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Ensuring a Person-centered Approach to Supporting Adults In Residential Care

by [Name]

Course
Professor
[Name of Institution]

City

Date
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Table of Contents
Task 1-------------------------------------------------------------------------------------------------------3

Introduction to Functions of the Adult Residential Care Sector------------------------------------3

Development of the Adult Residential Care Sector--------------------------------------------------3

Role of Adult Residential Care in Service Delivery in the Health and Social Care Sector-----4

Impact of Legislation and Code of Standards---------------------------------------------------------5

Challenges in Implementing Regulations in Adult Residential Care------------------------------5

Benefits of Adult Residential Care to Families and other Service Users--------------------------6

Task 2-------------------------------------------------------------------------------------------------------6

Person-centred Practice in Adult Residential Care---------------------------------------------------6

Outcomes of Person Centered Approach--------------------------------------------------------------7

Dignity and Respect-----------------------------------------------------------------------------------7

Independence-------------------------------------------------------------------------------------------7

Rights----------------------------------------------------------------------------------------------------7

Equality and Diversity---------------------------------------------------------------------------------7

Choice---------------------------------------------------------------------------------------------------7

Consent--------------------------------------------------------------------------------------------------7

Fulfilment-----------------------------------------------------------------------------------------------7

Safety----------------------------------------------------------------------------------------------------8

Privacy---------------------------------------------------------------------------------------------------8

Confidentiality------------------------------------------------------------------------------------------8

Participation in Service Delivery through the Use of Effective Communication with Resident
---------------------------------------------------------------------------------------------------------------8

Scenario 1-----------------------------------------------------------------------------------------------8

Scenario 2-----------------------------------------------------------------------------------------------9

Appendix-------------------------------------------------------------------------------------------------10

References------------------------------------------------------------------------------------------------16
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Ensuring a Person-centered Approach to Supporting Adults In Residential Care

Task 1

Introduction to Functions of the Adult Residential Care Sector

Adult social care (ASC) is an industry in England encompassing a wide range of

services and supports for individuals with disabilities, impairments, and diseases (Goodman
et al., 2017). Help with anything that improves an individual’s health, happiness, or quality of
life falls under this category (Barron and West, 2017). Care services are available not just to
those who need them in their own homes but also to those who live in nursing homes and
other types of residential care facilities.

Most residential care facilities offer:

Bathing, washing, skin and nail care, and cleanliness all contribute to an easier time
getting dressed and undressed. Meals and snacks are provided to adults throughout the day,
and help with eating are available if needed. In addition, healthcare aides are needed to assist
with activities such as toileting, incontinence assistance, and medication dosing. Help them
participate in pursuits that keep their minds and bodies active (Cassell et al., 2018). Assist the
individuals living in residential care in engaging in various extracurricular recreational and
social pursuits.

Development of the Adult Residential Care Sector

It is essential to consider the policy alterations over the previous half-century while
considering how to pay for and provide social care. What we know about the present system
may be gleaned from the development of social care services during the 1980s. It covers the
following key ideas.

Responsibility for social care is split between state and federal governments, as noted
by the seminal Griffiths assessment of 1988. In addition, the investigation brought to light the
‘perverse’ financial incentives that prompted local governments to put elderly persons in
residential care when it was unnecessary (Goodman et al., 2014). The revolutionary shift in
social service delivery was brought about by the 1989 White Paper Caring for People, which
stated that local governments should act as care brokers and managers rather than as direct
service providers (Watt et al., 2018). As a result, the percentage of contact hours spent
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providing adult domiciliary care has increased from 2% in 1992 to 69% in 2016, with the
bulk of these services being provided by independent agencies (Lewis, 2018).

In light of the realisation that people getting ‘lower levels of treatment had been
abandoned, the focus shifted in 1998 to prevention and rehabilitation, as indicated in the
White Paper Modernising Social Services (Catherine Jones Finer, 2018). The prompt release
of older adults from hospitals has emerged as a priority. The government rejected a plan to
make personal care accessible for the elderly that had been included in a 1999 report by a
Royal Commission reviewing how to pay for long-term care.

Most recently, there has been a trend away from the discourse of collaboration and
toward talk of integration. The White Paper: Our Health, Our Care, Our Say (2006) serves as
the guiding document for health and social services reform. The White Paper has signalled to
replace exhortation with requirements and monitor performance against common result
objectives to achieve the goal of greater integration of health and social care (and other local
authority services) (Norman, 2018). Potentially, this is a huge step forward.

