Cherry Tree Residential Home Safeguarding Adults and Promoting Independence Author: B.

Dignity
Dignity means being respected for who you are and what you believe in. Dignity is about seeing the individual person as one and respecting their own space and their way of life. Dignity is about treating somebody with respect, esteem and worthiness. This can relate to the dignity in care campaign, because it has improved dignity of people. Examples Dignity is covering them up if they go to the bathroom and making sure their dignity is not lost by every body seeing them. Dignity in a care home is by shutting their curtains or blinds so whatever they do in their own space is kept within themselves.

http://www.scie.org.uk/publications/guides/guide15/index.asp

Equality
Equality in a care home is to ensure every individual have equal rights and is treated with the same amount of respect. Nobody should be treated any higher or lower than anybody else. Every individual is entitled to receive the same choices and no group should have any negative disadvantage. Examples: Asking everybody what they want to eat. Not asking one client and asking the other is not treating them the same because you are not providing equal choices. If you do activities with one client and leave the other one out, this is not treating them equally because you are spending more time with one and not the other.

http://www.scvo.org/Equalities/what_is_equality/index.htm

Fairness

Be fair by abiding the same rules to everybody in the care home and it is when you make judgments without discrimination ion or dishonesty. Examples This might be favouring somebody more than another. You cannot do this to in a care home. You might go to the shop for Mr. P for his paper but you might not go for the service user with dementia because he swear at you but it is not his fault.

http://www.google.co.uk/search?hl=en&safe=vss&biw=1259&bih=599&defl= en&q=define:fairness&sa=X&ei=coyZTZTrG8a2hAe-5DoCA&ved=0CB8QkAE

Respect

Respect is being treated with consideration and esteem. A positive regard to a service user. Communicating with them, giving them signs if they do not understand and listening to them. Examples Calling clients by their first surname is respect because if you called them by their first name it would be lack of respect and you would have to call them all the same thing. Being polite and kind to all service users is respect because you would be speaking to them in a polite manner.

http://www.beyondintractability.org/essay/respect/?nid=6573

Privacy
Privacy is when people are left to their own business. It is when people do not get involved in their personal life and their intimate decisions are hidden. In a care setting it ensure a confidentiality policy is in place and followed by all staff, Get permission before entering someones personal space and trying your best to get them their own personal space. This could be the Data Protection Act, where all information is secured. Examples Not making a man and woman share a room if either one is uncomfortable. This is definitely not privacy because they should et their own space. Chatting about service users outside of the workplace is not keeping a service users privacy. Mrs. G has a lot of money in her account.

Building effective relationships

Adult at centre of planning You must know the clients true interests. Whilst planning, it must revolve around the service users needs. You must take a big interest in their needs and get to know as much as you possibly can. If possible, you could use their advocates to get a better view of their preferences because these are the people that are more likely to know more about them. Listening To communicate you must listen to your service user. At all times and whatever it is about, listening is vital. You should use appropriate methods of communication such as signs, braille or pictures. You must always make sure that your service user understands you. Makaton could come in good use (sign language) or you could use clear and simple language in which they understand the most. This is very important.

Respect for culture

Respecting somebody's culture involves respecting their culture, values, traditions and customs. No matter what religion or race they are. Their beliefs which may include being a vegetarian. This may be because of how they have grown up or something they believe strongly in. Their lifestyle and choices which may include down syndrome. If they have down syndrome and they want a relationship, you would have to respect that choice. You must try to help them with this if possible so that they feel supported. Recognition of needs Recognition of needs are when you know what needs your service user must have. Whether its social needs, medical needs, emotional needs pr physical needs. It could range from sexual needs to love. It could be from hospitals to going out and mixing with different people because they want new friends. You should encourage this in every way possible.

Needs assessment
If an assessment is needed, this means the person could be getting abused or they may just have social, medical or support needs. You need to find out what has happened, assess them and assess their need. You need to find out their educational, social and emotional needs. All this gathering of information would be brought and assessed to find out what to do about the situation. The professionals in charge of the needs assessment would be the social workers. They would be dealing with the situation and then it would result in a care cycle plan for the individual. If they really need to be removed from their home into a care home. If they do, this must be done. Is the abuser going to come back the next day for them? Are they really safe? This needs to be assessed and made sure they are safe. The vulnerable person must be safe from all harm and abusers and they need reassurance too. The vulnerable people need to be healthy so if they are not their health must be seen to. If they are put in a care home, the Care standards act must be in place to make sure the care home is suitable for them and that they are protected from any harm or abuse. Example: Mr. X is getting abused occasionally and when somebody finally finds out, they assess him and asses that he needs to move into a home because the abuser may come back.

