THE CARE CERTIFICATE Training Portfolio Learners Name Organisation Start Date Shahnaz Naseer IJB Health Care 9 th November 2023 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 action or omission. 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 collabration with your colleagues to ensure the delivery of high quality,save and compassionate health care,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? Our organisation Aim is to provide extra level of care,support and logistics to vulnerable individuals that wish to be cared for in the comfort of there homes and or in a care home.We supply a range of fully trained staff covering the spectrum of health care services to meet needs of service users.To provide the right level of care and support required or needed. OBJECTIVES. Improve life and well being of our clients Maintain Independence Pay attention to details Provide personalised service and continually improve. 3. Describe how your own experiences, beliefs and values will help you to deliver positive care and support Describing the positive beliefs and values of healthcare professionals involves highlighting the principles, attitudes, and ethical considerations that contribute to high-quality and compassionate care. Here are some key aspects to consider when describing positive beliefs and values in healthcare Empathy and Compassion: Healthcare professionals should demonstrate empathy and compassion toward patients, acknowledging their emotions and providing emotional support. Respect for Dignity and Autonomy: Upholding the dignity of patients by treating them with respect, regardless of their background, condition, or circumstances. Recognizing and promoting the autonomy of patients in decision-making about their healthcare. Cultural Competence: Page 2 of 30 © Careskills Academy 2020 Valuing and respecting the cultural diversity of patients, understanding their cultural beliefs and practices, and incorporating cultural competence into care. 4. Explain how your working relationships are different from personal relationships A working relationship and a personal relationship are distinct in terms of purpose, boundaries, and the nature of interactions. Here are some key differences between the two Purpose: Working Relationship: The primary purpose of a working relationship is to achieve common professional goals and objectives. It is centered around tasks, responsibilities, and collaboration in a professional setting. Personal Relationship: A personal relationship focuses on mutual emotional support, companionship, and shared personal experiences. The primary purpose is to fulfill emotional and social needs. 5. Give 4 examples of professional relationships that you might form at work and the positive impact Boundaries: that these will have on an individual you support. Working Relationship:Other Therepeople are clear professional boundaries How in a working relationship. Interactions are often they might support the individual task-oriented and related to the responsibilities and goals of the workplace. Personal aspects are generally Positive Impacttoon Individual Support: Establishing a kept separate maintain professionalism. Caregiver-Client Relationship: positive caregiver-client relationship fosters trust, promotes Relationship: a sense of security, and enhances the Personal Personal relationships involve a blend of personal and emotional aspects. There are individual's well-being. Effective communication often fewer overall formal boundaries, and individuals share more about their personal lives, emotions, and and empathy contribute to personalized care, making the Description: This relationship involves a direct experiences. individual feel understood and valued. interaction between a caregiver (such as a nurse, Positive Impact on Individual Support: Collaborative Healthcareaide, TeamorCollaboration: Context: healthcare support worker) and an teamwork ensures that the individual's needs are individual receiving care or support addressed from various perspectives. Information sharing, coordinated care plans, and efficient communication amongThe team members to a Description: Professionals withinor a healthcare Working Relationship: context of a contribute working relationship is typically within a professional organizational holistic and well-coordinated to support, team, suchto asthe doctors, nurses, therapists, and setting. It is defined by roles, approach responsibilities, and expectations related workplace. resultingImpact in better the individual. Positive onoutcomes Individualfor Support: Effective social workers, collaborate to Relationship: provide Professional-Support Worker collaboration between professionals and support workers comprehensive care to individuals. Personal Relationship: Personal relationships exist outside of the professional context and are often formed in ensures a moreorcomprehensive understanding of the social, familial, community settings. individual's circumstances. This can lead to tailored interventions, better access to resources, and improved Communication Style: Description: This relationship involves overall support for the individual. professionals working in supportive roles, such as Families and Care Providers or Collaboration: Positive Impact on Individual Support: Working case managers, counselors, social workers, collaboratively with families ensures a continuity of care who collaborate with support workers to address Working Relationship: Communication a working is often task-oriented, and focused on and support. Families provide valuable in insights into relationship an the needs offormal, individuals. achieving specific objectives. It may individual's preferences, history, andinclude unique professional needs. Openlanguage and be structured around work-related topics. Description: Collaboration between families or communication and partnership contribute to a more primary caregivers and care providers (such as cohesive support system, enhancing the individual's Personal Relationship: tends to be more informal, expressive, and healthcare professionals or educators) to support overall quality of life. Communication in personal relationships centered around personal experiences, feelings, and sharedan interests. individual, particularly in cases involving 6. Why are policies and procedures important in an organisation? children or individuals with special needs. Professionalism: policies and procedures are essential organizational tools that provide structure, guidance, and a framework for ethical and efficient operations. They help organizations achieve their goals while promoting consistency, fairness, compliance with legal and industry standards. Workingand Relationship: Professionalism is a key aspect of working relationships. Individuals are expected to adhere to professional standards, codes of conduct, and workplace policies. Personal Relationship: While personal relationships involve trust and mutual respect, they are not bound by the same professional standards. Behavior is guided more by personal values and mutual understanding. Duration: Working Relationship: Working relationships may be project-specific or tied to employment. They can change or end based on organizational needs or individual career paths. Personal Relationship: Personal relationships may last for a lifetime, extending beyond specific projects, jobs, or life phases. Page 3 of 30 © Careskills Academy 2020 Decision-Making: 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 a valuable form of input that focuses on providing specific information and suggestions to help improve your work or performance. It is meant to be helpful, actionable, and aimed at fostering growth and development. Here's an example of constructive feedback Constructive feedback is a collaborative tool that, when delivered effectively, can contribute to professional growth and improvement. 8. List the sources of support that you can get from people or meetings Supportive People Supportive Meetings Mentorship: Meeting Facilitators: Experienced individuals can provide guidance, advice, and support to those seeking to develop their skills or navigate their careers. Trained facilitators can guide meetings, ensuring effective communication, participation, and decision-making. Training and Development Programs: Agenda Planning: Organizations often offer training programs to enhance the skills and knowledge of employees, helping them perform their roles more effectively. Well-structured agendas help set the tone for meetings, ensuring that key topics are covered and time is used efficiently. Technology Support: Employee Assistance Programs (EAP): 9. How can Reflective Practice help you in your role? Reflective practice is a process through which individuals andcan systematically think about their own professionals assist with technical aspects, EAPs provide confidential counseling services to help ITdeliberately experiences to gain insight andorimprove their professional practice.that audiovisual equipment, online platforms, ensuring employees manage personal work-related issues and other technologies function smoothly during affecting their well-being. To incorporate reflective practice into your routine, you can keep a reflective journal, participate in supervision meetings. or mentoring sessions, or engage in reflective discussions with colleagues. The key is to create a structured Workplace