discrimination Flashcards
2a ) Dharshini is 4 years old.At nursery school she is very quiet and withdrawn the teacher has noticed that she avoids playing and talking with some of the children in her class.How should the nursery teacher respond ?choose the three most appropriate actions.
consult with a senior member of staff to check how to deal with the situation
ask all nursery staff to observe Dharshini to make sure shes ok
Tell Dharshini that she needs to be more outgoing and play with other children
Have an informal chat to find out if there is anything worrying her
Phone Dharshini parents to discuss the situation
Make her take part in group activities to help improve her social skills
Record behaviours in private diary
wait to see if she gets better- she is probably just going through a ‘quiet phase’
Consult with senior member of staff to check how to deal with the situation
Have an informal chat with Dharshini to find out what is worrying her
Phone Dharshini parents to discuss the situation
2b) Justify your choice of answers for 2a
It is important to keep senior staff informed. There may be potential problems that need to be dealt with,such as bullying.The senior staff may be aware of the additional information about the child which may be shared on a ‘need to know’ basis.
An informal chat will need to help Dharshini to confide in the teachers, who need to know why she does not want to play and why she doesn’t enjoy talking to others.
Legal obligations/following policies/working in partnership with parents.A conversation with parents may throw light into the situation because she might be quiet individual or something might be happening at home
2c) It has been found that Dharshin is being bullied by children in her class.
Describe one way that the nursery staff could challenge the discriminatory behaviour.
Explain to the children how they are discriminating to raise their awareness
Make the children reflect on their actions/what they have done
Encourage the children to apologise
You have serious concerns about abuse in your workplace.
Complete the table below by choosing the four most appropriate actions you must take.
A- Arrange a meeting with the most senior member of the care setting’s
management.
B -Go to the press immediately, so the issue gets publicity.
C -Chat with a colleague informally about your concerns.
D -Talk to your supervisor and discuss the issue.
E -Arrange a training course for all staff on safeguarding.
F- Consult the care setting’s ‘whistleblowing policy’.
G- ‘Whistleblow’ by contacting the appropriate regulatory body e.g. CQC,
Ofsted.
H -Investigate who is involved and why it is happening.
A - Arrange a meeting with the most senior member of
the care setting’s management.
D- Talk to your supervisor and discuss the issue.
F- Consult the care setting’s ‘whistleblowing policy’.
‘Whistleblow’ by contacting the appropriate
G- regulatory body e.g. CQC, Ofsted.
Give one reason why some care workers might choose not to raise a concern about poor
practice.
fear of victimisation / being bullied / scared / feel
powerless
worried they might lose their job
workplace culture want to fit in / not supported by others
might be difficult to prove / lack of evidence
don’t know the procedure for raising a concern
don’t know who to go to, to raise the concern
do not know the law well enough
don’t want to get involved / report a colleague or friend
worried it might be stressful
Explain how providing mentoring for staff in care settings helps to promote good practice.
provides experienced professional guidance
for new or less experienced practitioners
personalised teaching relevant to the
individuals specific skills needs
feedback is relevant to the care setting and the
role of the member of staff
enables feedback to be fairly immediate
constructive feedback to improve performance
and recognise good practice
provides support, encouragement and advice
provides guidance on procedures, policies,
standard ways of working, legislation,
regulations
someone to answer questions, give advice
helps inform reflective practice for future
improvements
Give the meaning of the term ‘system of redress’.
System of a way of obtaining justice the process of setting right a situation that was wrong to rectify a situation making a complaint / how to
Redress
to make a situation right / put things right
obtaining some form of compensation / sanctions imposed
e.g. fines, taken to court
having your rights restored
to put a situation right / make amends
Emily is an alcoholic. She was admitted to hospital for an alcohol detox programme. During
her stay in the hospital Emily was upset by the negative experience she had.
When Emily arrived on the ward her prescribed medication was taken away from her which
caused withdrawal symptoms and stress. The new medication she was prescribed for her
alcohol withdrawal was sometimes provided up to five hours late.
Emily found the nurses hard to approach because there was no opportunity to talk privately.
Whenever Emily tried to speak to the nurses about her concerns regarding her medication
they were quite aggressive and dismissive of her feelings and would not agree to a meeting
to discuss her care because they were ‘too busy dealing with patients who were really ill’.
Explain the possible effects this discriminatory practice could have on Emily’s mental and
physical health.
