THE CARE CERTIFICATE Training Portfolio Learners Name Declan Forsyth Organisation Respectful Care Start Date 29/10/2022 Evidence of Learning All learning requirements for the Care Certificate can be recorded in this portfolio. On successful completion of this Portfolio, the Care Certificate can be awarded. Contents Standard 1 Understand your role ...................................................................................................................... 2 Standard 2 Your Personal Development............................................................................................................ 4 Standard 3 Duty of care ..................................................................................................................................... 5 Standard 4 Equality and Diversity ...................................................................................................................... 7 Standard 5 Work in a Person-Centred Way ....................................................................................................... 8 Standard 6 Communication ............................................................................................................................. 10 Standard 7 Privacy and Dignity ........................................................................................................................ 11 Standard 8 Fluids and Nutrition ....................................................................................................................... 13 Standard 9 Awareness of Mental Health, Dementia and Learning Disability ................................................. 14 Standard 10 Safeguarding Adults .................................................................................................................... 16 Standard 11 Safeguarding Children ................................................................................................................. 19 Standard 12 Basic Life Support ........................................................................................................................ 19 Standard 13 Health and Safety ........................................................................................................................ 20 Standard 14 Handling information .................................................................................................................. 23 Standard 15 Infection Prevention and Control ................................................................................................ 24 Assessment for Written Questioning............................................................................................................... 24 Health and Care Worker Review, part 1 .......................................................................................................... 25 Health and Care Worker Review, part 2 .......................................................................................................... 26 Development Plan........................................................................................................................................ 26 Observations of Practice .................................................................................................................................. 27 Mandatory Training ......................................................................................................................................... 29 Online Knowledge Assessment ........................................................................................................................ 30 Completion of the Care Certificate .................................................................................................................. 30 Page 1 of 30 © Careskills Academy 2020 Learner’s note: Before answering any questions please make sure you have downloaded this document and do not forget to continually SAVE your work Standard 1 Understand your role (1.1b, 1.1d, 1.2b, 1.2d, 1.3b, 1.3c, 1.4a, 1.4b) 1. What does the National Code of Conduct say about how your care and support practice should be? It has seven points to it, these are key in providing good care, all care providers should be accountable for their actions as well as any omissions, such as forgetting to fill out the care log, you should also promote and uphold the clients privacy, dignity, human rights and of course their health and wellbeing, this can be as simple as making sure that they have a drink available or addressing them by first or last name, promoting them to do self care rather then letting you and making sure that you always treat them how they would like to be treated, while always respecting their privacy and confidentiality Collaboration and communication with both colleagues and other social services is also part of this, as not only will this allow the client to revive the best possible care, that high quality, compassionate and safe, but will also allow any red flags to be spotted and sorted as soon as possible such as notifying the district nurse of a pressure sore or the OT of mobility issues arising. You should at all times be striving to not only uphold and promote the Code of Conduct but also to improve the overall quality of care provided through this as well as professional development 2. What are your organisations aims and objectives? Respectful Care has five aims and objectives; 1) We will work in partnership with all relevant professionals. 