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Kelly McLaughlin 13.11.2019LHS48.2To be able to support and care for our residents in our setting, I would ask all staff to be able to speak to them individually to get to know them, I would encourage them to get to know as much as we possibly can. I would explain to staff how important it is to get to know the information, we have individualized care plans and amongst them we have a care passport, which highlights their needs, from day to day care, their likes and dislikes and their hobbies and current interests. The care passport also tells us any diet requirements they may have, their religion and beliefs, we could find out in this information that they follow a certain religion, that may forbid them to eat certain foods, so this form helps the individual to have a personalised individual care plan. The care is their tailored to all needs. A care plan is a legal document, according to the care quality commission (CQC) under the health and social care act 2008(regulated activities regulation 2004) regulation 9 states providers must ensure people using services have care treatment that personally specifically for them. Cqc.org.uk accessed on 14.11.19It is very important that we work in a non-judgemental way to reduce prejudice and for our personal feelings not to discriminate in any way.Within my role I would ask my staff to be person centred on every shift they are on, I make sure this is part of their training; I would make sure they have the time to talk to the residents and their families, if this is possible. I would also ask they treat the resident in the least judgemental way, I would make sure all my staff have the correct name badges on at all times, I would expect my staff to explain to them exactly who they are, every time they have a conversation and reassure them and give them the information to make choices as the mental capacity act 2005 states principle every adult has the right to make his or her own decision and must be assumed to have capacity to do so unless proved otherwise. Mental capacity act 2005 (accessed on 13.11.19)I would make sure my staff know the importance of reviewing care plans and care passports, they are required to be updated monthly for any changes, I would encourage my staff to be involved in this process as well as the resident so everyone knows any changes that have happened, this will make sure the care stays at a high standard and that it is kept individualised, all parties will then have a clear idea of how to meet their needs in an agreed way, I would lead by example, by me talking to the resident asking questions, my staff will then see I am working in a person centred way and they will follow. I will make sure they are getting the appropriate training which would include people with communication difficulties, and we would do workshops to act out on each other so we are promoting person centred care and also being person centred to everyone in the settingI would support my staff in helping them adapt approaches to help them support our residents; I have a good example of this.We have a resident who is double amputee and has now had to have a suprapubic catheter www.bladderandbowel.org(accssed 13.11.19) they went to the hospital to have the procedure done and came home and found after a couple of days the procedure did not work properly, it self-seals, so we had to get a specialised stoma nurse come in to teach the nurses and staff to change the stoma and how to dilate it with metal rods, this has to carried out daily, so this meant that all staff had to adapt their approach by learning to do something new to help an individual.Active participation is a person centred approach to help an individual make their own choices and keep doing the things they like to do, it’s not just decisions about their care, but also giving them the choices of what to wear, how you would like your hair today, and what would you like to do today. to be active in cultural and social events too, for them to know what’s out there in the community, and where did they used to go out, for them to be able to actively participate in making decisions enhances their quality of life and this also enhances their wellbeing.We have a resident who don’t have a very good grip, due to multiple sclerosis they need a specialised cutlery set, so after some research on the following website ornamin.co.uk we were able to get some cutlery after speaking with the resident, we looked together at all the information that was on offer and asked if we could have a trail with the equipment, they were happy to help, after the trial we found the equipment to be vital in promoting independence, and the resident was happy because they were actively involved in the whole process, and this was then introduced in the setting for anyone else who suffered the same problem of not being able to grip, so they could have their independence back.Resident A is deemed to have capacity, he wants to have a shower alone on the weekend, I explain to him that this can happen but I have to explain to him about the risk of falls and trips and slips, but he wants to go ahead, I said to him I will return to talk further about this soon. I return a little while later to see what he say, he explains the information again word from word, so I can see he has retained the information, I then ,make sure a risk assessment has been put in place, so now how can have his independence in a safe way.NICE website says Supporting people to regain their independence and confidence requires some positive risk taking, risk assessment and planning can help manage risk and maximise the potential for people to achieve their goals, think about the person wishes and quality of life, risked linked to specific activities for their environment, what might help reduce any risk, equipment, support and what effect taking risk might have for the person or staff supporting them NICE.ORG.UK (accessed on 131.11.19)