Louise Berry

Lead person-centred practice Unit 517

1.1 Explain person centred practice.
All customers should be treated as individuals and their care should reflect this. Personcentered practice is an approach that puts the patient at the centre of their care and
their care is structured around their individual needs. It involves them in making
decisions about things that affect them Person centered planning is crucial to providing
quality care and support. It helps professional care and workers find out what is
important to the person they support and enables services to be built around what
matters most to that individual.

When you get to know the customer well, you can provide care that is more
specific to their needs and therefore provide better care.
By promoting and facilitating greater patient responsibility, customers are more
likely to engage in treatment decisions, feel supported to make behavioral
changes and feel empowered to self manage

1.2 Critically review approaches to person centred practise.

With person-centered practice the main person is the customer. The service would be
organized for their individual needs concerning their personal care and well being. It
should cover all aspects of health and social care. It must include the following:

Ensuring that the customer is treated with dignity and respect at all times

Enabling them to achieve as much independence as possible.

Ensuring that the patient has choices.

Ensuring that the customer is treated as an individual.

Ensuring that their rights are maintained. Person-centered practice gives the
individual the control over aspects of making decisions and overcoming
barriers to participate in every day events. This will give the patient a feeling
of well being.

1.3 Analyse the effect of legislation and policy on person-centered practice.

The government continues to provide policies to enable patients to be promoted with
the choice of their care by promoting legislations. Legislations as follows:
Department of Health 2009 has proposals to broaden the range of providers and
introduce more competition into care services.
The Health Foundation 2012 reports that implementing no decision about me,
without me required a considerable change in culture and
Practice in care settings. This has enabled the patients to be consulted regarding
their everyday care needs.

1.4 Explain how person-centred practice informs the way in which consent is
established with individuals.
Person centered practice can inform how consent is established. Person-centered
practice may include that the individual needs an advocate or social worker to act on
their behalf. They must be allowed this choice. This will enable the customer to be
treated with the values and beliefs they wish. If the patient has difficulty
communicating with the care worker there are various ways to communicate. If the
customer is hard of hearing, sign language may be used. If the customer speaks
English as a second language, an interpreter may be used. This is all arranged
around the customers person-centered practice and must be included in their every
day care. If they are not capable of giving consent, then they must have a mental
capacity assessment and their care must be centered around their best interests.
They are given an informed choice.
1.5 Explain how person-centred practice can result in positive changes in individuals
lives
The aim is to give the customer as much control over their lives as possible. It may
only be a small change. I.E. we may have recently had a customer with Allied that
needed Warfarin administered every evening. However he enjoyed a large glass of
port every evening and wished to go to bed early. Allied contacted his doctor and
asked if the Warfarin could be given in the morning. The doctor agreed to this. This
enabled the customer to carry on with his everyday life, enjoying his glass of port at
night and Allied ensuring he had his medication correctly every day. Person-centered
practice may be on a larger scale. I.E. a stroke customer may be entitled to Direct
Payments which would enable him to conduct his own management of care and
enable him to have care workers when he chose to have them. This may enable
them to go shopping or to the gym or to day centers. The choice would be the
customers.
2.1 Support others to work with individuals to establish their history, preferences,
wishes and needs.
As I care coordinator it is my responsibility to work with the care worker and
customer to establish their own individual care plan which show the customers
medical history and care needs. This will enable the care worker when caring for the
customer.
2.2 Support others to implement person centred practice
To support others in implementing person centred practice one of our field care
supervisors would monitor the carer and customer by carrying out relevant spot
check to enable the carer is abiding by the customers needs and wishes and
following the care plan correctly.
Should the care worker not suit the customer it would b my job to find another care
worker for the customer, I would sort this out when completing the care workers
rotas and sorting the customer a suitable care worker into the template of care on
our system.
2.3 Support other to work with individuals to review approaches to meet individuals
needs and preferences
The customer should be involved as much as possible in their decision making
process, regarding which organisation they require, everybody should work together,
Social workers, family, kicks team, occupational therapist, care workers, care office

managers to review approaches to the customers needs and preferences, this is

when we would carry out a review with the Social worker and any other relevant
people required depending on the customers needs, should the customers care
package require changing we would do so.

2.4 Support others to work with individuals to adapt approaches in response to

individuals, emerging needs or preferences
A way of reviewing approaches is by carer supervision, when I complete the
supervision with the care worker I ask them if there is any training they feel that
they need to go on to enable them to do their job correctly and properly. This
improves their quality of work, they tell me what is effective whilst carrying out their
roles and it is an opportunity to see if there is any alternative ways that can be tried
in practice. The customer may have dementia but the care worker is struggling and
needs more advanced training I would then book the care worker onto more
advanced training.
3.1 evaluate how active participation enhances the well-being and quality of life of
individuals
The main essential part of Lead person-centered practice is to include the customer
as an active participant in their every day care. If the customer is not included then
it is not person-centered practice. Working with Allied we can communicate with
Occupational Therapists and Physiotherapists who set therapy goals which are
individual to each customer. They ask the patient what their goals are i.e. I would
like to go back to walking to the shops. The therapist will set these goals as their
wishes and the care workers visit would assist the patient with their therapy goals.
This enables the customer to have a feeling of self worth and achievement when the
goals are met.
3.2 Implement systems and processes that promote active participation
3.3Support the use of risk assessments to promote active participation in all aspects
of the lives of individuals
As a Care co-coordinator one of my roles is to implement the customer onto the
system, I then hand over to one of our field care supervisors who the go out to
access the customer and make sure that the necessary risk assessments are done
before these practices are carried out. The field care supervisors regularly monitor
the care workers when they are carrying out their care with the patients to ensure
that lead centre practice is included and that they are giving the customers a choice
in their every day care and mobility aims. The care workers must not tell the
customers that they need to do these goals if they feel they do not want to do them.
They must always give them a choice. If the goals that the patients ask for are too
demanding for them, a compromise needs to be done to ensure that they carry out
these goals safely. Systems and processes on individual patients include:

The customers personal history.

A full assessment on the customers abilities, needs, wishes and preferences.
Asking the patient what they want from the service and how they would like
to be addressed.