Ds THE CARE CERTIFICATE Training Portfolio Learners Name Organisation Start Date 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? Be accountable by making sure you can answer for your actions or omissions Promote and uphold the privacy, dignity, rights, health and wellbeing of people who use health and care services and their carers at all times Work in collaboration with your colleagues to ensure the delivery of high quality, safe and compassionate healthcare, care and support Communicate in an open, and effective way to promote the health, safety and wellbeing of people who use health and care services and their carers Respect a person’s right to confidentiality Strive to improve the quality of healthcare, care and support through continuing professional development Uphold and promote equality, diversity and inclusion 2. What are your organisations aims and objectives? Aims: These are the goals that your organisation wants to achieve and your role includes helping them to do this. Objectives: These are the things that need to be in place in order to achieve the aims. 3. Describe how your own experiences, beliefs and values will help you to deliver positive care andsupport Sometimes this can be difficult because your own attitudes and beliefs can interfere and assumptions can be made that aren't right. It is important that you develop your self-awareness and learn to understand that an individual's attitude and beliefs must always be considered first and taken into account when decisions are made about their care and support. Page 2 of 30 © Careskills Academy 2020 4. Explain how your working relationships are different from personal relationships Working relationships are different to personal relationships and you are expected to remain professional, at all times. Receiving a service can be stressful for the individual as it is a sign of losing independence, so you are expected to have a friendly manner, although you are not their friend. Forming open and trusting relationships with individuals helps them to accept and enjoy the service that they need. Professional boundaries must be managed so that the relationships you form are the same as your colleagues form and then the individual has a positive opinion of everyone that supports them. This stops you becoming indispensable to an individual, which would put enormous pressure on you and create problems for your colleagues when you are not at work. 5. Give 4 examples of professional relationships that you might form at work and the positive impact that these will have on an individual you support. Other people carers How they might support the individual Family carers that also care for the individual and other family members are so important in the individual's life. They have background knowledge of the individual and can share important information with you about how the individual is reacting to a situation. There might be valuable information that they can contribute to the individual's care plan so that they receive the best service. You may also help the individual to maintain their relationships with family members and support them to express their w Other professionals Other professionals must be respected for their expertise and how they can contribute to an individual's health and wellbeing. Working closely with other professionals means that the individual is going to receive the best Page 3 of 30 © Careskills Academy 2020 service and achieve the best outcomes in their care. Other professionals may include, but is not limited to a GP, nurses, dieticians, speech therapists, social workers. Advocates Advocates provide support to an individual by speaking for them on their behalf. They are specifically trained to gain an individual's opinion and decision about something and then communicate that information to those applicable. An advocate will not make decisions for the individual but ensure that the individual's wishes are heard. Volunteers Volunteers and other community groups can contribute freely to an individual care and support, and often provide an important service where the individual is unable to pay for it. Often a volunteering service will provide a visiting service to an individual that is isolated or doesn't have any family or friends and is very lonely. This makes such a positive difference to an individual and it is important that you respect the difference a volunteer can make. 6. Why are policies and procedures important in an organisation? Policies will be based on the law, regulations and national guidance which is why it is important that you adhere to them and follow procedures. Consistency Policies and procedures ensure that everyone works in the same way, which gives consistency in the service. Processes Policies and procedures set out processes to follow which prevents confusion and different practice. This will minimise anxiety. Enables Policies and procedures enable you to have confidence in your role because they tell you how to do things correctly. This in turn instils confidence in the individuals you support and that they are getting the best service. Page 4 of 30 © Careskills Academy 2020 Ensures Policies and procedures ensure high standards of working practice and that your organisation is working to national standards and legal requirements. Page 5 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 The most helpful feedback is always positive or constructive, where you can learn from it. Specific - Relevant to your practice that has been seen. Measurable – So that you can judge your progress, and know when you have succeeded. Achievable – So that you can meet the goal. Relevant - Associated with the work that you are doing. Time-based - Given as soon after the event as possible. 8. List the sources of support that you can get from people or meetings Supportive People Line manager Registered care manager Senior member of the team Other professionals Supportive Meetings Supervision meeting 9. How can Reflective Practice help you in your role? This is associated with learning from experience. Looking at particular areas of your practice or experiences can help to close the gap between theory and practical activities at work. Having opportunity to reflect on your work, or listening to others reflect on their work, whether positively or negatively will enable you to learn. Page 6 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’? A Duty of Care is a moral or legal obligation to ensure the safety or well-being of vulnerable individuals and ensuring that they do not suffer any unreasonable harm or loss. How will you demonstrate a ‘Duty of Care’ in your role? 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? You must report issues to your line manager and they will support you to help the individual manage the risk. Your organisation's Risk Assessment process will also support the right measures being put in so that the individual can do things safely. You must always inform your line manager if you are concerned about an individual's safety and wellbeing. 