BTEC HND ASSESSMENT BRIEF

Assessment title Principles in Health and Social Care Practice
In this assessment students will have opportunities to provide evidence against the following criteria.

Learning Outcome Descriptions Assessment Criteria
To achieve the criteria the evidence must show that the student is able to: Task no. Evidence
LO1 Understand how principles of support are implemented in health and social care practice Explain how principles of support are applied to ensure that individuals are cared for in health and social care practice. 1.1
Outline the procedure for protecting clients, patients, and colleagues from harm. 1.2
Analyse the benefit of following a person-centred
approach with users of health and social care services 1.3
Explain ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services 1.4
LO2 Understand the impact of
policy, legislation, regulation,
codes of practice and standards on organisation
policy and practice Explain the implementation of policies, legislation,
regulations and codes of practice that are relevant to own work in health and social care 2.1
Explain how local policies and procedures can be
developed in accordance with national and policy
requirements 2.2
Evaluate the impact of policy, legislation, regulation, and codes of practice on organisational policy and practice 2.3

LO3 Understand the theories that
underpin health and social care practice Explain the theories that underpin health and social care practice 3.1
Analyse how social processes impact on users of health and social care services 3.2
Evaluate the effectiveness of inter-professional working
3.3

LO4 Be able to contribute to the
development and
implementation
of health and social care organisational policy. Explain own role, responsibilities, accountabilities and duties in the context of working with those within and outside the health and social care workplace 4.1
Evaluate own contribution to the development and
implementation of health and social care organisational policy 4.2
Make recommendations to develop own contributions to meeting good practice requirements. 4.3
In addition to the above PASS criteria, this assessment gives you the opportunity to submit evidence in order to achieve the following MERIT and DISTINCTION grades:
Higher Grade Descriptors Indicative Characteristics Contextualisation
M1 Identify and apply strategies to find appropriate solutions

Complex problems with more than one variable have been explored Complex problems have been successfully explored while analysing in detail how social processes impact on users of health and social care services (LO3 3.2)

additionally

Clear evidence of analysing the complexities in delivering a person-centred approach concerning users of health and social care services (LO1 1.3)
M2 Select/design and apply appropriate methods/techniques A range of sources of information have been used throughout the assignment Good use of sources (e.g. books and journals) have been appropriately used
M3 Present and communicate appropriate findings within the stipulated word limit The appropriate structure and approach have been used throughout the assignment Appropriate structure and sequence is followed throughout the text (3,000 words) .

D1 Use critical reflection to evaluate own work and justify valid conclusions Conclusion have been arrived through synthesis of ideas and justified Conclusions achieved and justified through synthesis of ideas in relation to the inter-professional working (LO3 2.3)

additionally

Conclusions achieved through synthesis of ideas in relation to the impact of policy, legislation, regulation, and codes of practice on organisational policy and practice (LO3 2.3)
D2 Take responsibility for managing and organising activities The importance of interdependence and independent thinking recognised and achieved Successfully demonstrated autonomy and own independent contributions to the development and implantation of health and social care policy (LO4 4.2)

additionally
Successfully demonstrated autonomy and interdependence by evaluating the impact of policy, legislation regulation together with codes of practice on organisational policy
D3 Demonstrate convergent / lateral / creative thinking Innovation and/or creative thought have been applied Effectively demonstrated self-reflective thinking and that several problems have been resolved when recommendations have been made to develop own contributions to meeting good practice requirements (L04 4.3)
Summary of Grades
In order to achieve a pass in a module ? all learning outcomes and associated assessment criteria have been met
In order to achieve a merit in a module ? pass requirements achieved
? all merit grade descriptors achieved
In order to achieve a distinction in a module ? pass and merit requirements achieved
? all distinction grade descriptors achieved

Student submission and declaration
I certify that by submitting the work for this assessment on Moodle (and via Turnitin) it is my own work and all research sources are fully acknowledged using the Harvard system of references. I certify that there are no personal or mitigating circumstances that has affected my work.

