Introduction

The Health and social care empowering users assignment comprises of three case studies and one leaflet. All are based on the aspects, policies, legislations and the practices of the health and social care settings.

Case Study 1

1 Choose a legislation, standards requirements and organization policy that will maximize the rights of Taz.

Taz is an 18 year boy who has suffered from hearing impairment and physical disability. He no more speaks with anyone and not eats well. He has been referred to a rehabilitation centre where he exhibits aggressive behaviour with all the staff and even does not participates in the activities that are organized to take care of his health and safety.

There are various legislations that are designed and implemented in the health and social care that have to be implemented and enforced fully within the organization. The list of the legislations and the respective sector skills and policies are explained as under:

Legislation	Sector Skills	Organization Policies/Practices	Justify the influence on maximizing Taz’s rights.
Health and Safety at Work Act 1974	Skills for health, skills for care and development and skills fir security.	Organization ensures all the rules and regulations of this act are abide by. This would be done by enforcing these rules in company policies.	This will bring the note into Taz’s mind that in case he has to stay in the rehabilitation centre then he has to abide by the acts and organizational policies.
Manual handling operations regulations 1992	Skills for safety and care.	Organization ensures all the rules and regulations of this act are abide by. This would be done by enforcing these rules in company policies.	He will understand the use of the operational tools and equipment related to him and he may not avail services of his team and become independent.
Control of substances hazardous to health 2002	Skills for care, safety, security and the boosting the learning and development	Organization ensures all the rules and regulations of this act are abide by. This would be done by enforcing these rules in company policies.	He will understand the difference between the safe and hazardous substances that have to be monitored and controlled within the organization.
Reporting of Injuries, diseases and dangerous occurrences regulations 1995	Skills for increasing the productivity, care, safety and reporting.	There are separate registers, forms and manuals prepared which have to be referred and reported in case of the injuries.	This would help him recover faster. He would get to know the standard operating procedure related to it.
Food and Safety Act 1990	Skills for filling the gaps and the shortages if any related to food. Ensuring that the food is hygienic.	Food and Drinks are checked before they are given to the service users as per the food policy and the practice of the health care organization.	It will ensure that the food given to Taz is hygienic and best in terms of its quality.

2 Analyse the contribution of effective communication between care workers and individuals of care.

Communication is a medium that ensures that both services users and the care workers understand and get along with each other. It helps in building the relationships and maintaining the social gaps between them (Blumenthal & Hsiao, 2005). Managing communications would take place when the service user will know that the care worker has been appointed for his benefit only and sharing his problems will help him in getting them solved at the earliest. Effective Communication helps in the following ways:

• It will fill the gap between care worker and service user enabling a clear and comfortable discussion between them. In this way when the service user would be comfortable discussing on his problems then he will also listen to the following of the medication for the problem. He would be easily able to recover himself from all kinds of possible failures.
• Enabling all health and social care activities been done in time. When the communication would be clearer and in time then all problems would be sorted out as per their deadlines.
• Easy and quick recovery of Taz. When Taz would get right medication by righthealth care professional at the right time then surely he will quickly and easily recover from his illness (Wilkinson & Marmot, 2003).
• Discussion at all levels and medication in all aspects to be given to Taz. There would be encouragement of the discussion on the personal and psychological feelings that will take out the heaviness in the heart and mind of Taz.
• Regular update on health and safety of Taz as per care workers health records.

3 Explain the factors in this case study that may contribute to the loss of independence, non-participation and social exclusion for vulnerable people like Taz or other service users.