Coaching: and intentional process for reflecting on your experiencesCollaboration and using those reflections to inform your Tools: professional growth and decision-making. Coaching services can help individuals set and achieve personal and professional goals, fostering their growth and development. Using collaboration tools, such as project management software or video conferencing platforms, can enhance communication and document sharing during meetings. Peer Support Groups: Scribe or Note-Taker: Connecting with peers who share similar experiences can provide emotional support and a sense of community. Flexible Work Arrangements: Having someone dedicated to capturing meeting minutes or key discussion points ensures a record of Pagedecisions 4 of 30 and action items. © Careskills Academy 2020 Preparation Resources: Employers may offer flexible work options to support individuals in managing their work-life balance and 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? Duty of care" refers to the legal and ethical obligation to ensure the safety, well-being, and rights of individuals or groups in a particular relationship or setting. This concept is fundamental in various professional and personal contexts, and it implies a responsibility to take reasonable steps to prevent harm or injury that could be reasonably foreseeable. Scenario: A health care worker Demonstrating Duty of Care Imagine a health care worker working in a hospital setting. Here's how they might demonstrate duty of care: In professional settings, duty of care is often associated with roles that involve providing services or care to others, Assessment: such as healthcare professionals, educators, social workers, caregivers. However, it can also extend 11. If anand individual wanted to do something thattoyou think is unsafe, how would you deal with this, everyday situations where one person owes a duty to whilst taking their rightsofinto consideration? another, such as in the context employers to employees The carer conducts a thorough assessment of the patient's condition, taking into account their medical or businesses to customers. current symptoms, and any relevant In situations where someone wishes to engage in an activity history, that may be considered unsafe, it's other essential to information. approach the issue with respect for their autonomy while also considering the potential risks.I will Key elements of duty of care Initiate a respectful and openinclude: conversation with the individual.Communication: Clearly express my concerns about the potential risks associated with the activity they want to pursue. I share relevant information about the potential risks and consequences of the chosen activity.i ensure the The carer communicates effectively with the patient, Standard Care: individual of has a comprehensive understanding of the situation. explaining the planned care, answering questions, and ensuring the patient understands their treatment options and any potential risks. Individuals or professionals are expected to provide a Safety Measures: standard of care that is reasonable and in line with the standards accepted within their profession or community. 12. What Harm: is your understanding of the following, and how can you avoid these situations? Preventing The carer takes appropriate safety measures, such as checking patient identifiers, Incident Adverse Eventconfirming allergies, and ensuring the correct administration of An incident couldinvolves refer to taking an unexpected event thatto medications treatments to prevent harm. An adverse eventor refers to an undesirable and The duty of care reasonable steps has the potential to affect the safety or well-being of a unintended occurrence that happens during or after the prevent harm or minimize risks that could be reasonably patient, staff This member, or visitor. mightininclude a Monitoring: use of a medical product or intervention, but is not anticipated. includes being This proactive identifying medication error,potential a fall, orhazards a medical necessarily caused by the product or intervention itself. and addressing or equipment dangers. malfunction. Legal and Ethical Obligation: Avoiding incidents requires a proactive and The carer closely monitors theimplementing patient's vital signs, Avoiding adverse events involves preventative approach. While it may not be possible to strategies responses to treatment, and overall well-being.ofAny to prevent and minimize the occurrence eliminate all risks, the goal is to identify potential changes concerns promptly incidents that or could lead toare harm, injury,addressed. or negative hazards and take to minimize likelihood Duty of care is notmeasures only a moral or ethicalthe obligation but outcomes. of incidents can do to avoid Documentation: Near Misses also a legal occurring.I one. Breaching thisthese duty steps may lead to legal Errors incident. consequences, including liability for negligence. Errors can have significant implications for the A nearmisses is an incident that did not result in harm but well-being and safety of the individuals under our care. had the potential to cause harm..I can aviod by Risk Assessment. Reasonable Foreseeability: Errors in the context of caregiving refer to mistakes, Reporting Culture: Accurate and timely documentation is maintained, oversights, orEducation: inaccuracies that occur in the delivery Training and detailing the care provided, the patient's response, of care service Near and Misses anyInvestigations: modifications to the care plan. This ensures Clear Communication: Regular Inspections and Audit. The concept of reasonable foreseeability is crucial. Duty of continuity of care and effective communication Collaborative Problem-Solving: among the healthcare team. care is not absolute, and individuals are generally Medication Measures: Emergency Preparedness: expected toSafety anticipate and address foreseeable risks. The Advocacy: level of care required may vary depending on the Patient or Client Engagement: circumstances. Page 5 of 30 © Careskills Academy 2020 If the patient's needs or concerns are not being adequately addressed, the nurse advocates for the patient's rights and well-being, collaborating with other healthcare professionals to find appropriate 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? The individual complaining about poor communication, lack of information, or difficulties in understanding care plans or instructions. What is your immediate response to the individual? My immediate response is to Improve communication channels, provide clear and concise information, and encourage open dialogue. Regularly check in with the individual to address questions or concerns. What is the importance of learning from complaints? Complaints provide valuable feedback on areas that need improvement. By analyzing complaints, organizations can identify weaknesses in processes, services, or communication and take corrective actions to enhance overall performance. Where can you obtain guidance about handling complaints? Supervisors and Managers: Organizational Policies and Procedures. Supervisor or Manager. Who will advise you on complaints? Who do you submit your record of the complaint to? Supervisor or Manager 14. What law and regulations apply to reporting incidents, adverse events, errors and near misses? The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR) This places duties on responsible persons working on the premises to report specific workplace accidents, occupational diseases and specific dangerous occurrences or near misses to their local Health and Safety Executive (HSE). 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 Equality is a fundamental principle that refers to the state of being equal, especially in terms of rights, opportunities, and treatment. It involves the idea that every individual should have the same rights, opportunities, and access to resources regardless of various characteristics or circumstances. Diversity Diversity refers to the presence of a wide range of differences and variations among individuals in a specific group, community, or society. These differences can manifest in various aspects, including but not limited to race, ethnicity, gender, age, sexual orientation, socioeconomic status, physical abilities, religious beliefs, educational background. Inclusion Inclusion refers to the practice of actively involving and embracing individuals from diverse backgrounds, experiences, and identities in all aspects of social, economic, educational, and cultural life. It goes beyond mere tolerance and diversity by creating environments where everyone feels valued, respected, and fully engaged. Discrimination Deliberate Discrimination Inadvertent Discrimination Discrimination refers to the unjust or prejudicial treatment of individuals or groups based on certain characteristics, such as race, gender, age, religion, ethnicity, sexual orientation, disability, or other attributes. Discrimination involves treating people unfairly or denying them equal opportunities and rights because of these characteristics, leading to a negative impact on their well-being, opportunities, and experiences. Deliberate discrimination refers to intentional and purposeful acts of unfair treatment or prejudice against individuals or groups based on certain characteristics. Unlike unintentional biases or systemic discrimination, deliberate discrimination involves a conscious choice to engage in discriminatory behavior. Inadvertent discrimination refers to unintentional and unconscious acts or practices that result in unfair treatment or disadvantage to individuals or groups based on certain characteristics. 