Unit 4 Free Essays

D2-explain how establishing a safe environment can support the procedures necessary for accidents, illnesses and emergencies. When supervising indoor and outdoor activities it is important that equipment is of the highest safety standard. Space must be allowed for children to hop skip and run etc†¦ And no room should be over crowed whether it is with toys or people. We will write a custom essay sample on Unit 4 or any similar topic only for you Order Now This means as a practitioner you should think about the size of groups of children that are using one area as if there is to many there will be more accidents as their won’t be enough space. Also before allowing children to use equipment check all equipment to make sure it’s safe and remove any broken or faulty items. Safe environment is full of potential risks to a child’s health and safety and accidents to happen, however with care and planning activities it lessens the risk, allowing children to explore and develop their skills without unnecessary danger. Everybody who works with children is responsible for their safety. It’s important that the environment children are playing in is regularly checked before and during activities. If you have checked an area and equipment for safety before children start playing here and questioned whether the activity is suitable for the children. Risk assessments are a key in safety, you evaluate the risk of the activity and any possible hazards and then decide how high the risk is and if it is to high you either need to find ways to lessen the risk or not do the activity at all. B1- Consider possible ways to maintain the safety and privacy of children and to respect their wishes. There are many ways to maintain the safety and privacy of children, this involves policies and procedures such as safe guarding, making sure all staff are suitable to work with children and they are asked to have regular CRB checks and staff training so they can learn new skills, also there are procedures that have to be done such as a having a passcode when someone other than the child’s parent/carer is picking them up, security passes must be worn and all children must be signed in and out when they arrive and leave the setting. Confidentiality is also important any information about a child must be kept within the setting, and records must be sorted away safely, also as a practitioner you shouldn’t gossip about a child or their family whether you’re in the setting or outside the setting. The Childs privacy is also important this is done by having doors n the toilets, having separate changing area’s and having a quiet area for if a child’s unwell, also any accidents should be cleaned up quickly and not made a scene as the child might become upset by it. Also having a key worker allows children to be reassured and have one to one time with a member of staff their close to. How to cite Unit 4, Papers Unit 4 Free Essays Roza Niemiec Unit 4 Introduction of Duty of Care in Health , Social Care or Children`s and Young People`s Settings . 1. 1Define the term â€Å"duty of care â€Å" It means that as Health and Social worker we have to do everything to avoid danger and harm for our clients or service users , it is our legal duty to avoid any danger for them . We will write a custom essay sample on Unit 4 or any similar topic only for you Order Now Following polices and procedurs and write risk assessment to individual, taking actions to keep the individuals safe and report it any danger . Keep up to date with all training and updates . 1. Describe how the duty of care affects own work role The time when iam starting work iam responsible for take care of residents. I have to make sure if they are safe . I have to follow Health and Safety procedures but also I have to use my own mind and see if everything is ok . I have to be very observant and be open to critic because maybe iam not always right I have to know what someone is thinking as well . Sometimes is very hard when I asked to do so many tasks in the same time but my duty is to make sure of safety . In my work place we got daily visitors. I try to make sure if they are ok because who ever is inside work place iam responsible for them . I cant share information with anyone, just with manager or senior . Regular training is really helping because maybe i can go into routine and forget thinks . 2. 1 Describe dilemmas that may arise between the duty of care and an individuals. I think there is many dilemmas because people want to make them choices as well , by stopping them to do something for them safety we are not helping them to be independent. Also rights to freedom , by thinking that person will get harm by doing something we just making that person unhappy and we blocking them to do what they like . For example elderly they still like to dance or cook or have any other hobby’s. Also I want to talk about confidentiality, sometimes we don’t know if we can share some information , maybe this will harm interest of individual . 2. 