In my role as senior care worker, I work with variety of individuals including, colleagues, management, professionals, clients and their family members. The main group that I work with on day to day basis are residential clients that are both elderly and varied degrees of learning difficulties. These are individuals with limited ability to understand and process information given to them. This sometimes causes a barrier and challenge for the staff and especially for a new staff. They generally have a short attention span, this mean that communication / information and/or instruction has to be repeated several times.
For different clients all communications have to be given utilising several methods including paraphrased in an appropriate form, gesturing physically pointing this out. Some of them use non verbal method of communication such as lip reading, body language and face expression. Therefore additional attention must be given to ensure full understanding. One of the ways that I inform our clients of up-and-coming events is to use a notice board. This is located in a frequently used part of the house and is simple written text and pictures.
I also use the leaflets about events in community which I discuss individually with clients or at the residents meeting. The second group are colleagues. One part of my role is to deliver information to the staff which I do in the form of a formal handover at the end of each shift. The handovers play important part in care setting as the information can be easily misunderstand or even forgotten. One of the ways I ensure the correct methods of communication are being accessed and used effectively is to have written shift plan.
I make sure I maintain confidentiality when given handover; I make sure the staffs fully understand the information given to them. Another part of my role is to help the staff to develop care plans, a large part of that is aimed at ensuring the staff 1. Understand the importance of identifying the best method of communication based on each individual’s needs and preferences. For example if the client is non- verbal use of signs or if the client is with sight or hearing impairment wear appropriate aid. 2. Ensuring the key workers know the importance to meet the individual rights and giving support and guidance on how best to achieve this.
I also develop the care plans and my plans for my key clients. I hold personal meeting which is normally verbal face to face, maintain confidentiality and also ensure that the way information is recorded is done so in such a format that can be understand by the client i. e. avoid using jargon, using simple sentences. At my work I come across few communication barriers between staffs most of our workers are foreners which causes cultural differences and language barriers. Although all staff is speaking English sometimes the communication between the staff is misunderstood or the information is not given in full and it cause tension.
I make sure all information about the clients is documented accurately and in full in daily records. If such situation occurs I try to listen to both sides of stories and find solutions. I also maintain contact with family members, care managers, GPs nurses, teachers, day centre key workers for on behalf of my key clients. This can be done by telephone, letters, face to face but ensuring that all necessary information is passed on in the appropriate manner. In all cases these communication can be formal, by planed review meeting for the client or informal if I was just checking with family members to say all is well etc.
Once a year we keep review meeting for our clients which is the formal meeting where is discussed the client need and preferences in presence of key worker, the care manger and family. The written review documents are shared between us and comply with legal requirement. The communication is hold orally and any proposals or outcomes at he meeting is being documented. As the clients is presents I try to explain to her/him if any technical terms being used. We keep files for each of our client which is securely kept in the office and also electronic records. The files are used for key working purposes and as legal requirement.
Client confidentiality – in accordance with code of professional conduct and Data protection Act 1998, this home must protect all confidential information concerning clients. Clients have the right to know the standards of confidentiality maintained by the home. This should be reinforced 1. with consent of clients 2. by requirement of law, without consent 3. without consent when disclosure is considered necessary in personal and public interest It must be explained to each client in clear terms that some information may be made available to others involved in the delivery of care.
The client must be told who the information is shared with ie staff, specialist etc. Management must make sure that clients can make an informed decision as to whether information can be disclosed. On disclosure of sensitive information, staff support and friendship will be maintained as usual. Access to record, to comply with Data protection act 1998. In accordance with the Care Standard Act 2000 and regulations, all personal records must be kept in secure place. There is limit access to files; only management and senior staff.
Any person handling confidential records must inform manager Staff must not remove any files or personal records of clients form premises. Clients are welcome to access their own personal records (Access to health records act 1990 under the Data protection Act) The clients personal files are kept in the office with they are locked all the time. The electronic records are kept on PC have secure password and i make sure if the staff uses the clients electronic files maintain confidentiality by not leaving the computer on without presence and after using it switch it off properly.