16. How can you reduce the likelihood of discrimination, in your role? Reducing the likelihood of discrimination in my role involves a proactive and ongoing commitment to creating an inclusive and respectful environment. Here are some practical steps i can take: Raise Awareness: Educate myself: Challenge my Biases. Promote Equal Opportunities: Implement Fair Policies: 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 various reputable sources where i can find guidance on equality, diversity, and inclusion. Here are some key sources across different categories: Government Agencies and Departments Nonprofit and Advocacy Organizations: Legal Resources: Training Providers: Books and Publications: 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? Promoting person-centered values and dignity in my day-to-day work involves adopting a mindset that prioritizes individual preferences, needs, and rights. Here are practical ways to put person-centered values into practice and promote dignity in my work: Maintain Privacy and Confidentiality: Respect and Empathy Informed Decision-Making: Effective Communication: 19. Answer the following questions on Care Planning Why is it important to have information on an individual’s background? Having information on an individual's background is important for several reasons, especially in contexts where care, support, or services are provided. Understanding an individual's background contributes to person-centered care and helps in tailoring support to meet their specific needs. Why should Care Plans be updated regularly? Regular updates to care plans are essential for ensuring that the care provided remains effective, person-centered, and responsive to the evolving needs and preferences of the individual receiving care. Page 8 of 30 © Careskills Academy 2020 20. What is the benefit of Advance Care Planning? Advance care planning (ACP) offers several benefits for individuals, their families, and healthcare providers. Here are some key advantages: Empowerment and Autonomy: Improved Communication: Reduced Family Burden Respect for Individual Choices: Promotes a Comfortable Environment: 21. How would you know that an individual is in pain or discomfort? Apart from the individual telling me that they are in pain or discomfort , there are also non verbal signs.The way they look,their body language such as gestures or facial expressions could be a good sign, doubling over,gritted teeth,pale complexion,sweating,tears or furrowed brows. 22. How will you demonstrate that you are person-centred and promote an individuals self-esteem? Demonstrating a person-centered approach and promoting an individual's self-esteem involves recognizing and respecting their unique needs, preferences, and strengths. Actively listen to the individual's concerns, preferences, and opinions. This demonstrates respect and helps build trust. Acknowledge and respect the individual's preferences and choices, even if they differ from my own. This includes respecting cultural, religious, and lifestyle choices. Person-centered care involves tailoring support to align with the individual's value: Involve the individual in decision-making about their care and support. Collaborate on setting goals, planning activities, and making choices related to their daily life. This fosters a sense of control and empowerment. 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 Augmentative and Alternative Communication (AAC): Visual Aids: AAC methods include the use of communication Written Communication: devices, picture boards, symbols, or sign language to support individuals with speech or language difficulties. Visual such as charts, graphs, and pictures can Use of aids Technology: help convey information. Technology can assist in communication. Text Simple Language: messaging, email, social media, or communication apps can provide alternative means for individuals to express themselves. Active Listening: Using and straightforward language can aid Use ofsimple Gestures: Non-verbal cues such as facial expressions, gestures, and body language play a crucial role in communication. comprehension. Avoiding complex vocabulary and breaking information into smaller, more manageable chunks can be effective. Actively listening to the individual's attempts to Incorporating gestures or simple sign language can communicate and responding appropriately encourages enhance communication. This is particularly useful for a supportive communication environment. individuals who may have difficulty with verbal 24. Why is it important to observe and be receptive expression. to an individual’s reactions when you communicate Providing information in Body written form can be helpful. Facial Expressions and Language: This includes written instructions, notes, or messages to support understanding and communication. with them? Observing and being receptive to an individual's reactions when communicating with them is crucial for several reasons: Observing an individual's reactions allows me to assess the effectiveness of my communication. Their responses, whether verbal or non-verbal, provide valuable feedback on whether the message is understood, causing confusion, or generating a positive or negative emotional response. Individuals have diverse communication styles, preferences, and needs. Being receptive to their reactions helps me tailor my communication approach to align with their unique requirements, ensuring that the information is conveyed in a way that is accessible and meaningful to them. 25. When are an individual’s communication needs and preferences usually planned and established? Individuals' communication needs and preferences are typically planned and established during the assessment and care planning process. When an individual first enters a care or support setting, an initial assessment is conducted to gather information about their background, health status, and any specific needs they may have, including communication needs. This assessment helps identify potential barriers and informs the development of a personalized care plan. Person-centered planning involves collaborating with the individual, their family, and relevant stakeholders to understand their goals, preferences, and aspirations. 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? Barriers to communication can impede the effectiveness of interpersonal interactions and the exchange of information between individuals. These barriers can occur at various stages of the communication process and can be influenced by factors related to the sender, receiver, message, or the communication environment. These are barriers to communication. Language Barriers: Cultural Differences: Psychological Barriers: Reducing communication barriers involves adopting strategies that promote effective and clear communication, fostering understanding and mutual respect among individuals. Cultural Competence: Develop cultural competence to understand and respect diverse cultural norms, communication styles, and preferences. Clear and Concise Language: Using clear and concise language to convey messages. Avoid jargon, technical terms, or ambiguous language that may lead to misunderstanding. 27. Complete the questions below about confidentiality The Human Rights Act 1998, which protects the right to respect for private and family life. What legislation and regulations are relevant to confidentiality? The Care Act 2014, which sets out the principles and duties of care and support for adults. When you would need to pass information on? The Data Protection Act 2018 and the General Data Protection Regulation (GDPR), theon processing As a care worker, i may need towhich pass regulate information to other of personal data. professionals or agencies for various reasons, such as ensuring the safety and well-being of the person i care for, Common Lawcare on confidentiality, whichbenefits is basedand on services. case law coordinating plans, or accessing and professional codes of conduct. Standard 7 Privacy and Dignity Other laws that require or permit disclosure of confidential information in certain as public health, However, i also have circumstances, a duty to protectsuch the confidentiality of safeguarding, or court orders. the person i care for and only share information that is relevant and necessary for the purpos. (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? i will maintain the privacy and dignity of an individual i Include them in everything that is being done and respect their choices and preferences i will Provide cover by closing curtains, screens or doors when assisting them with personal care and Not discuss their private issues with others without their consent or Watch my body language and avoid expressions or gestures that might be disrespectful or intrusive Administer medication discreetly and confidentially. 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 when a person is receiving personal care such as bathing, dressing or toileting. This could make the person feel embarrassed, exposed or violated. I would stop this from happening,I should always ask for the person's consent, close the curtains, screens or doors, cover the person with a towel or blanket and only expose the parts of the body that need to be washed or dresss. when they are reading, praying or meditating. This could make the person feel intruded, annoyed or disrespected. To stop this from happening, I should always respect the person's wishes,I knock on the door or speak before i enter their room, and ask them if they need anything or want some company. 30. How will you support an individual to make informed choices, without influence? Supporting an individual to make informed choices without influence is a fundamental aspect of person-centered care. Here are key principles and strategies to ensure individuals can make decisions autonomously Respect Autonomy: Recognize and respect the individual's right to make their own decisions. Understand that each person has unique preferences, values, and priorities. Provide Information: Offer clear, accurate, and unbiased information about the options available. Present information in a format that the their communication andwith any potential barriers. 31.individual How cancan youunderstand, enable an considering individual to maintain positivepreferences relationships their family and friends? Encourage Questions: Maintaining positive relationships with family and friends is crucial for overall well-being. Here are some strategies to enable individuals to cultivate and sustain positive relationships: Create an open and non-judgmental environment that encourages the individual to ask questions. Be responsive to their inquiries and provide additional information as needed. Effective Communication: Clarify Preferences: Encourage and honestpreferences communication. Understandopen the individual's and priorities. What matters to them? What are their values? This information can guide decision-making and ensure choices align with their personal goals. Actively listen to others, showing empathy and understanding. Explore Alternatives: Express thoughts and feelings clearly and respectfully. Set Boundaries: Discuss alternative options with the individual. Presenting a range of choices allows them to consider various possibilities and select the option that best aligns with their preferences. Page 12mutual ofwith 30their © Careskills Establish healthy boundaries to ensure personal space respect. the goal is to empower individuals to make choices thatand align own values and preferences. By Academy 2020 following these principles, care workers can help create an environment where individuals feel informed, Clearly communicate boundaries to avoid misunderstandings. supported, and in control of their own decisions. Quality Time: Standard 8 Fluids and Nutrition (8.1a, 8.1b, 8.1c, 8.1d) 32. What is the importance of Food Hygiene? Food hygiene is crucial for several reasons, primarily related to safeguarding public health and preventing the spread of foodborne illnesses. Here are some key reasons highlighting the importance of food hygiene: Prevention of Foodborne Illnesses: Proper food hygiene practices help prevent the contamination of food with harmful microorganisms such as bacteria, viruses, and parasites. This, in turn, reduces the risk of foodborne illnesses. Public Health and Safety: Ensuring food hygiene is essential for protecting the health and safety of consumers. Contaminated food can lead to a wide range of illnesses, some of which can be severe or even fatal. 33. What are the signs and symptoms of poor nutrition and hydration? Compliance with Regulations food hygiene is vital for protecting public health, ensuring the safety of the food supply, and maintaining the trustnutrition and confidence of consumers. individuals handling food home and businesses the food Poor and hydration can haveBoth a range of negative effects onatthe body. Here are someinsigns and industry play a crucialwith roleinadequate in upholding these standards. symptoms associated nutrition and hydration: Signs and Symptoms of Poor Nutrition: Weight Changes: Unintended weight loss or gain may be indicative of nutritional deficiencies or imbalances. Fatigue and Weakness: Many countries and regions have strict regulations and guidelines regarding food safety and hygiene. Adhering to these regulations is not only a legal requirement but also a responsibility to protect the 34. How canofyou promote good hydration? well-being consumers. Lack of essential nutrients can leadnutrition to fatigue,and weakness, and a general lack of energy. Maintaining Pale Skin: Reputation: Promoting good nutrition and hydration involves encouraging and facilitating healthy eating and drinking habits. Here are several strategies to promote good nutrition and hydration: Businesses in theoffood such as restaurants, and food skin. manufacturers, depend on a good Insufficient intake iron industry, or other nutrients may result incafes, pale or sallow reputation. A single incident of foodborne illness can significantly damage a business's reputation and lead financial 1.toEducation and Awareness: Hair and Naillosses. Issues: Provide education onand the brittle importance of anails balanced diet andof staying hydrated. Brittle hair, hair loss, or ridged can be signs nutritional deficiencies. RaiseWound awareness about the impact of nutrition and hydration on overall health and well-being. Poor Healing: 2. Access to Nutritious Foods: Page 13 ofwounds 30 and injuries. Inadequate nutrition can slow down the body's ability to heal © Careskills Academy 2020 EnsureProblems: that individuals have access to a variety of nutritious foods, including fruits, vegetables, whole grains, Dental lean proteins, and dairy products. 3. Encourage Balanced Meals: 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 How might an individual feel if they had the following conditions? Dementia Learning Disability Psychosis: Dementia: Learning Disability: Individuals with psychosis may experience a disconnection from reality, hallucinations, and delusions. Individuals with dementia may experience memory loss, cognitive decline, and changes in personality and behavior. Individuals with learning disabilities may face challenges in acquiring and using skills related to reading, writing, math, and communication. They may feel confused, frightened, or overwhelmed by thoughts that others may not understand. They may feel frustrated, confused, and frightened by their inability to remember things. Anxiety and fear of judgment or harm are Psychosis: common. Emotional ups and downs, mood swings, and periods of agitation can Dementia: occur. They may experience frustration, low self-esteem, and a sense of inadequacy. Feelings of isolation and difficulty in social Learning Disability: situations may be common. Depression: Educational Support: Care Coordination: Daily Living Support: Tailored educational Individuals with psychosis Assistance with activities often require coordinated of daily living (ADLs) such plans to accommodate Individuals with How might these learning styles and care involving mental as bathing, dressing, and depression often challenges. health professionals, eating. conditions influence experience persistent physicians, and possibly feelings of sadness, their care needs? Life Skills Training: social services.and a lack Cognitive Stimulation: hopelessness, Assistance in developing Engaging activities that of interest in activities. essential life skills, Medication Management: stimulate cognitive including communication Proper administration and function and memory. They may feel fatigued, and social skills. monitoring have troubleof antipsychotic medications may be Structured Environment: concentrating, and Advocacy: Support in crucial. with low Creating a familiar and struggle advocating for the structured environment to self-esteem. individual's needs within Therapeutic Support: reduce confusion. educational and Psychotherapy and Isolation and a sense of community counseling can to help Medication 36. How can the Social Model of Disability put positivity into aManagement: disabled person’s life? settings. being a burden others individuals manage Some medications may be are common feelings. Transition Planning: symptoms, gain insight, prescribed to manage Planning for transitions, and develop coping symptoms or slow the Anxiety: suchenvironmental as from school to The Social Model of Disability is a framework that views disability as a result of social and strategies. progression. or independent barriers rather than an inherent personal limitation. This model emphasizes the need towork address and remove living. these barriers to create a more inclusive and equitable society. Adopting the Social Model of Disability can Crisis Intervention: In bring positivity into a disabled person's lifeindividuals in several ways: some cases, Anxiety disorders can lead may require crisis to excessive worry, fear, intervention services and apprehension. during acute episodes. Empowerment: Physical symptoms such Depression: as restlessness, muscle tension, and difficulty sleeping may be present. The Social Model shifts the focus from the individual's impairment to the societal barriers they face. This shift empowers disabled individuals by validating theiron experiences and emphasizing their capacity to lead fulfilling Therapeutic Interventions: Individuals may feel lives when barriers are removed. Psychotherapy, edge, irritable, and may counseling, avoid certainand situations Reduced Stigma: cognitive-behavioral that trigger anxiety therapy are often beneficial. Page 14 of 30 © Careskills Academy 2020 By challenging the notion that disability is solely a medical problem, the Social Model helps reduce the stigma Medication Management: associated with disabilities. ItAntidepressant promotes the understanding that everyone has unique abilities and that differences should be accepted and celebrated. medications may be prescribed and require Inclusive Communities: monitoring. 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. It's understandable that Michael's anxiety is impacting his ability to leave the house and travel on a bus. Here are some suggestions to help him manage his anxiety and prepare for the upcoming hospital appointment It's essential to approach this situation with empathy and understanding. Encourage Michael to take small steps at his own pace, and recognize and celebrate his achievements along the way. If the anxiety persists or worsens, seeking professional help is crucial for developing a tailored plan to address his specific concerns. 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. Sally's confusion and refusal of help in maintaining personal hygiene could be indicative of various underlying issues, including cognitive decline, dementia, or mental health concerns. It's essential to approach this situation with sensitivity and explore strategies to address her needs. It's crucial to involve healthcare professionals early on to assess Sally's overall well-being and provide tailored recommendations for her specific situation. Working collaboratively with her and her support network can help address her needs while maintaining her dignity and autonomy as much as possible. Sam has communication difficulties and has become very withdrawn since she recently moved into a shared house with 3 other people. Sam's communication difficulties and withdrawal after moving into a shared house could be influenced by various factors. It's essential to approach the situation with empathy and take steps to support her social integration and well-being. Building connections and overcoming communication difficulties may take time. It's important to involve Sam in decisions that affect her, respect her autonomy, and create a supportive and understanding living environment. 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 The Human Rights Act 1998 has been a significant development in the protection of human rights in the UK, providing a domestic legal framework for individuals to enforce their rights more effectively. It has played a crucial role in shaping legal decisions and ensuring that public authorities respect the fundamental rights and freedoms of individuals. The GDPR and DPA 2018 work together to regulate the processing of personal data in the UK, with the GDPR setting the overarching framework and the DPA 2018 providing additional details and adaptations for domestic application. Organizations operating in the UK must comply with both pieces of legislation to ensure the lawful and ethical processing of personal data. the "Care and Support Statutory Guidance" refers to the guidance issued by the government of the United Kingdom to accompany the implementation of the Care Act 2014. The Care Act 2014 is a significant piece of legislation in England that introduced reforms to the social care system. The "Care and Support Statutory Guidance" provides detailed information and explanations regarding the provisions outlined in the Care Act 2014. It Page 15 of 30 © Careskills Academy 2020 aims to assist local authorities, health professionals, social care practitioners, and other relevant stakeholders in understanding how the law should be applied in practice. Mental Capacity Act 2005 The Mental Capacity Act 2005 aims to empower individuals, respect their autonomy, and provide a legal framework for making decisions on behalf of those who lack capacity. It sets out clear principles and procedures to guide decision-making, with a focus on promoting the best interests of the individual. The Act is underpinned by five key principles: (a) Every adult has the right to make their own decisions unless proven otherwise. (b) Individuals must be assumed to have capacity unless proven otherwise. (c) Individuals should be supported to make their own decisions. (d) Any decision or action taken on behalf of an individual must be in their best 39. Complete the questions in the table below interests. (e) Actions taken or decisions made on behalf of an individual should be the least restrictive option. What do the following terms mean? Capacity Consent Consent is a crucial concept in various fields, including law, healthcare, ethics, and personal relationships. The definition of consent can vary slightly depending on the context, but at its core, consent involves voluntary, informed, and In each context, the definition of capacity is tailored to unequivocal agreement or permission given by an the specific area of interest, and it often involves individual for a specific action, procedure, or measuring or assessing the ability or capability of a interaction. system, individual, or entity. Why is it important to assume capacity, unless there is evidence that the individual lacks capacity? The term "capacity" has different meanings in various contexts, and its definition may vary depending on the field or discipline in which it is used. is a fundamental of respecting Assuming capacity unless there is evidence to the contraryConsent is a fundamental principleaspect in various legal and individual ethical frameworks, particularly in the context of decision-making andautonomy consent. and personal boundaries. It is crucial to ensure that consent is explicit, continuous, and essential based onto a recognize clear understanding the relevant While presuming capacity is a fundamental principle, it is also situations of where evidence information. Consent can be given or withdrawn at suggests that an individual may lack capacity. In such cases, appropriate assessments and support anybest time, and parties should mechanisms should be in place to safeguard the individual's interests whileinvolved respecting theiractively rights and communicate to maintain a consensual and respectful dignity. interaction. 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 Safeguarding is the process of protecting individuals, especially those who are vulnerable or at risk, from harm, abuse, or neglect. It involves taking steps to ensure their well-being, rights, and dignity are respected and preserved. Harm is any negative consequence, injury, damage, or adverse effect that results in physical, emotional, financial, or other forms of loss or suffering. It may be intentional or unintentional and can affect individuals, groups, property, or well-being. Restrictive practices involve interventions or measures that restrict an individual's freedom of movement or autonomy, often for reasons related to safety, behavior management, or risk reduction. These practices may include physical restraints, seclusion, or the use of certain medications Page 16 of 30 © Careskills Academy 2020 41. List the main types of abuse with their possible indicators Type of Abuse Physical Abuse: Possible Indicators Unexplained bruises, fractures, or injuries. Inconsistent explanations for injuries. Emotional/Psychological Abuse: Signs of restraint, like rope marks on wrists. Unexplained changes in behavior or personality. Fearfulness or anxiety. Sexual Abuse: Social withdrawal and isolation. Unexplained genital infections or injuries. Low self-esteem. Fear of specific people or places. Neglect: Sexualized behavior inappropriate the individual's Poor hygiene, including unwashed for clothes and body. age. Malnutrition or dehydration. Financial or Material Abuse: Lack of necessary medical care. in financial situations. Unexplained or sudden changes Unauthorized use of the individual's funds or property. Verbal or Emotional Abuse: Harsh criticism or constant belittling. Humiliation or ridicule. Digital or Cyber Abuse: Social isolation or controlling behavior. Unexplained changes in online behavior. Threats or harassment through digital means. Discriminatory Abuse: Unauthorized use of someone's online accounts. Differential treatment based on race, ethnicity, gender, or other characteristics. Offensive language or behavior targeting specific groups. Institutional Abuse: Poor conditions in care facilities. Exclusion or isolation based on discriminatory beliefs. Lack of privacy and dignity. Self-Neglect: Inadequate training and supervision of staff. Poor personal hygiene. Refusal of necessary medical treatment. Inability to meet basic needs for food, shelter, and safety. 