2 Explain where to get additional support and advice about how to resolve such dilemmas I think first person which I could got for advice would be Senior Care Assistant and Manager or tutor . But if I not get anything from them I would contact professional bodies like The Association of Health Care Professionals , Care Quality Commission , Unison , Skills for Care , Skills for Health and there are many more . We can find them numbers on internet . 3. 1 Describe how to respond to complains In letter I would acknowledge the complaint about what was happen , that I will take them concern seriously and that there will be actions make in investigation and apologise . The best would be give them time frame and plan of action. I would try to resolve the problem directly with person sending that complain . The best option would be to talk with that person or talk by phone . Explain to that person about them rights and to who sand complain if is problem not resolved . I would try to understand that person pion of view and try to make this person understand my point of view . Also reassure that person that everything said is confidential . Responding to complain in good way can restore a trust and can prevent from future misunderstanding s. 3. 2 Identify the main points of agreed procedures for handling complains . Keeping all records of complain , investigation in what happen , give respond in agreed time with apologies or explanation , respond in right manner to complainer , tell him or his rights what happen if complain is not resolved , tell about role of local authorises , learned from mistakes and improve place of work How to cite Unit 4, Papers Unit 4 Free Essays Unit 4 assignment LO1. 1, 1. 2, 1. We will write a custom essay sample on Unit 4 or any similar topic only for you Order Now 3 PHYSICAL ABUSE Physical abuse is where a person sets out to deliberately hurt another causing actual bodily harm. Forms of abuse could be any or all of the following: †¢Hitting †¢Pinching †¢Slapping †¢Kicking †¢Pulling hair †¢Biting †¢Pushing †¢Tripping someone up/over †¢Strangling †¢Hitting with an object †¢Cutting †¢burning Someone who is being physically abused may show signs of it but could be hiding it so as not to draw attention to themselves. The abuser/s may have told the victim things to ensure the abusers name isn’t divulged to anyone. Signs and symptoms associated with physical abuse could be: †¢Black eyes †¢Bite marks †¢Bald patches on the scalp †¢Bruises †¢Burns †¢Unexplained marks Sometimes, the signs are not so easy to pick up on. The individual maybe scared for what seems to be an unknown reason, may gradually withdraw from activities that they had previously enjoyed participating in and also may begin to suffer with depression and anxiety. SEXUAL ABUSE Sexual abuse is forcing someone, without their consent, to take part in a exual act. There are numerous forms of sexual abuse. Listed below are some forms of it. †¢Sexual touching on any body part, clothed or unclothed †¢Sexually suggestive statements †¢Non-consensual, forced physical sexual behaviour †¢Sexual kissing, fondling †¢Indecent exposure †¢Involving a vulnerable adult in pornography †¢Penetration or attempted penetration of intimate areas †¢Masturbation †¢Rape †¢Participating in sexual acts to which a vulnerable adult has not consented, or could not consent, or was pressured into consenting Some physical signs of sexual abuse are: Bruises/scratches/burns/bite marks to the body †¢Scratches/abrasions or persistent infections in the anal/genital regions †¢Pregnancy †¢Recurrent urinary/genital infections †¢Blood or marks on underwear †¢Abdominal pain with no diagnosable cause Some behavioural signs of sexual abuse are: †¢Provocative sexual behaviour/promiscuity †¢Prostitution †¢Sexual abuse of others †¢Aggression/anxiety/tearfulness †¢Frequent masturbation †¢Refusal to undress for activities such as swimming/bathing †¢Behaviour that invites exploitation and further physical/sexual abuse PSYCHOLOGICAL ABUSE All forms of abuse also have an element of psychological abuse. Any situation which means that someone becomes the victim of abuse at the hands of someone they trust is, inevitably, going to cause emotional distress. However, some abuse is purely psychological-there are no physical, sexual or financial elements involved. Some signs of psychological abuse are: †¢Emotional abuse †¢Bullying †¢Controlling †¢Blaming †¢Verbal abuse e. g. shouting/swearing †¢Harassment †¢Intimidation †¢Humiliation †¢Deprivation of contact with others Ignoring Some signs or indicators of psychological abuse are: †¢Fearfulness †¢Self-blaming †¢Heightened defence of others †¢Avoiding eye contact †¢Anxiety †¢Depression †¢Telling lies SELF NEGLECT Self-neglect is a behavioural condition where an individual fails to attend to their basic needs. People neglect their own care for a range of reasons; the most common a re: †¢Physical illness or disability †¢Mentally ill/mental health problems †¢Sensory loss or difficulty †¢Learning difficulties/disabilities †¢Alcohol and drug misuse problems A different set of priorities/perspectives This could