KEY FEATURES OF INST. HOW CARE SETTINGS MANAGED TO AVOID THIS?

According to Goffman 1961 Asylums institutions are on a continum of open to closed with total institutions being at the closed end of the continum. Although it may be said that an instituiton is not entirely open (due to the fact it is an institution and this implies some level of formality) or closed (there is always the need to have utside influences such as delievery drivers who will come into contact with workers and perhaps residents). There are 4 key features to a total institution and not all of them have to be present for it to be considered a total inst. BATCH LIVING: Each phase of life is carried out with others, there is no freedom of movement and lives are controlled by rules and regulations. BINARY MANAGMENT: There is a line of seperation between staff and residents, managers have the power and social distance is their weapon. INMATE ROLE: everything about old self is left behind during admissions procedure. INSTITUTIONAL PERSPECTIVE: the routines of the inst. become the norm, often happens after events designed to forge sense of community. (BIIB)Can be said it is impossible to avoid some degree of instituitonalisation within long term health care settings as there to some extent needs to be routine inorder for life to run smoothly although there are ways in which to minimse the imapct of the inst. routine has on the life of the those who live and work there. Introduction of QUALITY CARE STANDARDS 2000 which are enforced by the COMMISIION FOR SOCIAL CARE INSPECTION. Care standards include things like : respecting their culture and beliefs (religion), right to well cooked and varied meals, right to a social life, right to be respected and treated with dignityPERSON CENTRED CARE -  This puts the person at the centre of their own care by involving them in the assessmnet, planning, implementation and evaluation of their care. Most commonly used in dementai care and learning diffs as this is the areas where institutionalisation is most likely to occur.Can be avoided using the principles of care: SUPPORT PEOPLE IN MAXIMISING THEIR POTENTIALENABLE PEOPLE TO HAVE VOICE AND BE HEARDRESPECT PEOPLE BELIEFS AND PREFERENCESSUPPORT PEOPLE RIGHTS TO APPROPRIATE SERVICESRESPECT PEOPLES PRIVACY AND RIGHT TO CONDFIDENTIALITY.

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