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Surrey Skills Academy with support from Health Education Kent Surrey Sussex The Care Certificate Framework For Adult Social Care Workers & Healthcare Support Workers Name of Learner: Click here to enter text. Page 1 of 40 Standard 5

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

The Care Certificate Framework For

Adult Social Care Workers &

Healthcare Support Workers

Name of Learner: Click here to enter text.

Role: Click here to enter text.

Organisation: Click here to enter text.

Mentor: Click here to enter text.

Assessor: Click here to enter text.

Date started: Click here to enter a date.

Page 1 of 28

Standard 5

Surrey Skills Academy with support from Health Education Kent Surrey Sussex

The Care Certificate Framework

Work in a person centred way

Standard 5 Main areas:

I understand person centred values

I will work in a person centred way

I will demonstrate awareness of the individual’s immediate environment and

make changes to address factors that may be causing discomfort or distress

I will make others aware of any actions they may be undertaking that are

causing discomfort or distress to individuals

I will support individuals to minimise pain or discomfort

I will support the individual to maintain their identity and self-esteem

I will support the individual using person centred values

Links:

Code of Conduct: Standard 2 & 3

Compassion in Practice (6 C’s)Care, Compassion, Competence, Communication, Courage and Commitment

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

Standard 5

This standard explores person centred values and how to work in a person-centred manner. It then moves on to look at how the environment or others may be causing the individual distress and how to support the client if they are in pain and throughout all this, ensure that they are treated in a way that maintains their identity and self-esteem.

You will need to understand how to put a persons centred values into practice in

your day-to-day work. To begin understanding person centred values, you may wish

to think about things that make you who you are, what you like and what you dislike.

What do you like doing, what hobbies do you enjoy, what music do you like to listen

to, and where or who do you like visiting. Imagine how you would feel if you were

being cared for by people who imposed their views, and did not recognise your likes

and preferences.

The person-centred approach focuses on the holistic needs of the individual and not

the service. It revolves around everyone who is involved in doing their best to carry

out the wishes of the individual. This will include family members named specifically

in the care / support plan or other family members involved in decision making within

a defined and agreed limit. It is about the personal beliefs of the individual being

respected and encouraged. Families may not be familiar with a person-centred

approach and may wish to make decisions that are in conflict with what the individual

wishes or requests. This may lead to tensions but through discussion and

communication, the family can be supported to understand that the individual’s

wishes and preferences must be followed. You will need to get to know about the

individual’s ethnic and religious beliefs and preferences so that you can respect and

encourage them, and meet specific needs of the individual rather than the perceived

needs of the condition or of the group receiving care. By doing so you will recognise

the individual is unique with unique needs. Person centred values that you may put

into practice in your day-to-day could be as follows:

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If a client has a specific belief such as being a Muslim, Jew, Catholic,

Vegetarian, etc. then their particular foods / customs should be provided

and respected

You should ask individuals by what name they would like to be called

Clients should be able to make their own decisions about choice of

clothes – what to wear and what to buy – also that their clothes are

returned to them after being washed

These considerations should be incorporated into your day-to-day work practice and

viewed along-side the Social Care Values or Main Principles of Care. As a care

worker, one of your responsibilities is to promote these values and principles that

underpin health and social care.

Everyone is an individual in their own way and it is important to work in a way that

supports person centred values when providing support for individuals. It may be

necessary for you to reflect on how you would show respect for an individual before

undertaking a task in your work role. Respect in this sense relates to the holistic

needs of the individual. Care needs may be approached holistically by agreeing with

each individual the required level of care and support. By applying this person

centred approach the individual retains the ability to be themselves.

You should think about how each individual may like to be treated and show the

person(s) that they are a valued member of society. Respect is showing someone

that you value them and that they are important, that you respect their feelings,

beliefs and rights, that you see the whole person, their past, their experiences and

not just the condition they suffer from. Person centred care is about how people are

put at the centre of everything you do, looking at the way care is planned and

delivered so that it is built around individuals’ needs. It gives people control over

who, what and when services or care is delivered, and who else will be involved.

