B5 U17 - Unacceptable Care

B5 U17 - Unacceptable Care

1. Recieving intimate care

   • Elspeth
     • Private agency - no gloves, no apron, too busy, v. intimadating
     • Fiona -good eye contact, business like but friendly, good communication
   • Saxton et alwhat is care and what is sexual contact

2. Challenging behaviour

   • Rosalie
     • punched someone and broke her nose
     • So many different perspectives of what happened
       • "how you describe behaviour will affect how you respond to it
   • Behaviour programmes - expand skills and opportunity to fulfil the same function in less disruptive routine

3. Offering intimate care

   • Millstream Court
     • Marie
       • Inadequate training and supervision leaves Marie unable to know what to do with Richard
       • Worry about being unable to talk to family or manager
   • Lawler
     • Women - men, men - women
     • male genital hard to deal with - hidden
     • helping men urinate in a bottle
     • Shadowing
     • Crossing social boundaries, breaking taboos and doing things that would usually be private

4. Unacceptable practice in workplaces

   • Cedar Court
     • Alan (Victor) - locked him in the toilet until he was quiet
       • Psychological abuse - humiliation, coercion, verbal abuse, withdrawn services
       • Neglect - moving bed away from the buzzer, needs are ignored
       • Discriminatory abuse - jokes based on residents' disabilities
     • Lauren
       • Alan - problem not someone needing help
       • Producing presentable residents on a tight time limit
       • No instruction or training - copies other.
   • National Occupational Standards for Health and Social Care
     • communication
     • environment
     • safety
     • prevent abusive or aggressive behaviour
     • Protect potential victims