1.1 Compare and contrast the range and purpose of different forms of assessment.
As a health care worker we have to ensure staffs have direct support and resources to promote safe practice and good quality. Staff should be able to understand the legislation of the care act and also the company policies and procedures which can assist in providing individual care. As a care worker the employer have to provide all training so as to develop their skills and knowledge to maintain safe practice. Staff should be able to compile person centred care plans of individual base on all relevant information provide. Staffs to complete all assessment tools and also relevant risk assessments pertaining to the individual. Training to be provided after commences care work, soon after induction period.
Working with elderly people staffs have to also complete safeguarding vulnerable adults is mandatory. Staff should be able to provide all relevant individual care according to their needs. It should be of person centred approach to provide day to day quality care. Individuals should be able to have their own views and choices taking into consideration like and dislikes.
The care planning process is a good place to start with the production of assessing the individuals support needs, ‘basic helping cycle’ (by Tayler and Devine (1993), is useful. This model, it is about the individual and the professional working together.
The Basic Helping Cycle (Taylor and Devine, 1993) is a useful tool to apply during the care planning process. In this cycle, the care professional and the resident work together to estimate the care needs. By doing this we are accountable for the needs of the resident.
In 2005 Thompson created the “ASIRT” model of care planning.
AS Assessment stage, is the start of the process and the first
part of the plan
I Intervention stage, is when objectives for the intervention are
R Review stage, is when the evaluation of what has happen
T Termination stage, is when the intervention is no longer
necessary and can stop.
The care planning process is just one part of the assessment process. Smale et al 1993 proposed three different models of assessment.
“• The Questioning Model – in which the care worker leads the process and questions and listens, before processing the information. This means that the process is service led.
• The Procedural Model – in which information is gathered by the care professional who then makes a judgement as to ‘best fit’ for the service. This is criterion based and a range of checklists is used to determine which service is best for the service user.
• The Exchange Model – in which the care workers view the service users as the expert in their own care needs. This is really the most person-centred approach of the three. This model seems to describe the most holistic form of assessment, with the care professional managing a more client-centred approach.”
Tilmouth, Tina. Level 5 Diploma in Leadership for Health and Social Care 2nd Edition.
At St Mary’s we give care and support plan starts by setting out who they are and what matters to them. It then defines what it is they want and need. That is to be involved in helping them get what they want and need; and how this will come together for them. The care and support plan is an essential step.
Assessment has an important role within a care setting; it is about measurement of performance at a given point in time and a way of gaining information to promote future care. St Mary’s aspects of assessment is to aim is to work out exactly what the person’s needs are, and the level and type of care and support required to meet these needs.
Assessment is widely agreed to be of great importance, but that is where agreement ends and contestation over what it is begins. For the purpose of their literature review, Crisp and colleagues stated that assessment ‘involves collecting and analyzing information about people with the aim of understanding their situation and determining recommendations for any further professional intervention’ (2003, p 3).
Assessment can be conducted through any one, or a mix, of these approaches as required.
• A face-to-face assessment between the person and an assessor. This format may for example be appropriate if there are any communication needs, or other people who need to be present (e.g. another professional).
• A supported self-assessment, where the individual completes the assessment themselves and the local authority assures itself that it is an accurate reflection of the individual’s needs. This format may for example be appropriate if the individual has capacity, ability and personal resources/awareness of their situation or can be supported to have it so they can lead in the process.
• An online or phone assessment. This format may for example be appropriate if there are no communication needs, the level of needs is not complex and the individual is capable and able to express themselves by phone, or has the access, knowledge and ability to do an online assessment and feels comfortable doing so.
• A joint assessment, where relevant agencies work together to avoid the person undergoing multiple assessments. This format may for example be appropriate across social work and occupational therapist assessments, or children and adult services, or housing and social work, etc. The central question to ask is: is the practitioner the best placed person to carry out the assessment, or is there another organisation that can do it on their behalf, as someone closer or better known to the individual
• A combined assessment, where an adult’s assessment is combined with a carer’s assessment and/or an assessment relating to a child. It is, of course, important to recognise that where there is a young carer involved, the assessment will be conducted by children’s services and by an appropriately qualified assessor.”