2) We will continuously review our service and strive for improvements 3) We believe in complete honesty and integrity in everything we say and do 4) We will enhance our clients quality of life 5) We will honor our clients privacy and dignity 3. Describe how your own experiences, beliefs and values will help you to deliver positive care and support My believe has always been that you should treat someone how they would like be to treated not how you would like to be as everyone is different, and that at the core of all care should be compassion for the client and their needs. With this in mind I will approach all clients with a "them centric" attitude to hopefully give the best care possible by not only following the care plan but also asking the client if there is anything else that can be done to improve the service they are getting Page 2 of 30 © Careskills Academy 2020 4. Explain how your working relationships are different from personal relationships Professional relationships are those that are with colleagues, clients and other professionals while at work, other points are listed below; 1) It is bound by strict codes of conduct, policies and procedures with agreed ways of working 2) It is unequal, you will in general know more about the client then they know about you, and it should remain this way 3) It has constraints on both time and locations, the relationship only exists when working on shift and in certain environments Personal relationships are those that you have with family and friends and as a rule are not usually bound by regulations and procedures, other aspects are listed below, 1) It can be intimate, touching, hugging etc 2 It is mutual, both parties choose the nature and boundaries and usually know just as much as about each other 4) ItGive can occur any time place outside of working hours 5. 4 examples of or professional relationships that you might form at work and the positive impact that these will have on an individual you support. Other people How they might support the individual District Nurses They can provide medical treatment and advise that carers are not able, such as injections or dressing of wounds Occupational Therapists They can help the client in regaining mobility or the carer with moving an handling by providing Hoists or Rotundas Pharmacists They are able to provide advice on many things to do with medication, such as topical ointments or low level pain relief as well as advise carers if they are unsure about what medication the client has taken and what is safe for them to take or miss that Theyat are thetime primary health care provider outside of the Hospital and can provide prescriptions and advice for the client to be able to sustain as much individuality as possible GP's 6. Why are policies and procedures important in an organisation? There are many reasons for procedures, the key being to protect the people who you provide care for as well as making sure that the carer is following all regulations and laws. You also have the benefit of consistency in the care provided by having all follow the same procedures and processes, this has the added effect of reducing confusion with the carer and reducing anxiety for both the carer and client as it gives confidence to both parties that the level of care will be the same no matter who is providing it Page 3 of 30 © Careskills Academy 2020 Standard 2 Your Personal Development (2.1c, 2.2d, 2.2e, 2.2i) 7. Explain the importance of receiving constructive feedback about your work Constructive feedback is important as it allows you to work on specific things to improve via S.M.A.R.T targets, this means that you will improve at a steady pace as well as not reducing your confidence by setting targets that are too broad to measure or unachievable as well as making sure that you know what your strengths are 8. List the sources of support that you can get from people or meetings Supportive People Line Manager Registered Care Manager Senior Members of the Team Colleagues Other Professionals i.e District Nurses Supportive Meetings Yearly Performance Review Weekly catch up In the Field Appraisal Supervision 9. How can Reflective Practice help you in your role? Reflective Practice enables you to have a clear understanding of the impact you have had from your work, identify what has been done well and what can be worked on to improve, it is also key in providing good care to the client by making you aware of what you did well and what could be done better, both by yourself and others, such as OT's, to help keep the client as independent as possible Page 4 of 30 © Careskills Academy 2020 Standard 3 Duty of care (3.1a, 3.1b, 3.2a, 3.2c, 3.3a, 3.3b, 3.3c, 3.4a, 3.4b, 3.4c, 3.5d) 10. Complete the questions in the table below: How would you define the term ‘Duty of Care’? How will you demonstrate a ‘Duty of Care’ in your role? It is your responsibility to ensure you act in the best interests of the individual that you provide care for, to perform your work competently and not to do anything that could result in harm to yourself or others. By performing risk assessments before performing a task, following health and safety rules as well as hygiene rules. You should always put the safety of yourself and the client first, this can be as simple as making sure they are warm enough in winter to not performing a task that could hurt yourself 11. If an individual wanted to do something that you think is unsafe, how would you deal with this, whilst taking their rights into consideration? I would politely explain to them that unfortunately I am unable to do what they have asked as it is against the rules and regulations for me to do something that could cause myself or them harm and then ask them is there is something else I could do instead that would give the same result and that if not that the best option is for me to talk to the office to put a plan in place so that it would be possible to do it next time but in a safe manner. 