in turn lead to them jeopardizing their wellbeing leading them to have poor personal hygiene, going without food tending to any medical condition they have which would lead them to eventually fall ill. Signs and symptoms of self-neglect are: †¢Hazardous/unsafe living conditions †¢Inappropriate/inadequate clothing †¢Lack of necessary medical aids †¢Dehydration/ malnutrition †¢Inadequate medical care/not taking prescribed medication properly †¢Unsanitary/unclean living conditions i. e. nsect/animal infestation, no functioning toilet with clean running water leading to faecal borne disease. INSTITUTIONAL ABUSE Institutional abuse arises from poor standards of care, inadequate staffing levels, lack of resp onse to people’s complex needs, staff with inadequate knowledge, skills, understanding expertise. Institutional abuse has been known to occur in nursing homes, residential homes, in-patient hospital wards and care homes. Institutional abuse can be any or all of the following: †¢Neglect †¢Verbal abuse †¢Sexual abuse Physical abuse †¢Financial abuse †¢Discrimination †¢Emotional abuse The signs/symptoms can again, be any or all of the following: †¢Anxiety †¢Avoiding eye contact †¢Depression †¢Fearfulness †¢Unexplainable bruises †¢Not trusting of others †¢Telling lies/lying for others †¢Self-blaming/self-harm †¢Low self esteem FINANCIAL ABUSE Financial abuse is when a person forcibly controls another person’s financial decisions. Financial abuse, like all other forms of abuse, can be inflicted by family members even friends as well as care workers or informal carers. It can take a range of forms that include: †¢Theft †¢Fraud †¢Withholding money for ANY reason †¢Exploiting/manipulating someone for financial gain †¢Pressure in connection with wills, property, inheritance or financial transactions †¢Controlling bank accounts The warning signs/symptoms of someone being financially abused could be any of the following: †¢Very few or no personal possessions †¢Sudden changing of a will †¢Unpaid bills †¢Someone not being allowed to manage their own financial affairs †¢Not knowing where your money has gone †¢Unexplained disappearance of valuables Other people moving into a person’s property †¢Unexplained lack of money despite a regular income NEGLECT BY OTHERS ABUSE Neglect by others occurs when either a support worker or a family or friend carer fails to meet someone’s support needs. Neglect can happen because those responsible for providing the support do not realise its impo rtance, or because they cannot be bothered. Failing to provide any of the following are all examples of neglect. †¢Food †¢Water †¢Medicine †¢Health care †¢A safe clean place to live Signs/symptoms of neglect by others could be: Medical condition deteriorating unexpectedly or not improving as expected †¢Supported person is hungry †¢Living environment is dirty unhygienic †¢Unexplained weight loss †¢Supported person files a report of being mistreated †¢Hazardous living conditions such as no heating/running water †¢Clothes/body dirty and smelly 1. 3 Describe factors that may contribute to an individual being more vulnerable to abuse. Someone who has been abused in the past, people who are mentally or physically disabled as they may not be aware of what is happening or have the ability to stop whatever is happening at the time. Individuals with low confidence, people with sensory impairments. E. g. Mrs Smith lives on her own, she has 1 carer who visits her twice daily. Mrs Smith also has dementia which puts her in a very vulnerable position to abuse as she is very forgetful. Mrs Smith only has one visitor who happens to be her carer. 2. 1 What actions should you take when abuse is suspected? If abuse is being suspected, I’d inform my senior in charge or manager immediately. I’d also document my findings by writing it down, dating the document and I’d sign it. I’d then monitor the situation and inform my senior of any changes. Protect, Report, Preserve, Record Refer. 2. 2 What actions should you take if an individual alleges that they are being abused? If an individual came to me with allegations of abuse, I’d first and foremost tell them that I believe them and listen to them. I’d encourage them to tell me what happened in their own words. I’d document what they had told me in a report. I’d tell the individual that I must report the allegation whilst ensuring we were both safe. I’d then report it to my manager, confidentially. After reporting such an allegation, I’d ensure that I didn’t discuss the situation (allegation or suspicion) with anyone else. 2. 3 How to ensure evidence of abuse is preserved. If the abuse is financial or physical: †¢Written documents (witness statements) should be securely stored †¢Photos and recordings should be securely stored If the abuse is sexual: †¢Do not wash or clean any part of the room/area where the alleged abuse took place †¢Do not remove bedding †¢Do not allow the individual to wash, shower, brush their hair or teeth †¢Keep the room closed simply by shutting the door to preserve evidence PROTECTION FROM ABUSE 3. 