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1 Healthcare Practice for England Unit19: Reflective Approaches in Implementing Person Centred Practice. Integrated Health and Social Care

2 Title: Reflective Approaches in Implementing Person Centred Practice Credits: 15 Level: 5 Contents: Introduction Learning Outcomes Essential Content Assessment Criteria Reading List & Useful Websites Assignment Briefs and Guidelines Outline of Programme

4 ESSENTIAL CONTENT LO1 Promote a holistic approach to person-centred practice Person-centred approach Meaning and importance of holistic person-centred practice Consistently demonstrating respect for, and application of, the Practice Themes when caring for others: ● Law, regulation and ethical practice ● Professional values, attitudes and behaviour ● Health, safety and safeguarding through the lifespan ● Valuing and promoting diversity, difference and inclusion ● Promoting physical & mental health and wellbeing. Supporting individuals to make independent, informed choices about the services and care they receive. Considerations when planning and implementing a person-centred approach Duty of care Physical support and personal care Supporting individuals with daily living needs Supporting health promotion and healthy lifestyles Actively respecting individuality, rights, choice, privacy, independence, dignity Demonstrating respect, empathy and promoting partnership Equal opportunities Actively respecting and promoting diversity Respecting different cultures and values Providing care, support and attention with different individuals Involving family, friends, carers, groups and communities in the provision of Care Empowering the service user voice (recognising the service user as the architect of their care) including incorporating patient/service user feedback in own provision of care. Implementing professional approaches to care: care, compassion, competence, communication, courage (honesty) and commitment. The importance of professional presentation, e.g. personal hygiene when providing personal care. Ensuring the right to confidentiality is respected throughout Professional relationships and approaches to communication in promoting person-centred approaches With individuals, their family and friends Team members; Line managers Leadership competencies

5 Workers in other agencies Rights and responsibilities of users of service versus care workers and others Professional codes Trust; Advocacy; Roles and responsibilities; Empowerment Demonstrating initiative within remit of own role Values of developing partnership approaches to person-centred care Communication when providing direct care Communicating complex and sensitive information to professionals Interpersonal skills; Written and verbal; Record-keeping; Technology; Data protection; Handling sensitive information Listening skills Reflective listening; Active listening Barriers to communication Environmental, e.g. location, noise, light, personal space Language, e.g. communicating with individuals with English as a second language. Cultural, e.g. individual differences regarding norms of communication. Availability of resources to meet specific communication needs, e.g. professionals who can use sign language, resources in Braille, other alternative communication aids Models of support Medical health versus social model Individual benefit versus organisational benefit Challenges in implementing person-centred approaches Risk; Abuse; Challenging behaviour; Impact of own values, Principles and prejudice; Conflict; Ethics; Confidentiality versus disclosure; Supervision sessions/mentoring; Expectations changing over time; Conflicts between principles of good practice and values of others; Being adaptable; Reflective approach: qualities and skills needed compared to qualities and skills possessed LO2 Review current policies, legislation and regulations in relation to effective person-centred practice Current policy, legislation and regulations that impact on the person-centred care given to individuals receiving care from health, care and support services Knowing and actively respecting legislation on: Health and safety and the organisational approach Reducing and controlling risks Safeguarding Equality, diversity and anti-discriminatory practice. Data protection and confidentiality, e.g. reviewing the: importance of, limits of and policies regarding sharing of information as relevant to own role. Legislation and legal responsibilities. The relationship between regulations, legislation and standards The implications and impacts of various legislation related to promoting person-centred care Whistleblowing Rules and regulations relating to cyber security

7 Continuing Professional Development (CPD), e.g. undertaking training available to meet service requirements and keep own skills and knowledge up to date, career-long learning. Additional issues of fitness for practice, i.e. maintaining own health and wellbeing, establishing and maintaining personal and professional boundaries, managing the physical and emotional impact of own practice, identifying and applying strategies to build professional resilience. Own contribution to the collective effectiveness of teams Meeting needs and expectations of users of service Improving team performance Supporting other team members Meeting objectives Formal and informal roles within organisational structures and systems Mentoring and coaching others. Barriers Interpersonal interactions Professional codes Differing priorities and expectations Experience Accountability Reflective learning Consider this as a philosophy and a concept using reflective learning to gain a deeper and objective insight into levels of performance in comparison to levels of expectation, using the Practice Themes as a framework for reflective learning.

8 ASSESSMENT CRITERIA Pass Merit Distinction LO1 Promote a holistic approach to person-centred practice D1 Evaluate how dilemmas experienced in own workplace setting affect a consistency in approach to effective person- centred practice P1 Compare how the medical and social models apply to person- centred practice in health, care or support services P2 Discuss how to adopt a person-centred approach when planning and implementing a programme for individuals requiring support M1 Review the challenges with applying person-centred care in own workplace setting LO2 Review current policies, legislation and regulations in relation to effective person-centred practice D2 Critically evaluate the effectiveness of health and safety and safeguarding systems in own workplace setting in meeting legislative requirements P3 Discuss how aspects of different legislation are reflected in the provision of person-centred care in a healthcare setting using specific examples P4 Suggest appropriate solutions to different problems that may occur in implementing specific regulations and policies in a health and care setting M2 Assess the challenges in interpreting different legislation in relation to the planning and provision of person-centred care in own workplace setting LO3 Reflect on own practice within health, care or support settings D3 Critically evaluate own and others’ practice in enabling a consistent approach to high- quality care in different health and care settings P5 Produce a comparative reflective account of own provision of periods of person- centred care in different workplace settings M3 Interrogate own effectiveness in managing own workload as part of a team providing person-centred care for different individuals LO4 Explore ways to develop own professional skills and behaviours in relation to health, care or support service provision D4 Produce a critically reflective action plan for further personal and professional development based on own reflective learning P6 Construct a short, medium and long-term plan to improve own practice and skills in providing person-centred care P7 Analyse the practicality of own plans in relation to contributing M4 Implement own short-term plan during a period of workplace experience M5 Monitor own implementation of plan throughout, making