Student signature: Date:

Assessment Brief
Qualification Edexcel BTEC: Level 5 Higher National Diploma in Health and Social Care
Unit number and title Unit No.2 Unit code: Y/601/1566
Principles of Health and Social Care Practice
Assessor name Dr. Susan Marchant-Haycox
Date issued 26th September 2016
Deadline 16th December 2016

Assessment title Principles of Health and Social Care Practice
Purpose of this assessment
This unit aims to develop students? ability to critically analyse an area of professional practice in terms of knowledge and research. Furthermore to develop an understanding of values, theories and policies underpinning health and social care practice, and the mechanism that exist to promote good practice.
Scenario: Report by Care Quality Commission ? Game Care Home, London
Game Care Home is a small (32 clients) residential care home situated in London. However, recently the Care Quality Commission (CQC) placed Game Care Home into special measures following a series of inspection in June, July, September 2015 and June, 2016.

The clients at the residential home have a variety of care needs (physical and medical) and as such are depended on their health carers for support. Nevertheless, following the recent damning report by Care Quality Commission on Game Care Home, you were immediately appointed Manager by the Board of Directors of residential care home. At this meeting you were made aware of the numerous complaints from clients and families about the lack of codes of practice and basic quality of care (e.g. poor hygiene practices, verbal abuse, and inadequately managed medicines).

Summary findings of Care Quality Commission Report (CQC)
? Game Care Home failed to provide care which was safe, effective, caring, well-led and responsive to people?s needs.
? At this inspection the provider was in breach of eight regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Each of the areas that were found to be in breach during our July 2015 inspection were still in breach under the equivalent new regulations.
? CQC found that the quality of the care records was poor. There were inconsistencies and they lacked detail about the health conditions people were living with and how staff needed to support them.
? There was little to occupy people?s time in the home.
? The service was poorly managed. There was very little monitoring of the quality of the service provided taking place. There was no satisfactory complaints system in place and where people?s views had been sought, they had not been acted upon.
? Risks to people?s wellbeing were not routinely identified, reviewed and managed to ensure that people were kept as safe as possible.
? People were not protected from risks associated relating to the premises or poor hygiene practices.
? People?s safety had been compromised in a number of areas. The premises, both internally and externally, needed maintenance to ensure the welfare and safety of people living in and working in the home.
? Risks to people?s welfare were not routinely reviewed and were not always acted upon
? Staffing levels were not always adequate throughout all times of the day the day to ensure that people?s needs could be met.

? Hazardous cleaning materials were left unsecured.
? Care plans did not contain enough detail for staff on how to look after people in accordance with their needs which put people at risk of poor or unsafe care.
? Medicines management arrangements and administration practices were not robust.
? There were concerns regarding infection prevention and control measures in the home.
? People were not receiving effective care.
? Training arrangements were haphazard and staff had not received the training and supervisory support they required to ensure they cared for people in a safe and effective way.
? People were not adequately assessed to identify if they were at risk of poor nutrition.
? Where health professionals had been involved in people?s care their guidance was not always implemented.
? People had mixed views about how caring the staff were. Whilst we observed that staff spoke in a respectful and friendly manner with people some day to day practices in the home were not respectful and did not uphold people?s dignity.
? The quality of the care records was poor. There were inconsistencies and they lacked detail about the health conditions people were living with and how staff needed to support them.
? There was very little monitoring of the quality of the service provided taking place.
? There was not a satisfactory complaints system in place. Where people?s views had been sought, they had not been acted upon.
? The overall rating for this provider is ?Inadequate?.
? This means that it is in ?Special measures.? Special measures in Adult Social Care provides a framework within which we can use our enforcement powers in response to inadequate care and can work with, or signpost to, other organisations in the system to help ensure improvements are made.
? Services in special measures are kept under review and, if we have not taken action to cancel the provider?s registration, will be inspected again within six months.
? The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe.
In your role as the Manager of Game Care Home, you are required to refer the Care Quality Commission Report.
Note: The above scenario must be used across all the learning outcomes and assessment criteria.