12. What is your understanding of the following, and how can you avoid these situations? Incident Adverse Event An incident that leas to harm, loss or damage to the client, the family of, or the carer that is caused by human action, this can be avoided by simply following the care plan and rules and regulations around care. An incident that leads to harm, loss or damage to the people in care as well as care workers and visitors caused by non human action, this could include environmental factors such as a flood or gas leak. Errors Any misjudgment, wrong decision or wrong action such as not following the MAR sheet and giving evening medication in the morning, this can be avoided by reading the care plan and MAR sheet on arrival to every call Near Misses Any event that could cause harm, loss or damage but fortunately didn't happen on that particular occasion, this can be avoided by reading the care plan and following it as well as following procedures, all near misses should be reported to your line manager. Page 5 of 30 © Careskills Academy 2020 13. Read the scenario on the screen entitled ‘Handling a Complaint’ and demonstrate what your response would be in practice by completing the table below What is the individual complaining about? They are complaining about the care call being so early and not being able to get out of bed at the time they want What is your immediate response to the individual? To apologize to the client for the call being so early, making a note of this complaint in the care plan, as well as making sure they are aware that I have done this and that I will make sure the Line Manager knows of the complaint via email before I leave the call What is the importance of learning from complaints? They provide a vital insight into what is not working as well as it should and they give you an opportunity to not only put thing for the client but also improve the care provided Where can you obtain guidance about handling complaints? The CQC Website, the Clients Local Authority as well as the Managing Director of your home branch Who will advise you on complaints? Your Line Manager Who do you submit your record of the complaint to? Senior Staff members such as your Line Manager 14. What law and regulations apply to reporting incidents, adverse events, errors and near misses? There as five Acts and Regulations that apply, these are; 1) The Health and Safety at Work Act 1974 2) The Management of Health and Safety Regulations 1999 3) The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR) 4) The Control of Substances Hazardous to Health Regulations 2002 (COSHH) 5) The Provision and Use o Work Equipment Regulations 1998 (PUWER) Page 6 of 30 © Careskills Academy 2020 Standard 4 Equality and Diversity (4.1a, 4.1c, 4.2c, 4.3a, 4.3b, 4.3c) 15. Explain what the following terms mean Equality Diversity Inclusion Discrimination Deliberate Discrimination Inadvertent Discrimination Being treated equal in status, rights and opportunities regardless of individual differences Respecting the distinction between people and behaving well towards peoples worth, trusts, cultures and way of life with respect such as religion The act of including and being part of something, such as a local knitting club Seeing differences and treating the individual differently based on this, normally this difference is a protected characteristic but could be something else such as wearing glasses Deliberately treating someone differently based on something that is a difference Inadvertently or subconsciously treating someone differently based on a characteristic of theirs 16. How can you reduce the likelihood of discrimination, in your role? You can reduce the likelihood of this happening in the work place by being polite and honest to the client, and staying consistent in how you behave and treat them, you also need to try to understand how they feel and think and treat them according to how they wish to be treated. You can ask for advice from your Line Manager and should use this as a good way to improve yourself and your work you can also ask other colleagues about how the client likes to be treated, you should always strive to not put the client at risk of discrimination Page 7 of 30 © Careskills Academy 2020 17. Identify a range of sources where you can get guidance on equality, diversity and inclusion There are several sources for guidance, both people and documents, that you can get help from, these range from the Registered Care Manager and Line Manager, to consulting the CQC website for help, there is also the Care Act 2014, Mental Capacity Act 2005, Human Rights Act !998 and Health and Social Care Act 2021 that you can use and finally you can get help from both team meetings and from any training that you get, both in house and external if you are completing an external qualification. Standard 5 Work in a Person-Centred Way (5.1a, 5.1c, 5.2a, 5.2b, 5.2c, 5.5d, 5.6a) 18. How will you put person-centred values into practice and promote dignity in your day-to-day work? You can do this by making sure that any care provided is done with the clients need at the center and always treat them with dignity and respect, as well as making sure that you always follow the 6 C's, in all things you do, you should also make sure the client is empowered to discuss their care plan and make any changes they feel are needed in partnership with the care provider. You should at all times make sure that you treat them how they would like to be treated and that this is recored in the care plan to provide consistency. 