Role of Adult Residential Care in Service Delivery in the Health and Social Care Sector

Care for the elderly and other adults may significantly impact people’s lives. It may
help individuals maintain their independence for longer, boost their health, and increase their
social connections. Despite the difficulties brought on by their situations, individuals can
meet their requirements and fully participate in life when they get high-quality care and
support.

This vast and varied industry encompasses assisted living facilities, nursing homes,
and in-home care. Approximately 12,000 service providers are operating out of about 25,000
sites throughout England (Hood et al., 2022). Services like information and guidance,
befriending programs, and community centres are all examples of the wide range of care and
support that may be provided. It is suitable for everyone in England, not just those who work
in the industry.

The sector’s shared commitment to the person-centred approach is a foundation for

high-quality adult social care (Nilsen et al., 2021). Without altering the statutory obligations
or undermining the independence of any organisation, it builds on previous collaborations
and agreements and outlines specific action plans to assist the implementation of goals for
enhancing quality.
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Impact of Legislation and Code of Standards

The Care Quality Commission has overseen the health and adult social care field since it
was created by the Health and Social Care Act of 2008. It is the culmination of efforts to
modernise and integrate health and social care into a single Act of Parliament that lays
out responsibilities and powers in healthcare settings (Holmes et al., 2018). Among its
enforcement capabilities are those that were lacking in its predecessors. The Health and Social
Care Act of 2008 grants the government the authority to make regulations that specify the scope of
that government’s authority and how it must carry out its functions.

Residential care facilities receive funding from the state, namely from municipal
governments known as local authorities (LAs) in England and, in certain situations, the National
Health Service (NHS). Regulations adopted in 2014 under the Health and Social Care Act of 2008
(Regulated Activities) define the types of work that need a license. The 2014 Care Act is the
primary law governing Adult Social Care (ASC), and it mandates that any person who looks to
need care and assistance, regardless of their potential eligibility for state-funded care, must be
assessed by a local authority (Gray and Barford, 2018). The ASC industry is overseen by the Care
Quality Commission (CQC), an agency that conducts inspections of care providers and publishes
reports on the quality of service and the difficulties encountered by the industry.

Officially known as the Care Quality Commission (Registration) Regulations 2009, they
became law in the United Kingdom on April 1, 2010. The regulations provide the procedures for
registering as a provider or manager of regulated activity in England and apply to all regulated
activities (Griffiths et al., 2016).

Challenges in Implementing Regulations in Adult Residential Care

There are many obstacles in the way of social care services, which might harm the
individuals who depend on them. For example:

 The increasing complexity of medical issues among an ageing population.

 Providers of social services for adults bear the increasing expense of this
phenomenon.
 A lack of publicly available funding to cover these expenses places a more significant
financial burden on those who must cover them out of pocket (Jackson, 2018).
 There are significant difficulties in attracting and maintaining talented employees.
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Adult social care and healthcare organisations have collaborated to build a shared
commitment in consultation with persons needing care and assistance, their families and
caregivers, and the institutions representing their preferences (Sjöberg et al., 2021).
Therefore, it is challenging to develop a common goal of providing high-quality, seamless,
integrated, and person-centred care because of the laws and rules of practice that make this
challenging.

Benefits of Adult Residential Care to Families and other Service Users

Care homes for adults allow those who provide care and assistance for their loved
ones to keep working without quitting their jobs. It was created so that service recipients,
their loved ones, and those providing care have a common understanding of what constitutes
good service (Wang et al., 2022). Care for adults in residential facilities shall be uniform in
quality regardless of factors like the residents’ or their families’ gender, colour, handicap,
age, gender preference, faith, beliefs, gender reassignment, marriage or civil partnership
status, or the presence or absence of a caretaker. High-quality care is available wherever it is
needed.

Care must be person-centred because it prioritises the needs of citizens, service

recipients, their families and caregivers, even those who do not have such a network of loved
ones nearby (Shaw et al., 2020).

Therefore,

 Healthcare staff is required to treat residents with kindness, respect, and dignity
 With the help of experts, services can accommodate a wide range of individual
preferences and circumstances, satisfying the demands of a wide variety of residents.

Task 2

Person-centred Practice in Adult Residential Care

The term “person-centred approach” refers to “means of commissioning (financing),

offering, and organising services based on paying attention to what individuals want, to assist
them in living in their communities as they want” (Håkansson Eklund et al., 2019). Rather
than forcing people to fit into rigid, pre-existing services, providers try to tailor their offerings
to each client. Instead of relying only on specialised services, person-centred strategies
explore generalist options and local resources.
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Outcomes of Person Centered Approach

The philosophy and practice of a home should provide a warm, welcoming, and
engaging environment in which residents are heard and appreciated, their rights are protected,
their cultural and religious practices are honoured, and they have a satisfying and enriching
time there (Håkansson Eklund et al., 2019). It can only be accomplished if all managers and
employees consistently use the following principles.

