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Personalisation: promoting independence in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 9 minutes 2 seconds
- Place of publication:
- London
Actors have been used in this short film. Emily is 94 and a resident of a care home, The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. This film was previously available under the title 'Emily's safety'. (Edited publisher abstract)
Raymond’s money
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film portrays Raymond, a man in his 80s and recently diagnosed with dementia, and Wendy his paid care worker. The setting is Raymond’s flat. Wendy visits daily to provide Raymond with practical support to manage at home. The context of the drama is whether Raymond has capacity to make a decision about spending 50 pounds on lottery tickets. Despite Wendy’s efforts to engage him in conversation, Raymond remains largely silent until she goes to leave. He then becomes animated about the lottery and asks her to buy 50 pounds worth of ‘lucky dip’ tickets. Initially Wendy’s response lacks respect for Raymond’s request. After further discussion, Wendy decides that Raymond has capacity to make what others might think an ‘unwise decision’.While supporting Raymond to make his own independent decision, Wendy records the decision to comply both with the MCA and good record-keeping practice. The final scenes show Raymond enjoying himself as he checks his tickets against the results. This film has now been reviewed and is available under the new title: 'Mental Capacity Act: respecting the right to make 'unwise' decisions.' (Edited publisher abstract)
Emily’s safety
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film portrays Emily, who at 94 is a new resident of a care home, and the staff who care for her. The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. Scene by scene, the film introduces some of the key principles of the Mental Capacity Act. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. Tensions are explored around whether or not Emily lacks capacity to make a decision. In the final scenes a best interests decision is made on Emily’s behalf. This film has now been reviewed and is available under the new title 'Personalisation: promoting independence in care homes'.
The use of restraint in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 3.12.09, 2009, p.30, 32.
- Publisher:
- Reed Business Information
This article explains outlines the different forms of restraint used in care homes - chemical, technological, and passive restraint; when restraint is acceptable and unacceptable; and how what should be considered when deciding if to use restraint.
Minimising the use of restraint in care homes for older people: making decisions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
In this film, three experts – an occupational therapist, a care home adviser who is a co-author of a report on restraint and a geriatrician discuss the complex issue of restraint in care homes. Each expert discusses a different aspect of restraint, considering how care home staff can balance the duty to care with the need to protect residents. To minimise the use of restraint and to help residents live the life they want to achieve, care home staff need to find out about the individuals in their care. Through dialogue and negotiation, they can help residents to exercise choice. The Mental Capacity Act provides a useful framework for decision making and this is explained in full. Note: This film is no longer available to view.
Managing risk, minimising restraint: decision-making processes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
One of a series of e-learning resources which explore the nature of managing risk and minimising restraint when working with older people in care homes. This resource explores approaches to communication, learning and development, and the care home environment to help minimise the use of restraint. It also explores how a careful five-step process can help when making difficult decisions about restraint: observe, do some detective work, come to a collective decision, implement and review the plan. The resource contains audio and video.
Managing risk, minimising restraint: creating a positive culture
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
One of a series of e-learning resources which explore the nature of managing risk and minimising restraint when working with older people in care homes. This resource explores how to create a positive culture of care to lessen the likelihood of care staff needing to use restraint; the benefits of providing learning and development opportunities that help promote a learning culture and support better decision-making about restraint; and how developing a positive physical care environment can help reduce the need for restraint. It is particularly suitable for managers and senior staff. The resource contains audio.