Understand the process and experience of dementia

Transcription

1 Unit 101 Understand the process and experience of dementia Level: 3 Credit value: 3 UAN number: J/601/3538 Unit aim This unit provides the knowledge of the neurology of dementia to support the understanding of how individuals may experience dementia. Learning outcomes There are three learning outcomes to this unit. The learner will be able to: 1. Understand the neurology of dementia 2. Understand the impact of recognition and diagnosis of dementia 3. Understand how dementia care must be underpinned by a person centred approach Guided learning hours It is recommended that 22 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards (if appropriate) This unit is linked to the Type the Relevant Name Here NOS 000. Support of the unit by a sector or other appropriate body (if required) This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: an assignment covering underpinning knowledge.

2 Outcome 1 Understand the neurology of dementia 1. describe a range of causes of dementia syndrome 2. describe the types of memory impairment commonly experienced by individuals with dementia 3. explain the way that individuals process information with reference to the abilities and limitations of individuals with dementia 4. explain how other factors can cause changes in an individual s condition that may not be attributable to dementia 5. explain why the abilities and needs of an individual with dementia may fluctuate Outcome 2 Understand the impact of recognition and diagnosis of dementia 1. describe the impact of early diagnosis and follow up to diagnosis 2. explain the importance of recording possible signs or symptoms of dementia in an individual in line with agreed ways of working 3. explain the process of reporting possible signs of dementia within agreed ways of working 4. describe the possible impact of receiving a diagnosis of dementia on 5. the individual 6. their family and friends Outcome 3 Understand how dementia care must be underpinned by a person centred approach 1. compare a person centred and a non-person centred approach to dementia care 2. describe a range of different techniques that can be used to meet the fluctuating abilities and needs of the individual with dementia 3. describe how myths and stereotypes related to dementia may affect the individual and their carers 4. describe ways in which individuals and carers can be supported to overcome their fears

3 Additional guidance Dementia syndrome: Dementia caused by a combination of conditions, sometimes called a mixed dementia An individual is someone requiring care or support Carers may include o Partner o Family o Friends o Neighbours

4 Unit 105 Enable rights and choices of individuals with dementia whilst minimising risks Level: 3 Credit value: 4 UAN number: A/601/9191 Unit aim This unit is about developing the learners knowledge, understanding and skill of enabling the rights and choices of the individual with dementia whilst minimising risks. Learning outcomes There are four learning outcomes to this unit. The learner will be able to: 1. Understand key legislation and agreed ways of working that support the fulfilment of rights and choices of individuals with dementia while minimising risk of harm 2. Be able to maximise the rights and choices of individuals with dementia 3. Be able to involve carers and others in supporting individuals with dementia 4. Be able to maintain the privacy, dignity and respect of individuals with dementia whilst promoting rights and choices Guided learning hours It is recommended that 26 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards (if appropriate) This unit is linked to HSC 21, 31, 41, 24, 35, and 45. Support of the unit by a sector or other appropriate body (if required) This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence. 40 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

5 Unit 105 Outcome 1 Enable rights and choices of individuals with dementia whilst minimising risks Understand key legislation and agreed ways of working that support the fulfilment of rights and choices of individuals with dementia while minimising risk of harm 1. explain the impact of key legislation that relates to fulfilment of rights and choices and the minimising of risk of harm for an individual with dementia 2. evaluate agreed ways of working that relate to rights and choices of an individual with dementia 3. explain how and when personal information may be shared with carers and others, taking into account legislative frameworks and agreed ways of working. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 41

6 Unit 105 Outcome 2 Enable rights and choices of individuals with dementia whilst minimising risks Be able to maximise the rights and choices of individuals with dementia 1. demonstrate that the best interests of an individual with dementia are considered when planning and delivering care and support 2. demonstrate how an individual with dementia can be enabled to exercise their rights and choices even when a decision has not been deemed to be in their best interests 3. explain why it is important not to assume that an individual with dementia cannot make their own decisions 4. describe how the ability of an individual with dementia to make decisions may fluctuate. 42 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

7 Unit 105 Outcome 3 Enable rights and choices of individuals with dementia whilst minimising risks Be able to involve carers and others in supporting individuals with dementia 1. demonstrate how carers and others can be involved in planning support that promotes the rights and choices of an individual with dementia and minimises risk of harm 2. describe how a conflict of interest can be addressed between the carer and an individual with dementia whilst balancing rights, choices and risk 3. describe how to ensure an individual with dementia, carers and others feel able to complain without fear of retribution. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 43