Person centred planning involves

Putting the individual at the centre

Family members and friends are consulted and included

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

Person centred planning reflects the individual’s strengths, what is

important to them, and identifies support they need to make a valued

contribution to the community as they wish to do so

Person centred planning builds a shared commitment to action that will

uphold individual’s rights

Person centred planning leads to effective and continued listening,

learning and action, and helps a person to get what they wish to out of life

Whilst undertaking your work you can show respect by addressing people in their

preferred manner, or waiting until they give you permission to call them by their first

name, by not using labels to describe them to other people or ascribing a term to

them like ‘love or dear’. It is important to preserve a person’s dignity especially when

intimate care tasks are provided, for example closing the door when they are in the

toilet or bathroom, when they have finish with a bath, a towel is put around them so

that they do not feel vulnerable, or left in a state of undress. Dignity is closely

connected to a person’s own sense of self-worth, and you should never belittle or

ridicule individuals in any way.

In order to promote dignity in your day-to-day work it could be expressed that as a

care worker you have a responsibility to ensure your working practices show people

they are valued. It is necessary that you treat others as you would wish to be treated,

that you value individuals’ contributions and that you do not patronise people. When

individuals’ rights are taken away they become ‘disempowered’ resulting in low self-

esteem. Examples of ways to promote dignity are identified in the above social care

values, and the following will enhance them:

Encourage individuals to express their needs and wishes, and to be as

self-managing as possible

If individuals are supported by an advocate, include them in reviews and

care planning, where the client wishes

Listen to the wishes and feelings of individuals and act on them.

Where dignity is not embedded in practice a lack of respect may be evident. For

example, being addressed in a disrespectful manner, lack of privacy and being

rushed to complete tasks instead of being encouraged to be independent. Being Page 5 of 28

Surrey Skills Academy with support from Health Education Kent Surrey Sussex

made to feel a nuisance or in the way, using the medical model of care instead of

social model of care, not being listened to or consulted for decisions and choice.

These can all affect a person’s feeling of dignity.

Everyone is entitled to be treated with dignity, meeting all aspects of life, from

support with personal care, to how they wished to be addressed. Being listened to

about what they have to say and being interested in them as an individual. This

contributes to how individuals feel about themselves, their self-esteem, how they feel

valued, how they can make contributions and have a sense of worth.

Treating individuals with dignity will promote self-esteem and well-being. However

being unique individuals, we also have spiritual and emotional needs. Each of us

has different ways in which we like our needs to be met, for example some may like

lots of compliments and positive encouragement, whereas another may need to take

a walk in the garden and sit quietly for a while to enable them to feel content.

The Dignity Challenge, issued initially by the Department of Health, states that high

quality care services that respect people’s dignity should:

Have a zero tolerance of all forms of harm (abuse)

Support people with the same respect you would want for yourself or a

member of your family

Treat each person as an individual by offering a personalised service

Enable people to maintain the maximum possible level of independence,

choice and control

Listen and support people to express their needs and wants

Respect people’s right to privacy

Ensure people feel able to complain without fear of retribution

Engage with family members and carers as care partners

Assist people to maintain confidence and a positive self-esteem

Act to alleviate people’s loneliness and isolation

It is important for you to find out the history, preferences, wishes and needs of the

individuals you care for. These factors are all important to understand as they relate Page 6 of 28

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to life influences that shape the way the individuals are. These considerations need

to be undertaken in order to substantiate the needs of the whole person you are

caring for. Considerations that may need to be undertaken are as follows:

Physical - personal needs, sensory / mobility ability, diet (including any

food allergies), sleep patterns, health, hygiene, clothing, shelter /

accommodation, mobility, pain and many others

Psychological / emotional - identity, self-esteem, independence, culture.

Social / family / friends - leisure activities, members of associations,

relationships with family, friends and others in immediate community,

work, responsibilities, holidays

Financial information - support payments and / or income, wills, payment

commitments, outstanding monies owed, living costs, day to day

expenses

Religious / spiritual needs / culture / ethnic origin - language, diet, dress,

religion, and its’ requirements, i.e. prayer times, special foods

Medical conditions / operations - how does this impact on day-to-day skills

and life, access to GP and other medical professionals?