Effects on mental health:
Feeling worthless – unimportant as the staff
take no notice of her and are unapproachable;
confidence erodes; feels neglected/isolated
Depression – feeling very low, losing motivation
to continue with treatment
Stressed – anxiety and upset caused by the
way she is treated / withdrawal symptoms due to
late medication
Self-harm – due to lack of control of the
situation and the poor treatment she is
experiencing / cry for help
Frightened – scared of their aggressive
behaviour towards her, so doesn’t ask for help
Alcohol dependence – unable to complete the
detox programme so starts drinking again
Effects on physical health:
Existing illness may worsen – physical effects
of alcohol dependency not improved as she is
struggling with the treatment
Health deteriorates – effects of the experience
may bring on new illness / ill-health / withdrawal
symptoms due to late medication
Self-harm – physical injury due to the poor
treatment she is experiencing
Lack of nutrition – if she stops eating due to
the poor treatment she is experiencing
Answers do not have to use the exact wording of
the mark scheme, alternative, appropriate
wording and effects may be credited.
Gennelle joins the staff on Emily’s ward. She is an experienced nurse. She observes the
way that the staff are treating Emily and decides to do something about the poor practice
she has seen.
State two actions that Gennelle could take
Identify and describe one way, other than observation, that a care organisation could use
to monitor the care it provides.
challenge at the time
explain to the staff involved how they are discriminating, to raise
their awareness
ask them to reflect on their actions/what they have done
encourage them to speak with Emily and apologise
report what she has seen to the senior nurse on the ward
suggest to the senior nurse that the staff need training to raise
awareness of their discriminatory behaviour
refer to the hospital’s whistleblowing policy / whistleblow
report to / consult with senior staff/management so they can
address the issue
consult unions/ support organisations
contact CQC
help Emily to make her complaint
Complaints procedure – allows analysis of number and type of
complaints
Comment boxes – allows anonymous feedback about care provided
from individuals who have received care
Service user forums/groups – to gain feedback / views
Surveys/questionnaires – for analysis of the standards of care
provided
Staff meetings – to share concerns / share good practice / to
communicate the needs of individuals requiring care
Quality assurance procedures - appraisals, reviews, mentoring to
ensure staff understand good practice
Ask service users – to find out about how satisfied they are with
their care / how they were treated / if they have any complaints
Ask staff – to gather views about the quality of care provided
Mentoring – experienced staff monitor and provide guidance
For each of the following situations in different types of care settings, select the most
appropriate answer from the list of options numbered
1 – 6.
Write your chosen option number in the option column.
Each option may be used once, more than once, or not at all.
List of options:
- inadequate care
- abuse
- breach of health and safety
- being patronising
- being non-judgemental
- using effective communication
Situations: Option number
A care assistant asks a student, who is on work experience, to help her use a hoist to move a patient as she is not allowed to lift a patient on her own.
Aftab has not been given a Zimmer frame to help him to walk so he has to spend most of the day in bed or in a chair.
Martin works at a residential school for young people with learning disabilities. He enjoys confusing them and often makes fun of them.
Charles is given his coffee by a care assistant in a plastic drinking cup with a lid and spout, she says ‘there you are dear, that will stop you spilling it’.
A care worker does some shopping for Janice who is 81 and always keeps the change. Janice has dementia so doesn’t seem to notice or be bothered about small amounts of money missing each time.
Residents of a care home are allowed to wear their dirty clothes for several days in a row if they want to. This gives them freedom of choice.
Producing a care plan using simplified vocabulary for an individual with learning difficulties.
Meals and drinks are provided in a care home at the same times every day. No food or drinks are allowed in between meals.
Children at a nursery spend two hours a day watching cartoons on TV because they enjoy it and it keeps them engaged and calm.
A care assistant speaks very slowly and loudly to an elderly resident of a nursing home, in case she is deaf and can’t hear very well.
A care assistant asks a student, who is on work
experience, to help her use a hoist to move a
patient as she is not allowed to lift a patient on her
own.
- breach of H&S 3
Aftab has not been given a Zimmer frame to help
him to walk so he has to spend most of the day in
bed or in a chair.
- inadequate care 1
Martin works at a residential school for young
people with learning disabilities. He enjoys
confusing them and often makes fun of them.
- abuse 2
Charles is given his coffee by a care assistant in a
plastic drinking cup with a lid and spout, she says
‘there you are dear, that will stop you spilling it’.