8 Unit 105 Outcome 4 Enable rights and choices of individuals with dementia whilst minimising risks Be able to maintain the privacy, dignity and respect of individuals with dementia whilst promoting rights and choices 1. describe how to maintain privacy and dignity when providing personal support for intimate care to an individual with dementia 2. demonstrate that key physical aspects of the environment are enabling care workers to show respect and dignity for an individual with dementia 3. demonstrate that key social aspects of the environment are enabling care workers to show respect and dignity for an individual with dementia. 44 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

9 Unit 105 Enable rights and choices of individuals with dementia whilst minimising risks Additional guidance Key legislation may include: o Human Rights Act 1998 o Mental Capacity Act 2005 o Adults with Incapacity (Scotland) Act 2000 o Mental Health Act 2007 o The Disability Discrimination Act 1995 o Safeguarding Vulnerable Groups Act 2006 o Carers (Equal opportunities) Act 2004 Agreed ways of working may include policies and procedures where these exist; they may be less formally documented with micro-employers An individual is someone requiring care or support Carers and others may include: o Care worker o Family o Advocate o Colleagues o Managers o Social worker o Occupational Therapist o GP o Speech and Language Therapist o Physiotherapist o Pharmacist o Nurse o Specialist nurse o Psychologist o Psychiatrist o Independent Mental Capacity Advocate o Independent Mental Health Advocate o Advocate o Dementia care advisor o Support groups Best interests: This is an essential aspect of the Mental Capacity Act (2005). To support the financial health, emotional and social well being of an individual and to take into consideration their past and present wishes and feelings, advance directives, beliefs and values Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 45

10 Key physical and social aspects may include: Physical: o Signage o Colour o Furniture o Flooring o Technology o Room layout o Storage o Space for personal belongings Social: o Communication skills o Positive approach o Relationship centred approach o Professional boundaries o Abilities focus o Whole team approach 46 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

11 Unit 106 Understand and enable positive interaction and communication with individuals who have dementia Level: 3 Credit value: 4 UAN number: Y/601/4693 Unit aim This unit provides the opportunity for the learner to develop and implement the qualities of an effective relationship with individuals with dementia. This is based on the use of positive interactions and communication skills. Learning outcomes There are four learning outcomes to this unit. The learner will be able to: 1. Understand the factors that can affect interactions and communication of individuals with dementia 2. Be able to communicate with an individual with dementia using a range of verbal and non-verbal techniques 3. Be able to communicate positively with an individual who has dementia by valuing their individuality 4. Be able to use positive interaction approaches with individuals with dementia Guided learning hours It is recommended that 30 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards (if appropriate) This unit is linked to the HSC 21, 31, 41, 24, 35, 45. Support of the unit by a sector or other appropriate body (if required) This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 47

12 Unit 106 Outcome 1 Understand and enable positive interaction and communication with individuals who have dementia Understand the factors that can affect interactions and communication of individuals with dementia 1. explain how different forms of dementia may affect the way an individual communicates 2. explain how physical and mental health factors may need to be considered when communicating with an individual who has dementia 3. describe how to support different communication abilities and needs of an individual with dementia who has a sensory impairment 4. describe the impact the behaviours of carers and others may have on an individual with dementia. 48 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

13 Unit 106 Outcome 2 Understand and enable positive interaction and communication with individuals who have dementia Be able to communicate with an individual with dementia using a range of verbal and non-verbal techniques 1. demonstrate how to use different communication techniques with an individual who has dementia 2. show how observation of behaviour is an effective tool in interpreting the needs of an individual with dementia 3. analyse ways of responding to the behaviour of an individual with dementia, taking account of the abilities and needs of the individual, carers and others. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 49

14 Unit 106 Outcome 3 Understand and enable positive interaction and communication with individuals who have dementia Be able to communicate positively with an individual who has dementia by valuing their individuality 1. show how the communication style, abilities and needs of an individual with dementia can be used to develop their care plan 2. demonstrate how the individual s preferred method/s of interacting can be used to reinforce their identity and uniqueness. 50 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