Care planning cycle

The social workers are in charge for creating a care planning cycle for the vulnerable person. This is once all the information is gathered and they have decided what is going to happen. Once their holistic needs are found out, they produce a care plan. A care planning cycle is when there is a person at risk and you need to speak to them. Family and professional would be involved for the care planning cycle. You have to put plans in to support the person so they know something is being done about the situation. You must monitor so you know what is happening, monitoring every two weeks would be good then you will be on track and you know everything. Always review the situation or what has happened and at the end you need to assess what needs to be changes and you must see if there are any new risks or needs. If there are any new things, then they must be seen to. This is called a cycle because it goes back around and happens again. Vulnerable or victims of abuse might have them because they might have been abused and need to be looked after and safe. A care plan may help reduce abuse because they are being looked after and monitored so if anything does happen they will be aware. Is the person healthy? Are they happy? If they are not, then more meetings need to go organised so ensure their needs are met. They evaluate it and see what they need to change and this is the start of the practice again.
Example: An elderly woman may be getting sexually abused. They need to know something is being done about it and they are protected. They monitor the elderly woman and keep an eye on her so that no harm may get to her. They need to do the Protection of Vulnerable Adults Scheme on the abuser so that they get banned so that they do not harm anybody else. To support the vulnerable woman, they could suggest to her about talking to a counsellor because she may be very withdrawn and frightened after getting abused. They should make sure is safe wherever she is staying and give her extra care so she feels safe. She should also be re assured everything is being dealt with and that she is safe.

Maintaining confidentially
In an abusive situation, confidentially must be kept. It is important to maintain confidentiality because it is personal to the person and it is very private. Also, so that their business does not get spread around. If you are assessing a situation and trying to sort it out, confidentiality must be kept. On the other hand, if somebody is getting abused and they are too scared to say anything, somebody must say something to save the victim. This means that confidentiality must be kept but have a few exceptions. The exceptions are when somebody is a danger to themselves or a risk to anybody else or when they are getting abused. All these reasons are vital and these reasons are the exceptions of confidentiality because somebody could get hut or they may actually be getting abused which needs to stop. This refers to the Data Protection Act because all confidentially is kept hidden and must not be let out at all. It guards personal information and must be confidential no matter what form it is in. For example: If an elderly man is getting abused at a care home and a care worker somehow sees this, they would tell somebody professional immediately to save them. This can also be callWhistle blowing may reduce abuse because the abusers may be worried of getting caught therefore they may not ed whistle blowing because you are saving them. do it.

Humanistic approach
The humanistic approach is about person centred counselling. This makes the person feel supported and understood, if they are not by anybody else. By person centred counselling, they may feel as if their problems are shared and this is a good way because the counsellor talks back and tried to figure out the problem. It is about universal regard which means its about the vulnerable person and it is focused around them. It may not always be counselling, but person centred means it is mainly based around that person. Humanistic approach is non judgemental and the truth is told. A solution is always found for the victim. As a health and social care worker you go in there and you treat them the same. Universal regard is treating them in the same regard. For example: If a woman has been abused in the past and it has been on her mind for a long time, she can share all her problems and worries with the counsellor in the humanistic approach. It may have been bugging her because she felt she could not talk to anybody. She will feel better that she is not judged and the problem will try and be solved in the best interests of the vulnerable woman.

Using preferred communication

Different vulnerable people may prefer different types of communication. The way they understand the best is they way that they should have it. Some vulnerable blind people might prefer braille so they know what is being said whereas some deaf people may prefer sign language to pictures or vice versa. This is because some people understand different ways than others and they feel happier using it. This is because they like it more and they may be more comfortable with it. Verbal and non verbal communication may be an option for different people too. Vulnerable people that have learning disabilities may do drawings to communicate because this is the way they find most comfortable. You must meet this need and make sure that they are happy. If you dont know makaton and this is your clients most preffered form of communication, you need to learn it or how else will they tell you they are getting abused? For example: An Asian person from India cannot speak anything but Hindi, therefore the most preferable form of communication would be somebody that can translate things into his language.