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 The situation of having a care service in an individual's own home may present unique challenges and considerations that could potentially increase the likelihood of abuse and neglect. It's important to note that not all care services in the home lead to abuse or neglect, and many are provided with the highest standards of care. However, certain factors associated with home care settings can contribute to increased vulnerability. Being cared for in a residential setting can, in certain situations, present factors that may increase the likelihood of an individual experiencing abuse and neglect. It's crucial to emphasize that many residential care settings provide high-quality care, and the following considerations are not universally applicable. However, certain conditions within residential settings can contribute to an elevated risk of abuse and neglect. Here are some reasons why this might be the case: Page 17 of 30 © Careskills Academy 2020 Experiencing a mental health issue Having communication difficulties Experiencing a mental health issue can increase an individual's vulnerability to various challenges, including the risk of abuse and neglect. Mental health issues can impact a person's cognitive and emotional functioning, making it important to consider their unique needs and circumstances. Here are several reasons why individuals experiencing mental health issues may be at an increased risk of abuse Experiencing and neglect: communication difficulties can pose unique challenges, and individuals facing such challenges may be at an increased risk of abuse and neglect. Communication difficulties can include speech and language disorders, non-verbal communication challenges, cognitive impairments affecting communication, or a combination of these factors. Here are several reasons why individuals with communication difficulties may be more vulnerable to abuse and neglect: 43. How can you help reduce risks and the likelihood of abuse in your role, and how can the complaints procedure help with this? Reducing risks and the likelihood of abuse is a critical aspect of various roles, especially those involving care, support, or service provision. Here are ways you can contribute to risk reduction and how the complaints procedure can play a crucial role in this process: Reducing Risks and Likelihood of Abuse: Promote a Positive and Respectful Environment: Foster a culture of respect, dignity, and inclusivity within your role. Ensure that individuals are treated with kindness and consideration, promoting a positive and supportive environment. Implement Comprehensive Training: 44. What should you do if you suspect abuse, or witness a colleague using unsafe practice? Participate in or provide training programs that educate staff, caregivers, or team members on recognizing and preventing abuse. Training should cover topics such as communication, safeguarding principles, and ethical conduct. If you suspect abuse or witness a colleague using unsafe practice, it is crucial to take immediate and Regular Monitoring Supervision: appropriate action toand ensure the safety and well-being of those involved. Here are steps to follow: Establish forSafety: regular monitoring and supervision to ensure that care practices align with policies and 1. Ensure systems Immediate ethical standards. This helps identify and address any issues or concerns promptly. If there is an immediate risk of harm, prioritize the safety of the individuals involved. If necessary, intervene to Encourage Open Communication: prevent further harm, and call for emergency assistance if the situation requires it. 2. Report to a Supervisor or Manager: Foster an environment individuals feel comfortable expressing theirofneeds, concerns, or grievances. Report your concerns towhere a supervisor, manager, or someone in a position authority within your organization. Encourage open communication with serviceincluding users and colleagues, makingsuch it easier to identify andand Provide a detailed account of what youboth observed, any relevant details, as time, location, address potential problems. individuals involved. Implement SafeguardingProtocols: Policies and Procedures: 3. Follow Organizational Adhere to the established protocols and reporting procedures of your organization. Many organizations have specific policies for reporting and addressing concerns related to abuse or unsafe practices. Follow these Adhere to and promote safeguarding policies and procedures. Ensure that staff and team members are familiar guidelines to ensure a proper and documented response. with these policies, which should outline clear protocols for reporting and addressing abuse or neglect. 4. Document the Incident: Ensure Informed Consent: Document the incident as thoroughly as possible. Include details such as the date, time, location, individuals involved, and a description of what you observed. This documentation can serve as crucial evidence in the investigation process. Obtain informed consent for all care procedures andPage interventions. and involve 18 of 30 Respect individuals' autonomy © Careskills Academy 2020 them in decision-making 5. Support the Individualswhenever Involved: possible. This helps prevent situations where actions may be perceived as abusive due to a lack of understanding or consent. If appropriate and within your role, provide support to the individuals who may have been affected by the Promote This Independence: incident. support may include offering a safe space, listening to their concerns, and connecting them with appropriate resources, such as counseling services. 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 Responsibilities for Safeguarding Children and Young People: Awareness and Vigilance: Stay informed and vigilant about signs of abuse or neglect in children and young people. Report and Document Concerns: Report any concerns promptly to the designated safeguarding officer or relevant authority. Document observations, incidents, and reports following organizational protocols. Collaboration with Colleagues: 46. List the laws that protect children Collaborate with colleagues to create a safe and supportive environment for children and young people. Maintain Confidentiality: Laws protecting children can vary by jurisdiction, but several international, national, and regional laws aim to safeguard the rights and well-being of children. Here are some key international and national laws commonly referenced in the context of child protection: Handle information related to safeguarding with utmost confidentiality, sharing it only with authorized individuals. International Laws: Training: Attend Safeguarding United Nations Convention on the Rights of the Child (CRC): Participate in regular safeguarding training to stay updated on best practices, legal requirements, and organizational policies. A comprehensive treaty that outlines the civil, political, economic, social, and cultural rights of children. It sets out the fundamental rights and protections that should be afforded to every child. Promote a Child-Centric Approach: Optional Protocols to the CRC: Standard 12 Basic Life Support Advocate for a child-centric approach, ensuring that the best interests of the child are prioritized in all decisions (12.1) and actions. Optional Protocols address specific issues, such as the involvement of children in armed conflict and the sale of children, child prostitution, and child pornography. Supportive 47. ExplainCommunication: the Basic Life Support Training that you should undertake for your workplace National Laws (Examples from Various Countries): Basic Life Support (BLS) training is essential for individuals in various workplaces to respond effectively in United States: Foster open and supportive communication with children young people tofailure. encourage disclosure and emergency situations, especially those involving cardiac and arrest or respiratory The specific requirements express their needs and concerns. for BLS training can vary depending on the workplace and the industry. However, here is a general overview of the components typically included in Basic Life Support training: Engage with Families and Caregivers: Child Abuse Prevention and Treatment Act (CAPTA): 1. Cardiopulmonary Resuscitation (CPR): Collaborate with families and caregivers to create a holistic support system for the child or young person. Provides funding to states to support prevention, assessment, investigation, prosecution, and treatment Objective:federal To train individuals in providing CPR to someone experiencing cardiac arrest. activities related to childRequirements: abuse and neglect. Compliance with Legal Components: Children's Online Privacy Protection Act (COPPA): Recognition of cardiac arrest. Page 19 of 30 © Careskills Academy 2020 Adhere to legal requirements related to safeguarding and child protection. Activation of emergency medical services (EMS). Regulatestothe online collection of personal information from children under 13. Respond Disclosure: Chest compressions: Proper technique and depth. United Kingdom: 48. What does Basic Life Support involve? Basic Life Support (BLS) involves a set of emergency procedures designed to sustain life and provide assistance to individuals experiencing cardiac arrest, respiratory failure, or other life-threatening emergencies. The primary goal of BLS is to maintain vital functions, such as breathing and circulation, until advanced medical care can be administered. Here are the key components of Basic Life Support: 1. Recognition of Emergency: Objective: Identify signs of a life-threatening emergency. Actions: Assess the situation for safety. Standard 13 Health and Safety Determine if the person is unresponsive or not breathing normally. (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, 2. Activation of Emergency Response System: 13.9c) 49. Identify the legislation that relates to health and safety in your workplace Objective: Initiate the process for professional medical assistance. Actions: As a healthcare worker, the legislation related to health and safety may vary based on your specific location and of your healthcare setting. Below aresomeone examples of common Call the for nature emergency medical services (EMS) or ask else to do so. legislation that often relate to health and safety in healthcare workplaces, but it's essential to check the specific laws applicable to your region: Provide essential information to the dispatcher, including location and details of the emergency. Health and Safety at Work Act 1974 (United Kingdom): 3. Checking for Responsiveness: Relevance: Establishes the legal framework for ensuring the health and safety of people at work, including healthcare settings.whether the person is responsive. Objective: Assess Actions: Tap the person and shout loudly to check for responsiveness. 