C2 Safeguarding people who have dementia
Safeguarding includes preventing abuse and maltreatment of children and vulnerable individuals,
ensuring that they receive the best possible results and receive safe and effective care, and that they
are allowed to grow and develop happily and healthily without risk of neglect or abuse (CPC, 2019).
The Care Act (2014) defines safeguarding as "protecting an adult's right to live in safety, free from
abuse and neglect." Adult safeguarding duties apply to an adult who: has needs for care and support
(whether or not the local authority is meeting any of those needs) (Conn, Mak and Lubbe, 2015).
Safeguarding is important means of protecting at-risk individuals from harm, abuse and neglect.
Also, failing professional safeguarding responsibilities could prolong the suffering that Khadijah could
face could have impact. Effective safeguarding is vital for spotting the warning signs and alerting the
relevant authorities in order to help victims of abuse in a timely manner. This means they are more
likely to spot signs of abuse, be that physical or mental (Tim, 2021). Safeguarding is important for
Khadijah because it prevents her risk of harm, abuse and neglect as she is consider a vulnerable
abuse. For example, Khadijah has mood swings and her husband recently passed away the
professional need to ensure that she is not isolated.
Care homes and care home providers/managers must have a safeguarding policy and procedure in
place, to meet the requirements of the Care Act 2014 and the Care Act 2014 statutory guidance and
to follow local safeguarding arrangements (overseen by the local Safeguarding Adults Board).
Providers that operate across more than one area must ensure that each care home follows the local
safeguarding arrangements in their area.
Care home managers should incorporate learning from safeguarding concerns, referrals and
enquiries into the care home culture at all levels such as individual staff, for example through
changes to support, supervision, retraining, and performance management. Care home, for example
through: observations of practice, discussion and watching people work across the home and
changing practices, procedures, policy and learning, and group training (including training from other
health and social care practitioners) (NICE, 2021).
Protection versus independence and rights:
Protection:
Protection refers to keeping something or someone safe. Through protection, they shelter and
defend things. Since protecting is to shelter from harm, protection is the act of doing so (Vocabulary,
2022). Safeguarding involves ensuring that a citizen's health, well-being, and human rights are
protected, as well as allowing them to live without fear of harm, abuse, or neglect (NHS, 2022).
Vulnerable people must be protected and safeguarded since they are more vulnerable to harm,
abuse, and neglect than others (Online DBS, 2018).
Independence:
According to Dictionary (2022), Independence refers to the state or trait of being self-sufficient.
Freedom from others' control, influence, support, help, or the like. Independence is important
because it can improve their physical and mental health, as well as their feeling of purpose and
quality of life. It can make them feel helpful, which is important if they feel like they are becoming a
burden to their family members (Super Carers, 2019).
Rights:
Rights are legal, social, or ethical principles of freedom or entitlement; that is, rights are the
underlying normative norms governing what persons are permitted or due according to some legal
system, social convention, or ethical theory (Definitions, 2022). Human rights are important rights
that everyone has since they are human. They represent societal principles such as justice, decency,
equality, and respect. They are an important form of protection for everyone, but especially for
,individuals who may be subjected to abuse, neglect, or isolation and vulnerable such as someone
with dementia (Age UK, 2017).
Service users should be involved in training teams of health and social care professionals and
supporting staff (such as receptionists, administrators, secretaries, and housekeeping workers) in
'person-centred care.' This type of training should be tailored to the needs of individuals who utilise
mental health services and evaluated based on their treatment outcomes. In order to take on this
responsibility, service users need be trained and supervised (NICE, 2011).
Targeted staff training:
Staff training enables staff to give better basic care at the moment of contact. For instance, helping
service user dress, get out of bed and bath. It also focuses on aspects like dispensing medication,
promoting dignity, basic nutrition and hydration, and safely handling equipment like hoists and lifts
(CF, 2020).
Providing training and development to employees allows employers to pinpoint the knowledge and
skills they want their employees to have. Training and development programs can educate
employees about new skills or provide updates on existing skills to enhance productivity (Maryville
University, 2021).
Targeted staff training is required in care homes to ensure that carers have the information they
need to deliver high-quality care and safely perform the service user role. For example, staff training
ensures that all carers working with Khadijah have the appropriate skills, such as communication and
understanding how to respond to Khadijah's memory loss. Targeted staff training can assist support
carers in assisting service users such as Khadijah at the care home. Learning about diverse religions,
such as Sikhism, guarantees that staff may assist Khadijah in her religious practise.