15 Unit 106 Outcome 4 Understand and enable positive interaction and communication with individuals who have dementia Be able to use positive interaction approaches with individuals with dementia 1. explain the difference between a reality orientation approach to interactions and a validation approach 2. demonstrate a positive interaction with an individual who has dementia 3. demonstrate how to use aspects of the physical environment to enable positive interactions with individuals with dementia 4. demonstrate how to use aspects of the social environment to enable positive interactions with individuals with dementia 5. demonstrate how reminiscence techniques can be used to facilitate a positive interaction with the individual with dementia. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 51

16 Unit 106 Understand and enable positive interaction and communication with individuals who have dementia Additional guidance Carers may include: o Partner o Family o Friends o Neighbours Others may include: o Care worker o Colleague o Manager o Social Worker o Occupational Therapist o GP o Speech & Language Therapist o Physiotherapist o Pharmacist o Nurse o Psychologist o Admiral Nurses o Independent Mental Capacity Advocate o Community Psychiatric Nurse o Dementia Care Advisors o Advocate o Support groups Social environment can provide interactions which create stimulation and enjoyment e.g. o Opportunities to meet with family and friends o Able to talk about early life, past career, good memories o Engagement with familiar activities i.e. attendance at church, clubs, playing golf, favourite walks o Engagement with activities e.g. reminiscence, listening to favourite music, o Continuing social routines, e.g. going to the hairdressers, out for coffee etc. Reality Orientation. This approach tries to place the individual in the here and now, reminding them of the day, place, time and situation they are in Validation approach. Using non-judgmental acceptance and empathy to show the individual that their expressed feelings are valid. Focussing on the feelings rather than the content of speech. 52 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

17 Unit 107 Equality, diversity and inclusion in dementia care practice Level: 3 Credit value: 4 UAN number: F/601/4686 Unit aim This unit is aimed at those who provide care or support to individuals with dementia in a wide range of settings. The unit covers the concepts of equality, diversity and inclusion, which are fundamental to person centred approach. Learning outcomes There are four learning outcomes to this unit. The learner will be able to: 1. Understand that each individual s experience of dementia is unique 2. Understand the importance of diversity, equality and inclusion in dementia care and support 3. Be able to work in a person centred manner to ensure inclusivity of the individual with dementia 4. Be able to work with others to encourage support for diversity and equality Guided learning hours It is recommended that 31 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards (if appropriate) This unit is linked to the HSC 21, 31, 41, 24, 35, 45. Support of the unit by a sector or other appropriate body (if required) This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 53

18 Unit 107 Outcome 1 Equality, diversity and inclusion in dementia care practice Understand that each individual s experience of dementia is unique 1. explain why it is important to recognise and respect an individual s heritage 2. compare the experience of dementia for an individual who has acquired it as an older person with the experience of an individual who has acquired it as a younger person 3. describe how the experience of dementia may be different for individuals 4. who have a learning disability 5. who are from different ethnic backgrounds 6. who are at the end of life 7. describe how the experience of an individual s dementia may impact on carers. 54 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

19 Unit 107 Outcome 2 Equality, diversity and inclusion in dementia care practice Understand the importance of diversity, equality and inclusion in dementia care and support 1. describe how current legislation, government policy and agreed ways of working support inclusive practice for dementia care and support 2. describe the ways in which an individual with dementia may be subjected to discrimination and oppression 3. explain the potential impact of discrimination on an individual with dementia 4. analyse how diversity, equality and inclusion are addressed in dementia care and support. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 55

20 Unit 107 Outcome 3 Equality, diversity and inclusion in dementia care practice Be able to work in a person centred manner to ensure inclusivity of the individual with dementia 1. demonstrate how to identify an individual s uniqueness 2. demonstrate how to use life experiences and circumstances of an individual who has dementia to ensure their inclusion 3. demonstrate practical ways of helping an individual with dementia to maintain their dignity 4. demonstrate how to engage and include an individual with dementia in daily life. 56 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

21 Unit 107 Outcome 4 Equality, diversity and inclusion in dementia care practice Be able to work with others to encourage support for diversity and equality 1. work with others to promote diversity and equality for individuals with dementia 2. demonstrate how to share the individual s preferences and interests with others 3. explain how to challenge discrimination and oppressive practice of others when working with an individual with dementia. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 57

