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Promoting Excellencein Dementia Care

Caring for Smiles : Standards, Qualifications and Frameworks - bringing pieces of the learning jigsaw together

Caring for Smiles : Regional EventsOctober/November 2015

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SSSC - What we do:

• Objectives – public protection and improvements in service through workforce regulation and development

• Register workers – phased approach

• Workforce information – future workforce

• Codes of Practice

• Scotland and UK

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Why connect learning?

• Connected learning assists connected practice

• Important to recognise that care is a complex activity and it takes a particular set of knowledge, skills and values to be a good care worker … not everyone is suited or suitable to work in the care sector

• There is never just one thing happening in an intervention … people are ‘whole’ beings with ‘whole’ lives and care is not simple

• ‘Conscious competence’ is important to good practice and to professional self-esteem and identity

• Recognising connections and transferable skills is both an effective and an efficient measure

• When you have shown you have learned something - why should you have to evidence your learning twice (or more)?

Bringing pieces of the learning jigsaw together …

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Meet ‘Sheena’

Case Study -connecting learning

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Case Study: ‘Sheena’

Sheena’s workrole activities as a support worker at Greenwood include:• Personal care • Key working support • Contributing to and implementing care plans — person-

centred planning — personal outcomes approach • Promotion of mental and physical activity • Assessment and management of risk• Maintaining and updating records • Complying with H&S policies and procedures • Taking responsibility for own professional development • Undertaking any necessary training • Support to administering of prescribed medication• Working in partnership with individuals, carers and others• Providing support to individuals in meeting physical,

emotional, social and spiritual needs

Support Worker at Greenwood Care Home for older people

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Case Study: ‘Sheena’

• Support Worker at Greenwood Care Home for older people

• Achieved ‘Dementia Informed Level’ (Promoting Excellence)

• Greenwood’s succession planning & Sheena’s career

development now include her undertaking:

SVQ Social Services & Healthcare at SCQF Level 6

Caring for Smiles at SCQF Levels 5 and 6

Dementia Practice : Skilled Level

• Sheena is now registered with SSSC as a Support Worker

CHSA - registered with condition to achieve SVQ at SCQF

Level 6

Promoting Excellence

Dementia Informed Level

The Dementia Informed Jigsaw …

Com

mun

icat

ion

Impact of

environment

Impact ofstigma &

discrimination

Impact of dementia on feelings and

behaviour

Person-centred support

Empowering/

enabling practice

PromotingExcellence

DementiaInformed

Level

Outlines the baseline knowledge and skills required by everyone working in health and social service settings, including in a person’s own home.

Signs & symptoms of dementia

Individual needs

Risk / Harm

Legislation & policy

Rights

Quality of Life

Support effective

communication

SCDHSC0021

Supportthe health &

safety of yourself and individuals SCDHSC0022

Developyour own

knowledge & practice

SCDHSC0023

Supportthe

safeguarding of individuals

SCDHSC0024

Support individuals with their personal

care needs SCDHSC0218

Contribute to the

implementation of care or

support plan activities

SCDHSC0025SVQ 2

Social Services

& Healthcare

@ SCQF

Level 6

Sheena’s SVQ

@ SCQF Level 6

Caring for Smiles

The NOS/SVQ

Jigsaw …

Caring for Smiles

LearningOutcomes

Explain why good oral health is importantfor olderpeople in care

1

Recognise the factors that contribute topoor oralhealth in older people

2Demonstrate good practice in day-to-day oral care for residents who require assistance

3

Knowwhen and how to report any oral healthconcerns (referring to local protocols)

4 Summarise the importance of the different oral care

forms (eg. risk assessment, care

plans and doc-umentation of daily

oralcare)

5

Carry out an oral health risk assessment

6

Describe the tech-niques and strategies

that may helpthose residents with dementia,

with specific reference to those resisting oral care

7

Recognisethe need for specialised oral care

8

Support effective

communication

SCDHSC0021

Supportthe health &

safety of yourself and individuals SCDHSC0022

Developyour own

knowledge & practice

SCDHSC0023

Supportthe

safeguarding of individuals

SCDHSC0024

Support individuals with their personal

care needs SCDHSC0218

Contribute to the

implementation of care or

support plan activities

SCDHSC0025SVQ 2

Social Services

& Healthcare

@ SCQF

Level 6

Sheena’s SVQ

@ SCQF Level 6

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles — Key Messages

• Good oral health will contribute positively to overall health and wellbeing.

• Dental decay and gum disease are entirely preventable.

• Effective daily oral care can prevent oral disease.

• Looking after oral soft tissues is just as important as looking after the teeth.

• Early detection of mouth cancer is important so ‘if in doubt, get checked out’.

• Oral care is the responsibility of every member of the care staff. Care is required 24 hours a day, so this includes both night and day staff.

• Toothbrushing, diet and dental visits are the main steps towards good oral health, but may need some adaptations for older people.

• Oral care should be enhanced if older people need or prefer a higher intake of food or drinks containing sugar.

• Oral health risk assessments, care plans and documentation of daily care should be carried out for every resident.

• When a resident with dementia becomes uncooperative and won’t let you near their mouth – think! Are they in pain?

• Eating, drinking and swallowing problems are common among older people and require special assessment and care.

• In palliative and end-of-life care, mouth care must be carried out regularly to ensure the resident is kept as comfortable as possible.

• Improving the oral health of older people in Scotland is a Scottish Government priority.

Caring for Smiles

LearningOutcomes

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Caring for Smiles

LearningOutcomes

Sheena’s workrole activities as a support worker :

• Personal care

• Key working support

• Contributing to and implementing care plans — person-centred planning — personal outcomes approach

• Promotion of mental and physical activity

• Assessment and management of risk

• Maintaining and updating records

• Complying with H&S policies and procedures

• Taking responsibility for own professional development

• Undertaking any necessary training

• Support to administering of prescribed medication

• Working in partnership with individuals, carers and others

• Providing support to individuals in meeting physical, emotional, social and spiritual needs

Rights

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Promoting Excellencewww.sssc.uk.com/promotingexcellence

www.knowledge.scot.nhs.uk/promotingexcellence

 Includes exemplar mapping of SVQ Unit HSC3112* [Support individuals to identify and promote their own

health and social well-being ] to ‘Dementia Skilled’

Some Promoting Excellence resources specifically for educators and trainers …

*Revised NOS & SVQs — HSC3112 has been replaced by SCDHSC3112 [Support individuals to manage their own health and social wellbeing ]

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Promoting Excellencewww.sssc.uk.com/promotingexcellence

www.knowledge.scot.nhs.uk/promotingexcellence

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