Explain outcome based practice.
Outcome based practice is where the focus is on the impact of the support and care provided to a person and how this may affect the end result and affect their life. It allows the service user’s to focus on goals and priorities within their life and what they would want to achieve. All people involved in their care, whether it is families, care workers or outside teams (GP, District Nurses etc) are involved in ensuring the service user can achieve their aspirations and goals in order to have a positive impact on their life.
Critically review approaches to outcome based practice.
There are various approaches to outcome based practice which include reviewing both staff practices and the practices in place for the service users. Staff practices are reviewed by having supervisions and appraisals in order to ensure that the standard of care being delivered to the service users is of the appropriate standard. It also allows staff to give feedback on the practices that are in place and if improvements could be put in place to benefit the service users.
Service users within the care setting each have their own care plan and risk assessments in place to address what their care needs and preferences may be. This helps to promote outcome based practice because it allows the service user to highlight their needs and wishes to staff. It also allows staff to identify where any care needs are needed to ensure the service user gets all the help and support that they need. All care plans are done with a person centred approach and are tailored to suit each individual’s needs, preferences and wishes.
Families may also be involved with promoting outcome based practice, especially in the care setting which may include, dementia/nursing care. This is due to service users possibly not being aware of how they may need additional help and support. They can also give insight as to how their life was previously before needing to be in a care setting 24 hours a day. This enables staff to do the things they were used to doing before illness caused a need for care being provided 24 hours a day. If there are any conflict or concerns with relatives this can be discussed with them and the care plan can be amended or explained why it is like that creating a better relationship with the service uses and their families.
Line managers are also involved in promoting outcome based practice by ensuring that all documentation is up to date and amended if needed according to each service user’s needs. Without having this approach there could be things missed which may ultimately affect a service user’s wellbeing and health so all care plans must be checked and updated monthly. Any feedback or support will also come from the line managers in order to improve the standard of care being delivered.
Analyse the effect of legislation and policy on outcome based practice.
The various policies and legislation that have to be adhered to in the workplace may have an effect on outcome based practice because in order to achieve the service user’s needs, wishes and goals there may be certain aspects that could hinder this. For example, if a service user wanted to walk but was unable to do any lengthy distance, or if they wanted certain belongings in the room but it was a health and safety risk. All legislation and policies must be adhered to by staff at all times however this may be difficult for the service users to understand. This could be more of an issue within a dementia care setting where some service users are unable to make decisions and this could result in injury to themselves or others. The Care Quality Commission (CQC) ensure that all legislation and policies are adhered to whilst maintaining the service user’s rights, wishes and dignity at all times. The care setting must ensure that all policies and procedures that are followed ensure that it promotes positive wellbeing for the individual in their care and that they are all treated equally.
Explain how outcome based practice can result in positive changes in individual’s lives.
It can result in positive changes because it allows the service user to be seen as an individual and ensure that their needs, wishes and preferences are taken into account. It also allows them to be seen as a person rather than another resident which builds up trust and a relationship between the staff and the service user. This has a positive impact on their health and wellbeing and allows them to be involved in the care they may need and voice their opinion and views relating to their care needs.
It also allows staff to address where changes could be made within the care setting and improve the current care a service user may be receiving. It also allows staff to see the service user as the individual that they were before the illness and help them to achieve their needs, wishes and preferences.
Relatives can also be involved in the service user’s care if needed and promote positive wellbeing for their loved one by having discussions relating to the care plans. Any improvements ca