They did not respond appropriately to allegations of abuse. They did not have arrangements in place to protect the people against unlawful or excessive use of restraint.

They did not operate effective recruitment procedures or take appropriate steps in relation to persons who were not fit to work in care settings. They failed in their responsibilities to provide appropriate training and supervision to staff. As a newly appointed manager, you are required to refer to the above report and answer the following:

4.1 Explain own role, responsibilities, accountabilities and duties in the context of working with those within and outside the health and social care workplace. 4.2 Evaluate own contribution to the development and implementation of health and social care organisational policy. 4.3 Make recommendations to develop own contributions to meeting good practice requirements.Skills required: