D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) Elements of competence HSC412.1 HSC412.2 Design and implement a service which addresses the needs of individuals experiencing significant life events Ensure the service responds effectively to individuals experiencing major life changes or losses About this Unit This unit is related to the competence in establishing and maintaining a service which responds to the needs of individuals and groups, at times of significant life events, loss and bereavement. The significant events might be those linked to developmental stages such as sensory loss or onset of dementia. It may also be related to individual life choices such as a decision to marry, or family upheaval. The unit is for you if you are a manager with responsibility for: Delivering a service at times of significant loss and change The performance of workers delivering a service at times of significant loss and change Scope This Unit does not contain scope, however it does contain range. Please see evidence requirements for details of range. Principles of good practice The first element design and implement a service which addresses the needs of clients experiencing significant life events, relates to the design and delivery of services which are sensitive and responsive to the impact of significant live events and enable clients to come to terms with change and loss. Significant life events may be linked to a stage in the life cycle (e.g. making a choice to marry or begin a sexual relationship) or to a specific trauma or loss experienced by an individual client at a particular time (e.g. coping with sensory loss or disability, coping with changes related to complex health needs, death of another client in a residential setting, illness, injury). For some the issues around placement, such as entering, moving or leaving care, can also give rise to extreme feelings and reactions and a need for positive strategies to cope with these. The second element ensure the service responds effectively to individuals experiencing major life changes or losses, relates to the supervision and management of service systems, structures and procedures to ensure that they respond to the particular needs of the service users in their setting, whether for children, young people, adults or older people. It reflects the need for close monitoring for staff and strategies, with approaches being evaluated for effectiveness. Taking account of the wide range of life changes, developments, traumas which impact on individuals and their care and support needs requires planning and awareness from managers. A clear understanding of individual and group behaviour in response to severe stresses is essential to maximising staff and clients’ positive management of self. Evidence Requirements for the Unit It is essential that you adhere to the Evidence Requirements for this Unit – please see details overleaf. Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 1 D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) SPECIFIC EVIDENCE REQUIREMENTS FOR THIS UNIT Simulation: Simulation is NOT permitted for any part of this unit. The following forms of evidence ARE mandatory: Direct Observation: Your assessor or an expert witness must observe you in real work activities which will provide evidence for a significant amount of the performance criteria for most of the elements in this unit. For example, your assessor might be present at a meeting where you are negotiating funding for admission for an individual, or where you are presenting a proposal to senior management for the development of a service. Reflective Account/professional discussion: You should describe your actions in a particular situation and explain why you did things. For example, you could prepare an analysis of your proposal in which you detail the process of how you planned to meet the needs of the individual, the support you offered them, the policies procedures and legislation you took account of, who you negotiated with, the outcome(s) of the process and a review of your learning based on the experience. Competence of performance and knowledge could also be demonstrated using a variety of evidence from the following: Questioning/professional discussion: May be used to provide evidence of knowledge, legislation, policies and procedures which cannot be fully evidenced through direct observation or reflective accounts. In addition the assessor/expert witness may also ask questions to clarify aspects of your practice. Expert Witness: A designated expert witness may provide direct observation of practice, questioning, professional discussion and feedback on reflective accounts. Witness Testimony: Can be a confirmation or authentication of the activities described in your evidence which your assessor has not seen. This could be provided by a work colleague, an individual or other key person. Products: These can be any record that you would use within your normal role e.g. minutes of staff meetings, review meetings, care plans, records and reports. You need not put confidential records in your portfolio, they can remain where they are normally stored and be checked by your assessor and internal verifier. If you do include them in your portfolio all names and identifying information must be removed to ensure confidentiality. These may also be assignments/projects: You may have already completed an assignment or project for a formally assessed course of study and this may provide evidence of knowledge and understanding of legislation, policy and procedures. GENERAL GUIDANCE Prior to commencing this unit you must agree and complete an assessment plan with your assessor which details the assessment methods you will be using, and the tasks you will be undertaking to demonstrate your competence. Evidence must be provided for ALL of the performance criteria ALL of the knowledge and aspects of the range. The evidence must reflect the policies and procedures of your workplace and be linked to current legislation, values and the principles of best practice within the Care Sector. This will include the National Service Standards for your areas of work and the individuals you care for. All evidence must relate to your own work practice. Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 2 D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) Range Please note this unit includes Range and tracking of Range is required as follows: Element 1: Range 1 - You must show evidence of implementing a service which has been designed to meet the needs of clients undergoing at least two significant life events Range 2 - You must show evidence of utilising at least two learning opportunities to offer staff learning linked to supporting clients undergoing significant life events Range 3 - You must show evidence of utilising at least one specialist resource 1 a) b) c) d) 2 a) b) c) d) 3 a) b) c) implement a service which has been designed to meet the needs of clients undergoing significant life events linked to the following: those associated with age and life stage those specific to the particular client those related to injury or illness or disability those related to loss, change or bereavement utilise the following learning opportunities to offer staff learning linked to supporting clients undergoing significant life events: induction training coaching supervision and appraisal utilise the following specialist resources: health or social services community religious, spiritual or cultural Element 2: Range 1 - You must show evidence that in responding effectively to individuals experiencing major life changes or losses the service includes all the range detailed. Range 2 - You must show evidence of responding to at least one of the clients detailed in the range. Range 3 - You must show evidence of responding effectively at both the stages detailed in the range. Range 4 - You must show evidence of the way your communication with at least two of those detailed in the range, supports an effective response: Range 5 - You must show evidence that all of the forms of offering support are available to your workers and others in the setting: 1 a) b) c) 2 a) b) 3 a) b) in responding effectively to individuals experiencing major life changes or losses the service should include the following: direct care administration resources respond to the following: a client with a high level of participation in their own plan of care a client with an indirect participation in their own plan of care (i.e. through advocate, relative, friend) respond effectively: at the point of identification of significant life event during reaction/adjustment stages and that the response considered how to: maximise comfort ensure privacy and dignity Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 3 D85H 04 (HSC412) 4 a) b) c) d) e) 5 a) b) c) d) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) your communication should support an effective response to the following: your workers the client the other clients workers from other agencies family members/carers/advocates the following forms of offering support are available to your workers and others in the setting: practical supervision work based counselling specialist counselling and advice Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 4 D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) KNOWLEDGE SPECIFICATION FOR THIS UNIT Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this Unit. When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role. You need to provide evidence for ALL knowledge points listed below. There are a variety of ways this can be achieved so it is essential that you read the ‘knowledge evidence’ section of the Assessment Guidance. You need to show that you know, understand and can apply in practice: Legislation and organisational policy and procedures 1 Legal and policy requirements relating to: (a) personal, legal, and financial affairs (b) provision of care and health services 2 Responsibilities for allowances, funds, property, decision making generally. 3 Methods for ensuring all staff understand the boundaries of their role, responsibilities and the agency policy on the management of significant life events (e.g. induction, training, coaching, etc). 4 Legal and policy requirements relating to the requirements for storing, giving, and receiving medicines. Theory and practice 5 An understanding of the general life stages, health needs, and changes associated with the client group in receipt of the service (eg adolescence, sensory loss, learning disability, drug and alcohol problems, mental health, dementia, palliative care). 6 The impact of individual’s experience of change and loss on others in the setting or social network. 7 The importance of integrating physical, practical, psychological, cultural and spiritual aspects of care. 8 The availability of support systems for individuals experiencing specific kinds of change or loss – e.g. those associated with the needs of those with particular disabilities, carers or cultural groupings, addictions, offending behaviours, school or employment difficulties, etc. 9 Sources of support and services for service users’ particular needs, health, nursing, advice and guidance, psychological, spiritual, cultural. 10 Knowledge and sources of resources, medical, financial, equipment accessible and relevant to circumstances. 11 How to design recording and storage and retrieval systems which integrate the needs of staff providing the service and formal reporting requirements12how and where to find appropriate specialist resources and knowledge (journals, action research) and remain abreast of findings that promote best practice. 12 How and where to find appropriate specialist resources and knowledge (journals, action research) and remain abreast of findings that promote best practice. Enter Evidence Numbers Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 5 D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) You need to show that you know, understand and can apply in practice: (cont) 13 How to monitor, maintain and improve decision making with service users personal, legal and financial affairs and enable staff to integrate practical and emotional aspects of care, ensuring that the service users and carers are involved and consulted. 14 How the personal and work experience of staff can impact on their performance in relation to the needs of service users in situations of birth, change, loss, trauma. 15 The key issues in responding appropriately to particular experiences, empathy, allowing service users to move at their own pace, having space to adjust privacy and the opportunity to express emotion in a safe environment. 16 The importance of sensitive and accurate recording for all those involved in care. 17 Information relating to specific needs, understanding of conditions, experience on coping with diverse life events. 18 Methods of managing staff rotas to maximise flexibility and responsiveness to individual needs. 19 How to enable staff and peers to offer appropriate support for those experiencing the variety of significant life events. 20 How to work collaboratively with specialist practitioners/consultants. 21 Knowledge of individual and group behaviours when experiencing distress. Enter Evidence Numbers Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 6 D85H 04 (HSC412) HSC412.1 Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) Design and implement a service which addresses the needs of individuals experiencing significant life events Performance criteria 1 2 3 4 5 6 7 8 9 DO RA EW Q P WT You ensure that organisational systems and procedures are designed and implemented to ensure the quality of the service, relating to the support for individuals experiencing significant life events and meet local and national service standards. You ensure that systems and structures consistently demonstrate acceptance for cultural diversity, individual choice and difference. You ensure that staffing and skill levels are sufficient to respond to the changing needs of individuals who are experiencing significant life events. You provide all staff with learning opportunities (including appropriate in service training), which ensure their ability to respond sensitively and appropriately to individuals experiencing significant life events. You identify the need for specialist resources, and ensure the policies and procedures for joint work and making referrals for support services are fully implemented. You develop and proactively maintain relationships with specialist resources frequently used by the service. You take all practicable steps to identify appropriate specialist resources and knowledge, where the scope of services available, is insufficient to meet an identified need. You ensure that policies, procedures and methods for sharing information and maintaining records are fully implemented throughout the service. You ensure that the emotional impact on staff and others in the setting, from individuals experiencing significant loss or change, is recognised, and systems for providing support and counselling are valued and used throughout the service. DO = Direct Observation EW = Expert Witness RA = Reflective Account P = Product (Work) Q = Questions WT = Witness Testimony Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 7 D85H 04 (HSC412) HSC412.2 Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) Ensure the service responds effectively to individuals experiencing major life changes or losses Performance criteria 1 2 3 4 5 6 7 8 9 10 DO RA EW Q P WT Your organisational systems and procedures respond to the particular needs of those experiencing major changes, losses or traumas associated with their life stage, or to those of their of significant others. You ensure that staff accept and respect the emotional expression associated with life changes and crises, and the need for working through issues over time You plan for staff interventions and devise a strategy that takes account of existing skills, key worker relationships and an assessment of the service users strengths and needs for emotional support. You ensure that staffing levels and skill mix respond flexibly to additional workload in respect of individualised needs. You ensure that the physical environment and routines are adapted in response to temporary or longer term requirements for care. You ensure the involvement of significant others, and promote a multidisciplinary approach to achieve best outcomes for each service user. You ensure administrative arrangements for any legal, financial or control of medicine issues, are in line with requirements and current best practice in care or nursing. You ensure that the service operates in a manner which encourages, empowers and enables service users and carers to participate fully in the plans for care and any subsequent arrangements. You ensure that communications systems are designed to promote open, sensitive and appropriate communication. You ensure that staff involved in specialist care activities are able to monitor emotional, behavioural or physical changes, and refer to other colleagues for consultation, or expert advice. Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 8 D85H 04 (HSC412) HSC412.2 Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) Ensure the service responds effectively to individuals experiencing major life changes or losses (cont) Performance criteria 11 12 DO RA EW Q P WT You ensure that reporting and recording systems are designed to safeguard the service users and to meet national and local service requirements. You ensure that appropriate support systems, for staff working with emotionally challenging situations, are available to help staff manage the impact of their work, and that these are effectively monitored and evaluated through supervision. DO = Direct Observation EW = Expert Witness RA = Reflective Account P = Product (Work) Q = Questions WT = Witness Testimony Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 9 D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) To be completed by the Candidate I SUBMIT THIS AS A COMPLETE UNIT Candidate’s name: …………………………………………… Candidate’s signature: ……………………………………….. Date: ………………………………………………………….. To be completed by the Assessor It is a shared responsibility of both the candidate and assessor to claim evidence, however, it is the responsibility of the assessor to ensure the accuracy/validity of each evidence claim and make the final decision. I CERTIFY THAT SUFFICIENT EVIDENCE HAS BEEN PRODUCED TO MEET ALL THE ELEMENTS, PCS AND KNOWLEDGE OF THIS UNIT. Assessor’s name: ……………………………………………. Assessor’s signature: ……………………………………….... Date: ………………………………………………………….. Assessor/Internal Verifier Feedback To be completed by the Internal Verifier if applicable This section only needs to be completed if the Unit is sampled by the Internal Verifier Internal Verifier’s name: …………………………………………… Internal Verifier’s signature: ……………………………………….. Date: ……………………………………..………………………….. Unit: D85H 04 (HSC412) Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions (RM2) 10