1.2 Explain how partnership work can positively support an assessment process.
Working in partnership with other health professionals assist in meeting individual care needs. We have to liaise health professionals to maintain and promote good quality. An individual may have reduced mobility where it is difficult to be independent in this case we will then have to refer for support from the occupational therapist. Support needed in different ways depending on the individual .Still needs to have the same rights choices, dignity and respect, valued, independence, privacy and confidence and also emotional empathy. Care planning should be done starting with an assessment which is being done with the individual basic needs.
Others professionals may be able to provide useful information to support me in my work and I may be able to provide useful information to support them being part of the resident’s lives. This is called good partnership working.
St. Mary’s Convent & Nursing Home work with a multidisciplinary team. Multidisciplinary teams consist of staff from several different professional backgrounds that have different areas of expertise. These teams are able to respond to clients who require the help of more than one kind of professional. Multidisciplinary teams are often discussed in the same context as joint working, interagency work and partnership working. For example, a dietician might advise the resident about their weight and help them agree a plan for their meals and snacks, taking into account any preferences or special dietary needs. As the unit manager I see the resident most regularly, I could encourage them to keep to the diet and support them to report back how the diet is working or if it needs to be changed. If the resident was not eating or unwell as a result I would arrange for the diet to be reviewed quickly.
Working in partnership is important to improving the outcome for the residents and the partnership, working closely with everyone involved in the individuals care we are able to share and increase every ones knowledge to achieve the planned objectives every person has their own skill, knowledge and responsibilities. By sharing and communicating it avoids doubling-up of work and services which ensures the best possible service and outcomes are achieved At St Mary convent and nursing home it is important that we promote the communication sequence .There has to be good communication and we need good communication skills so as to work with the other partners which may include social workers, nurses, doctors etc. In any role we need to know we are do the right thing at the right time in the right way, it also need to be open honest and safe and we need to do these things in a professional way.
5.2. Evaluate the outcomes of the assessment based on the feedback gained from the individual and/or others.
An assessment should be done by a qualify staff member. This should have all relevant information needed about the individual basic care needs. Before an individual is being admitted to an organisation an assessment should be done by the staff from the home. The staff will then discuss with staff member and can decide whether we are able to meet their needs. Needs such as physical, psychological, social, emotional and cultural. Based on the assessment list all care plan paper work from page one details of individual name date of birth, date of admission; next of kin details, reason for admission, allergies, Details of registered GP. Person centred care plan, mobility pressure risks, Water low score , mobility, Falls and Fracture risks, bed safety, nutritional Needs, etc
For example Mrs B A resident who has been diagnosed with dementia appear to be more confused and challenging then normally. Before we contact the mental health team, we take urine sample and analysed to determine whether or not that Mrs B has developed any infection. A dipstick was done and was positive. A sample also was sent to the laboratory for tests to be conducted and the results sent over to the Mrs B GP before he could prescribe any medication. The GP prescribe medication for Mrs B and ask that we continue to monitor her and he will review on the next GP visit. I then inform Mrs B daughter who is her next of kin. After Mrs B used her medication she was much better, her be behaviour changes.
Working in partnership is important it helps us to understand the aims and objectives of different people and our partner’s organisation as they will more than likely have different approaches, views and attitude. It is important that everyone focus on providing the best possible care and support to the individuals. It is extremely important that we discuss with the individual and their family, friends and any advocates. Every one of them will either have expert knowledge on the needs, wishes and preferences of the individual whom the plan relates to. They will have knowledge of the individual’s lives which we take in to account when we establish their plan of care. for example if a resident has a communication problem they can tells us the best way to communicate with the resident, this will let the resident listen and supported in a way that they want.