Medication - how will it be obtained, collected, administered, side effects,

special information and instructions, establish if support is required

Risk factors - is equipment required, aids and adaptations, have risk

assessments been completed, has risks increased or reduced, and the

need to be aware of these and report back to line management

immediately

Access to property - to know how to gain access to the property

Environment – factors to take into consideration may include lighting,

temperature, noise and unpleasant odours

Other agencies involved - to understand their role and responsibilities;

general practitioner, occupational therapist, optician etc.

What the client has requested / needs - what was the initial request of the

client?

A Needs Assessment may have been completed or undertaken by other agencies or

staff. As a care worker, if you discover information relating to this list, it is important

to share this with your manager / supervisor, especially as an individual’s needs can Page 7 of 28

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change over a period of time, or during a period of illness. It is very important that the

changes are reflected in their care / support plan. You will need to be aware of what

is involved in a good assessment and how and what information you can contribute.

During person centred assessments there could be several teams or professionals

involved to cover any of the above mentioned areas of care needs. To enable choice

and decision-making, the individual needs to understand each person’s role and

what they will be responsible for. This will build trust and confidence, as well as

encourage strengths to be worked on and empower them to feel in control.

Through the development of a supportive relationship, you as the carer, have an

important part to play. Doing something for the individual when they cannot do it for

themselves, promoting choice in all things, encouraging social interaction, seeing the

individual first and their condition second, being dependable, warm and friendly in

your approach and making every effort to communicate effectively. You will need to

monitor and review changes and ensure they are reflected in the care / support plan

and contribute to working in a person-centred way by having an awareness of some

of the following where applicable to the individual.

The care / support plan is a record of what matters to the individual and what they

want to achieve themselves. It identifies the best treatment, the right care and

support and the actions they can take themselves to help get there. It records how

individuals are supported to do as many things as they can for themselves, and how

skills are maintained and encouraged.

Therefore, when finding out information about an individual’s needs, initial

investigations should be with reference to the care / support plan. Within the care /

support plan you should find that the individuals’ needs have been outlined, as well

as recordings of the individuals’ preferences and choices, along with risk

assessments that have been undertaken. As a care worker, you should consistently

refer to the care plan, taking into account any changes that have taken place when

performing your role in supporting the individual.

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The changing needs of the individual should be reflected correctly so it is clear what

level of support / independence is needed for the individual at any given time. The

care / support plan should be monitored, reviewed and updated regularly evidencing

individuals’ strengths and how independence will be promoted. Independence in

even the smallest of things makes individuals feel in control of their lives and gives a

sense of purpose and self-worth. What seems to be a small thing to you, may not be

a small thing to the individual. The individual may wish to put their own sugar in their

tea, they may wish to open their own letters and cards, do up their own buttons,

change the television channel, or even flush the toilet. Independence enables the

client to feel involved and continue to practice their skills. If everything is done for the

person they lose their skills, self-confidence and sense of self-worth.

You therefore need to have an awareness of your role and responsibilities and

boundaries within the care planning process and at the same time ensure you refer

to individuals’ care plans regularly and become aware of any changes that have

taken place or where the care / support plan may need to be reviewed or changed.

You may need to discuss this with other team members or with your line manager.

Whilst a care plan supports the changing needs and independence of an individual,

care planning is also important for the future, well-being and fulfilment of the

individual. Care planning enables the individual to formally state and document their

wishes and choices in advance, especially when the individuals’ condition may result

in being unable to make decisions or communicate their wishes.

As the individuals’ condition deteriorates, the plan will need to be regularly reviewed,

and will indicate the individuals’ wishes and the care they would wish to receive at

specific stages or within a set of circumstances. These plans might address

individual concerns, values and personal outcomes of how they wish to understand

their illness and prognosis. This in turn enables care preferences and choice of

treatment to be expressed.

By planning ahead, it can also enable individuals to produce their will and make

known arrangements for their funeral. For example, if they would like specific music,

flowers or charity arrangements. Culture and religion may also play a part in an Page 9 of 28

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individual’s wishes and arrangements, which may not be understood by some.

