Case Study and People S Settings

Duty of Care: best interest; defensible decision making; contextualising behaviour; identification of positive and negative risks

My responsibility as a care worker is to be aware of the various policies and legislations that will facilitate good practice when supporting my clients to access services and facilities. I am also expected to monitor and evaluate the service provided to ensure it is meeting the needs of the client.

In this assignment I am going to explain the roles and responsibilities of two members of the work force that look after children and young people and evaluate the regulation of care provision for looked after children and young people.

|2.3 Explain the purpose of identifying timescales, priorities and financial resources needed |Question 4 Page 4 |

Unit 4222-304 Principles for implementing duty of care in health, social care or children’s and young people’s settings.

2. Explain the relevant legal and rights framework that underpins work with children and young people in residential care

While working with vulnerable groups of individuals in health and social care settings there are times when care workers are faced with a conflict of interests. Very often ethical dilemmas will not have the right answer and will depend upon a number of considerations. When the care worker is faced with a dilemma and will be expected to make a decision. Before making a decision, the care worker must consider their risks to the individual and any other people, the policies of the organisation and if they have all the facts of the case.

Principles for implementing duty of care in health, social care or children’s and young people’s settings

By its very definition, duty of care ensures protection for the individual; if everyone is working with that person’s best interests at heart it’s unlikely any abuse will occur. Duty of care can also contribute to safeguarding because any concerns of abuse by outside individuals must be reported under the duty of care obligation. Outcome 2. Know how to address conflicts or dilemmas that may arise between an individual’s rights a duty of care. 2.1

Explain a range of ethical and moral dilemmas which social workers and the team may encounter when dealing with this care – look at case study on the assignment brief.

The development of an organisational policy in health and social care requires up to date in-formation regarding the current social issues and legislation. This information can be shared with other professionals who are involve with development of social care organi-sation policy. It will result in developing an organisational policy which is most suitable for the current situation of the care home. Employees would need to follow these guildlines to ensure the smooth running of the sys-tem, to minimize misunderstanding and misinterpretation, it is necessary for organisation-al policies to be clear and blunt. This will result in staff loyalty and adhere to the organisa-tion's policy, and a good workforce will be

In this essay I will be focusing on social care values, the ethical issues which challenge social care workers and approaches adopted to challenge discrimination in today’s society. Three social care values that link to person centred care are, human dignity, being trustworthy and having respect for the individual. Human dignity means that the care worker should be understanding that every human life has value, regardless of an individual’s gender or beliefs. This is central to person centered care as the service user has their own individuality and ethical and moral beliefs. The care worker should take time to understand and respect the differences between their own beliefs and the service users, so that you are not biased towards the service user. They should have a positive and encouraging attitude, following and catering to the individuals wants and needs without making any assumptions for them. Being trustworthy means that the carer is trying to build up a strong healthy relationship with the individual, this then helps the individual to open up to their carer about how they are feeling and any situations that may be worrying them. The individual is able to open up to their carer as they will feel like they aren’t going to neglect them or lie to by their carer. Being trustworthy is central to person centred care as the service user will be able to feel like they can rely on their carer to do what they promised and be responsible. Being able to have trust in a carer

D: The client discussed interest in living in an Oxford house after his release from PWC ADC (6/19). The client stated that if he was released from PWC ADC today, he would not return or violate probation. The client discussed that being on probation is not an issue for him because he learned from his mistakes and is confident that he can remain sober long-term.

4.1 - Describe ethical dilemmas that may arise in own area of responsibility when balancing individual rights and duty of care There are a number of factors to consider in the ethics of providing support to vulnerable adults in the community, it is the duty of the organisation, staff and other professionals (psychiatrist, care coordinator, O.T and social worker), to work alongside and ensure the ethic of delivery to individuals is: • The “right service” (appropriate) • In the “right amount” (to meet the clients need) • Delivered by the “right provider” (qualified and competent) • To the “right person” (a client that needs the service); • In the “right setting” (least restrictive, most integrated setting as appropriate to the person’s needs); • At the “right time” (a balance between clients preference and provider ability); •

On 2/19/18 met Mr. Revis, both guardians and also the internal case manager from Rainbow at the appointment with Dr. Geffard. This was a meeting because at the last appointment which Brian only attended with the internal case manager he asked Dr. Geffard about regaining his own guardianship. Dr. Geffard wanted to speak with the co-guardians so this was today. Brian is still acting out with other clients. He also had an incident of taking pictures in the home where he stays and calling adult protective services. He claimed that it was not clean and the staff was using toxic chemicals. The home was visited and he was interviewed but nothing was found. His primary goal is to get out of Rainbow and get his guardianship taken back. He continues to be very impulsive. He continues to not be on any medications. At this point, Dr. Geffard said he needs to have some Neuropsychology testing done to go over what is TBI and what is just Brian’s normal behavior. Dr. Geffard said that yes we already know he makes bad choices by his past behaviors but that doesn't mean he has to be housed in a facility. That he may be at the point he can make his own choices even if we do not agree with them. Dr. Geffard's office will be setting up the testing then we will decide where to go from there.