A3

Question 1

what are policies?

Answer 1

Detailed descriptions of the approach and the specific procedures that should be followed

Question 2

what are procedures?

Answer 2

written instructions that outline the expected and required routine that care staff must follow in specific situations eg. How to change a newborn

Question 3

why do policies and procedures exist?

Answer 3

• Keep the service users and social care workers safe
• Support day to day routines of service users
• Promote independence of service users

Question 4

what are the responsibilities of workers in H&SC settings

Answer 4

1. Follow policies and procedures
2. Provide personal care eg. Washing, feeding
3. Enable rehabilitation
4. Support routines of service users eg. Daily life, education, leisure
5. Assessment & care & support planning, involving service users and their families

Question 5

what is meant by discrimination

Answer 5

where someone or a group is treated unfairly because of who they are. experience prejudice

Question 6

explain the two types of discrimination

Answer 6

• Direct - treating someone worse, less favourably and differently because of their characteristics eg, harassment, victimisation (due to their backgound or characteristics)
• Indirect – when an organisation’s practises policies, rules have a worse effect on some people than others eg, pregnancy discrimination

Question 7

how can anti-discriminatory practises be shown

Answer 7

• leaflets in multiple languages
• access to buildings
• policies eg. Antibullying at school
• longer appointments for those with learning disabilities
• accessible signage

Question 8

how can hsc professionals promote anti-discriminatory practice

Answer 8

implementing codes of practice and policies that identify and challenge discrimination
adapting the ways hsc are provided for different types of service users.

Question 9

how can hsc professionals empower individuals

Answer 9

put them at the heart of service provision and promote individualised care
promote and support individuals right to dignity and independence
provide active support consistent with belief, cultures and preferences of hsc service users
support individuals who need hsc services to express their needs and preferences
promote the rights, choices and well-being of individuals who use hsc services
dealing with conflict in specific hsc settings

Question 10

how can workers in hsc ensure safety for individuals and staff

Answer 10

risk assessment
safeguarding and protecting indivduals from abuse
illness prevention measures - clean toilets, hand-washing facilities, safe drinking water
control of substances
use of protective equipment
reporting / recording incidents and accidents
complaint procedures
provision of first-aid facilities

Question 11

how can hsc professionals manage information

Answer 11

applying requirements of the data protection act 1998

protects people from discrimination by employers, transport, health and care providers

Question 12

how can hsc services be adapted

Answer 12

• Using gender terminology acceptable to service user
• Provide hearing loops in gp services
• Use British sign language
• Provide translation services
• Recognise cultural preferences
• Provide accessible rooms
• Support participation in sport and exercise at school

Question 13

what is meant by empowerment

Answer 13

Empowerment: giving individual’s information and support so they can take informed decisions and make choices about their lives to live as independently as possible

Question 14

what rights do individuals have

Answer 14

• Dignity
• Independence
• To express needs and preferences
• Safety and security
• Equality
• Freedom from discrimination
• Privacy

Question 15

what are risk assessments

Answer 15

identifying and evaluating the possible consequences of hazards and the level of risk that the hazard will cause harm

Question 16

what is a hazard

Answer 16

anything that could potentially cause harm eg. Climbing stairs, wet surfaces,

Question 17

what is a risk

Answer 17

the likelihood, high or low that a person will be harmed by a hazard

Question 18

state ways to manage risks

Answer 18

• Risk assessments – identify, likelihood, how to minimize
• Staff training to manage risks
• Clear codes of practice, safeguarding
• Appropriately qualified staff
• DBS clearance
• Regular facility checks
• Procedures for reporting & recording accidents, incidents & complaints

Question 19

what are barriers to reporting incidents

Answer 19

• Pressure from manager to not report
• Staff may not know about reporting procedures
• Incidents form is too long, needs lots of detail
• Incidents seen as not important

Question 20

what are problems with evidence

Answer 20

• Inconsistent witness statements
• Lack of detail in statements
• Written evidence conflicts with other evidence
• Low standard of written English

