Unit 506

Unit 513: Manage Health and Social Care Practice to ensure Positive Outcomes for Individuals

Outcome 1: Understand the theory and principles that underpin outcome based practice

All care homes nowadays should be compliant with the Health and Social Care Act 2008 and implement person-centred values.

Before, services were structured in a way that would best meet the needs of the majority and people were expected to fit in with the set routines and practices. Whereas nowadays, services are person-centred and must be holistic and flexible, to meet individuals’ needs in a way that is most beneficial for them.

One of the approaches used in achieving desired patient care goals is outcome based practice. This practice involves integrating teamwork, quality improvement, with continual evaluation and measuring processes and outcomes.  

There are three dimensions of the model that have been put forward (Researched by Harris et al., 2005)

  * “Outcomes involving change, such as those that focus on developing self-confidence, or skills, which enable self-care.”
  * “Outcomes maintaining quality of life, occasionally referred to as maintenance outcomes.”
  * “Outcomes associated with the process of receiving services, or those which involve being valued and listened to in the care process.”

The idea of “outcomes” in care was seen as a different approach, in which focussing on achievement was a more meaningful way to assist with care. An example of previous practice, in “nurse-led assessment”, was that the carers washed and dressed everyone for their set breakfast time, whereas now, the clients are given choices, either having breakfast in bed or having breakfast after being washed and dressed. Clearly, the previous “needs-led assessment” practice, had a number of limitations.   The focus for such practice was on the patient’s immediate situation and the corresponding support requirements. Identifying a patient’s needs is a very subjective process and...