12. What is your understanding of the following, and how can you avoid these situations? Incident Adverse Event These are events that have a negative impact. They This is an action, or lack of it, that leads to harm usually need investigation because serious harm is which is unexpected, unintended or preventable. caused and there is damage caused. Errors Near Misses Page 7 of 30 © Careskills Academy 2020 This is when something is not done as it should be. These are situations where an individual could have It can happen through bad planning, being forgetful been harmed, but it was prevented. This could be by or not knowing how to do something properly. chance or on purpose. Page 8 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? She complaints about her wake up time What is your immediate response to the individual? Effectively listen to the complaint Acknowledge what you are told Explain clearly what you can do to help individual Follow complaints policy Report line manager Record the complaint What is the importance of learning from complaints? Less likely to reoccur again same Where can you obtain guidance about handling complaints? Who will advise you on complaints? Line manager Care home complaints policy and line manager Who do you submit your record of the complaint Line manager to? 14. What law and regulations apply to reporting incidents, adverse events, errors and near misses? 1. Legislation 2. Regulations 3. RADDOR 4. COSHH 5. PUWER Page 9 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 Means treating people with fairness and providing the same opportunities regardless of any differences they may have. Means recognizing, valuing and taking into account people’s different backgrounds and experiences. Inclusion is the act of being included and being a part of something, it is about being involved. Discrimination is about seeing differences and making a distinction in favour of or against. If it is deliberate it means that you intentionally treat someone unfairly, if it is inadvertent it means that you unintentionally treat someone unfairly. Unfairly treating a person differently because of their race, religion or sexual orientation, and excluding people who use wheelchairs by not providing access. Inadvertent Discrimination 16. How can you reduce the likelihood of discrimination, in your role? By supporting equality and inclusion you will help to reduce the likelihood of discrimination. Page 10 of 30 © Careskills Academy 2020 17. Identify a range of sources where you can get guidance on equality, diversity and inclusion Policies and Procedures The Code of Conduct Your organisation's code of practice Legislation National Standards 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? Working in a person-centred way means that you work in partnership with the individual to plan their care and support. Dignity and respect are two of the essentials when involving the individual in their care and supporting them to make their own decisions. 19. Answer the following questions on Care Planning Why is it important to have information on an Why should Care Plans individual’s background? be updated regularly? It is also important to find out information on the Care plans need to be reviewed regularly as person so that you can respect their needs and standard, at a minimum of once a year, to ensure beliefs. It may be that their religion does not allow they are still supporting the provision of the best them to eat certain foods. By finding this out, you possible care and align with a person's needs and can adjust their diet to meet their individual needs. preferences. This will help the care plan to be put together with them. Page 11 of 30 © Careskills Academy 2020 20. What is the benefit of Advance Care Planning? Allow the person to have more choice and control over what happens to them. 21. How would you know that an individual is in pain or discomfort? Verbal reporting from the individual Non-verbal communication i.e. gestures, fidgeting Changes in behaviour i.e. becoming quiet, tearful or aggressive 22. How will you demonstrate that you are person-centred and promote an individual’s self-esteem? Effective listening Effective communication Active participation Active listening Informed decisions Informed choices Page 12 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 24. Why is it important to observe and be receptive to an individual’s reactions when you communicate with them? 25. When are an individual’s communication needs and preferences usually planned and established? Page 13 of 30 © Careskills Academy 2020 26. Complete the questions in the table below What are barriers to communication? How can you reduce these barriers? 27. Complete the questions below about confidentiality What legislation and regulations are relevant to confidentiality? When you would need to pass information on? 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? Page 14 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 30. How will you support an individual to make informed choices, without influence? 31. How can you enable an individual to maintain positive relationships with their family and friends? Page 15 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? 33. What are the signs and symptoms of poor nutrition and hydration? 34. How can you promote good nutrition and hydration? Page 16 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 How might an individual feel if they had the following conditions? How might these conditions influence their care needs? 36. How can the Social Model of Disability put positivity into a disabled person’s life? Page 17 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 18 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 19 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 20 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 21 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 22 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 23 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 24 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 25 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 26 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 27 of 30 © Careskills Academy 2020 Health and Care Worker Review, part This 28 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 28 of 30 No No © Careskills Academy 2020 Health and Care Worker Review, part 29 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 29 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 30 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 31 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 32 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 33 of 30 © Careskills Academy 2020