Download - 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
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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
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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
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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,
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living environment, to personal standards
lifestyle choices
don’t make assumptions about appropriate
standards of hygiene for individuals
Mealtimes and nutrition
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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
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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
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participation are the building blocks
SCIE’s resources will help
SCIE’s resources
 All resources can be downloaded from our
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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
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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?