19. Answer the following questions on Care Planning Why is it important to have information on an individual’s background? By having information on the clients background you are able to make sure that their inner wishes are met and that they can keep as much independence as possible, it is also a good way to find out the clients likes and dislikes to help provide better care Why should Care Plans be updated regularly? This makes sure that changing needs of the client are met, such as a decrease in mobility, or a change in preferences towards certain foods, it allows you as the carer to provide the best possible care for the client Page 8 of 30 © Careskills Academy 2020 20. What is the benefit of Advance Care Planning? The benefits to this are that the client are able to say exactly how they would like to be treated once they no longer have capacity to make such decisions, backed by the Mental Capacity Act 2005, it is a great way for the client to have a voice in their care and to know that their wishes will be followed even if they can no longer express how they want to be looked after such as dementia or end of life care. 21. How would you know that an individual is in pain or discomfort? The most obvious way is to ask the client, if this is not possible you can look for non-verbal communication such as fidgeting and gestures or changes in behavior like being quite or aggressive, there are several symptoms that you can look for as well, gritted teeth, pale complexion, sweating or tears, you can ask others, such as a family member as well who may be able to see if they are in discomfort easier then you as they will have a better background to measure it to 22. How will you demonstrate that you are person-centred and promote an individuals self-esteem? This can be done by use of effective listening to the client and making sure that they know they have been heard and checking that you have understood them correctly and letting them know you can help them and checking that they understand this. You also do this by making sure they are able to make informed choices and decisions by making sure they have the right amount of information and checking that they understand the information they have been given, this also provides them with a chance to make sure they are taking part in tasks and activities to promote their independence and help boost their self esteem that they are still able to do such things Page 9 of 30 © Careskills Academy 2020 Standard 6 Communication (6.1a, 6.1c, 6.2a, 6.2b, 6.3a, 6.3b, 6.4b, 6.4c) 23. List a range of methods and styles that can support communication difficulties Sign Language, such as BSL, Makaton, basic gestures and body language Touch, but only when used appropriately such as placing a hand on a shoulder or hand to show reassurance Writing, this is useful if the person is either deaf or unable to speak but can read, and is also used as a means of communication between staff when face to face is not an option Communication Passports carried by the client will not only tell you how they prefer to communicate but also sometimes have pictures for reference Hearing Aids are useful for those who have partial hearing Word or symbol boards allowing the person to point out what they are trying to say, pictures can also be used fro reference for those who have more profound problems with communication Speaking slowly, with short sentences and facing the individual Electronic Voice Boxes connected to tablets or computers 24. Why is it important to observe and be receptive to an individual’s reactions when you communicate with them? Not all communication is verbal, body language, facial expressions, position and gestures can all be used, by observing these you can expand on any verbal communication. An example of this is if the client is in pain, when asked they may say "No" but fidgeting or an uncomfortable facial expression may tell you that they are, you can also tell if someone is becoming confused or angry or stressed without them telling you directly, this can let you take action to help prevent this happening and also to help them express their feelings better. 25. When are an individual’s communication needs and preferences usually planned and established? These are normally set out and planned at the start of care by either family or an outside company, this could be weeks, month or even years in advance of when needed, for example if the client is diagnosed with dementia they may set out how they wish to be communicated with before the illness progresses to a point where they are unable to make their wishes known, such as using objects for reference, or sticky notes on items or doors to remind them to do things such as turning of light switches, or it could be a family member who helps plan out needs and preferences from their own experience looking after the client Page 10 of 30 © Careskills Academy 2020 26. Complete the questions in the table below What are barriers to communication? How can you reduce these barriers? There are several barriers to communication, some are caused by actions either from the carer or client and could be classed as active barriers; Jargon, Attitude, Stereotyping, Lack of training or not reading the care plan are some examples of these barriers. There is also several passive barriers that are not actively caused by anything other then innate differences; Physical conditions, Emotions, shyness or low self-esteem, cultural differences, strong accents or environmental barriers like noise are some of the passive barriers. One of the most effective ways to get passed these barriers is to learn as much as you can about the