Unit 7 - Principles of Safe Practice in Health and Social Care
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Unit 7 - Assignment 1: Principles of Safe Practice in Health
and Social Care
Date: 20/01/2023
Scenario: Chilchester Drop-In Centre
The drop-in centre offers assistance to young adults suffering from mental illness. Recently,
the staff has expressed concern about Zara, an 18-year-old who has an anxiety disorder.
To help her with this, medicine has been prescribed. Zara's primary care provider has seen
that her symptoms have gotten worse; she now experiences panic attacks that seem to start
when any of the male service users or staff members approach her.
Zara has started to show up in long-sleeved sweaters despite the fact that it is currently
warm outside, claiming that she is cold. Zara's look has declined recently; her clothes are
frequently soiled and her hair is frequently untidy. Zara claims that she is protecting herself,
but she is silent about what.
The employees are aware of Zara's displeasure with her mother's new boyfriend. She
complains that he is too "nice," but she won't say what she means.
Elizabeth Green, Zara's social worker, has observed the physical changes in Zara and her
heightened anxiety and has connected these to what she believes to be envy over her mother's
new relationship. Zara's case file has not been updated by Elizabeth because she believes
Zara will eventually "get over" her envy and needs to mature.
Zara has begged Elizabeth to find her alternate housing, but the social worker has declared
that Zara does not have a legal right to this because she is not vulnerable enough.
Scenario: Zebra Ward
The Prince Oswald Children's Hospital's Zebra Ward is a paediatric medical ward that
treats kids with a range of medical issues from six months to two years old.
Kevin Smith, 4 years old, and Lucy Smith, 6 months old, were recently admitted to the ward
from the Emergency Department as a result of a car accident involving their father as the
driver and a stone wall. Both of the kids have suffered major injuries since neither of them
were buckled into their car seats. Both had facial bruises and shattered bones.
When the on-call doctor checks the kids, she finds bruises at Kevin's spine's base and round
markings that mimic burns on Lucy's neck. When the children's father is questioned, he
claims that his wife, who passed away three months earlier as a result of a long-term illness
that had damaged her mental state, was responsible for the marks. Due to the marks
, appearing to be more recent, the doctor is not persuaded. But when a new emergency is
brought in, the doctor forgets to write her thoughts.
Each child is given a sedative by a nurse in order to put them to sleep. He observes the
marks, but because he needs to finish the medication round before leaving the shift, he
forgets to note his findings. The nurse also neglects to accurately note the sedatives
administered to both youngsters in the ward records.
The father of the kids wasn't seriously hurt and was permitted to go home following an
inspection. The following day, he visits his kids and brings them all gifts. Upon entering
Zebra Ward, a visitor notes that Kevin and Lucy don't appear to be happy to see him. When
Kevin's father removes Lucy out of the cot, she sobs, and Kevin hides under his bed,
unwilling to come out.
The nurses believe that the kids' behaviour is a result of delayed shock from the collision. The
visitor, a social worker, is not persuaded and requests a meeting with the ward manager,
who declines to discuss such matters with a visitor.
Content:
Page 3 - 5: A.P1 - Explain the implications of a duty of care in a selected health or social
care setting
Page 6 - 15: A.P2 - Discuss ways in which complaints and appeals procedures address
failure in a duty of care in a selected health or social care setting
Page 16 - 19: A.M1 - Assess the importance of balancing individual rights with a duty of
care in a selected health or social care setting
Page 20 - 30: A.D1: Evaluate the significance of a duty of care and complaints procedures
in promoting safe practice in a selected health or social care setting.
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, A.P1 - Explain the implications of a duty of care in a selected health or
social care setting
In this section of my report, I will be explaining legal obligations that health and social care
workers are under, such as protecting health, wellbeing and safety as well as ensuring safe
practice takes place at all times. There is also the importance of balancing individual rights
and upholding rights and promoting the interest of individuals experiencing abuse.
Duty of Care:
The legal obligation to “act in the best interest of individuals and others” as to avoid
harming them due to careless action. (Nursing Answers, 2018) Acting within your
competence and leaving duties that you believe you cannot safely do is a part of duty of care.
This obligation is applicable to personnel in both professional and nonprofessional levels of
the health and social care sectors. This includes all health and social care organisations -
public, private and voluntary. (UNISON, 2013) Duty of Care ensures that those under the
obligation will perform reasonable actions for someone with their background and training,
as well as aim to provide high quality care to the best of their abilities, giving a reason as to
why they cannot perform the action. (SCIE, 2012)
Upholding Rights:
Service users have rights, no matter what their needs, preferences and capabilities are.
They must be treated equally and fairly to prevent discriminatory practice in the health and
social care settings. (OCR, 2018) It is the responsibility of professionals to be respectful of
these rights otherwise, they risk lowering the self-esteem of the service user. If a service user
cannot or will not communicate their needs, they should be assigned an advocate that ensures
fair and dignifying treatment.
Some service users may be experiencing a disregard of their rights which could result in
abuse or neglect. In this case, it is extremely important to assume all service users are telling
the truth and do not make promises to keep information undisclosed. Those who can inflict
abuse on a service user are other service users, family, friends, or staff.
Some examples of rights that service users have include:
- “The rights to services free from all harm, provided in a physically and culturally safe
manner”
- The rights to have one’s culture, diversity,values and beliefs respected
- The right to receive services that “encourage informed choice, foster well-being and
independence and promote the service users’ capabilities”
(Hart Services, 2016)
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