However, they need to be considered, e.g. refusal of specific treatment or

procedures, or medication. Some advance decisions can be legally binding if they

were made by the individuals within The Mental Capacity Act 2005 and were

deemed to be able to make informed decisions at that time.

It is necessary to be aware of an individual’s immediate environment and make

changes to address factors that may be causing discomfort of distress.

Environmental factors causing discomfort or distress that may need to be removed

or minimised could be:

Lighting

Noise

Temperature

Unpleasant odours

It may be necessary to raise any concerns regarding the immediate environment of

an individual. Particular concerns should be raised to the relevant person. In

addition, it may also be necessary to make others aware of any actions that they are

undertaking that are causing discomfort or distress to individuals. When raising

concerns of actions that others are undertaking the following appropriate approaches

should be taken:

Firstly, raise any concerns with the individual concerned

If the concern continues, raise the concern with your supervisor/manager

If the concerns continue, raise any concerns via other channels or

systems e.g. team meetings.

In most organisations, the above approach would usually result in a satisfactory

outcome. Although, this approach does not always have to be followed in the

mentioned order, as it will depend on the severity of the concern. For example, if the

concern was serious enough it may be appropriate to go straight to your supervisor /

line manager. When reporting actions of others, it will be necessary to take into

account your duty of care – please refer to Standard 3.

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When minimising pain and discomfort for individuals it is important to recognise the

signs and take appropriate action. For example, where an individual has restricted

movement or mobility it is important to ensure that they are comfortable. Signs that

an individual is in pain or discomfort could include:

Verbal reporting from the individual

Non-verbal communication

Changes in behaviour

Taking appropriate action where there is pain or discomfort could include:

Re-positioning

Reporting to a more senior member of staff

Giving prescribed pain relief medication

Ensuring equipment or medical devices are working properly or in the

correct position e.g. wheelchairs, prosthetics, catheter tubes

Environmental factors could also cause pain or discomfort. Removing or minimising

environmental factors that cause pain or discomfort could include:

Wet or soiled clothing or bed linen

Poorly positioned lighting

Noise

You need to be aware of how an individual’s identity and self-esteem are linked with

spiritual and emotional wellbeing, and have an awareness of how attitudes and

approaches can promote them. You need to know how to support individuals in ways

that promotes a sense of identity and self-esteem. It is also important to understand

how to contribute to an environment that promotes spiritual and emotional well-

being.

Well-being is closely linked to spiritual needs and individuals should be consulted

about these. Some individuals may have a particular faith, others may not but by

listening and giving attention, you will be able to ensure a sense of loss is avoided

and a sense of spiritual fulfilment is supported, for example supporting attendance at

a place of worship, enabling representatives to visit, ensuring that privacy is provided

to undertake rituals and / or prayers, or to personalise their room.

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It has already been mentioned how a ‘person-centred values’ approach, promoting

dignity in your day-to-day work and care planning provides an environment which

supports and encourages individuals’ own sense of identity and self-esteem. In

addition, individuals’ have rights that should be supported and encouraged by a

professional care worker.

Individuals’ rights will be outlined in your Service Statement as required by the Care

Quality Commission (CQC) which will recognise rights of individuals who receive a

care service. Such rights might include:

Independence

Dignity

Respect

Inclusion in decision making

Privacy

Choice

Everyone has ‘rights’, e.g. the supported person has the right to attend their own

place of worship; they have the right to say no or change their mind about

something. Care workers need to encourage them to exercise their rights and also

encourage ‘responsibility’ to act within the law and undertake moral responsibilities.

The rights of individuals should be respected and evidenced in your day-to-day

communication, interaction and support practices. You need to understand that

rights and responsibilities have to be balanced and there may be tensions between

those which individuals feel are their right and those which can realistically be given

as part of the care/support plan. In such a situation, you should discuss this with your

manager, and identify how the situation can be improved.

