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Copy of Unit 08 - Understand health and safety in social care settin

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Unit 08 - Individual Rights and safety in Health and social Care Settings Unit 08 Health and Safety- Task 2 My Rights Your Responsibility Identify legislation relating to health and safety in a social care setting What is the main Act that dictates the legislation in this area?

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Care Home Health and Safety Training Video Demo

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To see a higher resolution version of this video follow this link: https://youtu.be/oibvuXRmKe0 Watch the first few minutes of our care training videos for FREE. Don't forget to visit http://www.bvs.co.uk to place your orders and take advantage of the FREE delivery on all online orders.

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Justice For LB - Tragic Death of Connor Sparrowhawk whilst in NHS Care - BBC Radio 4 interview

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A year ago, 18-year-old Connor Sparrowhawk was admitted to Slade House, an NHS assessment and treatment unit in Oxfordshire.

Sparrowhawk, who had autism, a learning disability and epilepsy, lived at home and went to a special school, but was unsettled and agitated. His family thought assessment at the seven-bed unit run by Southern Health NHS foundation trust would help secure the right support for the teenager.

Instead, less than four months later on 4 July 2013, he was found unconscious in the bath at Slade House and died. A postmortem showed he had drowned, probably as a result of an epileptic seizure.

The trust initially attributed his death to natural causes, but an independent investigation demanded by Sparrowhawk's family concluded his death could have been prevented.

Its damning report, published last month, states that Sparrowhawk's epilepsy was not properly assessed or managed. It further found there was no adequate supervision at bath times, no family involvement in his assessment and care, no effective clinical leadership and no proper attempts to engage the teenager in activities.

Sparrowhawk's mother, Sara Ryan, a senior researcher and autism specialist at Oxford University's Nuffield department of primary care health sciences, says: "We thought it [the unit] was safe. Connor lived at home with us for 18 years - 107 days in that place and he was gone."

A social media campaign, Justice for LB (Sparrowhawk's nickname was Laughing Boy), launches its 107 Days drive to raise awareness every day until the anniversary of his death.

Slade House is now closed, its patients moved to alternative care, and disciplinary hearings for seven staff are due this month. An inquest is expected and healthcare regulator Monitor is investigating the trust. In November the Care Quality Commission (CQC) failed Slade House for all 10 quality and safety standards. CQC inspectors have also found failings at two of the trust's other facilities, an Oxfordshire care home for people with learning disabilities and a mental health unit in Southampton.

In response to campaigners' calls for the trust's chief executive, Katrina Percy, to resign, she replies: "I don't see that it's appropriate that I would resign." Percy, who apologised in a statement in response to the report, told the Guardian: "[Connor's death] is utterly tragic and it was preventable." She adds: "We do absolutely everything in our power to safeguard and provide the highest quality of care that we possibly can ... but what we need is a culture where people are able to be open when things don't go as well as they possibly could."

Sparrowhawk's death has reignited debate about assessment and treatment units. Winterbourne View was a privately run unit where the abuse of patients with learning disabilities was exposed by BBC's Panorama in 2011. After the outcry over the abuse in the south Gloucestershire unit, a £2.86m government-funded improvement programme was launched by the Local Government Association and NHS England. Its aim was to move everyone out of such units by 1 June 2014.

Yet today, about 3,200 people with learning disabilities and autism are still in private or NHS-run settings like Winterbourne View, according to government figures. More than 60% have been there over a year and 20% for more than five years. So, why are they still in such widespread use when they are widely criticised as warehouses that provide wholly inadequate support at a weekly cost of about £3,500 per patient?

Commissioners of services and clinicians bemoan the lack of community-based alternatives, but service providers for people with learning disabilities suggest the commissioners are ignorant of, or cannot afford, existing alternatives.

The improvement programme's new director, Bill Mumford - who is chief executive of learning disability charity MacIntyre - describes the June deadline as "an aspirational target and not thought through". He adds: "I am not expecting a huge fall in numbers." Instead, he says he is trying to promote good-practice alternatives to assessment and treatment units, and supporting commissioners to use these options.

The lack of pooled funding between local authorities and NHS England undermines moves to get people out of units because cash-strapped councils are forced to pick up the bill for community provision. Mumford says: "The challenge is for clinicians and commissioners, they are the key decision-makers, we can connect them up, show them what can be done, keep the pressure on them."

Care minister, Norman Lamb, says: "We expect health and care commissioners to work together to transform care and support. We will publish regular progress reports, which will make very clear which commissioners are failing to make the improvements we are committed to."

However, community-based best practice is still the exception. Despite the closure of many NHS long-stay hospitals in the 1980s, expensive, harmful "dumping grounds" still exist. Since 1993's influential Mansell Report, policy and research has numerous white papers and inquiries have advocated better care for people with complex needs, from the 2001 report Valuing People, to the 2006 Our Health, Our Care, Our Say white paper, and the confidential inquiry into the deaths of people with learning disabilities. Yet despite the intentions and evidence, the pace of change for people with complex needs is slow.

There is another reason for slow progress. The Department of Health's Winterbourne View report, noted: "Failure to listen to people with challenging behaviour and their families [is] a common experience and totally unacceptable". Sara Ryan says of Slade House: "It was as if it was an imposition that we visited every day."

A senior figure at a national care provider, who declined to be named, says: "There is an endemic problem in the sector of family bashing, it's 'the family are difficult and a pain' ... Parents are the experts on their son or daughter - and we should tap into that expertise."

Jenny Morris is a consultant who advised the Office for Disability Issues under the previous government. She believes public perceptions of people with learning disabilities are partly responsible for inadequate progress. "There are negative attitudes in society in general toward people with learning disabilities, plus ignorance and lack of understanding about how denying people the ability to communicate their needs, and failure to meet their needs, leads to 'challenging behaviour'," she states. According to Morris, "institutional disablism" persists in many services.

