Reflective_Account

Reflective Account of My Day at Work On arrival I rang the doorbell and waited for Mr X to open the door. I always like to encourage service users to open door themselves at agreed suitable times (not at night unless expecting someone) Regulation 11 and 15 of the Health and Social Care Act 2008 ( safeguarding people who use services from abuse). I greeted Mr X and after a brief chat I explained that myself and the ‘sleepin’ member of staff are going to go up to the staff office to do a handover, as we were going up the stairs the second member of staff that was on duty for the early shift arrived. The night staff began to tell us about the residents one at a time, we then counted and checked each service user’s money tins and also the office petty cash tin, once checked and correct I signed the relevant pettycash books and the second member of staff countersigned. I then checked the medication folder to ensure medications the night before had been administered and signed for, I then read the communication book and checked the diary for any appointments. After giving me the staff keys the sleep-in member of staff left. My colleague and I then discussed the plan for the shift. I also had a supervision booked with this member of staff which we had agreed to do at 1.30pm when the residents are out and there would be privacy and no disruptions, I explained that it is essential we have the supervision as it is now due under compliance and that we had some following up to do from actions from their previous supervision. As it was the end of the month I also had the end of month returns to complete. At around 07:45 the residents got up and came into the kitchen to make themselves a drink and helped themselves to breakfast. Mr k needed verbal prompt to try and do this himself as he was quite capable of doing this independently. To help promote and work towards independence I ensure myself and the team do this in a consistent way so that all service users are given the opportunity for choice and freedom in as many aspects of their life as possible. A person centred plan is in place along with a care plan, risk assessments and guidelines and other relevant files and documents are also in place for staff to follow. This information is stored in the office and only staff, professionals and the actual resident whose care plan it is must have access to it. This adheres to Regulation 17 ‘Health And Social Care Act 2008 (Regulated Activities)’, Regulations 2010 ‘Care Standards Act 2000’ and the ‘Data Protection Act 1998’. This principle respects the right of the individual to: * Know what information is held is held on them and the reason it is held. * Have access to such information * Have their own comments recorded on the records * Request correction or deletion of incorrectly recorded information * Understand the care, treatment and support choices available to them * Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support * Have their privacy, dignity and independence respected * Have their views and experiences taken into account in the way the service is provided and delivered. Complying with these regulations means; * Recognising the diversity, values and human rights of people who use the service. * Maintaining the privacy, dignity and independence of people who use the service. * Ensuring the service user is at the centre of their care, treatment and support by enabling them to make decisions. * To provide information that supports the service users or others acting on their behalf, to make decisions about their care, treatment and support. * Supporting service users to understand the care, treatment and support provided. * Promoting independence enabling service users to care for themselves as much as possible. * Encourage service users to be involved in the running of the service. * Enable service users to be an active part of their community. Whilst the residents were having their breakfast I explained to my colleague that I will be administering medication when each individual finishes their breakfast and that they would be supporting 2 of the residents to get ready for day services as they require support with some personal care. When administering the medication I ensured I was following correct procedures in line with Regulation 13 of the ‘Health and Social Care Act 2008’, ‘Care Standards Act 2000’, ‘Medicines Act 1968’, ‘Misuse of Drugs Act 1971’, ‘Misuse of Drugs regulations 1973’, NMC Guidelines for the Administration of Medicines. It is the manager/registered persons responsibility to protect service users against the risks associated with the unsafe use and management of medicines, by means of making appropriate arrangements for obtaining, handling, using, safe keeping, dispensing, safe administration and disposal of medication used for the purpose of the regulated activity. My colleague who was a support worker was unsure about Mr X’s morning routine as they had not worked at the house for a while and was checking if anything had changed. Mr X has autism and everything needs to be planned. I explained that there had been changes and that I had updated Mr X’s morning guidelines and asked them to go and familiarise themselves with the changes before supporting Mr X with his personal care It was important to Mr X staff worked with him in a consistent way as any sudden change or inconsistencies in his routines and from staff support can lead to agitation and anxiety. This is working towards the outcome of service users receiving personal support in the way they prefer and require (Regulation 17 and 18 of the Health and Social Care Act 2008, Care Standards Act 2000, Human Rights Act 1998). Once all the residents were ready their transport arrived to pick them up for day services. My colleague and I carried out the daily tasks which involved cleaning the house and I reminded them where the COSHH cupboard is and reminded