Taz has suffered from a tragic accident and he has been in a very serious state of mind due to the loss of the mental ability and suffering from the hearing impairment. He has been very young and had a lot of ambitions and desires that he must be wanting to fulfil but his condition has made him so that he has been unable to do anything related with his desires. The various factors that may contribute to the loss of independence non-participation and social exclusion for vulnerable people like Taz are:

• Taz’s dependence on the other people and the care workers of the rehabilitation centre. His state is such that he is being admitted in the rehabilitation centre and has to be given proper treatment and the medication.
• Lack of time for their own choices for the treatments due to their dependence. As his condition says, he is not being asked for his choice whether he wants to go for this treatment or not.
• Changing everything related to them without their consent or the permission in doing so. He can no longer communicate on what is right or wrong for him so he is not consulted on the various actions that have to be taken in his regard that makes him feel bad.
• Not taking their decisions. Since they can longer give their consent so they are not been included as a part of the decision making process.

The only problem is that Taz has now become totally dependent due to his state of mind that makes him depend on others for his daily requirements making him more ill due to dependency in his psychological mind and state (Mills et al, 2002).

4 Choose a specific health and social care context and analyse factors that may affect the achievement of promoting and maximizing the rights of users.

The specific health and social care context is the mental and physical disability of an individual. In this case the various factors that may affect the achievement of promoting and maximizing the rights of the users are:

• Giving proper inspirations and the guidelines with the action plan to the care workers on their daily tasks in the recovery of the service user. That will keep them aligned and directed towards the specific plan of action and the steps that they have to take in regard to the health and social practices they have to perform.
• Ensuring the staff appointed for the care of the service user is specially trained and developed to take care of the people in specific needs.
• Empowering the potential of the care workers – By telling the rules is not enough. It is also imperative that the service workers are given the authority and empowerment to develop their own action plan in this regard.
• Inspection, Audit and the check process – This process in useful in getting the regular feedbacks on the quality, productivity and the working of the system. This would ensure in treating and removing the loopholes that exist in the system.
• Information sources – The care workers should have a full and complete access to the information sources so that in case they suffer from any issue, they can easily refer to it. This will help them in taking the quick references.

Therefore communication helps in the effective interaction between the care worker and Taz and enables their effective relationship building enabling his easy and quicker recovery in all ways. The most important thing is that care worker should be given with the empowerment with the specific training and guidelines to perform and enact on the various situations. Rehabilitation centre has to abide by and make certain policies and regulations as per the various legislations that are given in health and social care by the government.

Case Study 2

5 How will you support Mr. H to meet his dietary needs? Analyse how you will manage the tension to enable Mr. H to cook his meal safely and your responsibility to ensure his safety and that of others.

Mr. H has ADHD which is attention deficit hyperactivity disorder. He has to meet regularly with the psychiatrist. He is semi-dependent on the nurse due to his psychiatric condition. He has expressed his interest to visit the local supermarket and cook his favourite meal that is rice and peas with chicken. He has a history of shouting and mistreating a person in the supermarket for just staring at him.

In order to support Mr. H to meet his dietary needs it is essential that he is been given the empowerment in terms of physical, social, intellectual and decision making. He should be supported in all fronts so that he becomes self-dependent and thereby fulfil his dietary needs. He has to be trained and guided well so that along with the rights he is able to understand the various duties and the responsibilities that he is carrying out. Although he should be allowed to take his actions, cook his meals and enable all his tasks to be done yet in the presence of a care worker. This would help him in getting his tasks done easily and even cooking his meal safely and securely. The tension could be managed by notifying, monitoring and controlling the processes, movements and the action plans of Mr. H. This way we will enable him to do his functions by being dependent on himself but at the same time, in order to remove any kind of emergency and problems, he could easily be handled and guided by the care worker. Simply by the appointment of a regular care worker to support, control and monitor the activities of Mr. H would help in removing all the tensions. (Read about London College Unit 4 Marketing Principles)

Case Study 3

6 Use the case study above on Mr. Philip to identify the extent to which individuals are at risk of harm in health and social care.