22 Unit 107 Equality, diversity and inclusion in dementia care practice Additional guidance An individual is someone requiring care or support Heritage. This refers to an individual s culture, history and personal experiences and is unique to them Others may include: o Care worker o Colleague o Manager o Social Worker o Occupational Therapist o GP o Speech & Language Therapist o Physiotherapist o Pharmacist o Nurse o Psychologist o Admiral Nurses o Independent Mental Capacity Advocate o Community Psychiatric Nurse o Dementia Care Advisors o Advocate o Support groups 58 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

23 Unit 009 Contribute to support of positive risk-taking for individuals Level: 2 Credit value: 3 UAN number: A/601/9546 Unit aim This unit is aimed at those working in a wide range of settings. It provides the learner with the knowledge and skills required to contribute to supporting positive risk-taking to benefit individuals. Learning outcomes There are six learning outcomes to this unit. The learner will be able to: 1. Know the importance of risk-taking in everyday life 2. Understand the importance of positive, person-centred risk assessment 3. Know how legislation and policies are relevant to positive risk taking 4. Support individuals to make informed choices about taking risks 5. Contribute to the support of individuals to manage identified risks 6. Understand duty of care in relation to supporting positive risk-taking Guided learning hours It is recommended that 27 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards This unit is linked to HSC 240. Support of the unit by a sector or other appropriate body This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence 60 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

24 Unit 009 Outcome 1 Contribute to support of positive risk-taking for individuals Know the importance of risk-taking in everyday life 1. identify aspects of everyday life in which risk plays a part 2. outline the consequences for individuals of being prevented or discouraged from taking risks 3. explain how supporting individuals to take risks can enable them to have choice over their lives to: gain in self-confidence develop skills take an active part in their community. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 61

25 Unit 009 Outcome 2 Contribute to support of positive risk-taking for individuals Understand the importance of positive, personcentred risk assessment 1. explain how a person-centred approach to risk assessment can support positive outcomes 2. identify the features of a person-centred approach to risk assessment. 62 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

26 Unit 009 Outcome 3 Contribute to support of positive risk-taking for individuals Know how legislation and policies are relevant to positive risk taking 1. identify how legislative frameworks and policies can be used to safeguard individuals from risks whilst promoting their rights. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 63

27 Unit 009 Outcome 4 Contribute to support of positive risk-taking for individuals Support individuals to make informed choices about taking risks 1. explain the connection between an individual s right to take risks and their responsibilities towards themselves and others 2. support the individual to access and understand information about risks associated with a choice they plan to make 3. support the individual to explore the potential positive and negative consequences of the options 4. support the individual to make an informed decision about their preferred option and the associated risks 5. explain why it is important to record and report all incidents, discussions and decisions concerning risk taking. 64 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

28 Unit 009 Outcome 5 Contribute to support of positive risk-taking for individuals Contribute to the support of individuals to manage identified risks 1. use an individual s support plan to record identified risks 2. support the individual to test out the risk they wish to take, in line with agreed ways of working 3. explain the importance of working within the limits of own role and responsibilities 4. contribute to the review of risks in an individual s support plan. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 65

29 Unit 009 Outcome 6 Contribute to support of positive risk-taking for individuals Understand duty of care in relation to supporting positive risk-taking 1. outline how the principle of duty of care can be maintained while supporting individuals to take risks 2. describe what action to take if an individual decides to take an unplanned risk that places him/herself or others in immediate or imminent danger. 66 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

30 Unit 009 Contribute to support of positive risk-taking for individuals Additional guidance This unit must be assessed in accordance with Skills for Care and Development's QCF Assessment Principles. Learning outcomes 4 and 5 must be assessed in a real work environment. An individual is someone requiring care or support Person-centred reflects what is important to individuals and helps them to live the life they choose Policies may include: o National policy o Local policy Others may include o The individual o Colleagues o Families or carers o Friends o Other professionals o Members of the public o Advocates Agreed ways of working will include policies and procedures where these exist. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 67

31 Unit 010 Contribute to the care of a deceased person Level: 2 Credit value: 3 UAN number: R/601/8256 Unit aim This unit is aimed at those working in a wide range of settings. It provides the learner with the knowledge and skills required to contribute to the care, preparation and transfer of the deceased individual and provide immediate support to those affected by the death. Learning outcomes There are five learning outcomes to this unit. The learner will be able to: 1. Know the factors that affect how individuals are cared for after death 2. Contribute to supporting those who are close to deceased individuals 3. Contribute to preparing deceased individuals prior to transfer 4. Contribute to transferring deceased individuals 5. Manage own feelings in relation to the death of individuals Guided learning hours It is recommended that 24 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards This unit is linked to HSC 239 Support of the unit by a sector or other appropriate body This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: Learning outcomes 2, 3, 4 and 5 must be assessed in a real work environment in ways that do not intrude on the privacy of those involved. 68 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