Independence, dignity, respect and inclusion in decision making have all been

discussed earlier in the standard. They are all individuals’ rights that a care worker

should entail in your day-to-day work role in order to support and encourage

individuals’ own sense of identity and self-esteem. Although the above-mentioned list

of rights is not conclusive there are two further rights relating to privacy and choice

that are also important for a care worker to support and encourage.Page 12 of 28

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Privacy for each individual has different levels of importance, some like their own

company and some like to socialise. However, individuals have the right to be given

the level of privacy they wish in order to live their lives without undue interference

from others. Within residential establishments individuals share their home with

others and this may be something they are not used to. Many people arrive and

depart on a daily basis and individuals may resent the intrusion. It is important that

privacy is respected and opportunities for privacy are observed and created. For

example, knocking on doors, areas to meet visitors, make and take phone calls,

asking individuals permission to turn on and off televisions, radios or open windows,

respecting clients use of their own rooms, entertain visitors in their own room without

interruption from workers and for individuals being supported or cared for in their

own home, acknowledge the privacy of the person’s own home by announcing your

arrival even if you have access to a key. You should not discuss individuals with

anyone except if it is a specific meeting such as a review meeting / case conference,

where it is appropriate to do so.

Provision of care is also a balance between providing enough support for individuals

and not intruding on the rights of the individual, allowing them to maintain control of

their own life and make their own choices regarding practices and care that directly

affect them. People need to be involved in making choices. Good communication will

give the information they need to make choices and they should be helped to

understand that information and encouraged as adults to make the right choice and

accept the consequences of that choice.

It is important for individuals’ self-esteem and to help maintain their identity that they

are encouraged to make choices throughout the day, even simple ones like opening

a window, having a cup of tea / coffee, going for a stroll in the garden, join in

activities, what programs to watch or listen to or when to go to bed. It is even more

important for you to listen and respond to them and recognise that it is the

individuals’ right to make choices, to select what they want and enjoy the benefits of

doing so.

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You will need to support and encourage a sense of identity and self-esteem for the

individuals’ you support and work with, it is necessary to develop and encourage

good communication and relationships. You need to have a clear understanding of

your role and how this links in with the overall delivery of care and decision making,

as well as working with other members of the team and other professionals. You

need to understand how the way your work ensures that the individual you support

and work with can be enabled to make decisions and choices, as well as make plans

for their future. It is very important to work in partnership with the individuals you are

supporting, their family/friends and with relevant agencies. Every worker needs to

take on board the wishes of the person they are supporting, their family/friends and

other agencies but the wishes of the individual are the most important.

There are some emotional needs in all of us, feeling loved and cared about,

receiving affection and emotionally connected to others, feeling safe and secure and

being listened to, being supported when feeling sad or depressed, having a sense of

independence and control so that it gives meaning and purpose, privacy, and feeling

part of the wider community.

We need to remember as individuals we are a combination of personality, life history,

physical, mental and emotional health. Social interactions and our psychological

environment affect how everyone interacts with each other. Your day to day

practices should evidence the above, as well as being encouraging, positive and

person centred, to promote the individual’s sense of identity and self-esteem.

If there are any concerns about the individual’s emotional and spiritual wellbeing you

will need to report them to the appropriate person. This could include:

Senior member of staff

Carer

Family member

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

Standard 5Workbook

Work in a person-centred way

Standard 5 Main areas:

I understand person centred values

I will work in a person-centred way

I will demonstrate awareness of the individual’s immediate environment and

make changes to address factors that may be causing discomfort or distress

I will make others aware of any actions they may be undertaking that are

causing discomfort or distress to individuals

I will support individuals to minimise pain or discomfort

I will support the individual to maintain their identity and self-esteem

I will support the individual using person centred values

Links:

Code of Conduct: Standard 2 & 3

Compassion in Practice (6 Cs)Care, Compassion, Competence, Communication, Courage and Commitment

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Standard 5.1 – Understand person centred values

5.1a Describe how to put person centred values into practice within your work, giving

3 examples to demonstrate this

1. Click here to enter text.

2. Click here to enter text.

3. Click here to enter text.

5.1b Explain why it is important to work in a way that promotes person centred

values when supporting individuals

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5.1c List 5 ways you can promote dignity within your practice

1. Click here to enter text.

2. Click here to enter text.

3. Click here to enter text.

4. Click here to enter text.

5. Click here to enter text.

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Standard 5.2 – Understand working in a person centred way

5.2a Describe the importance of finding out the history, preferences, wishes and

needs of the individual

Click here to enter text.