Giving choice
Giving choice is very important because vulnerable people may not have their own voice or they may just take whatever is given to them. They can have the choice of what they eat, drink, what clothes they wear, if they want to live in their house or a care home (if they do not have any problems that cause concern) and how they handle their own money. This is entirely up to them because everybody has a right or having a choice. If they are in their own home and they are vulnerable, the home carer must always ask what they would prefer and this would be letting them have a choice of a variety of different things. If they are not stable to make their own decisions they must have an advocacy to help them make their choice, as long as they are happy with it. For example, if a vulnerable elderly man cannot look after himself but his mind is alert, he has the choice of having a home carer or going into a care home.

Multi agency working

Hospital, carers, nurses, police, teachers, asocial worker's, midwives and doctors
Multi agency are a group of from different sectors all working together to support children, young people and families. It is a positive way of working to ensure that children and young people who need extra support have the right professionals needed to support them. Benefits collective working. This is when everybody is talking and liasing between each other about the care plan. They come together and produce all the work and information they have gathered about the person. They then produce a care planning cycle. Sharing information. This is when different multi agency groups can share different information so it wont be too hard for of any them. They can all take on different roles if they prefer it. For example, if a child is getting bullied or abused at school, teachers and social workers would come together and sort it out and if a vulnerable elderly man was getting abused at a care home, carers and social workers would work together to work on a care plan cycle and would investigate the situation. Comprehensive is when everybody's involved and their physical, intellectual, emotional, social, educational and health needs are met. It can refer back to their PIES. All the multi agency groups ensure that these persons needs are met and if they are not they meet up more to make sure they are.

Reduces the risk of harm. It may reduce the risk of harm because they have the support of different professionals. If they know that they have a lot of different professionals backing Them up then they have a less chance of harming themselves. Different way of overcoming problems if you have a problem there are a mixture on Different teams to help you overcome different sorts of problems such as abuse. If your health is in danger, doctors are there and if you need to talk to somebody you could see a counsellor or doctors. Assess needs they can take it in turns or all come together to assess the needs of the vulnerable person. If they need to come together more often to assess the needs of the person, this has to be done.

Weakness
The multi agencies may see it from only one point of view. If an incident occurs, any part of the multi agency may see it from one point of view. This may not always happen, but if it does it is not a good thing. For example, if an abusive situation occurs, somebody may see it from one point of view therefore this could bring you r confidence down. If an elderly person has dementia, they may be getting physically and sexually abused but because they have dementia the abuser will say they are wrong because they are not well. The multi agencies groups may consider their story more because the service user has dementia. This may knock heir confidence down. Confidentiality may be broken. Confidentiality may be broken because all these agencies are working together therefore information may be passed around and this is not maintaining the individuals confidentiality. They are a big team therefore different information will need to be passed around so different professionals can work on it. Even though the Data Protection Act says you cant, if it is needed then it will be done to protect and help the person as much as possible. Conflicting views, evidence or find solutions. This may be when two group do not agree with each other. For example, doctors and social workers. Doctors see it from a health point of view therefore social workers see it from a more holistic point of view. If a man has had a brain injury, the doctors will say he is not able to do things by himself whereas the social workers would say no, we need to make him a care planning cycle. If the man is improving or deterioration, they need to meet up more to monitor his progress.

Care Standard Act The strength of the Care Standard Act is that it covers a lot of the health, sectors such as hospitals care homes and schools. It ensures that the clients are safe by checking that the care workers are suitable enough for them. Also, it makes sure that school children are looked after so if a child is getting abused at school, the care standard act would take care of this. It has probably increased the confidence to a lot of vulnerable people because they know thy have somewhere to go. The weakness may be that the alleged abusers may say that they have not been abusing therefore the situation may get complicated. Abuse may be reduced because if the are not fit for the job or they have abused in the past, they will not get the a job in most places therefore it will be reduced. The Mental Health Act The Mental Health Act ensures that people with a mental disorder get the care and treatment they need for their own health and safety. This is a good act because all the mental health patients have somewhere to go if they are diagnosed and they are safe therefore will not be a risk to others or themselves. Whereas, the bad thing is that because they are mentally unstable therefore they might lash out at carers and they might say something which may not be true. They could say they are getting abuse when they actually are not, but would be taken to extreme lengths because they are mentally unstable. There is a strict protocol you have to follow if somebody is sectioned and this include psychiatrists being there to assess you. If you cannot speak for yourself you would have an advocate and this would reduce abuse because once you are in that hospital it is very intimidating, therefore abuses would probably not do much.