TASK 1: BE ABLE TO UNDERSTAND HOW PRINCIPLES OF SUPPORT ARE IMPLEMENTED IN HEALTH AND SOCIAL CARE

1.1 Explain how principles of support are applied to ensure that individuals are cared for in Game Care Home
1.2 Outline the procedure for protecting clients, patients, and colleagues from harm at Game Care Home.
1.3 Analyse the benefit of following a person-centred approach with service users at Game Care Home.
1.4 Explain ethical dilemmas and conflict that may arise when providing care, support and protection to elderly clients at Game Care Home.

Note to answer 1.4: either the scenarios (below) concerning Mrs. Owen or Mr. Evans can be used.
Scenario: Game Care Home: Mrs. Owen

Ex-nurse, 66-year-old widower, Mrs. Owen suffers from dementia. She used to be an active member of the local community and regularly played the church organ and piano. Even though her memory is affected by dementia, she still enjoys playing the piano. Her close family and friends visit her regularly. Nevertheless, she is now incontinent, unsteady on her feet, and often refuses to wash. Because of her mood swings she often remains in her room supported by care workers.

Jane Davis, one of Mrs. Owen?s close friends, questioned a care worker about the bruises on her friend?s face, arms and legs, and the fact that she often appears agitated when she visits her. The care worker informs Jane Davis that because Mrs. Owen often loses her balance, she secured in a wheelchair with transit straps. The care worker stated that Mrs. Owen?s agitation could be associated to her dementia. On many occasions Mrs. Owen falls out of the wheelchair because of the difficulty care workers have in strapping her resistance in allowing them to do. However, Emily Smith said it is imperative that Mrs. Owen is safety secure in a wheel otherwise serious physical damage could result. The care worker appears to be unconcerned.

Issue of Human Rights Act 1998: implications for clinical practice

? Article 3: In the case of Mrs. Owen it is possible that she feels restricted and/or degraded by being restrained in a wheelchair. On the other hand failure to stabilise her could result in injury or ill-treatment. It is not likely that these actions would meet the requirements for Article 3 to be applied.
? Article 8: May be applied as it concerns the right to well-being through retaining autonomy, choice and dignity.

Scenario: Game Care Home: Mr. Evans
Fifty-seven-year-old, Jamaican bachelor, Mr. Evans, has a learning disability (difficulty in understanding new or complex information or new skills), with a reduced ability to cope independently (impaired social functioning). He also had a history petty crimes and has been assigned to Game Care Home, as there was no other facility for his support. For a while Mr. Evans has had a habit of collecting keys (mainly those belonging to the Manager, care workers and knives at the care home. These actions were seen as putting clients and management safety at risk ? particularly in the event of fire or access to medication. In the past Mr. Evans has self-harmed himself with kitchen knives.

Because of Mr. Evans habitual habit of collecting keys and knives, his psychologist instructed that care workers at the care home should systematically search him bodily and his room. Staff at the care home have suggested that Mr. Evans movements inside and outside the home be restricted. His family have bitterly complained about this treatment. Even though Mr. Evans has a learning disability, he is still compos mentis (full control of his mind and able to make decisions), and for nearly two years has refrained from collecting knives and other peoples? keys. However, at no time has he ever been consulted about his feelings about the restrictions and invasion of privacy been imposed upon him.

Issue of Human Rights Act 1998: implications for clinical practice
? Article 8: Undermining Mr. Evans through invasion of privacy
? Article 2: The reason for the systematic searches is for the protection of residents and employees of the Game Care Home right to life

TASK 2: BE ABLE TO UNDERSTAND THE IMPACT OF POLICY, LEGISLATION, REGULATION, CODES OF PRACTICE AND STANDARDS ON ORGANISATION POLICY AND PRACTICE

Answer in context in the above scenario
2.1 Explain the implementation of policies, legislation, regulations and codes of practice that are relevant
to Game Care Home.
2.2 Explain how local policies and procedures can be developed in Game Care Home in
accordance with national and policy requirements
2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on organisational policy
and practice at Game Care Home.