client. Things such as creating a "Communication Passport" which will give you all the needs, wishes and preferences, this is also a great way to get to know the client and reduce both passive and active barriers. Other things such as making sure to get the right training and reading the care plan or communication passport will help, as well as making sure that you leave all your own opinions at the door so as not to stereotype or clash with cultural differences, being open minded is always a good way to help as it will allow you have empathy for the client. You should regularly check with the client at as well to make sure that there are no current barriers and if there are you are aware of them to help you overcome them 27. Complete the questions below about confidentiality What legislation and regulations are relevant to confidentiality? When you would need to pass information on? Data Protection Act 2018 and the General Data Protection Regulation (GDPR) Information should only be shared on an "as needs" basis, this could be if there is a safe guarding issue and the Local Authority needs to be told, or if by not telling someone you allow harm to the client, yourself or others. Standard 7 Privacy and Dignity (7.1a, 7.1b, 7.1c, 7.3a, 7.3c, 7.3d, 7.5a, 7.5b, 7.5c, 7.5d) 28. How will you maintain the privacy and dignity of an individual when supporting them? While privacy and dignity are two separate things you should always work to preserve both. Several examples of maintaining dignity and privacy are; asking for consent before touching a client to carry out personal care, making sure doors or curtains are closed before personal care is carried out, making sure that clothing/robes/gowns are arranged to cover personal areas, knocking before entering the clients house/room, responding to the client quickly when possible and greeting/speaking to them as well as listening to them and finally making sure that all information about the client is only shared on a "needs to know" basis. Page 11 of 30 © Careskills Academy 2020 29. Identify 2 situations where an individual’s privacy and dignity could be compromised, and how you would stop this from happening Situations that could arise How I would stop this from happening Entering the house or room without the client being aware of your presence By either knocking on the door as you open it if its an outside door, ringing the door bell or for internal doors, making sure that you knock on doors and announce yourself before entering to let them know you are there Not providing adequate privacy to the client during personal care or while they are using the bathroom Making sure that you shut doors to adjoining rooms and make sure curtains are shut during personal care as well as making sure to give them privacy when using the toilet 30. How will you support an individual to make informed choices, without influence? There are several ways to do this, firstly you need to make sure that the client has all the relevant information about the subject that they need, but also making sure that it is given to them in a way that does not overload them, this could mean that it takes a awhile to allow them to process what you are telling them. You should always make sure that you explain the benefits and risks factually and not infer your own personal views onto this information, if you are able and the client wishes then you can involve others such as family, advocates or even a specialist to help give advice. Finally you should respect the choice made by the client, even if you do not agree with it, this will also help them in staying as independent as possible. 31. How can you enable an individual to maintain positive relationships with their family and friends? You can do this by making sure that the client and if they wish, their family is part of the making of the care plan, you can also make sure that the family are aware of how best to help keep the client as independent as possible. Page 12 of 30 © Careskills Academy 2020 Standard 8 Fluids and Nutrition (8.1a, 8.1b, 8.1c, 8.1d) 32. What is the importance of Food Hygiene? Food Hygiene is especially important in care as the clients are quite often more vulnerable and more at risk from food poisoning, you also need to be aware of allergens when preparing food, you should make sure to wash your hands before food preparation, wear an apron, ensure the areas in use are clean before use and if your skin is damaged that you wear gloves. You should also be aware of "use-by-date" of products in the clients home, and if it is out of date don't use it and ask if they would like you to dispose of it. 33. What are the signs and symptoms of poor nutrition and hydration? There are many signs and symptoms of poor nutrition and hydration, these can include: Unintentional weight loss/decreased muscle mass Lightheartedness and dizziness The inability to keep warm Recurrent infections Dry skin Sluggishness/fatigue Confusion Bloated abdomen There are many other's that are not listed but these are some of the ones that are caused by both and are a good sign that something is wrong with the client 34. How can you promote good nutrition and hydration? You can do this by making sure that you are aware of the clients likes and dislikes, which should be listed in the care plan, you can also find out what they like by simply asking them and building a good working relationship with the client. Basic practice for good hydration would be to make sure that they have easy access to drinks, that are refreshed on a regular basis as well as supporting and encouraging the client to drink. There are several aids that can help in both nutrition and