32 Unit 010 Outcome 1 Contribute to the care of a deceased person Know the factors that affect how individuals are cared for after death 1. outline legal requirements and agreed ways of working that underpin the care of deceased individuals 2. describe how beliefs and religious and cultural factors affect how deceased individuals are cared for 3. identify the physical changes that take place after death and how this may affect laying out and moving individuals 4. identify diseases and conditions that necessitate specialist treatment or precautions when caring for and transferring deceased individuals 5. describe the precautions needed when undertaking the care and transfer of deceased individuals with specific high risk diseases and conditions. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 69

33 Unit 010 Outcome 2 Contribute to the care of a deceased person Contribute to supporting those who are close to deceased individuals 1. describe the likely immediate impact of an individual s death on others who are close to the deceased individual 2. support others immediately following the death of the individual in ways that: reduce their distress respect the deceased individual. 70 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

34 Unit 010 Outcome 3 Contribute to the care of a deceased person Contribute to preparing deceased individuals prior to transfer 1. follow agreed ways of working to ensure that the deceased person is correctly identified 2. carry out agreed role in preparing the deceased individual in a manner that respects their dignity, beliefs and culture 3. use protective clothing to minimise the risk of infection during preparation of the deceased individual 4. contribute to recording any property and valuables that are to remain with the deceased individual. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 71

35 Unit 010 Outcome 4 Contribute to the care of a deceased person Contribute to transferring deceased individuals 1. carry out agreed role in contacting appropriate organisations 2. carry out agreed role in transferring the deceased individual in line with agreed ways of working and any wishes expressed by the individual 3. record details of the care and transfer of the deceased person in line with agreed ways of working. 72 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

36 Unit 010 Outcome 5 Contribute to the care of a deceased person Manage own feelings in relation to the death of individuals 1. identify ways to manage own feelings in relation to an individual s death 2. utilise support systems to deal with own feelings in relation to an individual s death. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 73

37 Unit 010 Contribute to the care of a deceased person Additional guidance Agreed ways of working will include policies and procedures where these exist. Others may include: o Family o Friends o Own colleagues o Others who were involved in the life of the individual Appropriate organisations may include: o Mortuary o Funeral directors o Places of worship 74 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

38 Unit 116 Facilitate person centred assessment, planning, implementation and review Level: 3 Credit value: 6 UAN number: H/601/8049 Unit aim This unit is aimed at those working in a wide range of settings. It provides the learner with the knowledge and skills required to facilitate person-centred assessment, planning, implementation and review. Learning outcomes There are six learning outcomes to this unit. The learner will be able to: 1. Understand the principles of person centred assessment and care planning 2. Facilitate person centred assessment 3. Contribute to the planning of care or support 4. Support the implementation of care plans 5. Monitor care plans 6. Facilitate a review of care plans and their implementation Guided learning hours It is recommended that 45 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards This unit is linked to the HSC 328 and HSC 329. Support of the unit by a sector or other appropriate body This unit is endorsed by Skills for Care & Development. Assessment This unit will be assessed by: Learning outcomes 2, 3, 4, 5 and 6 must be assessed in a real work environment. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 137

39 Unit 116 Outcome 1 Facilitate person centred assessment, planning, implementation and review Understand the principles of person centred assessment and care planning 1. explain the importance of a holistic approach to assessment and planning of care or support 2. describe ways of supporting the individual to lead the assessment and planning process 3. describe ways the assessment and planning process or documentation can be adapted to maximise an individual s ownership and control of it. 138 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

40 Unit 116 Outcome 2 Facilitate person centred assessment, planning, implementation and review Facilitate person centred assessment 1. establish with the individual a partnership approach to the assessment process 2. establish with the individual how the process should be carried out and who else should be involved in the process 3. agree with the individual and others the intended outcomes of the assessment process and care plan 4. ensure that assessment takes account of the individual s strengths and aspirations as well as needs 5. work with the individual and others to identify support requirements and preferences. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 139