them that it must be locked at all times unless staff are accessing it to get a product out or to return it after use, it was very important that all staff did this in line with Regulation 12 of the ‘Health And Social Care Act 2008’, ‘Care Standards Act 2000’, ‘Health And Safety At Work Act 1974’, Management Of Health and Safety at Work Regulations 1999’, Workplace (health, safety and welfare) Regulations 1992’, Control of Substances Hazardous to Health Regulations (COSHH)’, Reporting of Injuries, Diseases and Dangerous occurrences Regulations 1995 (RIDDOR). I had put a daily cleaning checklist in place that all staff must sign once each task is complete. The house had had negative feedback from an audit carried out before I started managing the house; I created the daily cleaning checklist form to ensure the staff team carry out their cleaning/household duties regularly. Once all these were complete I asked the member of staff to carry out the weekly fire test, this was very important and is working in line with. the; ‘Health and Safety at Work Act 1974’. I had these written in the diary which all staff must read as part of the handover process and needs to be recorded in the ‘Fire Safety ‘ file. Whilst they did this I checked all the fridge/freezer temperatures, checked that food was in date and was being stored correctly and also the medication cupboard temperature.. This is working in line with the ‘Health and Social Care Act 2008’, ‘Care Standards Act 2000’, ‘Food Safety Act 1990’, Food Safety (General Food Hygiene) Regulations 1995’, Food Safety (Temperature Control) Regulations 1995’. Once these tasks were complete I then went to the office to prepare my monthly returns. This consisted of; checking, authorising, signing and consolidating staff overtime and sleep-in timesheets and agency staff timesheets, staff sickness consolidation, annual leave consolidation, working out and consolidating totals of hours worked by all staff for the month, completing petty cash analysis by checking through all receipts and petty cash vouchers from expenses made throughout the week by the staff and the residents, and calculate and claim budget for the next month for food and household products etc, I was also required to include last team meeting minutes which I held. Once I had completed these tasks all the documents and information needed to be forwarded to head office. When I checked the communication book I had asked all staff to note the dates when medication reviews were due for the specific resident they key-worked. This had been completed so I was then required to book these appointments for a medication review for each resident, I did this by liaising with each resident’s G.P and surgery and ensured correct staffing was arranged for these appointments. This is in line with Regulation 13 of the ‘Health and Social Care Act 2003’, ‘Care Standards Act 2000’, ‘Medicines Act 1968’, ‘Misuse of Drugs Act 1971’, ‘Misuse of Drugs regulations 1973’, NMC Guidelines for the Administration of Medicines’. Mr X was unable to walk that far so he required a member of staff that drives so it was important this was pre-planned to meet Mr X’s needs. Whilst looking through the staff rota I noticed there were outstanding shifts that needed covering so I called our bank staff office and the agencies we use informing them of the shifts available. They were going to call back later on that day to inform us what shifts their staff was able to cover. I wrote a message in the communication book for the afternoon member of staff to make them aware the agencies may call back regarding outstanding shifts. I then took some time to prepare to deliver the supervision I had booked with my colleague. I read through their previous supervision notes and noted actions and goals that were agreed, I feel it is very important as a supervisor that actions are always followed up and timescale are given where possible. I feel it then my duty as a line manager to ensure these agreements/actions and timescale are being met, and if they are not it is my duty to support that member of staff to complete this. In my supervision agenda I always include; Review of last Supervision Meeting Items for information, Items for Discussion, Role Performance, Action Points and date for next meeting. I then informed my colleague we were ready to start the supervision and at the start informed them of items on the agenda and added on items the member of staff intended to discuss. Once supervision was complete I typed up the notes and printed 2 copies and gave a copy to the member of staff to read and if agreed then to sign it. This working in line with Regulation 23 of the Health and Social Care act 2008. It is important that staff is supported in relation to their responsibilities, to enable them to deliver care and treatment to service users safely and to an appropriate standard. It is important staff are given appropriate training, professional development, supervision and appraisal and also where possible given the opportunity to obtain further qualifications appropriate to the work they perform. The shift was coming to an end so me and the second member of staff completed the daily records for each resident recording how the resident has been, what they have been doing and also any other important information that may need to be recorded such as any incidents, any new appointments or issues that there may be. The member of staff on the late shift then arrived and we carried out handover following the same process as the morning handover. The member of staff starting shift gave me some annual leave requests they had for the next rota and I advised them to complete their annual leave card and that I would confirm with them once I have authorised any of the dates. Once handover was complete my shift was complete and after double checking that the late shift was comfortable with the shift plans I left work.