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Dignity: making it happen
Annie Stevenson
Head of Older People’s Services
Elaine Cass
Practice Development Manager
Workshop aim
Examine how dignity can be made fundamental to care provision by identifying our own barriers and solutions
Overview of selected research
What dignity means:
a state, quality or manner worthy of esteem or respect; and (by extension) self-respect. Dignity in care, therefore, means the kind of care, in any setting, which supports and promotes, and does not undermine, a person’s self-respect regardless of any difference.
What protects dignity?
resilience older people’s rights, person centred care
What threatens dignity?
ageism discrimination abuse
Respect
Respect
training and induction (delivery involving older people)
zero tolerance of negative attitudes towards older people
person-centred and not service or task-oriented.
'time to talk’ involve intergenerational work
Communication
information acceptable levels of both spoken and written
English culturally appropriate don’t make assumptions, always ask communication training - dementia listen
Social inclusion
social networks transport respect and utilise people’s skills community presence
Autonomy
equality control accessible information take time to support decision making participation in service development previous history and preferences advocacy DP/IB
Privacy
confidentiality, information on a ‘need to know’ basis respect personal and sexual relationships in
conjunction with careful assessment of risk choose interpreters with the consent of the service
user permission to enter someone’s personal space,
access to personal possessions and documents privacy for conversations, telephone calls, mail single-sex facilities discreet service provision
Hygiene and personal appearance
maintain personal hygiene, appearance, living environment, to personal standards
lifestyle choices don’t make assumptions about appropriate
standards of hygiene for individuals
Mealtimes and nutrition
routine nutritional screening food accessible between mealtimes time to eat – staffing levels discreet assistance choice to socialise or eat in private don’t make assumptions about people’s preferences
always ask staff with the time and the skills to prepare a freshly
cooked meal of choice good quality food that is appetising facilities for people to make drinks and snacks access to water
Complaints
people feel confident to complain staff and managers view complaints as a
means of ensuring that the service is responsive, and not as a threat
problems are picked up at an early stage and lessons are learned which lead to service improvements
poor practice is highlighted and rectified vulnerable people are protected and have
access to advocacy
Whistle blowing
staff awareness whistleblowing policy included in induction staff should be given information on external
means of support (such as PCaW).
Conclusion – a culture of good practice
dignity is the cornerstone competent staff, effective leadership, genuine
participation are the building blocks SCIE’s resources will help
SCIE’s resources
All resources can be downloaded from our website www.scie.org.uk
Most resources are available in hard copy
- call 020 7089 6840 All resources are free
Workshop
15 minutes groups of 4 /5
What are the barriers to ensuring dignity in care?
What are the possible solutions?
Sharing ideas
15 minutes
Feedback on discussion and practice examples
Summing up
Action planning What will you do when you return to your
workplace? How will you tell whether it makes a
difference?
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