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The aim of this proposed assessment is to highlight leadership and management in adult care. More specifically, the purpose of this assessment is to focus on health and well-being in adult care and evaluate the importance of equality, diversity, and human rights to lead to person-centred practice. The importance of regulatory standards in health and social care is to underpin the best practice within the adult care service sector. Though, in this service provision, leaders can face unique sets of challenges, and managers, on the other hand, needs progress. Therefore, for healthcare professionals and leaders, it should be important to be able to develop specific knowledge and skills essential for managing care and support services in adult social care setups. In this assessment, therefore focus will be given to the evaluation of the range of factors that can influence the health and well-being of people, and the roles and responsibilities of others to promote the well-being of individuals. In section two, the focus will be given on summarizing the legislative practices that underpin equality, diversity, and human rights in adult and social care service set-up. In section three, the focus will be given on the different care approaches and evaluation of the effectiveness of policies and procedures related to adult care service settings.
The well-being of individuals can be affected by several factors which may include the following:
When it comes to monitoring, assessing, and promoting the well-being of adult individuals, the roles and responsibilities of nurses and healthcare supporters can never be denied. The primary role of a nurse is to become a caregiver for the adults in the care setup, by managing their needs, treating their health conditions, and prescribing essential medication to suppress the onset of disease or illness (Wang et al., 2019). To fulfil this role, the nurses and caregivers must be good observers, so that they can monitor and assess the health status of patients in a precise way and record the relevant data, and aid in the treatment-based decision-making process. The role of a nurse or caregivers along with any healthcare professionals and care supports in adult care set up are :
In patient advocacy in adult care setup, the role of nurses and healthcare professionals can never be denied. more specifically, when it comes to monitoring, assessing, and establishing the physical and psychological well-being of individuals, the role of clinicians and nurses is to offer emotional support to the patient and his family (Stellefson et al., 2020). A nurse should try to understand people with specific needs and prepare treatment by listening to them and assessing their physical, emotional, mental, spiritual, and cultural needs.
Apart from the nurses and healthcare professionals, the role of family members and surroundings can never be denied when it comes to monitoring, assessing, and promoting the health and well-being of the people. Families can offer strong and adequate mental and physical support to an individual with specific needs so that they can live healthy lives. Additionally, this support can help that person with specific needs to develop the ability to prevent disease. A family member can also encourage people to go for early diagnosis, and treatment to avert and delay complications (World Health Organization, 2021). Additionally, family members should look after the person with specific needs and monitor and understand the basic needs of their living. The family members and surroundings will also be responsible to offer resources that can help the individual with specific needs to cope with their ongoing stress and enhancement of self-esteem, and it can lead that person to live a higher livelihood.
As a practitioner, my role to support an individual for health and well-being will be to provide an adequate amount of mental and physical support to people with specific needs. I will look after the medication of the individual and check whether they are leading a healthy livelihood or not, I will also try to motivate or encourage individuals with specific needs associated with social gatherings or arrangements, to adopt healthy lifestyles like regular exercise or having nutritional foods. This can help the individuals to develop self-confidence level and help them to be socially accustomed (Kurian, 2020). When an individual with specific needs feels welcome in social gatherings, he or she will start feeling confident and try to live a healthy livelihood, which in turn can impact positively their mental well-being. Additionally, it should also be monitored that the workers (nurses or caregivers) are accountable to follow the Code of Conducts ad contract of duty. Registered practitioners will also be accountable to the regulatory bodies when it comes to maintaining standards of practice and patient care.