Technologies that alert staff but respect a person’s dignity and privacy
There are many different types of technology in health and social care. Artificial intelligence,
wearable technology, mobile apps and websites, and a variety of clinical data storage and exchange
platforms are among them. Technology devices can give service user more control over their health,
safety, and well-being, assist them in becoming more independent or feeling less isolated, connect
them to services that are important to them, improve the care or treatment providers provide, help
them communicate with their families, professionals, and staff, and assist staff in prioritising and
focusing their attention on those who need it the most. Decisions concerning people's care must
prioritise their safety, dignity, and consent. This is relevant when it comes to deciding how to utilize
new technologies. People's rights, privacy, and freedom of choice must always come first
(CQC,2022).
Technologies like medication alerts, clinical flags and reminders, portable monitors and wearable
devices. These technologies are important in alerting staff with patients that are prone to falls and
hurting themselves. For example, experiences mood swings, especially when she is in strange
settings, such as the care home; she has recently moved into the care home, which has made her
unhappy. Her being angry could risk her hurting herself a portable monitor or wearable device could
decrease the risk of her hurting herself and staff being able to be at her assistance (ACOG, 2010).
Residents and care staff may manage long-term diseases using tech-enabled health and care services
like telehealth, telecare, and telemedicine without having to leave their homes (SCIE, 2017).
Telehealth:
, Telehealth is the use of digital information and communication technologies, such as computers and
mobile devices, to access health care services remotely and manage their health care. For example,
staff could use this technology to telehealth to support Khadijah by using an app to estimate, based
on her emotional health (Mayo Clinic, 2020).
Telecare:
Telecare is a monitoring service that offers remote support to elderly, disabled and vulnerable
people who live alone in their own homes (Telecare Choice, 2016). Personal alarms and security
systems (telecare) are devices that call for help if someone falls to problems at home. For example,
Basic alarms. These are small devices that professionals set off to get help. They can usually make a
loud noise and send a signal to a carer or family member's pager or phone. For example, if Khadijah
wonders off wander off or get lost it can trigger it and let professionals come to her assistance.
Telemedicine:
Telemedicine, which enables video or phone appointments between a patient and their health care
practitioner, benefits both health and convenience. More health care providers are offering to “see”
patients by computer and smartphone (Hasselfeld, 2022). Khadijah will be supported by staff who
can also act as an advocate and this could be beneficial for Khadijah for time, she does not want to
attend appointments and will prefer to stay at the residence this gives could reduce anxiety from
going to the hospital.
Different technologies can be useful in preventing Khadijah from falling in a care home:
These technologies may include simple 'low tech' items such as basic mobility devices -walking
sticks, walking frames, bath aids, calendar clocks through to more 'high tech' items such as
automatic lighting and telecare (Alzheimer’s Society, 2020).
Other technologies that Khadijah may need (Sauer, 2019):
Communication aids.
Staying connected with others is essential to the quality of life in memory care. Research shows that
people with dementia can recall how an event has made them feel, even if they are no longer able to
remember faces and names. Technology has made staying in contact with loved ones easier than
ever. Adapted telephones can be preprogrammed with frequently dialed numbers and often have
large buttons making them easier to use. Video chat services like FaceTime and Skype are another
great way to stay in touch with loved ones who are geographically distant. As dementia progresses
and communication becomes difficult, Talking Mats is a popular app that allows people to
communicate feelings by selecting pictures and symbols.
GPS location and tracking devices.
Location tracking devices are a great option for those who have dementia and may wander. Tracking
devices can be worn and many have alert systems that let a caregiver know if their loved one has left
a certain area. This type of technology can also alert emergency personnel to ensure a safe and
speedy recovery.
Targeted training will be beneficial for Khadijah physically as it will ensure that she is meeting all her
needs such as being able to go to the Gurdwara to celebrate her religion. With targeted training
some technologies could be introduce to Khadijah to support with her dementia. For example,
mobility devices to prevent her from falling or hurting herself as result of being distressed. The
technology will support Khadijah intellectually by given her more independence to have more
control over her care which empowers her dignity and privacy. For example, Khadijah may prefer to
have an online appointment them meeting with her GP on some instance to relive her anxiety.
Targeted staff training and technology could be beneficial for Khadijah emotional and social
wellbeing. Targeted staff training can ensure that Khadijah is getting the right support due to her
moving to residence being away from her family and her husband's passing could make her
depressed, scared and confused. Training could promote skills that professionals can utilise to