5.2b Explain why the changing needs of an individual must be reflected in their care

and / or support plan

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5.2c Explain the importance of supporting individuals to plan for their future well-

being and fulfilment, including end of life care

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Standard 5.4 – Make others aware of any actions they may be undertaking that are causing discomfort or distress to individuals

5.4a If one of your colleagues was undertaking actions that were causing discomfort

or distress to one of your clients, explain how you would raise this concern directly

with the individual

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Standard 5.6 – Support the individual to maintain their identity and self esteem

5.6a Explain how individual identity and self-esteem are linked to emotional and

spiritual well-being

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Standard 5Observation

Work in a person centred way

Standard 5 Main areas:

I understand person centred values

I will work in a person centred way

I will demonstrate awareness of the individual’s immediate environment and

make changes to address factors that may be causing discomfort or distress

I will make others aware of any actions they may be undertaking that are

causing discomfort or distress to individuals

I will support individuals to minimise pain or discomfort

I will support the individual to maintain their identity and self-esteem

I will support the individual using person centred values

Links:

Code of Conduct: Standard 2 & 3

Compassion in Practice (6 Cs)Care, Compassion, Competence, Communication, Courage and Commitment

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Standard Observation Signature & Date of observation

5.3a Take appropriate steps to remove or minimise the environmental factors causing the discomfort or distress. This could include: - Lighting- Noise- Temperature- unpleasant

odours

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Click here to enter a date.

5.3b Report any concerns they have to the relevant person. This could include: - Senior member

of staff - Carer- Family member

Observation / simulation (please indicate)

Click here to enter text.

Click here to enter text.

Click here to enter a date.

5.4b Raise any concern with their supervisor / manager

Observation / simulation (please indicate)

Click here to enter text.

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Click here to enter a date.

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5.4c Raise any concerns via other channels or systems e.g. at team meetings

Observation / simulation (please indicate)

Click here to enter text.

Click here to enter text.

Click here to enter a date.

5.5a Check where individuals have restricted movement or mobility that they are comfortable

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Click here to enter a date.

5.5b Recognise the signs that an individual is in pain or discomfort. This could include:- Verbal reporting- Non verbal

communication- Changes in behaviour

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Click here to enter a date.

5.5c Take appropriate action when there is pain or discomfort. This could include:- Re-positioning- Reporting to a

more senior member of staff

- Giving

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Click here to enter a date.

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prescribed pain medication

- Ensure equipment or medical devices are working properly or in the correct position e.g. wheelchairs, prosthetics, catheter tubes

5.5d Remove or minimise any environmental factors causing pain or discomfort. These could include:- Wet or soiled

clothing or bed linen

- Poorly positioned lighting

- Noise

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Click here to enter a date.

5.6b Demonstrate that their own attitudes and behaviours promote emotional and spiritual well-being

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Click here to enter a date.

5.6c Support and encourage individuals own sense of identity and self-esteem

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Click here to enter a date.

5.6d Report any concerns about the

Observation / simulation (please indicate)Click here to enter text.

Click here to enter text.

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individual’s emotional and spiritual well-being to the appropriate person.This could include:- Senior member

of staff- Carer- Family member

Click here to enter text.

Click here to enter a date.

5.7a Demonstrate that their actions promote person centred values including:- Individuality- Independence- Privacy- Partnership- Choice- Dignity- Respect- Rights

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Click here to enter a date.

Standard 5

Outcome To meet this standard Assessment Evidence provided

Date signed off

5.1 Understand person centred values

5.1a Describe how to put person-centred values into practice in their day-to-day work

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

Choose an item.

Choose an item.Click here to enter a date.

5.1b Describe why it is important to work in a way that promotes person centred values when providing support to individuals

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

Choose an item.

