Policy Staff are vigilant regarding the day-to-day good health of Service Users and promptly report any changes or concerns. Service Users are assisted to seek help and advice from their GP when feeling unwell, or staff will ensure that any health concern is assessed as soon as possible by a medical practitioner.
Information on the health status of Service Users, details of known health issues and contact arrangements in the event of illness are all clearly noted in Care Plans.
Miss Naomi Bennett will ensure that staff have the knowledge and ability to signpost and support Service Users with changing health needs.
A person-centred approach is taken, that is based on individual ability and need. By building meaningful relationships, staff are able to identify subtle and significant health changes and respond accordingly.
Care Plans are reviewed and updated in accordance with Compassionate Care Team Ltd policy, to ensure that they are consistent with the current level of care needs and support.
Communication systems function and are fit for purpose in advising colleagues of the changing healthcare needs of Service Users, to support safe, competent continuity of care.
Compassionate Care Team Ltd will have measures and systems in place to determine changing dependencies of Service Users and to access support agencies if the Service Users' needs outweigh the capabilities of Compassionate Care Team Ltd.
Procedure: A pre-assessment is completed before the commencement of any care package. From this, staff can identify key essential information such as a Service User's ability to communicate. This is vital for staff to ensure that they are able to determine if a Service User can communicate their changing health needs.
Over time, staff will build up professional relationships with Service Users and/or their families which will enable a more meaningful and pro-active person-centred approach to be taken in supporting a Service User to express how they are feeling.
Where Service Users are unable to physically communicate a changing health need, staff will refer to other communication methods such as non-verbal signs, communication boards, behaviour assessment tools etc. Staff should refer to the Service Users with Communication Difficulties Policy and Procedure.
A Care Plan will be produced and updated to reflect the Service User's abilities, needs, wishes and preferences for communication. Staff will discuss the Care Plan process with Service Users and talk to them about their health care needs.
Service Users will be made aware of how the system for referrals works within Compassionate Care Team Ltd and will be supported to access the GP.
Staff will ensure that any requests made to see a GP or healthcare professional are completed in a timely manner and that the Service User is updated on progress. Service Users and/or their family members will be provided with information that clearly details what services are inclusive of fees within the care contract and agreement, whilst having an awareness that this could be subject to change.
The sharing of any information between health and social care professionals will be conducted in line with legislation (staff should refer to Compassionate Care Team Ltd's Confidentiality Policy and Procedure) and with the permission of the Service User.
Changes in Health Status Changes in daily health status will be identified by the following means: • The Service User alerts staff to a change in their health • Through direct observation during care and support delivery • Through formal reviews • Raised by family or those known to be close to the Service User • Routine diagnostic monitoring • As reported by a visiting healthcare professional In all cases, staff are required to document the change in health status and how it was noticed as well as ensuring relevant care records and/or risk assessments are updated to reflect the changes.
Through the local handover process, new staff attending to the Service User will be aware of the change of health need and will support the Service User using the updated care planning contents.
Dependent on the change noted, staff should discuss this with a senior member of staff and consider seeking support from the Service User's GP.
Care Planning Care Plans will show a thorough assessment of current health status. Details of any signs and symptoms that may suggest that a Service User is unwell are documented in the Service User care records.
Where a new health condition presents (such as an infection e.g. urinary, chest etc.), a Care Plan will be produced to identify how this will be managed.
Service Users should be provided with the opportunity to express their views and wishes about what action they would like staff to take in the event of a changing health need and who this is shared with. For example, some Service Users may not wish to attend hospital or leave the home. Consideration by staff should also be made to promote Service Users to complete an Advance Care Plan where applicable.
Where new medication is prescribed to meet a changing health need, staff will follow the suite of Compassionate Care Team Ltd's medication policies and procedures available, in particular, paying reference to: • The allergy status of a Service User, ensuring there are no contraindications before commencing a new medication • The management of analgesia which is in addition to existing prescriptions of analgesia (e.g. the contents of cough and cold medication may contain paracetamol that the Service User already has a regular prescription of)
Any decisions made by Compassionate Care Team Ltd on behalf of a Service User with limited capacity will be made in their best interests, following the principles of the Mental Capacity Act 2005 and the associated codes of practice.
Appointments In the event of an unplanned medical appointment, staff will ensure that relevant family contacts are informed inaccordance with the Service User's wishes around the sharing of information.
Any health changes, care changes or medical appointments and their outcomes will be reported across the care team to ensure consistency of care via local handover procedures.
Staff will respect the Service User's right to choice and offer the opportunity to attend these appointments.
However, if they decline and have the capacity to do this, staff will record this outcome and cancel the appointment on their behalf. Where a Service User declines to attend an appointment and is proven to lack capacity as per the Mental Capacity Act, alternatives such as home visits should be considered and a management plan and best interest decision will be put in place in conjunction with the multidisciplinary team involved in their care.
Limitations Compassionate Care Team Ltd will make all efforts to ensure that changing needs can be accommodated and will work collaboratively with other health and social care professionals to ensure needs can be safely and efficiently met. Consideration will be given to the upskilling of staff and the introduction of equipment into Compassionate Care Team Ltd which can be put in place for the Service User's benefit.
The following two areas define when Compassionate Care Team Ltd will not be able to continue to support the Service User: • The inability of Compassionate Care Team Ltd to meet the assessed needs of the Service User including changes in their medical condition, personal care, mental health or behaviour for which Compassionate Care Team Ltd does not hold a current registration and has no prospect of obtaining that registration • Behaviour which compromises the safety and/or the wellbeing of other Service Users, or the safety of staff Although rare, in these cases Miss Naomi Bennett will work closely with healthcare professionals and the Service User to find an alternative service that can meet their needs. Staff should refer to the termination of Service User's contract for further details.
Assessment Tools and Diagnostic Monitoring There are many tools available to assess and monitor for changes. Where assessment tools are used, they should be from a credible recommended best-practice source and staff should be trained to use them appropriately and know what action to take when they are completed. Where diagnostic monitoring takes place, staff must be trained to do this competently and know what a normal range is as well as action to take in the event of an abnormal result.
Training and Education At all times, staff will work within their realm and scope of competence and only assess needs if deemed competent to do so. If in any doubt staff must contact the Service User's GP for advice and support.
Staff should have access to the suite of Compassionate Care Team Ltd's policies, procedures, resources and tools to help them determine the action they should take when responding to a changing health need.
On induction, all new care staff will complete the Care Certificate which will offer the minimum standard of knowledge that will provide professionalism alongside Compassionate Care Team Ltd's induction that includes working with experienced staff to achieve competence in the role they will fulfil.
All staff will receive training in addition to the mandatory and statutory expectations. This will be dependent on the needs identified by staff, the current Service Users within Compassionate Care Team Ltd and as defined within a training needs analysis. All achieved training will be documented on Compassionate Care Team Ltd's training matrix. Staff are provided with the opportunity to contribute to the training requirements they may have in relation to this policy, such as long-term condition management etc. This will take place in the form of supervisions and appraisals as well as through team meetings.