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Adult placements and person-centred approaches In the placement What national minimum standards say Standard 4 states that the adult placement scheme should ensure that carers understand and fulfil their responsibility to support service users in accordance with the key principles of adult placement.
Findings from the practice survey in the practice survey all service users felt strongly that the placement was their home, and that the adult placement carer was their family.
The older people interviewed saw their placements as an end in themselves, not a stepping stone to some other, more independent lifestyle. Adult placement carers were also fulfilled.
The give and take required did not feel like restriction or compromise but the behaviour of responsible adults in a family setting. This may be at odds with being person-centred.
For example, it was suggested that sometimes a placement could only continue if boundaries are put on some behaviours e. These are sometimes referred to as 'house rules', and acknowledge the equality of everyone in the household. Although ground rules had been set about an appropriate time to come home at night 9: The carer felt responsible and stayed up until he came in.
After involvement by the scheme, the social worker talked to Kevin explaining the carer's point of view. Eventually a compromise was reached and new ground rules agreed. Some carers including former foster carers found the new regulatory requirements and documentation a challenge.
Dan's social worker is very supportive, visiting three times yearly, and attends his twice-yearly care plan review along with Dan and his cousin who is his advocate. Short breaks and transport are arranged and rearranged quite speedily when required.
Dan chooses to go to his day centre rather than stay at home for the adult placement worker meeting, so he rarely sees the adult placement worker.
Dan's carers find the Adult placement scheme very supportive-'second to none'. This sometimes created difficulties and conflict for schemes and carers: They said that they felt unsupported, and there was some evidence that this affected their long-term commitment to adult placement.
Several people were out all day, every day some carers also have day jobs.
Service users were generally happy with these activities, and some were enthusiastic. Molly has a paid job at the local stables; Len looks after trolleys at a local shop; Cath does odd jobs for a garden maintenance project; Harry chose his placement in part because of the freedom it gave him to come and go as he pleases, and Terry likes to go round the shops with her carer; Tom prefers to take part in bird watching and other activities enjoyed by his carer.
Findings from the literature review Hirst 9refers to '.
A number of journal articles over the last decade have described the benefits to service users of this model of social care, describing adult placement as, for example, the 'epitome of community care' and 'one of the unheralded success stories of the shift to community care'.
An SSI inspection of services for disabled people in Bolton 11 in found '. The only specific reference, however, was to a befriending scheme valued by service users. InSSI carried out an inspection of learning disability services in nine councils in England 12, looking at progress made toward delivery of principles set out in 'Valuing people 4.
The report described a lack of adult placement schemes in some councils as 'a serious omission as such schemes were well liked by carers and offered a cost-effective solution to the challenge of re-providing services'.
The sole example of good practice Leicestershire noted that family carers particularly valued this short-term break scheme and its flexibility, and the 'positive relationships that developed between the family and substitute carers'.
An SSI inspection 13 of short-term breaks for disabled and older people focusing on how arrangements affected carers found that the Croydon Partners in Care scheme was a 'well thought through and praiseworthy way of providing short-term breaks within "real homes" that were small registered homes' not referred to as adult placementbut recommended developing breaks in service users' own homes.
Many journal articles also extolled the virtues of adult placement. Robinson and Simons 20 found that carers consistently identified one of the factors defining adult placement as a 'strong emphasis on family life' but researchers found a few services that 'did not appear to constitute "family life"'.
The authors summarise the areas of main concern to service users with learning disabilities-house rules, privacy, keys, transport, telephone, money, holidays-and conclude that adult placement 'particularly provided what many users wanted'.
The views of people with learning disabilities in adult placements were gathered as part of a Tizard Centre study 2021 of user focus groups and Best Value in services.
Overall the group 'reported positive experiences of adult placements and wished them to continue'. Service users talked about the family nature of their placements, and said that their carers were 'kind' to them. The practice survey confirms the Robinson and Simons 20 finding that most people with learning disabilities were positive about and wanted to stay in their long-term placements.
It shows that long-term placements are providing the 'family life' that defines adult placement. Practice points The challenge of being person-centred in adult placement Being person-centred goes way beyond the issue of a person's bedtime.
It is about far more fundamental issues, and includes having the support and structure with which lives can be much more fulfilling and meaningful.
This means that every placement will be different from the next. For some people, working in a person-centred way might be making sure they are able to get up every morning. For others it might be finding a job, a social life, and things to do that develop interests and skills, just like everyone else.
It is important that the changing needs and wishes of people in placements are sought and identified. Person-centred plans are not static documents.The need for adult social care continues to rise at a time when the system supporting that care is rapidly and significantly changing.
• Unit 7 - Understand Person-Centred Approaches • Unit 8 - Understand Health and Safety • Unit 9 - Understand How to Handle Information. Unit Understand person centred approaches in adult social care settings.
Outcome 1 Understand person centred approaches for care and support. Define Person centred values. Unit 7 -Understand Person-centred Approaches in Adult Health and Social Care. NCFE CACHE Level 3 Certificate in Preparing to Work in Adult Social Care Principles of Communication in Adult Social Care.
Unit 2 -Principles of Personal Development in Adult Social Care Settings. About This Course. If you have got a natural interest in adult social care and wish to explore a career in this field, the our CACHE Level 2 Certificate in Preparing to Work in Adult Social Care can supply you with the tools to make this career leap happen.
Unit 7 Promote person centred approaches in health and social care Unit 8 Promote and implement health and safety in health and social care Unit 9 Promote good practice in handling information in health and social care settings. We understand that not everyone always has the cash needed, to pay for their course upfront, at the time when they want to start their course.
Preparing to Work in Adult Social Care (RQF) Level 3. Posted on Health and social care is such an engaging and varied work, it is no surprise so many people work in this field. The.