Understanding Your RoleDuty of Care

Jackie Blackwell2014-15

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 careWays 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 dimensionso 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 ValuesYour effectiveness

Organised

Time managePrioritiseDelegate

Personal AccountabilityQuestion Behind the Question - John Miller

Quality Improvement Your ethosCommunicationAppraisal

Supervision

Personal Development

Open

Honest

What can I do?

Trust Values

Care & CompassionTrust & RespectWorking TogetherInspiration & InnovationPride &Achievement

Our CARE PromiseCommunicate with compassion

we will listen and respond to your needs, keeping you involved and informed at every step

Assist with toileting, maintain dignitywe will make sure your toileting needs are responded to quickly and in a dignified way

Relieve pain effectivelywe will ask you about your pain and do all we can to control your pain needs well

Ensure adequate nutritionwe will help you with your meal when needed and make sure your mealtime is undisturbed

CAREC - Communicate with compassionA - Assist with toileting ensuring dignityR - Relieve pain effectivelyE – Encourage adequate nutrition

http://news.bbc.co.uk/today/hi/today/newsid_9775000/9775076.stm

Person-centred care Dec 2012 Debby Lewis 8

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

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 Standards1. Understand your role2. Your Personal Development3. Duty of Care4. Equality and Diversity5. Work in a Person Centred Way6. Communication7. Privacy and Dignity8. Fluids and Nutrition9. Dementia and Cognitive Issues10. Safeguarding Adults11. Safeguarding Children12. Basic Life Support13. Health & Safety14. Handling Information15. 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 https://www.youtube.com/watch?v=8Dl2Ft53DSU

Delivering quality together North Cumbria http://www.ncuh.nhs.uk/delivering-quality-together/index.aspx 

Kingsfund Sam's story - integrated care http://www.kingsfund.org.uk/audio-video/joined-care-sams-story

Bristol - improving the patient experience https://www.youtube.com/watch?v=piWCYkSIiT8

Learning from Midstaffs https://www.youtube.com/watch?v=Wro7Qjky-Sw

Empathy video (Cleveland hospital) https://www.youtube.com/watch?v=cDDWvj_q-o8

Dumb ways to save - in the NHS http://www.youtube.com/watch?v=UOiIA_6Z1D8