As a practitioner, my role to provide sufficient training, support, and supervision to make people enable for monitoring an individual’s health and well-being would be:
To ensure that the nurses and caregivers are accountable and responsible enough to delegate their healthcare tasks to people with specific needs, the focus will be given to the extent to which the nurses and caregivers are following the Care Act, of 2014 (Lawson and Beckett, 2021). In the UK, the Care Act, of 2014 has been enforced to reform the law related to the care and support of adults this law is also important to make provisions about safeguarding adults from any kind of abuse or neglect, to make provision for developing care standards. According to the Care Act of 2014, it should be monitored or ensured to what extent, the health service providers are accountable to make sure that their activities can meet the legal requirement. As per the duty of care, the HCAs, Aps, nursing associates, registered nurses, and doctors will perform straightforward activities while undertaking complex surgery or application of medication and providing physical and psychological care support to the adults. In this scenario, all the practitioners, as per the Care Act 2014, should ensure that they are responsible and accountable enough to meet the level of competency while offering care support to the adult with specific needs (Waddington and Priestley, 2021). To be accountable, practitioners must ensure that,
According to the Care Act of 2014, nurses and healthcare professionals, including caregivers must oblige with the duty of care and liabilities while offering care and supports to adults with specific needs (Košir and Lakshminarayanan, 2021). While delegating activities, it should be monitored whether the nurses, healthcare supporters, or caregivers are delegating their healthcare tasks, in an apt way. according to the healthcare standards, in the UK, nurses and caregivers should be accountable for their decision regarding the offering of delegated healthcare tasks and duty of care to the people. Here it should be monitored:
There are five key legislations that underpin equality, diversity, inclusion, and human rights:
The Societal and Historic Influence of Human Rights
The Social and historic influence of Equality, Diversity and Inclusion
In the United Kingdom, the social and historic influence to set up equality, diversity and inclusion includes the incident on 21st June 1948. On this day, HMT SS Windrush arrived at Tilbury port, as one of the first large groups of immigrants from the Caribbean to England. Many of the people in this group used to live and work in England during the war and they wished to return for equal opportunities (Adalla et al., 2022). The Windrush scandal sheds light on the people who are wrongly detained, denied legal rights and being threatened with deportation. This incident forced the UK government to revise and set up a law for equality, diversity and inclusion within society.
On 1st July 1972, the first grey march was held in London, where more than 1000 people took an active part. this event was the celebration of personal identity and self-expression. This event is also important as, in current times this event can be considered the foundation of developing equal rights for the LGBTQIAA+ community and people from other backgrounds (Allen et al., 2022).
Considering all the legal setup, legislative practices, and social and historic influence towards the development of equality, diversity, and inclusion, it can be stated that, it is important to ensure that equality and diversity have been maintained in workplace setup. This aspect can also help me to understand the importance of performance appraisal (Caiels et al., 2021). As a leader, it becomes essential for me to carry out performance appraisals to manage diversity and equality, which can be acquired by conducting a culture and management system audit. The practice of this audit can also help me as a leader to ensure that inclusion and human rights are also being practised within the workplace setup, specifically when it comes to delivering care support to adults with specific needs.
Moreover, the impact of legal, social and historical influences has made me understand that equality and diversity are essential components in health and social care, and to promote these two components, a leader must develop the following attributes:
These attributes can help me as a leader to motivate people within a team to treat others and every team member equally; the people get the dignity and respect that they deserve.
Culture can be defined as the pattern of ideas, behaviours, and customs carried out by the people and within a particular society. Culture is used to be evolved constantly. The influence of culture or cultural beliefs on health is massive. It can affect the perception of health and well-being, illness, and beliefs about the treatment process. death and approach towards health intervention or promotion. The term “closed culture” refers to the poor culture practised in health and social care services, which can increase the risk of harm (Daldeniz and Hampton, 2019). The closed culture may include the breaching of human rights or the abuse of people. The development of closed culture can be unintentional or deliberate, which in turn can cause unacceptable harm to a person who is supposed to receive health care or provide care and support to others. The impact of closed culture on individuals and others within a workplace setup will include:
on the other hand, social discrimination can have a negative impact on health and social care support and service provision. Social discrimination refers to the practice of differentiating treatment for individuals with specific needs based on their characteristics (race, ethnicity, nationality, gender, age, income status, and medical condition). In the healthcare setup, social discrimination can manifest the belief, behavioural approaches, and attitudes of the clinicians, which in turn can significantly impact the service provision being delivered to the deprived population within society (Schneider and Harknett, 2019). Above all, health-compromising outcomes related to social discrimination can increase the physical stress among the service users and providers, poor compliance with the Care standards, cause patient disengagement and develop healthcare avoidance behavior, which in turn can contribute to the mortality rate, and increased disease burden within a society.
Own and others’ values, beliefs, and experiences can have a significant impact on practising equality, inclusion, and human rights within workplace setup, specifically, when it comes to delivering care services to adults.
Therefore, it is important to recognize the influence of own and others’ values, beliefs, and experiences in reference to equality, diversity, human rights, and inclusion. By acknowledging these factors, we can work collaboratively with others as a team which can help to create a more inclusive and equitable workplace setup.