- being patronising 4
A care worker does some shopping for Janice who
is 81 and always keeps the change. Janice has
dementia so doesn’t seem to notice or be bothered
about small amounts of money missing each time.
-abuse 2
Residents of a care home are allowed to wear their
dirty clothes for several days in a row if they want
to. This gives them freedom of choice.
-inadequate care 1
Producing a care plan using simplified vocabulary
for an individual with learning difficulties.
- effective comms 6
Meals and drinks are provided in a care home at
the same times every day. No food or drinks are
allowed in between meals.
- inadequate care 1
Children at a nursery spend two hours a day
watching cartoons on TV because they enjoy it and
it keeps them engaged and calm.
- inadequate care 1
A care assistant speaks very slowly and loudly to
an elderly resident of a nursing home, in case she
is deaf and can’t hear very well.
- being patronising 4
Read the following case study
Martin lives in a small community home with four other people.Martin has multiple learning disablilites and requires full support for both his physical and social/emotional well being.Lets share a moment Martin to try.Lets share a moment with Martin to try and understand what life is like for him.
How i spent my morning!
I was woken up by a staff member at 6:30am as usual.She switched the radio onto radio one and turned it up nice and loud.She was really helpful and chose my clothes for me.Two carers helped me into the bath and it was very interesting hearing all about the new pub they’d been to.I cant remember the last time i went to a pub so it was good to hear about it.
So here i am sat in the same seat at the breakfast table.I have sat in this seat for the past 10 years- i have never complained so i must like it? i wait for half an hour for the others to join me and have my usual breakfast of weetabix. The toast looks nice i wonder what it tastes like?
I drink my lukewarm tea - i am not able to have a hot cup of something because of something called risk assessment, although i am not sure what that means.It must be important.
After breakfast I sit in the lounge and watch television.News today must be my favourite programme because i watch it at the same time every morning.Most of my days are like this.I would like to go out and meet more people,But i know it is difficult for the staff as they are really busy
Give three examples of discriminatory practice for the case study above
B - identify 3 rights that have not been maintained for martin
C- Explain the possible impact of discriminatory practise of martin use the following heading
poorhealth
disempowerment
low self - confidence
A - Discriminatory practice in the case study:
staff choice of radio station
staff choice of wake-up time
staff choice of clothes – Martin not asked
not involving Martin in conversation during his bath /
carers not interacting with him
ignoring Martin while bathing him
Martin not consulted about where to sit for breakfast
not individualised care – Martin had to wait 30 mins until
the others were all ready for breakfast
Martin not given a choice of what to have for breakfast
prevented from having a hot drink – no adaption for
Martin’s needs e.g. insulated cup, supervision
Martin not given opportunity to choose TV programme
no choice of activity – TV every day
social deprivation, same activities with same people
every day
all activities ‘routine’ so no stimulation or variety of
experience for Martin
carers not explaining the risk assessment to him /
blaming risk assessment
carers stereotyping / labelling him
B- choice equal and fair treatment consultation protection from harm and abuse
C-
Poor health and well-being:
dehydration if Martin doesn’t like drinking the lukewarm tea or
other drinks he is given without consultation
malnutrition if he stops eating breakfast due to boredom or dislike
of what is provided e.g. Weetabix / eating disorders
self-harm due to depression / lack of stimulation / social interaction
mental health issues
general health could deteriorate due his poor treatment, could
become depressed, unfit, lack exercise, weight gain
Disempowerment:
Martin could feel marginalised / unimportant
feel a lack of control over his life
could become disengaged with life, loose interest
demoralised, not want to bother doing anything
think his carers know best, just accept whatever happens / doesn’t
complain
may lead to behaviour changes, may become aggressive or uncooperative
lack of independence / feels he can’t make decisions
Low self-confidence:
the way he is treated restricts his opportunities and prevents him
gaining any confidence / does not help to empower him
could develop low self-esteem, feel he is not capable of doing
anything
feel frustrated because he isn’t allowed to do anything for himself
learned helplessness / ‘induced disability’ / loose motivation
doesn’t have the courage / scared to tell them what he wants / needs
Low self-confidence:
the way he is treated restricts his opportunities and prevents him
gaining any confidence / does not help to empower him
could develop low self-esteem, feel he is not capable of doing
anything
feel frustrated because he isn’t allowed to do anything for himself
learned helplessness / ‘induced disability’ / loose motivation
doesn’t have the courage / scared to tell them what he needs