Mr. Philip has been suffering from dementia and has been staying with his two sons. He has been admitted to a residential care as he has been a victim of social abuse and violence at the domestic front. He was bitten very badly by his son when he used his towel to dry himself. That wound got a lot of stitches. He used to earn so that he should not have to be dependent on his sons. He wanted to stay alone as in case he will go back then he would be beaten by them. He even feels that they may kill him as well. He even thinks of committing a suicide before his children kill him. There are various risks of abuse and the harm that have been shown in the case. Mr. Philip is being severely beaten by his sons. He has been beaten as by mistake he must have used his towels. He is in such a state of shock and dilemma that he decides to commit suicide as he thinks that before his children could kill him he wants to die of himself. He has been too much dependent on his sons and they are trying to kill him. The risks of harm arise when the person due to the behaviour of his loved ones comes in the state of shock and terror. It is completely illegal that on one side Mr. Philip has been suffering from the health and social care illness and on the other side even after knowing this his sons are treating him so badly. He has been physically and socially abused and treated badly. This has led the risk of harm as Mr. Philip will think with the psychology that instead of getting abused and killed by his sons, he should kill himself and close the chapter of his life so that he and his sons both are living in peace thereafter (Beresford, 2002).

7 As the hospital manager select and analyse 2 health and social care organization systems and policies. Critically analyse the effectiveness of policies, procedures and managerial approach within a health and social care setting for promoting the management of risks.

The health and social care organization systems and policies that will help train the staff to use Taz services users to promote participation and independence are:

• Use of the tools, equipment and the small machinery to handle the tasks well. The service users should be trained from the first day onwards to utilize the equipment that are beneficial for promoting independence and participation in them. This policy and system would make the work easier for both the hospital manager (care workers) and the service users. This will make the work easier and efficient for the care worker and he can do multi-tasks as the service user would be trained on handling his tasks himself.
• Giving them the induction for a week’s time so that they get equipped and acquainted with the hospital infrastructure and the settings. This will help them in using the various rooms, centres, doctors and themselves handling their day-to-day affairs rather than waiting for the care workers. Induction is what is called as an introduction and making the service users aware of the hospital policies, systems, rules and the regulations.

Effectiveness of the policies, procedures and the managerial approach within the health and social care setting for promoting the management of risks could be done in the following ways:

• The way the service users are responding to the hospital policies and the processes.
• The extent to which they become independent and suitable for carrying out their day-to-day tasks and activities (Saraceno et al, 2007).
• The ease and the quickness of the care workers in doing their daily tasks well.
• The publicity, preference and the liking of the people in using the services of the care home, residential care and the hospital for the treatment, recovery and medication of the service users.

Hence it could be said that the service users in case abused and not treated properly then their health and social condition will never improve rather will get deteriorated. They need to be taken care off in the residential care home. The risks of harm, abuse and the improper treatment by their own families has to be avoided or eliminate so that they get recovered from their problems. This would help in bringing independence and the proficiency in them in handling their day-to-day tasks easily and happily.

Conclusion

Health and social care settings have to consider all the factors, legislations, policies, practices and systems and then treat the service users.

References

Blumenthal, D., & Hsiao, W. 2005. Privatization and its discontents—the evolving Chinese health care system. New England Journal of Medicine,353(11), 1165-1170. Beresford, P. 2002. User involvement in research and evaluation: liberation or regulation? Social policy and society, 1(02), 95-105. Corrigan, P. 2004. How stigma interferes with mental health care. American Psychologist, 59(7), 614. Dolgoff, R., & Feldstein, D. 1980. Understanding social welfare. New York: Harper & Row. Harris, J. 1998. Scientific management, bureau-professionalism, new managerialism: The labour process of state social work. British Journal of Social Work, 28(6), 839-862. Kozier, B. (Ed.). 2008. Fundamentals of nursing: concepts, process and practice. Pearson Education. Mills, A., Brugha, R., Hanson, K., & McPake, B. 2002. What can be done about the private health sector in low-income countries? Bulletin of the World Health Organization, 80(4), 325-330.

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