2.4:In discriminatory practice, because the organisation is actually

2.4:In a care Home setting, the anti-discriminatory practice can be promoted by staff recalling some of The Fundamental Standards by The Care Quality Commission. Anti discriminatory practice is often a result of a group/ person being excluded from things. It means treating a person or a group of people unfairly, because they have certain characteristics. For example: them being a certain race, practicing a specific religion/faith, their gender, age, disability and so forth. ..One way a Care home could promote anti discriminatory practice, could be by simply incorporating  step free access and wheelchair ramps into any building plans that they may be developing for a building expansion for example. This ensures that disabled residents and service users are able to get around the building. This promotes anti discriminatory practice, because the organisation is actually realising that disabled residents/service users have to have the same access to goods and services as able bodied people/non disabled people.Nor bury Hall Care Home, are meeting the equality requirements when it comes to promoting anti discriminatory practice, according to the CQC inspection that was carried out on the 1st of March this year. The manager of the Home has demonstrated that equality is being shown to the residents by the fact that their relatives spoke to the inspector and said that their relatives dignity remains in tact. The report also states that staff are rewarded (I think) with a title called: “Dignity Champions” and attend “Dignity Teas” which is a tact to encourage staff to show residents dignity and respect. I would say it’s effective since the report states that dignity, respect and kindness is shown to those residing in the home.Active promotion of anti discriminatory practice:According to The CQC, Norbury Hall Care Home practice and uphold the ethical principles: justice: which is when people are treated fairly no matter what their background is. This is proved when the article stated that residents were happy with the food and that the Home was meeting all dietary and food preference requirements. As well as maintaining all the residents nutritional needs. The care Home was also meeting the principle: beneficence: which involves taking risk. The health or care professional should act in a way that benefits the patient. (Stretch and Whitehouse 2010). As a healthcare worker in a care Home, staff have to protect service users from discrimination in the setting, in order to sustain equality among the residents no matter what their illnesses may be. It is a care workers responsibility to help residents take control of their lives and encourage them to actually do so. This could be done by helping residents perform certain tasks, should they need assistance. The main principle in health and social care is putting the service user at the heart of the service being provided, which promotes equality, diversity and respect. Health and social care workers use four key principles in order to provide the best care to individuals and ensure that everyone receives the same care.Ethical Principles:• Justice: People being treated fairly no matter what their background is. (Stretch and Whitehouse 2010)• Autonomy: Respecting a persons choices. (Stretch and Whitehouse 2010)• Beneficence: This is risk taking and the costs ; and health and social care professionals acting in a way that would benefit the patient. (Stretch and Whitehouse 2010)• Non maleficence: Any harm caused by a treatment or intervention shouldn’t outweigh the benefits of that treatment. (Stretch and Whitehouse 2010)Putting the individual at the heart of service provision: health and social care providers/workers need to:• Provide active support consistent with the beliefs, culture and preferences of the individual. (Stretch and Whitehouse 2010)• Support individuals in expressing their needs and preferences. (Stretch and Whitehouse 2010)• Empower individuals (Stretch and Whitehouse 2010)• Promote individuals’ rights, choices and well-being. (Stretch and Whitehouse 2010)Health and social care professionals, need to recognise that service users have the right to freedom. And being a service provider they need to support service users so they can communicate their needs and preferences. This could be as simple as asking the service user what their preferred method of communication is, as they may not be able to speak English. Therefore their preferred method may be to speak in their native language. This is what is called: supporting individuals to express their needs and preferences. This act doesn’t have to be performed by a professional, the task could be taken on and communicated by a friend of the service user, a family member, or anyone that can help them express their needs and preferences. As well as keep them informed about how they are going to be cared for. (Stretch and Whitehouse 2010). Which is part of the section putting the service user/patient at the heart of service provision.In order for this to be done, health and care professionals need to encourage the service users to speak up and voice their opinions and feelings. It is also the healthcare providers responsibility to empower all service users, which would then promote them being able to voice their thoughts, feelings, and enable them to do so with confidence. By this happening, the care workers could then voice the patient/ service users opinions and thought on their behalf. Which is the care worker basically being the service users advocate. According to the CQC report for Norbury Hall Care Home, they are actively providing active support with beliefs, culture and preferences, because residents and their families are satisfied and happy with the food. When I worked at the Care Home, there wasn’t anyone of a specific religion, like Islam that would have special dietary requirements, but if there was, their food plan and individual diet plan would have been adapted swiftly in order to meet their religious beliefs.Balancing individual rights with the rights of others: in some situations rights would collide and conflict with laws as well as the rights of others. For instance, everyone has the right to freedom of movement under the Human Rights Act 1998. However that right can be cause conflict with the Mental Health Act 1983, as that law allows for someone to be sectioned against their will, if health or social care providers felt that the person is or can be a danger to themselves or others. Therefore there has to be a constant stability in order to balance everyone’s rights.Dealing with conflict: when dealing with conflicts in any health and social care setting, professionals must carry out the following in order to ensure that the service continues to promote equality:• See both sides of the argument • Not make assumptions• Be willing to listen• Not take sides• Be active and look for solutions Overall, anti discriminatory practice is practiced at Norbury Hall Care Home, as their overall CQC rating was good. This was proved in the report, in The is the service effective? It states: the service is effective and residents