1 National policies and local systems that relate to safeguarding protection from abuse are: †¢CQC †¢ISA (independent safeguarding authorities) †¢Safeguarding Vulnerable Groups Act The CQC are independent regulators who inspect all care providers to ensure they are meeting government standards. During their inspections, they ask people about their experience in receiving care, talk to support workers, check the right systems and processes are in place and are working well look for evidence that care isn’t meeting government standards. The ISA are responsible for making decisions about who should be barred from working with small children and vulnerable adults. ISA publish research to help employers recognise and prevent abuse in the workplace. Safeguarding Vulnerable Groups Act is an important part of a bigger programme of work. This program of work extends across government departments and is designed to solve the failures identified by the 2004 Bichard Inquiry arising from the Soham murders. The Safeguarding Vulnerable Groups Act 2006 provides a legislative framework for the new vetting and barring scheme, now known as the CRB. Policies and procedures at work will include these laws. 3. 2 Roles of different agencies in safeguarding and protection. †¢Medical professionals such as GP, AE staff, nurses, doctors: they can examine, diagnose treat, they can record: this can include photographic evidence †¢An Expert Witness: this is a specialist within a subject such as paediatrics, geriatrics psychiatrics. †¢The local authority Social Services department would carry out an assessment of needs. This would include any unpaid carer of individual. Safeguarding Team, within Social Services department: investigates ensures safety, work with other agencies such as police. A Safeguarding Protection Officer would lead the Adult Protection Alert. †¢Police: to investigate/prosecute, to work with other agencies, to provide support to victims, to raise awareness of crimes, crime prevention. †¢Care Quality Commission to regulate inspect care providers. †¢Independent Safeguarding Authority, th is includes Vetting Barring Scheme, to safeguard protect vulnerable people before employment commences, including CRB. 3. Identify reports into serious failures to protect individuals from abuse. Winterbourne View-see assignment 1 ERR Michael Payne- 24yr old care worker found guilty of abusing an adult with learning disabilities. Sentenced to 16 months in prison. Jenny Glanister-found guilty of stealing ? 330,000 from Oakfield Home for adults with learning difficulties. Sentenced to 2yrs 8months in prison. The death of Peter Connelly aka Baby P, Child A Baby Peter. 3. 4 Identify sources of information and advice about own role in safeguarding protecting individuals from abuse. Workplace policies and procedures, CQC reports, care plans, work colleagues, training courses that I’ve attended, the internet, my seniors and managers. 4. 1 Explain how the likelihood of abuse may be reduced by: †¢Working with person-centred values †¢Encouraging active participation †¢Promoting choice and rights You’re working to the needs of the individual; working with them ensures their choices rights as individuals are respected and acted upon. This allows individuals to maintain control, instead of them feeling like they are being controlled. This in turn allows the individual to express opinions, feeling and wishes. It also makes them feel that they have a choice and are not being forced into doing something they don’t want to do; also giving all individuals equal opportunities. All of this makes the individual feel empowered and involved will be able to speak up if they don’t like something which will minimise the risk of abuse. 4. 2 Explain the importance of an accessible complaints procedure for reducing the likelihood of abuse. This will allow staff, service users, family members anyone else with a complaint to know how to go about getting it dealt with. Abusers may be less likely to abuse knowing that policies procedures are in place for reporting incidents/allegations and it will be taken very seriously. 5. 1 Describe unsafe practices that may affect the wellbeing of individuals. Anything that would threaten the personal safety of another person, that is physical, emotional or psychological. Things like poor manual handling, not keeping track if a service user has taken their medication, not disposing of waste properly, basically every time a short cut is taken on a procedure. 5. Explain the actions to take if unsafe practices have been identified. Report to senior on duty or the manager. Do not get involved in the unsafe practice and ensure you continue to work to safe practice/best practice. 5. 3 Describe the action to take if suspected abuse or unsafe practices have been reported but nothing has been done in response. Id report it to my manager firstly, if nothing appeared to be done I’d then report it to their manager. O nly then if nothing was done at all, I’d go ahead with utilising the Whistleblowing policy and informing the CQC. How to cite Unit 4, Papers