41 Unit 116 Outcome 3 Facilitate person centred assessment, planning, implementation and review Contribute to the planning of care or support 1. take account of factors that may influence the type and level of care or support to be provided 2. work with the individual and others to explore options and resources for delivery of the plan 3. contribute to agreement on how component parts of a plan will be delivered and by whom 4. record the plan in a suitable format. 140 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

42 Unit 116 Outcome 4 Facilitate person centred assessment, planning, implementation and review Support the implementation of care plans 1. carry out assigned aspects of a care plan 2. support others to carry out aspects of a care plan for which they are responsible 3. adjust the plan in response to changing needs or circumstances. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 141

43 Unit 116 Outcome 5 Facilitate person centred assessment, planning, implementation and review Monitor care plans 1. agree methods for monitoring the way a care plan is delivered 2. collate monitoring information from agreed sources 3. record changes that affect the delivery of the care plan. 142 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

44 Unit 116 Outcome 6 Facilitate person centred assessment, planning, implementation and review Facilitate a review of care plans and their implementation 1. seek agreement with the individual and others about: who should be involved in the review process criteria to judge effectiveness of the care plan 2. seek feedback from the individual and others about how the plan is working 3. use feedback and monitoring/other information to evaluate whether the plan has achieved its objectives 4. work with the individual and others to agree any revisions to the plan 5. document the review process and revisions as required. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 143

45 Unit 116 Facilitate person centred assessment, planning, implementation and review Additional guidance The individual is the person requiring care or support. An advocate may act on behalf of an individual. A care plan may also be known by other names, such as a support plan, individual plan or care delivery plan. It is the document where day to day requirements and preferences for care and support are detailed. Others may include: o Carers o Friends and relatives o Professionals o Others who are important to the individual s well-being Factors may include: o Feasibility of aspirations o Beliefs, values and preferences of the individual o Risks associated with achieving outcomes o Availability of services and other support options Options and resources should consider: o Informal support o Formal support o Care or support services o Community facilities o Financial resources o Individual s personal networks Revisions may include: o Closing the plan if all objectives have been met o Reducing the level of support to reflect increased independence o Increasing the level of support to address unmet needs o Changing the type of support o Changing the method of delivering support 144 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

46 Unit 111 Outcome 1 Implement therapeutic group activities Understand the principles of therapeutic group activities 1. explain how participating in therapeutic group activities can benefit an individual s identity, self-esteem and well-being 2. analyse reasons why a group activity rather than one to one work may be recommended in particular circumstances 3. compare key points of theories about group dynamics. 98 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

47 Unit 111 Outcome 2 Implement therapeutic group activities Plan and prepare for therapeutic group activities 1. work with individuals and others to agree: the nature and purpose of a therapeutic group specific activities to fit the purpose of the group 2. address any risks that may be associated with the planned activities 3. prepare the environment for a therapeutic group activity 4. prepare equipment or resources needed for the activity. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 99

48 Unit 111 Outcome 3 Implement therapeutic group activities Support individuals during therapeutic group activities 1. support group members to understand the purpose and proposed activity of the group 2. support group members during the activity in ways that encourage effective communication, active participation and co-operation 3. give direction, praise, reassurance and constructive feedback during the activity 4. support the group to bring the activity to a safe and timely end. 100 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

49 Unit 111 Outcome 4 Implement therapeutic group activities Contribute to the evaluation of therapeutic group activities 1. encourage and support individuals to give feedback during and after group activities 2. agree processes and criteria for evaluating the therapeutic benefits of the group and its activities 3. carry out own responsibilities for supporting the evaluation and agreeing any revisions 4. record and report on outcomes and any revisions in line with agreed ways of working. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 101

50 Unit 111 Implement therapeutic group activities Additional guidance Therapeutic group activities may include: o Reminiscence therapy o Relaxation and anxiety management o Remedial games o Health-related group activities o Art or music therapy Individuals are those requiring care or support Others may include o Carers and family members o Line manager o Therapists or other specialists who may recommend therapeutic group activities Risks may include those associated with o The health, safety and well-being of those in the group o Unintentional exclusion of some group members o Others involved with the group s activities o The environment o Equipment and resources used Active participation is a way of working that recognises an individual s right to participate in the activities and relationships of everyday life as independently as possible; the individual is regarded as an active partner in their own care or support, rather than a passive recipient Agreed ways of working will include policies and procedures where these exist. 102 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

