- Dignity in Care
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Transcript - Dignity in Care
Dignity: making it happen
Annie Stevenson
Head of Older People’s Services
Elaine Cass
Practice Development Manager
Workshop aim
Examine how dignity can be made
fundamental to care provision by
identifying our own barriers and
solutions
Overview of selected research
What dignity means:
a state, quality or manner worthy of esteem or
respect; and (by extension) self-respect.
Dignity in care, therefore, means the kind of
care, in any setting, which supports and
promotes, and does not undermine, a
person’s self-respect regardless of any
difference.
What protects dignity?
resilience
older people’s rights,
person centred care
What threatens dignity?
ageism
discrimination
abuse
Respect
Respect
training and induction (delivery involving older
people)
zero tolerance of negative attitudes towards
older people
person-centred and not service or taskoriented.
'time to talk’
involve
intergenerational work
Communication
information
acceptable levels of both spoken and written
English
culturally appropriate
don’t make assumptions, always ask
communication training - dementia
listen
Social inclusion
social networks
transport
respect and utilise people’s skills
community presence
Autonomy
equality
control
accessible information
take time to support decision making
participation in service development
previous history and preferences
advocacy
DP/IB
Privacy
confidentiality, information on a ‘need to know’ basis
respect personal and sexual relationships in
conjunction with careful assessment of risk
choose interpreters with the consent of the service
user
permission to enter someone’s personal space,
access to personal possessions and documents
privacy for conversations, telephone calls, mail
single-sex facilities
discreet service provision
Hygiene and personal appearance
maintain personal hygiene, appearance,
living environment, to personal standards
lifestyle choices
don’t make assumptions about appropriate
standards of hygiene for individuals
Mealtimes and nutrition
routine nutritional screening
food accessible between mealtimes
time to eat – staffing levels
discreet assistance
choice to socialise or eat in private
don’t make assumptions about people’s preferences
always ask
staff with the time and the skills to prepare a freshly
cooked meal of choice
good quality food that is appetising
facilities for people to make drinks and snacks
access to water
Complaints
people feel confident to complain
staff and managers view complaints as a
means of ensuring that the service is
responsive, and not as a threat
problems are picked up at an early stage and
lessons are learned which lead to service
improvements
poor practice is highlighted and rectified
vulnerable people are protected and have
access to advocacy
Whistle blowing
staff awareness
whistleblowing policy
included in induction
staff should be given information on external
means of support (such as PCaW).
Conclusion – a culture of good practice
dignity is the cornerstone
competent staff, effective leadership, genuine
participation are the building blocks
SCIE’s resources will help
SCIE’s resources
All resources can be downloaded from our
website www.scie.org.uk
Most resources are available in hard copy
- call 020 7089 6840
All resources are free
Workshop
15 minutes groups of 4 /5
What are the barriers to ensuring dignity in
care?
What are the possible solutions?
Sharing ideas
15 minutes
Feedback on discussion and practice
examples
Summing up
Action planning
What will you do when you return to your
workplace?
How will you tell whether it makes a
difference?