There are several ways, by which I or others can positively respond to differences between people in terms of acquiring better outcomes:
Service that promotes values and celebrates equality, diversity and inclusion should take different measures to ensure that the services can meet the needs of the diverse population. The way, health and social care services or any other services can promote and celebrate equality, diversity, inclusion and human rights are:
This is a type of intervention that focuses on empowering an individual by improving their strength rather than their deficiency or weakness (Allen et al. 2022). The prime feature of this approach is that this approach has a positive focus, holistic nature, and a person-centred and collaborative approach. The principle of this approach is mainly oriented with asset-based thinking, empowerment, optimism, and hope as it mainly focuses on utilizing the strengths of the individual rather than the weaknesses. As per Caiels et al. (2021), the key drivers of this approach are mainly the focus on strengths and empowerment for individuals by taking control of their lives through the strengths of an individual. The values that are promoted by the strength-based approach are oriented toward empowerment, collaboration, hope, and person-centred care.
Person-centred practice is an approach to healthcare and social services that places the individual's needs and preferences at the forefront of their care. As highlighted by Madden et al. (2020), this approach prioritizes respect for the person's autonomy, dignity, and worth, and aims to empower them to take an active role in their care. Its features include collaboration and mutual respect between the person and the healthcare or social services provider, as well as a holistic approach that takes into account the person's physical, emotional, social, and spiritual needs. The principles underlying this approach include a commitment to respecting the person's autonomy, recognizing their unique experiences and culture, and providing high-quality, holistic care that addresses all aspects of their well-being. It is primarily driven by the importance of patient-centred care, increasing emphasis on consumer-driven healthcare, and it is oriented with the values of addressing the complex needs of an ageing and diverse population are some of the drivers that have led to the adoption of this approach.
It is an approach that emphasises the involvement of individuals in decision-making and taking an active role in their care. It is characterized by features such as encouraging self-management and collaboration between individuals and healthcare or social services providers (Herfelt et al. 2019). The features and principles of active participation include the right of individuals to make informed decisions about their care, tailoring care to their individual needs and preferences, and the importance of collaborative working respectively. The drivers of active participation reflect the increasing importance of person-centred care, the prevalence of complex health needs, and the desire for greater patient empowerment. The values of active participation include respect for individuals' autonomy and expertise, empowerment, collaboration, and recognition of their experiences. Overall, active participation seeks to promote individuals' independence and well-being through involvement, respect, and collaboration.
The outcomes-based practice focuses on achieving measurable and observable results or outcomes, using evidence-based interventions and practices that are effective. As stated by Daldeniz. and Hampton (2019), its features include regular monitoring, measurement, and evaluation of progress toward outcomes, as well as collaboration with service users, carers, and other stakeholders in defining and prioritizing outcomes. The principles of outcomes-based practice include clear definition and measurement of outcomes, collaborative goal-setting, and decision-making, and continuous monitoring and evaluation of progress towards outcomes. Drivers for outcomes-based practice include the increasing demand for accountability and transparency in service delivery, and the need to demonstrate the effectiveness and value of interventions. Values that underpin outcomes-based practice include a commitment to achieving meaningful and measurable outcomes for service users, a focus on evidence-based practice, and continuous quality improvement
There is a subtle relationship between the strength-based approach and person-centred practice. During that time when both of the approaches work together, they keep their sole focus on offering well-being, control along with choice to their individuals (Kelly et al 2019). To derive the outcome-based practice, the application of both of these approaches together is effective. Strength-based approach is efficient to work on the talent, skills, and most importantly, strengths of an individual instead of focusing on the boundaries of the individual. It influences the positive relationship, personal growth, and resiliency of an individual which leads to gaining self-determination. On the other hand, a person-centred approach is an effective tool that helps an individual to understand as well as to respond as per the requirements and preferences of an individual. While working together, both of these approaches play an important role to focus on the skills and strengths of an individual and stay engaged to make effective decisions that result in promoting a healthy and well-being outcome (Celik et al. 2020). This aspect helps and offers support to individuals to attain their goals and aspirations.
Collaboration, partnership, and co-production- these three aspects go side by side to build a strong community within individuals. This acts as an essential medium to enhance teamwork and resolve every potential issue. With the development of partnership and collaboration, an individual becomes able to stay interconnected with each other which improves working efficiency along with making an individual steady to attain their common goals (Herfelt et al. 2019). Co-production and collaboration help in pooling all the skills, resources, and strengths of both individuals to attain a specific goal. The primary function of these aspects is the following:
Pooling resources, skills, and strengths of both individuals to complete a single task facilitates the workability of a team. While partnering with other individuals or companies, it excels the knowledge of an individual and makes them tap into some new resources that enable the person to attain their desired outcome.