Sparrowhawk's death is likely to force closer scrutiny of premature deaths among people with learning disabilities. Ryan and her husband Richard Huggins, who raised him since he was a baby, met outgoing NHS chief executive David Nicholson and chief nursing officer Jane Cummings. Among their demands were automatic independent investigations of deaths in assessment and treatment units, a corporate manslaughter charge against the trust and the closure of all such units.

Learning disability charity Mencap, has warned in a joint statement with family-led organisation The Challenging Behaviour Foundation that Connor's death is not the only tragedy. "We are currently working with families in similar, dreadful situations," it states.

As disparate parts of the health and social care sectors wrestle again with improving support, society's most vulnerable people are being failed by the very mechanisms designed to safeguard them. As Huggins says: "We put our faith in the system and got desperately let down."
Topics

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Why did Connor Sparrowhawk die in a specialist NHS unit? | Saba Salman

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A year ago, 18-year-old Connor Sparrowhawk was admitted to Slade House, an NHS assessment and treatment unit in Oxfordshire. Sparrowhawk, who had autism, a learning disability and epilepsy, lived at home and went to a special school, but was unsettled and agitated.

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Connor Sparrowhawk - The Tale of Laughing Boy

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If you are looking for information on mental health, search our A-Z. Topics are listed alphabetically and cover both adults’ and children’s mental health.

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About sectioning | Mind, the mental health charity - help for mental health problems

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If this is okay with you, please close this message. If not, please read more about your options.

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40 Years of the Health and Safety at Work etc. Act 1974

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Risk assessment in Health and Social Care

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Don't know where to start when doing a risk assessment? This video explains the steps to complete a health and safety risk assessment.

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Health Foundation: Patient safety timeline

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What has contributed to the development of the patient safety agenda to shape where it is today? This prezi from the Health Foundation tells the story so far. For more information about the Health Foundation, visit www.health.org.uk.

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Health Foundation: Person-centred care timeline

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What has contributed to the development of the person-centred care agenda to shape where it is today? This prezi from the Health Foundation tells the story so far. For more information about the Health Foundation, visit www.health.org.uk.

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Health is one of the fastest growing sectors for social enterprise, not only because it can offer a new way to tackle public spending cuts, but because it can be innovative. Creative thinking is key for the Expert Patients Programme (EPP), a thriving Community Interest Company that gives people more control over their conditions through cognitive therapy courses.

It has made a particular difference to people with long-term illnesses, such as diabetes, arthritis or respiratory problems, by teaching them how to self manage and monitor their own symptoms. "It's giving patients more control," says Renata Drinkwater, Chief Executive (interim). "Courses like these are proven to make a difference. They boost confidence and, in some cases, can delay the onset of other conditions. They also have other benefits, like reducing the amount of times the patient needs to go into hospital or use Accident and Emergency."

EPP began in 2002 as a large-scale Department of Health research project, using a programme licensed from Stanford University, to find out how to put patients at the centre of their health care. Initially funded by government, the project was devolved away to become a CIC and grow.

To date, EPP CIC have either delivered or supported other providers to deliver more than 5,000 EPP courses to over 70,000 participants. It is funded through contracts with NHS primary care trusts and other commissioning bodies across England. Many of its service users go on to become accredited tutors, some paid and some volunteers.

EPP was formed as a Community Interest Company in April 2007, after being given funding and assets by the Department of Health to help it get "on the road".

Since then it has gone from strength to strength, growing from a £1m turnover company just three years ago to a £7.5m turnover now. "Being a CIC allows us to be more flexible," explains Drinkwater, " We run along very efficient lines just like any other business, but as a CIC, there's no question that our surplus profits get reinvested. It gives us complete focus on what we want to do, which is helping people with their long-term health conditions. As a CIC we value partnership working, and work closely with key stakeholders in the NHS, social care and voluntary sectors, to support delivery of self-management programmes across the country to diverse communities."

There are also big plans for the future as new products and programmes come on stream in the coming years to take EPP fully nationwide. "We have just got a super model," Drinkwater says, "EPP shows how a good, innovative idea can create a business with real efficiency and results."

Name

The Expert Patients Programme

Location

Across England

Company structure

CIC limited by shares

Founded

Research project started in 2002, became a CIC in April 2007

Community interest statement

Our community of interest is all people living with long-term conditions and we operate as a Community Interest Company as an expression of our focus in providing services that meet their needs.

Find out more about The Expert Patients Programme

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Health is one of the fastest growing sectors for social enterprise, not only because it can offer a new way to tackle public spending cuts, but because it can be innovative. Creative thinking is key for the Expert Patients Programme (EPP), a thriving Community Interest Company that gives people more control over their conditions through cognitive therapy courses.

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Individual rights (e.g. right to be respected, treated with equality, and fairly, respected as an individual and not discriminated against, privacy, dignity, protection from danger and harm; right to access information relevant to themselves; right to communicate using their preferred methods of communication

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Individual rights (e.g. right to be respected, treated with equality, and fairly, respected as an individual and not discriminated against, privacy, dignity, protection from danger and harm; right to access information relevant to themselves; right to communicate using their preferred methods of communication

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Mental health and criminal justice | Crystal Dieleman | TEDxMoncton

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Individual rights Respect service users Listen to other's when they speak. Value other people's opinions. Be considerate of people's likes and dislikes. Don't mock or tease people. Treat service users as individuals We are all unique- we should be treated as such, Never stereotype people based on assumptions Show interest and appreciation for other people's cultures and backgrounds.

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If you're eligible for council support, you'll be involved in drawing up a plan for your future care and support.