4. Assessment of Breathing: Objective: Determine if the person is breathing normally. Actions: 50. What practical training, relating to Health and Safety, should you undertake before carrying out Lookcertain for chesttasks? rise and fall. Listen for breathing sounds. Feel for carrying breath onout your cheek. Before certain tasks, especially those that involve potential health and safety risks, individuals should undergo practical training to ensure they have the knowledge and skills necessary to perform the tasks 5.safely. Initiation CPR (Cardiopulmonary Resuscitation): Theofspecific training requirements will depend on the nature of the tasks and the industry or workplace setting. Here are some examples of practical training related to health and safety that individuals may need Objective: Restore blood circulation before undertaking specific tasks: and oxygenation to vital organs. Actions: If1.the personHandling is unresponsive Manual Training:and not breathing normally, begin chest compressions. Position hands on the center of theorchest and perform compressions at a rate of at least 100-120 compressions Tasks: Lifting, carrying, pushing, pulling heavy objects. per minute. Training Content: 6. Rescue Breaths: Proper lifting techniques. Objective: Provide artificial ventilation if the person is not breathing. Risk assessment for manual handling tasks. Actions: Use of mechanical aids and equipment. Give rescue breaths after every 30 compressions (in a ratio of 30:2). 2. First Aid Training: Page 20 of 30 © Careskills Academy 2020 Ensure the chest rises with each breath. Tasks: Providing immediate care in case of injuries or medical emergencies. 7. Use of Automated External Defibrillator (AED): Training Content: Objective: Administer electric shocks to restore normal heart rhythm (if available). 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 Assess the individual’s needs, preferences and abilities before using a hoist. Injury to the individual’s skin, muscles, bones or organs if the hoist or sling causes pressure, friction, twisting or squeezing. Choose the right type and size of hoist and sling for the individual and the task. Accidents involving the hoist equipment, such as mechanical failure, entrapment, collison or fire. Check the hoist and sling for any damage or wear before each use. 2. from Supporting taking Follow the manufacturer’s instructions and your Falling the hoistan or individual sling if theywith are not fittedtheir medication employer’s policies and procedures for using a hoist. properly or securely. Administering the wrong medication, the wrong Double-check medication orders, follow established protocols, and use systematic Ensure dose, or at the wrong time can have serious Communicate with athe individualapproach. and any other proper consequences. carers training involvedfor in caregivers the hoistinginvolved process.in medication administration. Individuals may have allergies or sensitivities to specific medications. Be aware of the individual's known allergies. Monitor for signs of allergic reactions, such as rash, swelling, or difficulty breathing. 3. Supporting an individual to deal with their soiled bed linen Exposure to bodily fluids in soiled bed linen can pose a risk of infection to both the individual and the caregiver. Dealing with soiled linens can be emotionally challenging for individuals, impacting their dignity and self-esteem. Use appropriate personal protective equipment (PPE), such as gloves and aprons, when handling soiled linens. Approach the task with sensitivity and respect for the individual's privacy. Communicate openly, and involve the individual in decisions about their care whenever possible. 52. If there was an accident or sudden illness in the workplace, what would you do? Responding to an accident or sudden illness in the workplace is crucial for ensuring the well-being of individuals involved. Your actions may vary depending on the nature and severity of the incident, but here are general steps to follow: 1. Assess the Situation: Objective: Quickly assess the scene to ensure your safety and the safety of others. Actions: Check for any immediate hazards (e.g., fire, electrical hazards, chemical spills). Ensure your own safety before approaching the scene. 2. Activate Emergency Services: Objective: Call for professional medical assistance. Actions: Dial the emergency number (e.g., 911 in the United States) or follow the designated emergency protocol for your location. Page 21 of 30 © Careskills Academy 2020 Provide essential information: nature of the incident, number of people involved, and location. 3. Provide First Aid: Objective: Administer immediate care to the injured or ill person. 53. Complete the questions in the table below Once trained in Medication practice, what support duties can you carry out? Once trained in medication practices, individuals may be authorized to perform various support duties related to medication administration, under the supervision of qualified healthcare professionals. The specific tasks and duties one can carry out depend on the level of training, local regulations, and the policies and procedures of the healthcare facility. Give 2 examples of Healthcare tasks that you are not allowed to perform I am not allowed to assist, remind about or give individuals medication until i have completed the appropriate training and passed it satisfactorily. 54. What security measures should be in place to protect you and the individuals you support Implementing robust security measures is crucial to protect both you and the individuals you support in various settings, including healthcare, social care, or other support services. The specific security measures may vary based on the context and environment, but here are some general considerations: 1. Physical Security: Access Control: Use access control systems, such as key cards or electronic badges, to regulate entry to facilities and specific areas. 55. Answer the following questions about Fire Safety Implement secure locks on doors and windows. Surveillance Systems: What can you do in the workplace to prevent fires from starting or spreading? Preventing fires in the workplace is crucial for the safety of employees, clients, and the overall facility. Here are some measures i can take to prevent fires from starting or spreading in the workplace: Install security cameras in strategic locations to monitor and record activities. Ensure proper signage to indicate the presence of surveillance. 1. Fire Risk Assessment: Alarm Systems: Conduct a thorough fire risk assessment to identify and risks in the workplace. What should you potential do in thehazards event of a fire? Regularly review andit's update thetoassessment to reflect in the work environment. In the event of a fire, crucial act quickly and followchanges established emergency procedures to ensure the Utilize systems intrusion fire, or other emergencies. safetyalarm of yourself andfor others in thedetection, workplace. Here's a step-by-step guide on what to do in the event of a fire: 2. Employee Training: Ensure prompt response and notification protocols. Provide comprehensive fire safety training for all employees. 2.1.Data Stay Security: Calm: Ensure that employees are familiar with emergency evacuation procedures, the location of fire exits, and the propercalm use and of Measures: fire Confidentiality Keep tryextinguishers. to think clearly. 3. Electrical 22 of 30 Avoid panic, Safety: as it can hinder your ability to respond Page effectively. Regularly inspect and maintain electrical systems, equipment, and wiring. Train staff on the importance of maintaining confidentiality. 