Orchid View Case Study

As a manager I need to put forward and informing vision and objectives for our home and what it represents. My words, actions and the way I behave towards equality and diversity should be encouraging, empathetic and a strong commitment to equality and opportunity. Making sure and implementing the homes policy towards equality, diversity and inclusion and having it accessible for all staff to read and to know where the information can be obtainable. As a manager I need to make sure that all the residents needs are meet by providing the correct external agency to meet their individual needs and abilities. Where I am in doubt I need to seek and make use of specialist and experts in equality, diversity and inclusion issues. I as a manager need to report any issues to the relevant approved authorities.

Adult safeguarding was defined as, a range of activity aimed at upholding an adult’s fundamental right to be safe at the same time as respecting people’s rights to make choices. Safeguarding involves empowerment, protection and justice. In practice the term “safeguarding” is used to mean both specialist services where harm or abuse has, or is suspected to have, occurred and other activity designed to promote the wellbeing and safeguard the rights of adults. Following the Civil Service rapid evidence assessment methodology1, having formulated the questions to be addressed by the review and developed a conceptual framework, inclusions and exclusion criteria were agreed. Articles published in 2002 or later, relevant to the review questions were included. Studies were excluded if they were not relevant, for example: health focused, concerned with children rather than adults. A wide range of databases, web-sites and grey literature were searched and screened, using search terms related to adult safeguarding, adult protection and workforce, staff and training. Experts in the field were also asked to identify relevant resources and guidance. Results Overall, much of the evidence on workforce and adult safeguarding is based on a limited number of studies and cases. Much of the work reviewed was of little specific relevance to the social care workforce. Most

Outcome 1 Understand the legal, policy, rights and theoretical framework for residential care for children and

“The Palace” is located in the heart of the gables. It is one of the top notch awarded nursing home facilities for seniors stated by many families. Currently being an employee at this facility, I am learning the frightful stories of senior living. Even the Palace one of the most expensive, awarded senior living is actually a terrible place for the elderly. Especially, working at the Front Desk as the receptionist, I have seen firsthand how these poor seniors are forced into these haunted “luxurious” homes. The marble of the building has been often a misleading reason for placing their parent or grandparent in such terrible care. Most humans tend to judge by the appearance of the nursing homes rather than further investigating any violations that the facilities may have. From my own experience with my grandmother, I know it can be very difficult to take care of a senior citizen, especially when they suffer from various conditions and are just not safe in their home. Once adults become seniors, they require a lot of attention and assistance, which is hard when running a whole household and a career. But placing your loved one in one of these facilities can just shorten the amount of time they have to live. Also, it can be very expensive. Lastly, nursing home makes seniors feel the lack of freedom.

The current arrangements under the 1984 Act are unsatisfactory. There is a lack of consistency in the way the regulations are applied and there are some forms of supported housing, which are not being regulated, which ought to be. The aim of the Care Standards Act 2000 is to make sure that the care of vulnerable people, in different types of supported housing is

The Care Standards Act 2000 introduce list for the protection of vulnerable adult known as the “POVA list” which listed care workers who considered unsuitable to work with vulnerable adults. Section 82(1) of the Act provides that a person who provided care for vulnerable adults must refer to a care worker to the Secretary of state if the provider had dismissed a care worker on the grounds of misconduct which harmed or placed at risk of harm a vulnerable

Today CQC publishes the findings following an inspection of services provided at ABC Care Home Ltd. After considering a range of evidence inspectors conclude that the registered provider, ABC Care Home Ltd, had failed to ensure that people living in the Care Home were adequately protected from risk, including the risks of unsafe practices by its own staff.

The Home provides services based on the local needs assessment to meet the needs of residents needing safeguarding. There are clear local arrangements between safeguarding services and Home. In this way, staff can work in direct cooperation with specialist, in supporting our residents, going through the process of safeguarding. Working with others, can help me to fulfil better my task, which can be more difficult to do in my own, benefiting of their expertise and experience. Other professionals can help us to understand the implication of harm and abuse. We know that the implication and impact of harm and abuse for residents can be devastating, and can have major long-term effects in all aspects of their wellbeing, health and development. They

Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour. People who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly. Some staff were also too easily ready to use methods of restraint without considering alternatives.

Prior to her admission to hospital, Mrs Durant only received support and care from her neighbours, despite being eligible for community care services. Upon discharge from the hospital, under s.2 and s.5 of The Community Care (Delayed Discharges etc.) Act (2003), the National Health Service (NHS) acted on their duty to communicate their concerns, the need for community care services and a discharge date to the LA. Information about Mrs Durant would be minimised to retain confidentiality and minimalize bureaucracy. Once delivered the social services would have a duty to assess Mrs Durant within three days. All duties are compulsory and must not be avoided.

One issue highlighted is that there is a failure to implement good practice despite that fact that there were established frameworks in place. Another problem identified is that there is a failure to share sources of information which could have contributed to a better understanding of children and families. Finally, there is often insufficient consideration given to the child’s individual views and needs. This meant that the child’s voice was not heard and listened to. When the LSCB conduct a serious case review, they follow statutory guidance set out in government legislation such as the Working Together to Safeguard Children (2013) document. This document emphasises the importance of a child centred and integrated approach to safeguarding. It details 2 key principles that should be underpinned in every local area to achieve effective safeguarding of children and young people. These are are ‘safeguarding is everyone’s responsibility: for services to be effective each professional and organisation should play their full part’ and that a ‘child centred approach; for services to be effective they should be based on a clear understanding of the needs and views of children’. The document highlights the importance of services working together, learning from their own practices to improve standards and quality of care for the welfare

Although the vast majority of nursing homes and their employees provide exemplary care to our senior and disabled loved ones, medical mistakes, abuse and neglect can and does happen. When those whom we depend on to provide care to this especially fragile population abuse this trust – whether they be doctors, nurses, nurses aides or other nursing home employees – the resulting injuries can be especially tragic and heartbreaking. In addition, not only are the nursing home residents themselves injured, but the residents’ family, adult children and relatives are also “injured” to the extent that their trust in the nursing home was

Ts’ai Yen, an ancient Chinese poetess who is captured by barbarians and gives birth to two children by a chieftain during her twelve years in exile. The music of Barbarians makes Ts’ai feel nostalgic for her lost family. One of her songs passed down is Eighteen Stanzas for a Barbarian Reed Pipe. Kingston revises the legend that better represents the similar experience of Brave Orchid and Kinston. Brave Orchid comes to America with a different culture backfround. Like the exiled poetess, Brave Orchid tells stories about China. Her daughter cannot fully understand her mother’s Chinese dialect and look the words up in the dictionary to figure out the meanings of curses that frighten her. Kingston, as an American-born child, speak another language.

Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity

References and police checks will be considered before employing staff. Disciplinary measures will also be taken against staff found guilty of unprofessional or other form inappropriate behaviour in the work place. All these steps will go a long way to correcting all the shortcomings identified in ABC Care Home and repositioning it as a high quality and safe care service provider.