Understanding Your Role Duty of Care Jackie Blackwell

Aims of today Understand : Understanding your role as a Healthcare Support Worker. The implications of duty of care and it’s contribution to safe practice. Identify : Support and methods of addressing conflicts or dilemmas that may arise about duty of care Ways of working that are agreed with the employer and in partnership with others Know how to respond to complaints

Clinical Governance Policies, procedures, guidelines o Do you know the ones that apply? o Do your staff follow them? o How do you know? National and local dimensions o Reporting culture o Risk Management o Alerts o Clinical Audits o Learning from incidents, complaints, mortality & morbidity o Listening to patients o Trust has in place an improvement tool

Personal Governance Trust Values Your effectiveness Organised Time manage Prioritise Delegate Personal Accountability Question Behind the Question - John Miller Quality Improvement Your ethos Communication Appraisal Supervision Personal Development Open Honest What can I do?

Trust Values Care & Compassion Trust & Respect Working Together Inspiration & Innovation Pride &Achievement

Our CARE Promise Communicate with compassion we will listen and respond to your needs, keeping you involved and informed at every step Assist with toileting, maintain dignity we will make sure your toileting needs are responded to quickly and in a dignified way Relieve pain effectively we will ask you about your pain and do all we can to control your pain needs well Ensure adequate nutrition we will help you with your meal when needed and make sure your mealtime is undisturbed

CARE C - Communicate with compassion A - Assist with toileting ensuring dignity R - Relieve pain effectively E – Encourage adequate nutrition

/newsid_ / stm Person-centred care Dec 2012 Debby Lewis8

Professionalism What does this mean to you? Setting expectations Behaviour – respect, dignity, communication Contributing to work morale Motivation Desire to do the job well Job satisfaction Positive attitude Attendance, punctuality

Group 1 – What are the key points of a personal relationship? Group 2 – What are the key points of a working relationship

Agreed ways of working What sources of information are available to you to enable you to clearly identify your sphere of responsibility? What codes of practice exist that relate to your area of practice?

Legislation, Codes of practice and Standards What relevant examples of the above can you identify?

An employer is vicariously liable for negligent acts or omissions by his employee in the course of employment whether or not such act or omission was specifically authorised by the employer Vicarious liability

 Links to duty of care  The employer is accountable for the standard of care delivered and responsible for employees working within ‘spheres of competence’ appropriate to their abilities

Duty of Care An obligation to exercise a level of care towards an individual, as is reasonable in all the circumstances, to avoid injury to that individual or his property Based upon: the relationship of the different parties the negligent act or omission and to be able to reasonably foresee loss to that individual

The Care Certificate Standards 1.Understand your role 2.Your Personal Development 3.Duty of Care 4.Equality and Diversity 5.Work in a Person Centred Way 6.Communication 7.Privacy and Dignity 8.Fluids and Nutrition 9.Dementia and Cognitive Issues 10.Safeguarding Adults 11.Safeguarding Children 12.Basic Life Support 13.Health & Safety 14.Handling Information 15.Infection Prevention and Control

Identify potential negligent acts within your work role that could breach duty of care

Partnership working SMALL GROUP ACTIVITY Identify three different people or professional groups with whom you work in partnership Why is it important to work in partnership with others? What does working in partnership involve?

Working in Partnership: Approaches and attitudes Respect for other persons views and experience Information is shared appropriately Acknowledge different priorities and constraints Arrange meetings which are accessible and convenient to all. Being reliable and dependable

Advice and Support Where can you access advice and support about: partnership working? resolving conflicts?

Group Work What potential conflicts or dilemmas may arise between duty of care and an individual’s rights within your work area? Identify ways to manage these and from where you can get additional advice and support if necessary

Dealing with complaints How should we respond to complaints? Group One: List of top ten ‘Do’s’ Group Two: List of top ten ‘Don'ts’

Raising Concerns Speak to the person concerned: “Challenge poor practice” If unable speak to the Nurse in Charge / Clinical Matron / Divisional Nurse Complete a datix if required If you have an issue with a clinical area please speak to your line manager in this regards but have a clear rationale – in case we need to take the concerns forward

What is corporate governance Delivering quality together North Cumbria Kingsfund Sam's story - integrated care Bristol - improving the patient experience Learning from Midstaffs Empathy video (Cleveland hospital) Dumb ways to save - in the NHS