Care Value Base
A basic standard of care was devised in the 1990’s which is known as the Care Value Base (CVB). These are now commonly known as values and principles of care and they provide guidelines to which all people who work with in health associations should be following. These are things such as adapting and accepting people for who they are and to show you understand their diverse lives and to try and treat people as equals.
This helps to reduce the risk of abuse as everyone will try to understand the diversity of people meaning that more people will accept them and won’t discriminate against them because of whom they are or where they originate from! Another guideline to follow is to respect people’s rights and responsibilities because this will help people understand that everyone in this country has the same rights as everyone whether they are tall, small, disabled skinny, fat or what ever race or religion!
This in turn should help reduce the risk of abuse as people think that people who have difficulties or are disabled don’t have the same rights and that has been peoples answers for why they abuse people like this! The final guideline is to respect and maintain confidentiality of information so that the service user’s details and personal information is kept to the people who need to know it! This helps to reduce abuse as if information is not shared with the whole world then it is less likely that people will know detailed things about them!
Everyone but especially vulnerable people and service users should all be treated with respect and dignity, have equal rights and the right to privacy and others keeping things confidential! Dignity and respect are one of the core principles of the minimum care that should be showed by people working in health and social care settings. This allow the service user to feel at ease which could lead to them telling you if they are being abused or if they have seen anything because at first without respecting them and keeping their dignity they wont trust you!
Another core principle is equality meaning that’s that the care you may need may differ from others but the quality of the care should be equal for everyone! It means that everyone can be catered for in their own way but the quantity of care and quality of care should be equal for every service user. For example if one service user has physical difficulties and another has learning difficulties the care they receive may differ but the quality should be the same for both of them.
A third core principle would be privacy which is where the staff working in health and social care services should be keeping everything which is said in their work place private and confidential! This means that they shouldn’t be going home telling their families private things about the service users they care for. This should help to reduce the risk of abuse as this will mean that only the vital people who need to know about intimate details about the service user will know, meaning that information about service users won’t be local news!
Adult of centre of planning is where a vulnerable service user is in the centre of interactions, it is now encouraged more so that the service user has a say it what decisions they want to make and so that professionals and the service user can make decisions together. This helps to reduce abuse because the service user will be able to tell professionals about their situation, whether that it is their stories of how they have been abused or where they are most likely to get abused as they are the ones who are being put into vulnerable situations!
The professionals should be building effective relationships with the service users however the relationship should differ from the ones you would have with your friends. Neil Moonie (2005) suggested that the relationship should be different by the professionals working within framework of values and the fact that it is their job to build relationships. Another thing Moonie suggested was that there should be boundaries within the relationship as it should be strictly a professional relationship which should always involve the duty of care towards the service user!
While communicating to service users where ever you may be there preferred method of communication should be used wherever and whenever possible. It may need to discuss that for some service users that they may need to have a signer or translator especially if the staffs are unable to understand them properly. This would help to reduce abuse as well as neglect as if they couldn’t understand the service users properly they may not know exactly what they want which could lead to neglect in the future, within regards to abuse if staff can’t understand them then they may not be able to recognise if they are getting abused or not.
To ensure that you are building an effective relationship with service users you need to take into account and respect for who the service user is, their culture and their beliefs. These may differ from you yourself but this shouldn’t matter; you should accept them for who they are and accept that they may be different from you or that they have different beliefs from you.
This will help to reduce neglect as for example a service user who is female may not want to be cared for by a male member of staff because of her religion or she just doesn’t like it, this should be accepted but if it isn’t the service user could end up being neglected as she may refuse to be washed by a male meaning that she may be neglected and the staff may think it’s because she doesn’t want to wash, which isn’t the truth. Working practices will help professionals to try and reduce the risk of abuse and neglect.
This can be done by using different working practices such as a needs assessment, this make sure that professionals stays focused on the specific needs of the individual and by using the Care Value Base. A needs assessment is where the individual’s needs are identified with them involved within it. They also inform other professionals involved as well as putting their needs into the support plan so that the staff working with the individual will know what there specific needs may be.
For example a service use has been included in identifying their own individual needs and they now feel empowered as they were involved within the decsion making instead of being overlooked. This helps to reduce neglect as the service user involved will feel that she knows her own needs and if she feel she needs help she can tell them so they can assess her own needs correctly. Professionals can also use support planning cycle which is a complete loop which goes on and on and it has four different steps which are shown in figure 1.
It is a cycle which sets out hoe the needs need to be met as well as an in detailed depth of what they may need help with. For example a service users support plan allows service users to know exactly what goes into there plan, this helps them to feel included where as if they don’t know anything what goes into there plan they may start to feel left out which could to marginalisation.
This helps t reduce abuse as the service user will know exactly what is in there plan so they will know if anything starts to go out of place which could be the result of abuse. Anti-oppressive practice is where professionals adopt the person-centred care approach which helps to ensure that the focus is on the individuals needs and making sure that professionals and agencies are influencing their ideas onto the service users.
For example a service user may feel pressurised to move into a care because it is cheaper for the government rather than having community-based care however if it is not in her best interests then this is what the anti-oppressive practice helps with! This helps to reduce neglect so that a service user is not shoved into any old care home where it could be hard for relatives and friends to visit and it may not be very good meaning that she could become neglected or she may start to feel neglected!
Different services try to aim to meet the diverse requirements of service users and they should ensure that all service user receive the same services and the service they need and to ensure that service users who are in the same position don’t get treated any differently. This helps to decreases abuse as all service users should have the same services offered to them because if people are treated differently because they may be diverse then this is abuse.
For example a service user may go to the doctors and feels good because no matter what she is there for the doctor tries to help her no matter what is wrong or how old they may be. The humanistic approach concentrates on treating individuals with respect, dignity and as a unique person that all have diverse needs. This approached is used by professionals and staff working within in health and social care settings to try and support and emphasise the importance of service users uniqueness and the importance of their values and beliefs.