hydration, for example, Fresubin drinks to aid in getting enough calories and basic nutrition to the client if they are struggling with solid food, as well as Jelly Drops that are a good way to help increase water intake, especially in those with vascular dementia or alzheimers. The style of serving can also be helpful to the client, such as cutting up the food to smaller bite size chunks or blending it if they struggle to swallow. Page 13 of 30 © Careskills Academy 2020 Standard 9 Awareness of Mental Health, Dementia and Learning Disability (9.1a,9.1b, 9.1c, 9.2b, 9.3a, 9.4a, 9.4b, 9.5a, 9.5b, 9.6a, 9.6b, 9.6c) 35. Complete the questions in the table below Mental Health Needs e.g. Psychosis, Depression, Anxiety Dementia Learning Disability Clients suffering from this A client can show a lack Psychosis can manifest of self-awareness with a may often feel confused, as delusional thought difficulty understanding upset, angry of even patterns, lock of insight information and possibly apathetic towards things. and lack of self have poor learning skills. They can also have awareness. How might an This could lead to the Depression can cause the volatile mood swings, individual feel if they client being less client to feel going from angry about confident in themselves hopelessness, mood something to being really had the following swings or negativity. happy in the space of a conditions? Anxiety can manifest as couple of minutes, the inability to control reduced rationality can worries, increased heart also affect the clients rate, negative thoughts mood and reasoning. and poor sleeping patterns. Individual coping Cognitive Behavioral You should be extra strategies can be put in Therapy and medication aware of the mood of the place, they may need can help the client to client and make sure that more help in certain manage the symptoms of you do your best to areas such as managing all three conditions, but as reassure them that they their fiance all the way to the carer you should be are still in control and that How might these covert administrating of extra aware of making you are simply there to conditions influence medication depending sure that you do no help them. their care needs? on the clients mental stigmatize the clients capacity. As a carer you illness, but focus on the should always try to aid positive things they are the client to have as able to do,it is also much independence as important if we are possible as well as trying administering medication to remind the client of all for any of those conditions the positives to make sure that they take it and log any times that they refuse 36. How can the Social Model of Disability put positivity into a disabled person’s life? The Social Model of Disability looks for all the ways that you can remove barriers caused from an individuals condition, such as environmental issues or peoples attitudes, and example of this would be someone in a wheel chair being unable to get to the shops with ease due to the parking spaces not being big enough, while the Medical Model would look at treating or curing the individual of their disability the Social Model would look at removing the barrier by creating extra wide parking spaces for parking, another way is by promoting awareness of the disability to better allow the general public to adapt their behavior to assist the disabled person in maintaining their independence without stigma such as people with Down's Syndrome, in this example the social model would look at ways to promote the persons independence by assisting in tasks that they struggle with such as fiancees or shopping. Overall it helps by being person centered and led by them to allow them to meed their needs and preferences with as little loss of independence as possible Page 14 of 30 © Careskills Academy 2020 37. Describe the adjustments to care and support that can be made to help the individuals in the scenarios below Michael hasn’t been outside his house for a few months due to anxiety. He is very anxious about travelling on a bus but needs to attend a hospital appointment in 2 weeks. Sally gets confused about taking a shower in the mornings, and often refuses help because she is convinced that she already has had a shower. Her personal hygiene has deteriorated. Sam has communication difficulties and has become very withdrawn since she recently moved into a shared house with 3 other people. 38. Describe how the following legislation and legal frameworks promote human rights and give equal life chances to individuals with mental health issues, dementia or learning disabilities Human Rights Act 1998 Data Protection Act 2018 and the General Data Protection Regulation Care and Support Statutory Guidance Page 15 of 30 © Careskills Academy 2020 Mental Capacity Act 2005 39. Complete the questions in the table below What do the following terms mean? Capacity Consent Why is it important to assume capacity, unless there is evidence that the individual lacks capacity? Standard 10 Safeguarding Adults (10.1a, 10.1c, 10.1d, 10.1e, 10.1f, 10.1g, 10.1h, 10.2a, 10.2e, 10.2f, 10.3a) 40. Explain what the following terms mean Safeguarding Harm Restrictive Practices Page 16 of 30 © Careskills Academy 2020 41. List the main types of abuse with their possible indicators Type of Abuse Possible Indicators 42. Why might the situations described below increase the likelihood of an individual experiencing abuse and neglect? Having a care service in their own home Being cared for in a residential setting Page 17 of 30 © Careskills Academy 2020 Experiencing a mental health issue Having communication difficulties 43. How can you help reduce risks and the likelihood of abuse