51 Unit 111 Implement therapeutic group activities Level: 3 Credit value: 4 UAN number: D/601/9491 Unit aim This unit is aimed at those working in a wide range of settings. It provides the learner with the knowledge and skills required to plan, prepare and implement therapeutic group activities in collaboration and agreement with individuals and others. Learning outcomes There are four learning outcomes to this unit. The learner will be able to: 1. Understand the principles of therapeutic group activities 2. Plan and prepare for therapeutic group activities 3. Support individuals during therapeutic group activities 4. Contribute to the evaluation of therapeutic group activities Guided learning hours It is recommended that 25 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards This unit is linked to HSC 393. Support of the unit by a sector or other appropriate body This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 97

52 Unit 422 Independent Mental Capacity Advocacy Level: 4 Credit value: 12 QAN number: F/502/3295 Unit aim The unit aims to support candidates to develop the practical skills and knowledge required to provide IMCA support within the Mental Capacity Act Learning outcomes There are nine learning outcomes to this unit. The learner will be able to: 1. Understand and use the Mental Capacity Act 2. Provide Independent Mental Capacity Advocacy 3. Work with the decision maker 4. Challenge decisions made by the decision maker 5. Work with people who lack capacity 6. Work with accommodation and care review referrals 7. Work with serious medical treatment referrals 8. Work with adult protection referrals 9. Construct an IMCA written report that meets statutory requirements. Guided learning hours It is recommended that 35 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards (if appropriate) This unit is linked to these NOS: AHP, GEN 12, H16, H136, HSC 328, HSC 368, HSC 3199, HSC 41, HSC 45, HSC 418, HSC 423, HSC 431, HSC 434, HSC 437, and MH_1. Support of the unit by a sector or other appropriate body (if required) This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 173

53 Unit 422 Outcome 1 Independent Mental Capacity Advocacy Understand and use the Mental Capacity Act 1. explain key principles of the Mental Capacity Act analyse powers within the Mental Capacity Act use research skills to identify a range of provisions within the Mental Capacity Act explain who may be affected by the Mental Capacity Act 2005 and why 5. use the Code of Practice. Range Key principles: including the five key principles and best interests framework Provisions: new provisions within the Act including advance decisions to refuse treatment, Court of Protection, office of public guardian, lasting power of attorney and Court appointed deputies. 174 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

54 Unit 422 Outcome 2 Independent Mental Capacity Advocacy Provide Independent Mental Capacity Advocacy 1. use the Mental Capacity Act 2005 to identify when there is a duty and a power to instruct an IMCA 2. analyse the role and responsibilities of an IMCA 3. summarise rights afforded to an IMCA within the Mental Capacity Act prioritise a range of case work 5. assess a range of potential challenges which IMCAs can face in practice 6. resolve practice dilemmas 7. evaluate the differences between IMCA and general advocacy 8. assess and resolve conflicts of interest 9. summarise the role of commissioners 10. commit to using supervision 11. signpost qualifying people to other services. Range Challenges: including working with people who cannot instruct, working with professionals, challenging decisions, time constraint of role Differences: a range of differences between IMCA and general advocacy including differences in confidentiality boundaries, information sharing, seeking consent, taking instructions, accepting referrals and securing outcomes. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 175

55 Unit 422 Outcome 3 Independent Mental Capacity Advocacy Work with the decision maker 1. identify the decision maker 2. identify good practice in partnership working between the decision maker and the IMCA 3. identify good practice in partnership working between the decision maker and the IMCA 4. use referral processes which identify legal requirements for accepting a new client 5. evaluate the correctness of the assessment of capacity 6. identify the requirements for accepting referral when family are involved 7. identify which IMCA service is responsible to represent an individual in different geographical areas 8. respond to decision makers who do not practice partnership working 9. present to decision makers on what an IMCA can contribute. Range Dilemmas and challenges: dilemmas faced when taking referrals, challenging decisions and accessing information Evaluate: identify requirements of the assessment of capacity and how IMCAs can raise concerns about the person s capacity to make the referral decision. 176 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

56 Unit 422 Outcome 4 Independent Mental Capacity Advocacy Challenge decisions made by the decision maker 1. map out the decision making process within each area an IMCA may be involved 2. raise concerns during the decision making process 3. highlight concerns after the decision is made. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 177

