BLOCK 5 UNIT 19 : CONCEPTS

ACCOUNTABILITY
1. General Social Care Council guidelines
2. Care workers = recognise own training needs
  1. Makes care safer
FORMAL ACCOUNTABILITY
1. Explicit statements
  1. Employment contract
  2. Job description
2. Procedures
  1. Keeping records
3. Penalties and Rewards
  1. Disciplinary action / sacked
  2. Promotion / Bonuses
4. Examining performance
  1. Review meetings
  2. Probation period
5. Investigative processes
  1. Complaints procedures
  2. Grievance and disciplinary
REAL ACCOUNTABILITY
1. Involving care users in planning and delivery
  1. Planning - implementation - review - monitoring
2. Increase care user access to knowledge
  1. Freedom of Information Act 2000
  2. E.g. Finding out caesarean rate at a hospital
3. Actions
  1. Listen carefully to service users / Prioritise their interests / reduce power imbalance / be honest
4. Lines of responsibility
  1. Direct Payments
    1. Worker is accountable to service user
5. Important = making care safer
PROTOCOLS AND GUIDELINES
1. Organisation specific
2. Important to involve service users
  1. Problems = difficult in practice
  2. Generally health & social care workers who create them
    1. Don't focus on what service users need / want
3. Important = safe care
4. Purpose
  1. Management
    1. Protect management / risk management / litigation / insurance purposes
  2. Staff
    1. Under-skilled staff / extend nursing / training / staff support / team work
  3. Improvements
    1. Standardise care
EVIDENCE BASED CARE
1. Care is proven it works
  1. Research
2. Problems if not based on evidence
  1. Harm
  2. Unnecessary interventions
  3. Wasting resources
  4. Not necessarily suited to an individual
    1. Nor acceptable
  5. Under powers care workers skills & experience
3. Benefits
  1. Based on research that works
  2. Service users have confidence in care
  3. Workers up-to-date
KNOWLEDGE BASED CARE
1. Organisational
2. Practitioner
3. User
4. Policy community
INTERNET
1. Making care safer
  1. Accountability
    1. E.g. Ofsted reports
  2. Protocols and guidelines
  3. Finding research evidence
2. No access to internet or PC = problem

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BLOCK 5 UNIT 19 : CONCEPTS

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