Choose an item.Click here to enter a date.

5.1c List ways to promote dignity in their day-to-day work

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

Choose an item.

Choose an item.Click here to enter a date.

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5.2 Understand working in a person centred way

5.2a Describe the importance of finding out the history, preferences, wishes and needs of the individual

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

Choose an item.

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5.2b Explain why the changing needs of an individual must be reflected in their care and / or support plan

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

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5.2c Explain the importance of supporting individuals to plan for my future wellbeing and fulfilment, including end-of-life care

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

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5.3 I Demonstrate awareness of the individuals immediate environment and make changes to address factors that may be causing discomfort or distress

5.3a Take appropriate steps to remove or minimise the environmental factors causing the discomfort or distress. This could include: Lighting Noise Temperature Unpleasant odours

The assessment must be observed in the workplace as part of the normal work duties

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5.3b Report any concerns they have to the relevant person. This could include: Senior member of staff Carer Family member

The assessment must be observed in the workplace as part of the normal work duties. The opportunity to demonstrate this during the induction period may not arise. Therefore the use of simulation / role play using scenarios is permitted

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5.4 Make others aware of any actions they may be undertaking that are causing discomfort or distress to individuals

5.4a Raise any concerns directly with the individual concerned

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

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5.4b Raise any concern with their supervisor / manager

The assessment must be observed in the workplace as part of the normal work duties. The opportunity to demonstrate this during the induction period may not arise. Therefore the use of simulation / role play using scenarios is permitted

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

5.4c Raise any concerns via other channels or systems e.g. at team meetings.

The assessment must be observed in the workplace as part of the normal work duties. The opportunity to demonstrate this during the induction period may not arise. Therefore the use of simulation / role play using scenarios is permitted

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5.5 Support individuals to minimise pain or discomfort

5.5a Check where individuals have restricted movement or mobility that they are comfortable.

The assessment must be observed in the workplace as part of the normal work duties

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5.5b Recognise the signs that an individual is in pain or discomfortThis could include: Verbal reporting from

the individual Non-verbal

communication Changes in behaviour

The assessment must be observed in the workplace as part of the normal work duties

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5.5c Take appropriate action where there is pain or discomfort. This could include: Re-positioning Reporting to a more

senior member of staff Giving prescribed pain

relief medication Ensure equipment or

medical devices are working properly or in the correct position e.g. wheelchairs, prosthetics, catheter tubes

The assessment must be observed in the workplace as part of the normal work duties

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5.5d Remove or minimise any environmental factors causing pain or discomfort. These could include: Wet or soiled clothing or

bed linen Poorly positioned

lighting Noise

The assessment must be observed in the workplace as part of the normal work duties

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

5.6 Support the individual to maintain their identity and self-esteem

5.6a Explain how individual identity and self-esteem are linked to emotional and spiritual wellbeing

Assessed by any of the following methods: - 1:1 discussion - Group work- Written

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5.6b Demonstrate that theirown attitudes and behaviours promote emotional and spiritual wellbeing

The assessment must be observed in the workplace as part of the normal work duties

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5.6c Support and encourage individuals own sense of identity and self-esteem

The assessment must be observed in the workplace as part of the normal work duties

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5.6d Report any concerns about the individual’s emotional and spiritual wellbeing to the appropriate person This could include: Senior member of staff Carer Family member

The assessment must be observed in the workplace as part of the normal work duties. The opportunity to demonstrate this during the induction period may not arise. Therefore, the use of simulation / role play using scenarios is permitted

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5.7 Support the individual using person centred values

5.7a Demonstrate that their actions promote person centred values including: individuality independence privacy partnership choice dignity respect rights

The assessment must be observed in the workplace as part of the normal work duties

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I am satisfied with the evidence of learning that it meets all the required standards.

Assessor’s Name:Click here to enter text.

Assessor’s Position: Click here to enter text.

Signature:Click here to enter text.

Date:Click here to enter a date.

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Surrey Skills Academy with support from Health Education Kent Surrey Sussex

Learner’s Signature: Click here to enter text.

Date:Click here to enter a date.

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