57 Unit 422 Outcome 5 Independent Mental Capacity Advocacy Work with people who lack capacity 1. use a range of methods to communicate with people who lack capacity 2. use non-instructed Advocacy to identify the wishes and preferences of people receiving IMCA support 3. use strategies to work with people with dementia or learning disabilities 4. ascertain the wishes and preferences of people who lack capacity. Range Range of methods: including verbal and non verbal communication. 178 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

58 Unit 422 Outcome 6 Independent Mental Capacity Advocacy Work with accommodation and care review referrals 1. research information and establish options 2. evaluate the differences and similarities in a range of types of accommodation 3. identify a range of possible care packages to enable people to stay at home 4. assess the suitability of types of accommodation to individuals 5. assess the impact the decision will have on the individual 6. use a range of information sources to suggest alternative courses of action 7. explain the function of a range of regulatory bodies. Range Information: taken from inspection reports Types of accommodation: including supported living, residential care, nursing homes, sheltered housing and receiving support in one s own home Regulatory bodies: including CQC and CSSIW. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 179

59 Unit 422 Outcome 7 Independent Mental Capacity Advocacy Work with serious medical treatment referrals 1. summarise the criteria for serious medical treatment 2. research and gather information 3. assess the impact the decision will have on the individual 4. use a range of information sources to suggest alternative courses of action 5. obtain a second medical opinion where appropriate 6. explain the importance of seeking a second medical opinion 7. identify risks, benefits and ethical issues connected to medical treatments 8. explain the process of referral in medical systems to access treatment. Range Decision: the impact a range of decisions could have on the individual including end of life decisions and Do not Attempt Resuscitation orders. 180 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

60 Unit 422 Outcome 8 Independent Mental Capacity Advocacy Work with adult protection referrals 1. identify the different stages at which the IMCA may be instructed within adult protection procedures 2. identify a range of situations where the IMCA may represent the individual during adult protection meetings 3. analyse and use local and national adult protection procedures 4. use the guidelines for IMCA in adult protection proceedings referrals 5. research and gather information 6. attend meetings where necessary 7. attend meetings where necessary 8. summarise the issues involved in communicating with families in adult protection cases. Range Guidelines: ADASS guidance on the criteria for the use of IMCAs in safeguarding adult cases. Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 181

61 Unit 422 Outcome 9 Independent Mental Capacity Advocacy Construct an IMCA written report that meets statutory requirements. 1. identify a range of issues that should be addressed within an IMCA report 2. identify what should never be in an IMCA report 3. write an IMCA report 4. identify good practice in recording case work 5. explain the impact of data protection legislation on the recording of work. Good Practice It is envisaged the delivery of this unit will take place during taught sessions and on the job training. Tutors should consider which learning outcomes are delivered during taught elements and identify which competency based outcomes must be demonstrated through work based evidence. Service users should be supported to co-deliver taught sessions and have appropriate opportunity to comment on a candidate s competency across a range of learning outcomes. 182 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)

62 Unit 114 Interact with and support individuals using telecommunications Level: 3 Credit value: 5 UAN number: Y/601/8825 Unit aim This unit is aimed at those who interact with individuals using telecommunications. This involves establishing interactions, sustaining interactions and ending interactions with individuals using telecommunications. The emphasis is on supportive interactions rather than providing a general advice service. Learning outcomes There are five learning outcomes to this unit. The learner will be able to: 1. Understand the legal and local requirements relating to the use of telecommunications when supporting individuals 2. Use telecommunication technology 3. Engage with individuals using telecommunications 4. Identify and evaluate any risks or dangers for individuals during the interaction 5. Terminate the interaction Guided learning hours It is recommended that 36 hours should be allocated for this unit, although patterns of delivery are likely to vary. Details of the relationship between the unit and relevant national standards This unit is linked to HSC 353. Support of the unit by a sector or other appropriate body This unit is endorsed by Skills for Care and Development. Assessment This unit will be assessed by: a portfolio of evidence Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565) 123

63 Unit 114 Outcome 1 Interact with and support individuals using telecommunications Understand the legal and local requirements relating to the use of telecommunications when supporting individuals 1. describe the legal and local requirements and policies relevant to the functions being carried out 2. explain the rights of the individual being supported using telecommunications. 124 Level 3 Award in Awareness of Dementia and Certificate in Dementia Care (3565)