2. Alert Others: overloading electrical outlets and circuits. Use secure storage forimmediately sensitive documents and information. IfAvoid you discover a fire, activate the fire alarm if available. © 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 Assess the Scene: Perform Procedures Beyond Your Training: Check the scene for safety before approaching the injured person. Avoid performing procedures or interventions for which you are not trained. Ensure your safety and the safety of others before providing assistance. Stick to the scope of your first aid training. Provide Medications Without Authorization: Call for Professional Help: Do not administer medications unless you are Activate emergency medical services (EMS) by specifically and trained do so. if you are 57. Whatthe are the common signs and triggers of stress, and howauthorized can you manage thetosituation calling the appropriate emergency number (e.g., 911 or stressed yourself? local emergency services). Respect the individual's prescribed medication plan. Provide Initial Assessment: Signs Move an Injured Person Unnecessarily: Triggers I will manage by… Stress can affect our emotions and we Feel under lots of pressure. Strategies to Manage Stress: may: Conduct a quick initial assessment of the person's moving person unless there is an Face big changesAvoid in your life. an injured Identify and Acknowledge condition. immediate danger toStressors: their safety. Are worried about something. Identify life-threatening emergencies, such as Moving someone with certain injuries may worsen their be irritable, angry or tearful unresponsiveness, absence of breathing, or severe condition. Don't have much or any control bleeding. over the outcome of a situation. feel worried, anxious, hopeless or Reflect on the sources of stress in Interrupt Professional Help: scared your life. Administer Cardiopulmonary Resuscitation (CPR): Have responsibilities that you find overwhelmingDon't have enough struggle to make decisions, have Acknowledge and accept that work, activities or change in your racing thoughts or feel stress is a normal part of life. Once professional help has arrived, avoid interrupting overwhelmedThe physical symptoms life. If stress trained,include: initiate CPR for individuals who are or interfering with their assessment treatment. of Practice Stress and Reduction unresponsive and not breathing. Techniques: Provide them with information and assistance as Follow the recommended compression-to-ventilation needed. ratio andproblems, chest compression depth. stomach stress headaches Assume Responsibilities Your Training: Standard information and other 14 odd Handling pains including muscle DeepBeyond breathing exercises Use an Automated External Defibrillator (AED): pain (14.1a, 14.1b) Meditation and mindfulness skin reactions, like stress rashes and not assume responsibilities that go beyond your 58. Identify the key pieces of legislation that apply toDo handling information and what you should do to hives Progressive muscle relaxation If an AED is available and you are trained to use it, level of training and competence. protect an individual’s data. follow the device's feeling dizzy, sick orprompts faint to administer defibrillation. Yoga or tai chi Follow established procedures and protocols. Control Bleeding: The laws that protect information What I can do to protect information Exercise Regularly: Neglect Scene Safety: Key Legislation: Confidentiality Policies and Procedures: ApplyProtection direct pressure to control bleeding from wounds. Data Act 2018: Engage in regular physical activity Do not neglect your to safety or the safety of others. reduce stress hormones. Use dressings and bandages to cover and secure the Develop and implement comprehensive wound. Assess the scenepolicies forChoose potential hazards before confidentiality andactivities procedures. you enjoy, such This legislation governs the processing of personal data providing assistance. as walking, jogging, or dancing. Provide Basicthat First Aid: and ensures individuals have control over their Ensure that all staff are trained on and adhere to personal information. Ignore theseConsent: policies. Maintain a Healthy Lifestyle: It outlines principles for fair and lawful processing, Data Encryption: Administer basic first aidminimization, for injuries such as burns, purpose limitation, data accuracy, storage fractures, integrity or sprains. limitation, and confidentiality, and accountability. Always obtain consent providing first aid. Eatbefore a balanced diet with nutritious foods. Follow established first aid protocols(GDPR): and guidelines. General Data Protection Regulation Respect the individual's right todata, refuse assistance. Use encryption for sensitive both in transit Page 23 of 30 © Careskills Academy 2020 and at rest. Get adequate sleep to support Assist with Medications: Perform Invasive Procedures: overall well-being. Protect electronic devices and systems with GDPR is a European regulation that sets standards for strong encryption Establish methods. Boundaries: the protection of personal data. It applies to 59. What security should be in place for records and why is it important to have secure systems? Implementing robust security measures for records is crucial to safeguard sensitive information and maintain the confidentiality, integrity, and availability of data. Here are key security measures that should be in place for records, along with reasons why secure systems are important: Security Measures for Records: Access Controls: Why: To restrict access to records only to authorized personnel. Standard 15 Infection Prevention and Control (15.1a, 15.1e)controls, user authentication, and role-based permissions to ensure that only individuals with How:15.1c, Use access the appropriate clearance can access specific records. 60. Complete the questions in the table below about Infection Control Encryption: The main way infections can enter the body is through a process known as "entry portals."orEntry portals are pathways or openings through which Why: To protect records from unauthorized interception access. What is the main way an infection microorganisms, such as bacteria, viruses, fungi, or parasites, gain to the bodyencryption and causealgorithms infection. The humanunauthorized body has various How: Encrypt databody? both in transit and ataccess rest using strong to prevent parties can get into the natural defenses to prevent or limit the entry of pathogens, but when from reading or tampering with the information. these defenses are breached, infections can occur Audit Trails: Your health and hygiene can pose a risk to the individuals you support if proper precautions are not taken. As a healthcare or support worker, it's How might your health and crucial to be aware of and actively manage your own health to prevent Why: To pose track and monitor access to records, facilitating accountability detection ofrisks. any unauthorized hygiene a risk to individuals the spread of infections or other and health-related activities. you support? It's essential to recognize the responsibility you have as a healthcare or How: Implement audit trails that log usersupport activities, including access, modifications, and deletions, andhygiene regularlyto worker in maintaining your health and practicing good review these logs for anomalies. protect the well-being of the individuals you support. Adhering to Handling infected waste or soiled linen requires strict adherence to established protocols and guidelines, about best infection control protocols to minimizestaying the riskinformed of spreading infections. Data Backups: practices, and prioritizing preventive measures contribute to creating a How should you handle infected safe andfollow healthy environment. Regular training and by education Always thecaregiving specific policies and procedures established your waste or soiled linen? on infection control and hygiene practices are also essential components workplace or healthcare facility regarding the handling and disposal of of maintaining aand high standard ofThese care. guidelines may vary depending on infected wastecorruption, soiled linen. Why: To prevent data loss due to accidental deletion, or cyberattacks. the nature of the contamination and local regulations. Regular training on infection practices is essential for the healthcare andprocess support to How: Regularly back up records and store backups control in secure offsite locations. Test restoration ensure data can be recovered in case ofworkers a loss. to ensure the safety of both the workers and the individuals they Assessment for Written Questioning support. Firewalls and Intrusion Detection Systems: Standard 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Questions 1-6 7-9 10-14 15-17 18-22 23-27 2831 32-34 35-39 40-44 45-46 47-48 49-57 58-59 60 Questions requiring actions learner access and cyber threats. Why: To protect records fromby unauthorized How: Use firewalls to monitor and control incoming and outgoing network traffic. Deploy intrusion detection systems to identify and respond to potential security incidents. Assessor Feedback Secure Physical Storage: Why: To protect physical records from theft, damage, or unauthorized access. How: Store physical records in secure, access-controlled areas. Implement measures such as surveillance, locks, and visitor logs to enhance physical security. Assessor signature Assessor name User Training and Awareness: Page 24 of 30 © Careskills Academy 2020 Why: To reduce the risk of human error and enhance security awareness. How: Provide regular training to staff on security policies and procedures. Raise awareness about the 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? It's provide me a foundation of knowledge and skills needed for my job,helping me to provide better care for my patients.I have ability to complete any task to a good standard can make my facility better. Is there anything that you are not sure about, where you need further explanation or guidance? No, it's give me complete information. What are your long term professional goals and aspirations? My long term professional goals and aspiration to be a good health carrer. 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: 9/11/2023 Learner position Learner name Shahnaz Naseer Learner signature Shahnaz 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