Whistle blowing Whistle blowing in regard to abuse, has most probably reduced. This may be because a lot of abusers may have second thoughts because whistle blowing is very common and it is a good way of how abuse can be traced. Abuse hay have decreased since whistle blowing has come out because they are caught red handed and they will always have that thought in their mind, Is another carer watching me? The weakness of this is that the abuser may blackmail the victim into saying they have not been abused or say that they are imagining things therefore everybody will think the abuse is not happening. Whistle blowing is when another care worker sees you abusing a service user and passes this crucial information onto a higher professional to deal with. Referrals The strength of referrals are that they are being made by family members or close friends of the victim. The vulnerable person has disclosed to these people they are being abused so they have come out with it and have wanted something to be done immediately about it. This means they would have more support and back up from their close family members as well as just talking themselves. The weakness of this may be that they don't believe the victim or the place where the victim is going they might get more abused there. Also, the victim could lie about this so they could get away from where they are already. This may reduce abuse because the abusers may get scared that they will get told on, therefore they might not do it at all. This is a good thing if people tell their close relatives because it means they are confident enough to speak up.

Dignity in Care Campaign The Dignity in Care Campaign makes sure that all older people are treated with dignity and respect when receiving Health and Social Care services. This would mean all vulnerable people would have a happy and safe environment. They always make sure enough respect and dignity is there for the elderly person in any Health and Social Care setting. Their privacy would be respected during intimate care which would be keeping their dignity up. A weakness is if one time their dignity was not kept their confidence may go low and they might complain. It also reduces institutional abuse, bullying and neglect because you would be in a hospital and with this campaign all the workers would have to be fit enough to work. This means they would have to have passed the Vetting and Barring system, and the Protection of Vulnerable Adults Scheme. These make sure that you have not harmed people in your care and you can be trusted to care for vulnerable people. Therefore, if a vulnerable person is in a hospital, it would be reduced because of the Dignity in Care Campaign. This campaign is being used because a study shows that Sandwell Council is working with the NHS, West Midlands Care Association and other organisations to encourage people to make a pledge to do one thing to help vulnerable adults. "We are asking people to meet the Dignity Challenge and sign up to be Dignity Champions. This shows that people are encouraged to make the campaign work and they are pushing people to support the Dignity in Care Campaign.

Also, to help them raise more awareness of the importance of Dignity in Care Campaign, this year Alanna Boden, 21, has written and produced a song called "Hello", which is being used by a lot of staff to help raise awareness ahead of Dignity Action Day on 25 th February and will be used for training purposes in the future. This shows the Dignity in Care Campaign is being used because a lot of people are finding different ways to support the campaign and people being treated with dignity. In my Work Experience (Charing Cross) I noticed the Dignity in Care Campaign being used because a lot of the patients were treated with Dignity. They were respected and in a room of 6, a few of them had their curtains shut for their own privacy or to get changed. This shows that the dignity has been kept and the campaign is being used, Disability rights A very good strength for the disability rights campaign would be that a lot of disabled people feel comfortable going places and using public transport now because they have made it easier for them to do so. In the past, they would find it hard to go on the buses or go upstairs if there were no lifts but now it has changed. This would recued bullying and discrimination because of the Disability Rights Campaign. They would not be called different names and treated differently to other people. They would be seen as equal. Their confidence may not have been that high and they must have felt different from everybody else but now changes have been made and they have the right to do things everybody else does. The weakness is that a lot of people were against this as it cost too much money and they didn't want changes to be made. This may have left disabled patients feeling upset but I think everybody deserves to be treated equally and it is very good changes were made for them.

Bibliography: http://www.dhcarenetworks.org.uk/_library/Dignity_in_Care__one_page_ministerial_update_-_Dec_09.doc http://www.worcestershire.gov.uk/cms/health-and-social-care/carehomes/care-services-quality-team/dignity-in-care.aspx