EBPWB - GCSE Health and Social Care - Unit 1


	AIM Care needs of clients in care homes LEARNING OBJECTIVES The student will be able to identify: the role of the care manager what services a RCM may have to co-ordinate client needs the types of referral how to apply care value in practice the dilemmas faced in meeting client needs who regulates, inspects and enforces standards in residential homes LEARNING OUTCOMES At the end of the workshop the students will be aware of holistic care and the complexity of managing service delivery

	SETTING THE SCENE Explain and discuss the following to students: "Residential" often means a client living in a care home with other people The homes are provided by social services, charitable groups and the private sector Clients - Types of people who live in residential care homes are: Children who have no parents or parents who can't care for them People with learning disabilities, mental health problems or physical disabilities who need assistance with managing their lives and daily care Older people who can no longer care for themselves Care Manager's role is to Define need Devise forms of assessment Plan care Secure appropriate resources and manage staff Monitor Control delivery of care plans Review progress with a view to reassessment

	TASK A Case Study Read the case study below and ask the students to write down the facts as you read. Review on the flip chart what they should have written down.

	John is a forty two-year-old gentleman with a learning disability. He has been cared for at home since the death of his mother a year ago by an aunt who is his only surviving relative. Currently he sees a CRUSE counsellor (bereavement counselling) once a fortnight. The auntie, who is finding it increasingly difficult to care for John at home, made a complaint to social services. A care manager visited three months ago to undertake an assessment following complaints from John's Auntie. To compound the problem, neighbours are concerned too and one of them complained to the social services about John. She is quoted as saying: "He was wandering about with a lady's shawl and a teddy bear around the streets"... "What kind of care do you call that"... "His mother would turn in her grave if she knew what was happening to John"

	Discuss with the group: How are John and his aunt feeling at this time?

	TASK A - JOHN'S NEEDS In small groups of 4, ask each group to identify what John's needs are and who would provide them. Ask each group to nominate a scribe and to summarise their ideas on flip chart paper under two headings 'Need' and 'Supplier'. Bring the groups ideas together by asking each group in turn to name a need that John may have and the potential supplier of the service. Summarise on flip chart paper.

	TASK B - WHAT TO DO? Ask the group to make two lists of pros and cons for one of the following solutions: Allowing John to stay at home. Extra help for the auntie would be provided with visits from a home carer Placing John in sheltered housing with one full time warden and home care visits Placing John in a nursing home with full time carers 24 hours a day Ask each group to present their ideas to the whole group

	TASK C - DECISION MAKING Ask each group to make their own decision. Then to list their reasons on flip chart paper. Ask each group to briefly present their decision and reasoning.

	EXTENSION Find out: What type of referral was John's? Who regulates residential homes to ensure the quality of care?

	Thompson H & Aslangul S (2002) GCSE Health & Social Care Hodder and Stoughton, London Clarke L (2002) GCSE Health & Social Care Nelson Thornes Cheltenham