10 ASSIGNMENT BRIEFS AND GUIDANCE Unit Number and Title 19: Reflective Approaches in Implementing Person Centred practice. Assignment Title Person centred practice Submission Dates Assignment 1 Monday Assignment 2 Submission Format Submission is in two parts, Assignment 1 covering LO3 and LO4 and Assignment 2 covering LO1 and LO2. 1. A professional development portfolio to include a written personal statement and reflective logs. Recommended word count is 2500-3000 words. 2. Provision of a PowerPoint Presentation for new staff and students on placement within your organisation. The recommended total word limit is 2000-2500 words. Assignment Brief and Guidance for Assignment 1 LO3 Reflect on own practice within health, care or support settings LO4 Explore ways to develop own professional skills and behaviours in relation to health, care or support service provision.

11 Scenario: As a care worker, you have decided to further your career by applying for a senior role that has become available within the organisation. In preparation for the application and interview process, you will need to put together a personal statement and a personal and professional development plan, in the form of a portfolio. Portfolio Assignment 1a Write a statement that reflects on and compares the person-centred care that you have provided for service users whilst working in different care settings. You should reflect on things like, how well you met the organisations’ expectations of a care worker and how you maintained high standards of care and professionalism. You may comment on how well you worked within legislation and policy, health, safety and safeguarding, your attitudes and behaviour, valuing and promoting diversity, mental health and wellbeing; also how you demonstrated leadership and good team working, communication and how you monitor your own health, wellbeing and development. Your statement should also interrogate how effective you are at managing your workload as part of a team, providing person-centred care for different individuals. You should also critically evaluate your own and others’ practice in enabling a consistent approach to high-quality care. You can do this by identifying good practice that you have learnt from others and poor practice that you have recognised including the impact these have had on the service users. Also, identify where and what you need to develop to improve your practice. Assignment 1b Produce a personal and professional development portfolio, including reflective logs which outline your short (3 months), medium (6 months) and long-term (12 months to 5 years) goals that state how you will improve your practice and skills in providing person- centred care. You may consider any training you need and adjustments to lifestyle and wellbeing such as physical health and emotional resilience. You should use a model of reflection such as Brookfield and create a personal SWOT to write an analysis on the practicality of these plans in relation to the collective effectiveness of your own workplace team. For example, there may be barriers that hamper your progress such as interpersonal conflict, different levels of experience and different priorities or lack of accountability in the team. Finally, you will need to provide evidence of implementing your short-term plan during a three-month period of workplace experience. This can be done as a reflective log where you record your progress and make suggestions for further improvement or in the form of E-Learning or an activity write-up, using the templates provided. At the end of the three-month period of monitoring your progress, evidence of your critically reflective learning should be recorded within an action plan for further personal and professional development. The practice themes will also be used as a guide for your development needs .

13 Your PowerPoint should have a section that assesses the challenges care workers may face in interpreting different legislation when planning and providing person centred care. For example, rigid procedures that must be followed that prevent workers from using their initiative when providing personalised care for clients they know and understand; or the challenges posed by weighing up risk versus freedom or confidentiality versus disclosure. You should conclude the PowerPoint with a critical evaluation of how effective the health & safety, and safeguarding systems are at meeting legislative requirements within your own organisation. You could focus this section on some potential barriers to quality care provision in this area, such as poor communication, lack of training or mentoring, poor information sharing, poor personal and professional values etc. so new staff will understand the importance of understanding legislation and policy. You will then be expected to discuss ‘what next,’ in order to show how the systems could be improved Your PowerPoint must include titles and headings where appropriate, and you are encouraged to use a variety of sources to support your work. The recommended total word length is 2000-2500 words . A reference list/bibliography using the Harvard referencing system should be included. Important Dates Summative Assessment on Moodle: Assignment 1 Mo Assignment 2 Mon r (PowerPoint- Submit on Moodle) Present week commenci mber 2023

14 PROPOSED OUTLINE OF PROGRAMME W/C 18.09.2023 Assignment 1 Issued WEEK 1 – Expectations, Induction to the module, and parts to the assessment. Producing a reflective statement (LO3). W/C 25.09.2023 WEEK 2 – Constructing and implementing your own goals to improve your practice (LO4). W/C 02.10.2023 WEEK 3 – Reflection: Analysing the practicality of your plans (LO4). W/C 09.10.2023 WEEK 4- Monitor your goals. Create a critical reflective action plan (LO4). W/C 16.10.2023 Assignment 2 Issued WEEK 5 – Promoting a holistic approach to person-centred care (LO1). W/C 23.10.2023 WEEK 6 – Reading week - Assignment 1 submission (Monday 23 th October 2023). W/C 30.10.2023 WEEK 7 – Review the challenges and evaluate the dilemmas faced in your own workplace setting (LO1). W/C 06.11.2023 WEEK 8 – Review how different legislation is reflected in person-centred care (LO2). W/C 13.11.2023 WEEK 9 – Solutions to different problems related to regulations and policies in PCC; challenges in interpreting different legislation related to the planning and provision of person- centred care in own workplace (LO2). W/C 20.11.2023 WEEK 10 – Health, safety, and safeguarding systems in your own workplace setting (LO2). W/C 27.11.2022 WEEK 11 – Present assignment 2 . Assignment 2 submission (Monday 27 th November 2023).