Collaboration, co-production, and partnership are efficient tools to gain a diverse perspective on a matter (Madden et al. 2020). This leads an individual to evaluate different approaches and strategies that can facilitate the performance of an individual to accomplish the desired outcome.
Partnership and collaboration work side by side which improves gaining multiple new ideas within oneself and thus, it boosts the problem-solving skills of an individual. Merging skills with other organizations or other individuals expands the arena of knowledge and talents that help resolve complex issues in this interconnected world.
The more an individual works with another person, it enables the person gains the power to build a strong and resilient working system that will effectively help the individual to deal with changes (Caiels et al. 2021). Continuous upgradation in knowledge, skills, and ideas make the individual stay firm in long-term sustainability and attain the desired goal.
As both individuals work towards the same goal during the time of partnership, collaboration, and co-production, it often works as a tool of motivation and support. Therefore, these aspects are effective for an individual to stay focused and perpetrated to accomplish the desired outcome of the individual.
An individual needs to keep community connections along with relationships that can maintain the overall well-being and health of individuals (Allen et al. 2020). In context to service, it must be a prime criterion for a service to offer opportunities to individuals to participate in programs that can work on the relationship and community connections. The primary role of service in this regard includes:
Service often offers social events that provide an individual opportunity to connect to others and build strong relationships with each other.
Service is an important tool to address the requirements of the community and help build a strong connection with community people (Madden et al. 2020). Mutual respect is built between each other that in turn, allows the individuals to identify their challenges and make progress to attain their own goals.
Service plays an important role to provide support to a community such as funding, technical assistance, or some kind of training that can facilitate the lifestyle of the community and help the individual to build a strong community connection (Herfelt et al. 2019).
Integrated service provision indicates an approach that is collaborative by nature and it includes a collaboration between the agencies, professionals, and organizations to facilitate comprehensive services. As opined by Cao et al. (2020), the integrated service provision primarily aims towards breaking down the traditional boundaries that are facilitated by various providers of services and it helps facilitate much personalized and coordinated support. In that context, it can be highlighted that by crossing traditional boundaries, integrated service providers can derive a much better outcome through several means. The approaches can be specified below:
Therefore, it can be analyzed that integrated service provision can prove to be beneficial as it facilitates enhanced outcomes for individuals across traditional boundaries through personalization and coordination for complex needs. In other words, breaking traditional boundaries and cooperating with other service providers can enhance the support quality that is provided to individuals.
In a workplace setup, proactivity is considered one of the best ways to make a decision. many people used to follow a proactive approach when it comes to looking after their health and well-being. Proactivity in any workplace setup can facilitate preparedness and confidence when it comes to controlling any anticipated situation. A proactive approach can enable people to make decisions in a well-informed way and from experiences rather than scrambling in unexpected or uncertain situations. Another importance of the proactive approach is the development of a goal-oriented mindset, which can make people enable to focus on actions beneficial in long run.
The advantage of being proactive to support the individual's rights are as followed:
When someone needs to use outside services, it can affect their capacity to uphold and develop interpersonal connections. To maintain and develop relationships during this time, an individual may require the following range and sorts of support:
The benefit of positive risk-taking towards achieving positive outcomes at workplace setup refers that:
Supporting individuals to take risks in workplace setup is not about encouraging them to drive fast cars, rather it is the practice of making individuals capable of taking control of their decision-making process. Positive risk-taking can help people to develop:
Risk-averse culture emphasises and prioritises risk avoidance in clinical and therapeutic goals which invariably can lead to the excessive restriction of practising human rights. The actual meaning of risk-averse means not being willing to do something if it increases the level of risk within any situation.
Person-centred health care is a strategy that centres on the patient and takes their unique needs, preferences, and values into account when making decisions about their care. The aims of person-centred care may be at odds with a risk-averse culture's emphasis on preventing potential negative outcomes or harm (Bonetto et al., 2021).
Even when these solutions may be more in line with the patient's tastes and values, healthcare professionals may be hesitant to recommend alternative or unconventional therapies in a risk-averse culture. This might lead to a lack of individualization in healthcare decisions, which would lower patient participation and happiness.
Communication and consultation are two important considerations which need to be applied in managing a positive risk-taking process. Communication plans with both internal and external stakeholders can help individuals to understand and predict the risk at an earlier stage of the process. On the other hand consultation with management can help an individual to blueprint a road map for tackling the risk, if arise in any workplace scenario.
To motivate people for carrying out the risk assessment, when:
A balanced approach to risk-taking will include the following:
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