are supported in order to maintain good health and access to other services. As well as those that ran the risk of malnutrition and dehydration, being identified and supported accordingly. Other residents had their food preferences and needs met, while still getting the nutrients needed from their preferred meals. The staff employed at the Care Home, were also aware of how to use and exercise the Mental Capacity Act (MCA 2015) and the Deprivation of Liberty Safeguards, which is an amendment to the Mental capacity act 2005, which only applies in England and Wales only. This basically means using restraints and restrictions if its in the patients best interest. The CQC Act also stated that the care Home and care staff, ensures that residents dignity and right to privacy was maintained when they received care. And residents in Norbury Hall Care Home, that were approaching the end of their lives, were treated compassionately and received supportive care.Putting service users/patients at the heart of the service provision:Empowering individuals is basically like person centred care, where the health or social care providers let the patient exercise their rights to options and choice. The service user would be empowered if everything that is happening/going to happen to them is explained thoroughly, and then asked if they understand everything. This gives the service user control of their care basically since they have the power to make decisions concerning their care, so no one takes over it for them. Even if it is in their best interest.The patient would most likely make an informed decision in their own time, when they have had all the facts explained to them. The main fact here is that when the patient makes their choice, it’s final and health or social care professionals may not like the choice, but they have to respect the decision. Influences on Health and well being: ones health and well-being influences the way someone develops, how they’re perceived by others, and how they feel about themselves. If someone is incredibly ill, this would affect them in more than one way, it would affect their ability to socialise and possibly their income depending on their age. An example could be someone with a disability may not perceive themselves to be disabled, but may feel that other people just see them as a disabled person and nothing more. Not seeing them as the individual that they are. Stretch and Whitehouse 2010.The health of the health and social care providers is also paramount, as they may have to work long hours, may experience stress, and aches as a result of the physical aspect of their job. Therefore it’s important that they keep healthy and project their positivity into their own health and the health of their patients as well. Stretch and Whitehouse 2010.Careful use of language: “The language that a care provider uses forms part of the core value base, which lies at the centre of health and social care.” (Stretch and Whitehouse 2010). This section basically means that health and social care providers need to assess the language that their patients use when they communicate, in order for the providers to know the best way to communicate with them in a way that they would understand.If a service user doesn’t understand what has been said to them more times than not, the person speaking to them hasn’t explained themselves clearly enough. This section also involves communicating with service users using their preferred method of communication. This may involve the use of a communication aid like an interpreter. (Stretch and Whitehouse 2010)There are many difficulties that may arise when promoting anti discriminatory practice in health and social care settings. • Care providers not realising how important anti discriminatory practice actually is when working in this industry. And not believing that it’s important to promote it, resulting in service providers treating patients how they think that they should be treated, which would most likely be the same and consistent when treating other patients.• Care providers using their own beliefs and values in their work, resulting in them treating patients off their own personal beliefs.• Health and social care providers not putting patients at the heart of service provisions. Resulting in the residents needs being put on a back burner.• Healthcare professionals not respecting residents rights, choices and well-being, which would be against the law, resulting in action being taken out against the service providers.One way to overcome some of the possible issues above could be done by anti discriminatory practices being put in the media that way everyone is aware of the practice and not just people that work in the health and social care sector. That means that service users and the public would know what sort of behaviour, attitudes and treatment they should expect from health and social care services, and would be aware of they are being mistreated and would be able to identify if its discrimination or not. This would strengthen public healthcare services as people would be able to complain if they or someone else is being treated wrongly. But overall, it would ensure that all service users receive equal care, within the sector healthcare sector.  And would then confidence would then be applied during social situations Another way to overcome the difficulties in a healthcare setting could be done by the establishment’s manager deciding to hire a singular care giver that applies the anti discriminatory practice. And that member of staff would then help service users relax and notice that the care staff aren’t against them, but are only there to offer assistance. This in return would cause the service user to relax making proving them care slightly easier. And the member of staff that uses the anti discriminatory practice could be an advocate for the practice among their colleagues. This could be carried out by the member of staff promoting the practice with workshops for their team members and group discussions of its benefits.Overall, the difficulties that may arise when implementing the anti discriminatory practice in health and social care settings could be overcome by staff thinking outside the box. For example in a nursery, anti discriminatory practice could be promoted via the use of posters. The posters could vary by being printed in different languages, and different sizes, in order to include those that speak other languages, for children and adults that may have sight issues. Bibliography:Care Quality Commission (no date) The fundamental standards. Available at: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/fundamental-standardsAccessed: 11/12/17Care Quality Commission Norbury Hall: Overview and CQC inspection. Available at: http://www.cqc.org.uk/location/1-121821566Accessed: 11/12/17Care Quality Commission: Norbury Hall Residential Care Home Limited: Inspection report. Available at: http://www.cqc.org.uk/sites/default/files/new_reports/INS2-2515236052.pdfAccessed: 11/12/17Stretch B and Whitehouse M – BTEC Level 3 Nationals in Health and Social Care Student Book 1 (Pearson, 2010)

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