Challenging Poor PracticeUse the scenarios below to practice making challenges

Scenarios Your Notes

Let’s start yourinsulin procedure

Lounge

I don’t havetime to putthese on . .

What is it NOW?

Have you heard abouther likes and dislikes!?

Scenario 1A district nurse arrives to giveMrs A insulin and starts the procedure in the lounge area of the care home where thereare other people around.

Scenario 2A colleague says they just don’thave time to put on gloves whenchanging a catheter bag.

Scenario 3A colleague is clearly in a badmood and short tempered withthe people she supports.

Scenario 4A care home uses "this is me" to share information about the people they care for but youhear a professional making funof a residents likes and dislikes.

Let’s start your insulin procedure

Remember that all poor practice can potentially become a safeguarding issue andyou need to make a judgement as to whether a person is in immediate danger ofharm. If so report it straight away.

C’mon, just put thisskirt on . .

Watch out, Mr Brownis being awkward

again . .

It’s like workingin a zoo . .

Scenario 5You deliver care at home and acolleague laughingly tells you thatonce a week she buys the shopping for a woman who is aMuslim. However instead of goingto the halal butcher which is further away she buys the meat at the supermarket and then putsit into a plain bag similar to thetype used by the halal butcher.

Scenario 6You witness a nurse lifting apatient from a chair on her own.

Scenario 7In order to get people up quickly and ready for breakfast,colleagues just put people inclothes rather than asking them what they want to wear.

Scenario 8A colleague says “Watch out MrBrown is being awkward againand will probably kick off.”

Scenario 9A patient accidently bumps intoanother patient in the ward corridor. You hear a colleaguesay “show some respect” andthen ‘tut’ again and mutter underher breath “sometimes workinghere is like working in a zoo”

Your Notes

C’mon, just put thisskirt on...

It’s like working ina zoo...

Help . .

Good morning! . .

Just man up! . .

Scenario 10You notice someone in pain whois being ignored and not beinggiven the appropriate pain relief.

Scenario 11You found Mr D asleep on thetoilet – he had been forgotten.

Scenario 12Dennis is crying in a corner andasking for help but is beingignored.

Scenario 13You do an extra shift one nightand find that staff are wakingpeople at 5.30am to save timefor carers, but not giving thembreakfast until 7am.

Scenario 14You are a mental health supportworker and hear a colleague say“oh for heaven sake, just manup” to one of the people yousupport.

Your NotesOwww . .

Scenario 15You notice that there is a goodmix of ethnicity amongst thepeople living in the home but the meals don’t reflect this.

Scenario 16A colleague shovels the food in when supporting someone to eat.

Scenario 17When a colleague takes peopleto the toilet the door is alwaysleft open for ‘their safety’.

Scenario 18A colleague in your care athome agency tells you that“sometimes I miss visits to people on my list. Because they have dementia they won’tremember I haven’t been’.

Scenario 19On a carers first day you noticeshe has long nails and you worryabout possible infection issuesor maybe ripping the skin of thepeople she’ll be supporting whenproviding personal care.

Your Notes

It’s for yoursafety! . .

He has dementia,he’ll not remember

It’s for your safety...

Could youshred this . .

Scenario 2020. You do a double cover in a person’s home and becomeaware that whilst your colleagueis wearing gloves they use thesame pair throughout the visitand don’t wash their handsbetween tasks. So for examplethey prepare breakfast, deliverpersonal care, wash up the potsand write in hand-over bookwithout taking them off.

Scenario 21You observe a colleague givinga person too much medicationand saying oops!

Scenario 22Your manager asks you to falsify/shred records that couldcause problems as an incidentwasn’t reported.

Scenario 23You notice that two carers pulleda woman, who had not stood forsix months, out of her chair to astanding position.

Ooops . .

Your Notes

Toilet? Don’tbother he has

a pad on

Scenario 24Mr E who has dementia asks togo to the toilet. You are about totake him when one of the othercarers says ‘don’t bother, he hasa pad on’.

Scenario 25It’s lunch time in the care homeand you are walking Mrs F to the dining room when your colleague says ‘just put her in awheelchair - it’s much quicker’.

Put her in a wheelchair, it’s quicker

Your Notes

Toilet? Don’t bother he has

a pad on

Put her in awheelchair, it’s

quicker