in your role, and how can the complaints procedure help with this? 44. What should you do if you suspect abuse, or witness a colleague using unsafe practice? Page 18 of 30 © Careskills Academy 2020 Standard 11 Safeguarding Children (11.1) 45. Describe what your responsibilities are for Safeguarding children and young people, explaining any further training that you need, if you directly support children 46. List the laws that protect children Standard 12 Basic Life Support (12.1) 47. Explain the Basic Life Support Training that you should undertake for your workplace Page 19 of 30 © Careskills Academy 2020 48. What does Basic Life Support involve? Standard 13 Health and Safety (13.1a, 13.1d, 13.2a, 13.3a, 13.4b, 13.4c, 13.5a, 13.5c, 13.6b, 13.7a, 13.7b, 13.8a, 13.9a, 13.9b, 13.9c) 49. Identify the legislation that relates to health and safety in your workplace 50. What practical training, relating to Health and Safety, should you undertake before carrying out certain tasks? Page 20 of 30 © Careskills Academy 2020 51. What are the risks involved in the following tasks, and how can you help manage them? Risks Managing the Risks 1. Supporting an individual to move in a hoist 2. Supporting an individual with taking their medication 3. Supporting an individual to deal with their soiled bed linen 52. If there was an accident or sudden illness in the workplace, what would you do? Page 21 of 30 © Careskills Academy 2020 53. Complete the questions in the table below Once trained in Medication practice, what support duties can you carry out? Give 2 examples of Healthcare tasks that you are not allowed to perform 54. What security measures should be in place to protect you and the individuals you support 55. Answer the following questions about Fire Safety What can you do in the workplace to prevent fires from starting or spreading? What should you do in the event of a fire? Page 22 of 30 © Careskills Academy 2020 56. What are you allowed to do and NOT allowed to do in the event of an emergency where first aid is required? CAN do CAN’T do 57. What are the common signs and triggers of stress, and how can you manage the situation if you are stressed yourself? Signs Triggers I will manage by… Standard 14 Handling information (14.1a, 14.1b) 58. Identify the key pieces of legislation that apply to handling information and what you should do to protect an individual’s data. The laws that protect information What I can do to protect information Page 23 of 30 © Careskills Academy 2020 59. What security should be in place for records and why is it important to have secure systems? Standard 15 Infection Prevention and Control (15.1a, 15.1c, 15.1e) 60. Complete the questions in the table below about Infection Control What is the main way an infection can get into the body? How might your health and hygiene pose a risk to individuals you support? How should you handle infected waste or soiled linen? Assessment for Written Questioning Standard Questions 1 1-6 2 7-9 3 10-14 4 15-17 5 18-22 6 23-27 7 2831 8 32-34 9 35-39 10 40-44 11 45-46 12 47-48 13 49-57 14 58-59 15 60 Questions requiring actions by learner Assessor Feedback Assessor name Assessor signature Page 24 of 30 © Careskills Academy 2020 Health and Care Worker Review, part 1 This review can replace the Care Worker’s first supervision meeting. Discussion is required for the criteria listed below and if satisfactory the learner can be marked as competent and knowledgeable. (1.1a, 1.2a/c, 1.2f, 1.3a, 1.4d, 2.2a/b, 2.2f, 3.5d/e, 5.1b, 5.4b/c, 5.6d, 6.4a, 7.2d, 7.4d, 7.6b/c, 8.2/3e, 9.3b, 10.1b/c/k, 10.2b, 13.1e, 13.2/3/5/8b 14.1d) The learner has been given a copy of their job description The learner can: Describe their main duties and responsibilities Yes No (√) Explain their role in Safeguarding Explain the importance of working in agreed ways Explain what to do if they spot an error Explain what confidentiality means in their role Explain the security measures for visitors entering the workplace Explain the importance of person-centred care How their own views can impact on an individual Explain what they can’t do until they have completed full Moving and Handling training Explain the Healthcare tasks that they can’t perform Explain how they would discuss concerns in a team meeting Ask the learner to explain how they would report concerns about the following: An individual’s unmet needs (√) An individual’s spiritual and emotional wellbeing Confrontation in the workplace Agreed ways of working Health and Safety risks The learner can explain where they would get advice about the following: Health and Safety (√) Safeguarding Resolving Conflicts The learner has the required level of literacy, numeracy and Yes communication skills to carry out their role If the answer to the above is ‘No’ they have been supported to access help Yes with these skills If the answer to the above is ‘No’ explain the reasoning for this Page 25 of 30 No No © Careskills Academy 2020 Health and Care Worker Review, part 2 Development Plan. (2.1b, 2.1d, 2.1e, 2.2c, 2.2h, 2.2g) To be completed by the Learner What has your learning and development experience been like so far? Is there anything that you are not sure about, where you need further explanation or guidance? What are your long term professional goals and aspirations? To be completed by the learner and their line manager together Learning and Development Aims Timescale for achievement Date of Review Line Manager name Line Manager signature Page 26 of 30 © Careskills Academy 2020 Observations of Practice 1. Basic Life Support (The following observation is permitted as a simulation exercise during First Aid practical training and