Dignity and Respect

Adult residents are treated with dignity and respect since their individuality and worth
are recognised.

Independence
Residents are given a high degree of autonomy while safeguarding against
unnecessary dangers.

Rights
Within the scope of the services provided by the home, residents’ personal and human
rights are protected and actively encouraged.

Equality and Diversity

All citizens are afforded the same respect and courtesy, and their unique histories and
customs are honoured and celebrated. The residential care services conform to principles of
non-discrimination and equal opportunity (Arakelian et al., 2017).

Choice
Residents can choose freely among many alternatives they have been given easy
access to when feasible.

Consent
Residents have a right to be heard, and their informed, honest, and legitimate
agreement to their care and assistance is necessary.

Fulfilment
Residents are given the resources and encouragement they need to live productive,
meaningful lives that bring out their best.
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Safety
All residents are safeguarded against exploitation, neglect, and abuse and are provided
with the highest level of safety feasible in their care and daily lives.

Privacy
Residents have the right to be left alone, unmolested, and free from unwanted
intervention in their business; however, it is crucial to find a balance between residents’
concerns for their protection and the safety of others around them (Arakelian et al., 2017).

Confidentiality
The residents believe their personal information is protected and their privacy is
respected. When these principles are embedded in every step of service design,
implementation, and evaluation, and baseline requirements are satisfied, the house becomes a
valuable asset for its occupants, allowing them to achieve their full potential (Nilsen et al.,
2021).

Participation in Service Delivery through the Use of Effective Communication with

Resident

Scenario 1
My experience as a healthcare assistant includes assisting an elderly male who
typically receives assistance from another care worker; however, while his regular care
worker is out of town for the week, I am responsible for his care. Many bruises sprung up on
his back while I was helping him get dressed. When I ask him what happened, he says his
regular caregiver assaulted him last week, leaving him with bruises. He thinks the caretaker
began calling him abuses and beating him because he said something wrong. When the man’s
regular caregiver returns, I hope he is safe. He says the caretaker is generally kind and
brought everything on himself by making a remark he regretted afterwards. He asks that I not
tell anybody what happened. He is unhappy and does not want to cause issues for the
caregiver.

I think it is essential to report the other employee to my supervisor immediately. The

elderly resident, however, has asked me to refrain from doing so, and he has shared this
information with me privately; I would not want to violate his trust in this way. Taking a
person-centred approach, I did what was in the man’s best interest and what was legal under
the Public Interest Disclosure Act. Therefore, I am free to report my findings to my superiors
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without fear of retaliation for disclosing my identity. As a healthcare assistant, I found it

difficult and did not have an easy option to make, but I could get through it and report the
problem to my supervisor.

Scenario 2
Resident Malcolm, 67, was recently involved in a car accident. His arms were
severely injured in the collision and were operated through surgical repair. His family, unable
to take care of him after his hospital release owing to work obligations, placed him in one of
our adult residential care facilities. For the next two months, he must stay in our care setting,
which implies he will have to depend heavily on the assistance of others for his basic needs.

As a healthcare assistant, I spoke with Malcolm about his desires and requirements,
such as taking a bath and spending his time. Spending two months in bed watching TV
was not appealing to Malcolm. He likes reading and seeing his son, who comes by every
night in his spare time.

My supervisor and I had this conversation and agreed on a treatment plan. Residents
at our healthcare facility are often assisted with taking morning showers. We compromise by
allowing his son to help him with his night-time bathroom duties. Furthermore, Malcolm’s
son gives him an electronic reader, which plays audiobooks. Considering his health, this is a
far better option than reading a book. If he wants to listen to it, I will assist him in getting it
ready and putting on the headphones.

As a healthcare assistant, I successfully implemented a person-centred approach.

Malcolm’s son discussed possible care alternatives with him, asked for his advice, was
willing to be flexible to satisfy his preferences, and agreed to assist with Malcolm’s everyday
needs in healthcare settings. Because of this, Malcolm’s stay in care will be much less
stressful, and he will have a sense of physical and mental well-being.
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Appendix

Tables and Graphs to illustrate the Adult Social Care stats in England

Fig 1: Age UK, Laing Buisson, NHS Digital, Carers UK

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Fig 2: CQC rating data, July 2019 and March 2020

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Fig 3: Overall ratings for the main sectors, 2019 and 2020
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Fig 4: Induction of Adult people in social care settings in the UK

Fig 5: Notification to CQC DoLS application outcomes by month and sector

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Fig 6: Turnover rates for crucial roles in adult social care

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