Question 21

outline the data protection act 1998

Answer 21

Staff must protect data about service users and employers must protect data about staff
It controls how personal information is used by organisations, businesses and government,
data must be:
•	Used fairly and lawfully 
•	Accurate
•	Kept no longer than is necessary
•	Kept safe and secure
•	Used in a way that’s relevant

Question 22

Data that an employer in hsc can keep about their employers

Answer 22

DOB
address
national insurance number
qualifications
name 
gender
disability

Question 23

how can hsc ensure confidentiality

Answer 23

by applying requirements of the data protection act
-securely recording, storing personal medical information
-following appropriate procedures
By respecting the rights of service users

Question 24

what is meant by confidentiality

Answer 24

Confidentiality: restricting access to information about a service user to individuals who are involved in their care , unless permission is given by service user

Question 25

how is medical and personal information stored?

Answer 25

written | computers

Question 26

what happens to workers who don't regulations?

Answer 26

Workers who don’t follow regulations may be disciplined by their employer and may have some responsibilities taken away from them or lose professional status

Question 27

what is meant by regulation

Answer 27

Law which sets the standards of professional conduct required of people who work in hsc settings, they are mandatory - must be followed by law

Question 28

what is meant by safeguarding

Answer 28

Policies to ensure children and vulnerable adults are protected from harm, abuse, neglect and health and wellbeing is promoted

Question 29

give examples of safeguarding

Answer 29

``` Equipment is sterile Nursery play areas are safe Ensure disposal of harmful substances All staff have DBS declaration Effective procedures for reporting accidents Ensure staff are always supervised Ensure policies are followed ```

Question 30

what is a multi disciplinary team?

Answer 30

team where health and care workers from different professions with different work roles plan and monitor a person’s care

Question 31

why are partnerships within health care important?

Answer 31

* Improves lives of vulnerable adults/ children * Service users don’t have to give the same information to different hsc workers * Improves information sharing between professionals * Improves efficiency of care system as a whole * Helps service user feel they are being treated as a whole person (holistic care)

Question 32

what are the difficulties of partnerships

Answer 32

* Failure to communicate information * Lack of coordination of hsc services * Cuts to funding -preventing partnerships working * Hsc providers with different IT systems = cannot communicate

Question 33

what are advantages of holistic approaches

Answer 33

- Cares more personalised - Issues contributing to ill health may be found - Being seen as a whole person can improve a person’s health and wellbeing

Question 34

what are disadvantages of holistic approaches

Answer 34

- Most people only want their particular illness, symptoms treated - Generally doctors don’t look for other issues during diagnosis - HSC workers aren’t employed/ skilled to manage all aspects of individual needs

Question 35

what are advantages of advocates

Answer 35

``` they allow people to: express their views, concerns -access information and services -defend and promote their rights -explore choices and responsibilities ```

Question 36

what is line management

Answer 36

line management (staff responsible for other colleges & for ensuring they deliver quality care)

Question 37

describe the internal monitor roles

Answer 37

Senior nurses / lead nurses: In charge of a group of wards and deal with a problem if ward staff can’t Doctors: Medical consultants – oversee diagnosis, treatment Matrons: In charge of a group of wards and responsible for ensuring excellent patient experience and safety Ward sister/ charge nurse: Manages whole ward Nurse specialists: Offer expert and specialist advice on treatment Health care assistants: Help qualified nurses to meet care needs

Question 38

what is whistle blowing?

Answer 38

Whistle blowing : when a member of staff is aware that the quality of care at their work place is dangerously poor and reports it to the press or another organisation out of their work setting , eg. GMC, HCPC to cause change

Question 39

what are advantages of whistle blowing

Answer 39

``` It helps to maintain best practise When whistleblowing policies aren’t followed: Bad practise could continue, harmful More complaints from service users Service provider = negative reports ```

Question 40

how are hsc settings monitored?

Answer 40

internally and externally

Question 41

what is external monitoring

Answer 41

Inspections – external bodies / agencies monitor services through inspections, through: Investigating complaints Observe service delivery Collecting service user feedback-from those who have received care Interviews with staff

Question 42

how is the work of people in hsc settings monitored?

Answer 42

``` line management external inspection by relevant agencies whistleblowing service user feedback criminal investigations ```