the learner should be signed off as competent by a qualified First Aid Trainer) Standard: 12.1 (√) Demonstrated how to perform Cardiopulmonary Resuscitation (CPR) Comments: Date: Trainer name Trainer position Trainer signature 2. Communication and Support (This observation can be carried out when making any of the other required observations) Standards: 1.1c, 1.4c, 4.2b, 5.6b, 5.6c, 5.7a, 6.5a, 6.6a, 6.6b, 7.2a, 7.2d, 7.6c, 14.1c Agreed ways of working demonstrated Demonstrated good partnership working e.g. with nursing team, family, carers Interaction with the individual/s was respectful of their preferences Attitude and behaviour promoted individual/s emotional and spiritual wellbeing Person-centred values demonstrated Demonstrated good use of verbal communication e.g. tone, position, volume Demonstrated good use of non-verbal communication e.g. eye contact, body language, pictures, signs Ensured that any communication aids/technologies were clean and working e.g. hearing aids Knew how to report any concerns about the plan of care and support to the appropriate person Maintained appropriate confidentiality and respected privacy All records current, complete, accurate and legible Comments: Date: Observer name Observer position Observer signature Page 27 of 30 (√) © Careskills Academy 2020 3. Nutrition and Hydration Standards: 8.2a, 8.2b, 8.2c, 8.2d, 8.3a, 8.3b, 8.3c, 8.3d, 8.3e Drinks left in easy reach Drinks refreshed regularly Drinks offered in accordance with Care Plan Support and encouragement to drink given Nutritional products left within easy reach Food provided at appropriate temperature for individual to eat Appropriate utensils provided for individual to eat with Support and encouragement to eat given Knew how to report any concerns to the relevant person, regarding nutrition and hydration Comments: Date: Observer name Observer position Observer signature 4. Moving and Handling Standards: 5.3a-b, 5.5a-d, 5.6c, 7.2a-b, 7.4a, 7.6a, 8.3e, 10.1j, 13.3c, 14.1c, 15.1b Suitable clothing and footwear worn Knowledgeable in the Care Plan and Risk Assessment for moving the individual Washed hands, ensuring own cleanliness and hygiene prior to move Environment prepared adequately and discomfort or distress minimised for the individual Moving equipment safe, clean and checked for good working order Appropriate assistance in place i.e. 2nd person for hoist use Consent gained from individual for the move Individual encouraged to contribute to the moving process; their independence maximised Comfort of the individual checked throughout the move Communicated well throughout the move, including any coordination with a 2 nd person Dignity and privacy respected throughout the move Environment restored correctly after the move Any issues or concerns discussed and reported appropriately All records current, complete, accurate and legible Comments: Date: Observer name Observer position Observer signature Page 28 of 30 (√) (√) © Careskills Academy 2020 5. Medication Standards: 5.4c, 5.5c, 7.6c, 8.3e, 13.5c, 13.6b, 14.1c, 15.1b Demonstrated good hand hygiene Knowledgeable in the Care Plan and Risk Assessment for the individual’s medication Gained consent from the individual to support with medication Prepared adequate aids required by the individual to take their medication PRN offered to the individual, if appropriate to do so Ensured working area was prepared correctly for medication support Checked information on the MAR and medication labels matched correctly Correct medication was given at the correct time to the individual Medication administration recorded correctly on the MAR; PRN record completed, if appropriate Able to explain what to do if there are any medication errors Medication returned to agreed storage facilities Comments: Date: Observer name Observer position Observer signature (√) Mandatory Training The following mandatory training courses have been completed by the learner and they have been given the required knowledge, understanding and practical skills for these subjects: (√) Moving and Handling Medication Practice Safeguarding Adults Safeguarding Children (if required) Infection control Food Hygiene Fire Safety First Aid Other mandatory subjects required by the organisation (please list, if applicable): Date: Line Manager name Line Manager position Line Manager signature Page 29 of 30 © Careskills Academy 2020 Online Knowledge Assessment Assessors Guidance: learner’s must score 80% to pass their online assessment. If less than 80% is scored then the learner should retake. As questions are mapped to criteria if less than 100% is scored then knowledge gaps can be identified in the learner analytics, See Careskills User Guide page 24. Retake Required Discussion with line manager to complete knowledge gaps Learner competent in knowledge required Comments: Completion Score: Yes Yes Yes Date: Line Manager name Line Manager position Line Manager signature ____% No No No Completion of the Care Certificate Learner Declaration (√) I have completed the written questions and confirm it is my own work I have completed my online training and assessment for the care certificate I have completed the required mandatory training for my role Date: Learner name Learner position Learner signature Registered Manager Declaration (√) The learner has completed and achieved the required criteria for the Care Certificate The learner has completed the required mandatory training for their role The learner is competent to carry out their role and responsibilities The learner has successfully achieved the Care Certificate Date: Manager name Manager position Manager signature Page 30 of 30 © Careskills Academy 2020