TASK 3: BE ABLE TO UNDERSTAND THE THEORIES THAT UNDERPIN HEALTH AND SOCIAL CARE PRACTICE

Answer in context in the above scenario
3.1 Explain the theories that underpin your work as a care worker at Game Care Home
3.2 Analyse how social processes impact on your service users at Game Care Home
3.3 Evaluate the effectiveness of inter-professional working for your service users at Game Care Home
ASSIGNMENT:
You must produce one type-written piece of work consisting of 3000 words (+/- 10%) covering all the assessment criterion in LO1-LO4 as one document. Failure to keep to the stipulated word limit will result in a pass grade.

FORMATIVE SUBMISSION (LO1)
This is to be submitted by 24th October 2016. Formative feedback enables you to have advice from the lecturer on your progress throughout the course and ways to improve your assignment before the final submission (summative submission).
Evidence checklist
Evidence checklist Summary of evidence required by the student Evidence presented
Essay 3000 in total length
General references for your guidance. You are not expected to read them all)
Barnard, A. (2011). Key themes in health and social care. Abingdon, Oxon: Routledge. ISBN 978-0-415 47638 6 (pb)
Ghaye, T. and Lillyman, S. (2010). Reflection: Principles and practices for healthcare professionals. London: Quay Books ISBN 13 978 1 85642 391 5 (pb)
Glasby, J. (2012). Understanding health and social care. Bristol: Policy Press. ISBN 978 184742 6239 (pb)
Gray, A.M. and Birrell, D. (2013). Transforming Adult Social Care: Contemporary Policy and Practice. Bristol: Policy Press. ISBN 978-1 84742 799 1 (pb)
Henderson, E.S., Martin, V. and Charlesworth, J. Managing in health and social care. Abingdon, Oxon: Routledge ISBN 13 978-0 415 49389 5 (pb)
Holland, K. and Hogg, C. (2010). Cultural awareness in nursing and health care. An introductory text. 2nd ed. Broca Raton, Fl.: CRC Press. ISBN 978-0-340 97290 8 (pb)

Hugman, B. (2009). Healthcare communication. London: Pharmaceutical Press. ISBN 978 0 85369 749 7 (pb)

Lishman, J. (ed) (2007). Handbook for practice learning in social work and social care: knowledge and theory. 2nd ed. London: Jessica Kingsley ISBN 9781 84310 186 4 (hb)

McSherry, R. and Warr, J. (eds) (2010). Implementing excellence in your health care organization. Maidenhead, Berkshire, England: Open University Press, McGraw-Hill Education. ISBN-13: 978033523477-6 (pb); ISBN-10: 033523477-1 (pb).

Milika, R.M. and Baillie, L. eds. (2011). Dignity in healthcare: A practical approach for nurses and midwives. London: Radcliffe. ISBN-13: 978 184619 390 3 (pb)

Moss, B. (2012). Communication skills in health and social care. 2nd ed. London: Sage. ISBN 978-14462 0819 9 (pb)

Sussex, F., Herne, D. and Scourfield, P. (2008). Advanced health and social care. For NVQ/SVQ and Foundation degrees. Harlow, Essex: Heinemann. ISBN 978 0 435 500 07 8 (pb)

Webb, R. and Tossell, D. (1998). Social issues for carers: Towards positive practice. 2nd ed. London: Hodder Education. ISBN ISBN-13 978-0340706251 (pb)

For further materials refer to weekly hand-outs

Links This unit links with and underpins many of the units directly connected with practice and with managing activities, in particular:

? Unit 1: Communicating in Health and Social Care Organisations
? Unit 9: Empowering Users of Health and Social Care Services
? Unit 10: Safeguarding in Health and Social Care
? Unit 16: Understanding Specific Needs in Health and Social Care
? Unit 17: Community Development Work
? Unit 21: Supporting Significant Life Events
? Unit 28: Work-based Experience.

This unit also has links with the National Occupational Standards in Health and Social Care. It
also has links with the National Occupational Standards in Leadership and Management for Care Services

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